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Squamous Cell Carcinoma of Head and NeckPhase 2NCT05061420

A Study of SAR444245 Combined With Other Anticancer Therapies for the Treatment of Participants With HNSCC (Master Protocol) (Pegathor Head and Neck 204)

A Phase 2 study testing Pembrolizumab, SAR444245 (Thor-707) and Cetuximab in people with Squamous Cell Carcinoma of Head and Neck, run by Sanofi at 27 sites in 11 countries.

Terminated

Stopped early. The study ended before it was planned to and will not resume.

Official record
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Trial summary

The study was a phase 2 multi-cohort, non-randomized, open-label, multi-center study assessing the clinical benefit of SAR444245 combined with other anticancer therapies for the treatment of participants aged 18 years and older with HNSCC. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Squamous Cell Carcinoma of Head and Neck
What is being tested?
Pembrolizumab, SAR444245 (Thor-707) and Cetuximab
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
59 participants
Where
27 sitesin 11 countries
Study dates
8 Oct 2021to 26 Nov 2024
Phase
Phase 2
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • -Participants were ≥ 18 years of age inclusive, at the time of signing the informed consent
  • Histologically or cytologically confirmed diagnosis of R/M HNSCC that was considered not amenable to further therapy with curative intent. The eligible primary tumor locations were oropharynx, oral cavity, hypopharynx, and larynx (nasopharynx is excluded).
  • Measurable disease.
  • Baseline biopsy was submitted for all cohort A1 Core Phase participants.
  • Baseline biopsy was submitted for all cohort B1, B2 Expansion Phase participants.
  • Known HPV p16 status for oropharyngeal cancer.
  • Participant agreed to follow protocol-specified contraception guidelines.

Who cannot join

  • -Eastern Cooperative Oncology Group (ECOG) performance status of ≥2
  • Had received prior IL2-based anticancer treatment. -For participants in Cohort A1: Prior treatment with an agent (approved or investigational) that blocks the PD-1/PD-L1 pathway (participants who joined a study with an anti-PD-1/PD-L1 in the experimental arm but have written confirmation they have not received anti-PD-1/PD-L1 are allowed).
  • For participants in Cohort B2: Prior treatment with cetuximab (prior cetuximab allowed if used for the treatment of locally advanced disease, with no progressive disease for at least 4 months from completion of prior cetuximab therapy).
  • For participants in Cohort B2: Electrolytes (magnesium, calcium, potassium) outside the normal ranges.
  • Participants under anti-hypertensive treatment who cannot temporarily (for at least 36 hours) withhold antihypertensive medications prior to each IMP dosing.
  • Participants with baseline SpO2 ≤92% (without oxygen therapy).
  • Comorbidity requiring corticosteroid therapy (>10 mg prednisone/day or equivalent) within 2 weeks of IMP initiation. Inhaled or topical steroids are permitted, provided that they were not for treatment of an autoimmune disorder. Participants who require a brief course of steroids (eg, as prophylaxis for imaging studies due to hypersensitivity to contrast agents) were not excluded.

Trial locations and contacts

27 sites in 11 countries.

27 sites in 11 countries

United States5 sites
  • University of Michigan- Site Number : 8400008

    Ann Arbor, Michigan, 48109

  • University of Colorado- Site Number : 8400004

    Aurora, Colorado, 80045

  • City of Hope- Site Number : 8400007

    Duarte, California, 91010

  • Thomas Jefferson University Hospital Site Number : 8400003

    Philadelphia, Pennsylvania, 19107

  • Seattle Cancer Care Alliance Site Number : 8400006

    Seattle, Washington, 98115

Other trials in United States

France5 sites
  • Investigational Site Number : 2500003

    Bordeaux, 33075

  • Investigational Site Number : 2500008

    Lyon, 69008

  • Investigational Site Number : 2500006

    Paris, 75015

  • Investigational Site Number : 2500002

    Strasbourg, 67033

  • Investigational Site Number : 2500001

    Villejuif, 94800

Other trials in France

Chile4 sites
  • Investigational Site Number : 1520003

    Santiago, Reg Metropolitana de Santiago, 7500921

  • Investigational Site Number : 1520001

    Santiago, Reg Metropolitana de Santiago, 8420383

  • Investigational Site Number : 1520002

    Temuco, 4800827

  • Investigational Site Number : 1520004

    Viña del Mar, Valparaiso, 2540488

Other trials in Chile

Spain4 sites
  • Investigational Site Number : 7240001

    Barcelona, Barcelona [Barcelona], 08035

  • Investigational Site Number : 7240004

    Barcelona, Barcelona [Barcelona], 08036

  • Investigational Site Number : 7240005

    Madrid, Madrid, Comunidad de, 28040

  • Investigational Site Number : 7240003

    Madrid, Madrid, Comunidad de, 28046

Other trials in Spain

Netherlands2 sites
  • Investigational Site Number : 5280002

    Amsterdam, 1066

  • Investigational Site Number : 5280001

    Nijmegen, 6500 HB

Other trials in Netherlands

South Korea2 sites
  • Investigational Site Number : 4100002

    Seoul, Seoul-teukbyeolsi, 05505

  • Investigational Site Number : 4100001

    Seoul, Seoul-teukbyeolsi, 06351

Other trials in South Korea

Argentina1 site
  • Investigational Site Number : 0320001

    Buenos Aires, 1012

Other trials in Argentina

Canada1 site
  • Investigational Site Number : 1240001

    Montreal, Quebec, H4A 3J1

Other trials in Canada

Germany1 site
  • Investigational Site Number : 2760004

    Berlin, 12200

Other trials in Germany

Italy1 site
  • Investigational Site Number : 3800003

    Brescia, 25123

Other trials in Italy

Taiwan1 site
  • Investigational Site Number : 1580003

    Tainan, 704

Other trials in Taiwan

About this study

Official title: A Phase 2 Non-randomized, Open-label, Multi-cohort, Multi-center Study Assessing the Clinical Benefit of SAR444245 (THOR-707) Combined With Other Anticancer Therapies for the Treatment of Participants With Head and Neck Squamous Cell Carcinoma (HNSCC)

The study was a phase 2 multi-cohort, non-randomized, open-label, multi-center study assessing the clinical benefit of SAR444245 combined with other anticancer therapies for the treatment of participants aged 18 years and older with HNSCC. This study was structured as a master protocol for the investigation of SAR444245 with other anticancer therapies.

Substudy 1-Cohort A1 aimed to establish proof-of-concept that SAR444245 combined with the anti-PD1 antibody pembrolizumab, will result in a significant increase in the observed number of objective responses in trial participants with HNSCC who were treatment-naïve for recurrent and/or metastatic (R/M) disease.

Read more

Substudy 4-Cohort B1 aimed to establish proof-of-concept that SAR444245 combined with the anti-PD1 antibody pembrolizumab, will result in a significant increase in the observed number of objective responses in trial participants with HNSCC who have received treatment with PD1/PD-L1 and platinum-based regimen.

Substudy 5-Cohort B2 aimed to establish proof-of-concept that SAR444245 combined with cetuximab will result in a significant increase in the observed number of objective responses in trial participants with HNSCC previously treated with platinum-based regimen \& cetuximab-naive after failure of no more than 2 regimens for recurrent and/or metastatic (R/M) disease.

Read the detailed description

The duration of the study for an individual participant started from the signature of the main informed consent and included:

  • a screening period of up to 28 days
  • a treatment period [max 35 cycles {cohort A1 and B1} = 735 days or until PD {cohort B2}]; max 35 cycles for SAR444245 and pembrolizumab]
  • an end-of-treatment visit at least approximately 30 days following the last administration of study drug (or until the participant received another anticancer therapy, whichever was earlier)
  • and a follow-up visits 3 months after treatment discontinuation and every 3 months thereafter following, until disease progression, or initiation of another antitumor treatment, or death, whichever was earlier
Being tested
Pembrolizumab, SAR444245 (Thor-707), Cetuximab
Medical subject headings
Squamous Cell Carcinoma of Head and Neck

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • PembrolizumabDrug

    Also called KEYTRUDA®

    Pharmaceutical Form: Concentration for solution for infusion Route of Administration: Intravenous Infusion

  • SAR444245 (Thor-707)Drug

    Pharmaceutical Form: Concentrate for solution for infusion Route of Administration: Intravenous Infusion

  • CetuximabDrug

    Also called ERBITUX®

    Pharmaceutical Form: Solution for infusion Route of Administration: Intravenous Infusion

Study groups in NCT05061420
Study groupRoleWhat they receive
Cohort A1 (sub study 01) treatment- naïveExperimentalParticipants with HNSCC, who were treatment-naïve for R/M disease and have a PD-L1 Combined Positive Score (CPS) ≥1, received pembrolizumab followed by SAR444245. Both drugs administered by intravenous (IV) infusion on Day 1 of each 21-day treatment cycle for up to 35 cycles.
Receives: Drug: Pembrolizumab; Drug: SAR444245 (Thor-707)
Cohort B1: (sub study 04) PD1/PD-L1 and platinum-based treatmentsExperimentalParticipants with HNSCC who received treatment with a PD1/PD-L1-based regimen \& platinum-based regimen and have failed no more than 2 regimens for R/M disease, received pembrolizumab followed by SAR444244. Both drugs administered IV infusion on Day 1 of each 21-day treatment cycle for up to 35 cycles
Receives: Drug: Pembrolizumab; Drug: SAR444245 (Thor-707)
Cohort B2: (sub study 05) cetuximab- naïveExperimentalParticipants with R/M HNSCC, who were cetuximab-naïve, have received treatment with a platinum-based regimen, and have failed no more than 2 regimens for R/M disease, received treatment with cetuximab followed by SAR444245. Cetuximab IV was given on days 1, 8, and 15 of each 21 day. SAR444245 was administered by IV infusion on Day 1 of each 21-day treatment cycle. Dosing of both drugs continued until disease progression, unacceptable toxicity, or withdrawal of consent.
Receives: Drug: SAR444245 (Thor-707); Drug: Cetuximab

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Cohort A1: Objective Response Rate (ORR)

    ORR was defined as the percentage of participants who had a confirmed complete response (CR) or partial response (PR) as per Response Evaluation Criteria in Solid Tumors (RECIST) version (v) 1.1. CR was defined as the disappearance of all target lesions, any pathological lymph nodes (whether target or non-target) with reduction in short axis to <10 millimeter (mm) (<1 centimeter [cm]). PR was defined as at least a 30% decrease in the sum of the diameters of target lesions, taking as reference the baseline sum diameters.

    Measured: From first dose of study treatment administration (Day 1) up to approximately 21 months

  2. Cohort B1: Objective Response Rate

    ORR was defined as the percentage of participants who had a confirmed CR or PR as per RECIST v 1.1. CR was defined as the disappearance of all target lesions, any pathological lymph nodes (whether target or non-target) with reduction in short axis to <10 mm (<1 cm). PR was defined as at least a 30% decrease in the sum of the diameters of target lesions, taking as reference the baseline sum diameters.

    Measured: From first dose of study treatment administration (Day 1) up to approximately 21 months

  3. Cohort B2: Objective Response Rate

    ORR was defined as the percentage of participants who had a confirmed CR or PR as per RECIST v 1.1. CR was defined as the disappearance of all target lesions, any pathological lymph nodes (whether target or non-target) with reduction in short axis to <10 mm (<1 cm). PR was defined as at least a 30% decrease in the sum of the diameters of target lesions, taking as reference the baseline sum diameters.

    Measured: From first dose of study treatment administration (Day 1) up to approximately 21 months

Secondary outcomes (7)
  1. All Cohorts: Number of Participants With Treatment-Emergent Adverse Events (TEAEs) and Treatment-Emergent Serious Adverse Events (TESAEs)

    An AE was any untoward medical occurrence in a participant or clinical study participant, temporally associated with the use of study treatment, whether or not considered related to the study treatment. An SAE was any AE that at any dose: resulted in death, was life-threatening, required inpatient hospitalization or prolongation of existing hospitalization, resulted in persistent or significant disability/incapacity, was a congenital anomaly/birth defect or was an important medical event. TEAEs were defined as AEs that developed, worsened (according to the Investigator's opinion) or became serious during the TE period.

    Measured: From first dose of study treatment administration (Day 1) up to 30 days post last dose of study treatment administration, up to approximately 28 months (Cohort A1), 27 months (Cohort B1) and 26 months (Cohort B2)

  2. All Cohorts: Time to Response (TTR)

    TTR was defined as the time from the date of first study treatment administration to the first tumor assessment at which the overall response was recorded as PR or CR that was subsequently confirmed as per RECIST v 1.1. CR was defined as the disappearance of all target lesions, any pathological lymph nodes (whether target or non-target) with reduction in short axis to <10 mm (<1 cm). PR was defined as at least a 30% decrease in the sum of the diameters of target lesions, taking as reference the baseline sum diameters.

    Measured: From first dose of study treatment administration (Day 1) up to maximum exposure of study treatment; approximately 27 months (Cohort A1), 26 months (Cohort B1) and 25 months (Cohort B2)

  3. All Cohorts: Duration of Response (DOR)

    DOR was defined as the time from the date of first tumor assessment at which the overall response was recorded as CR or PR that was subsequently confirmed to the date of first documentation of objective PD before the initiation of any post-treatment anti-cancer therapy or death due to any cause, whichever occurred first, as per RECIST v 1.1. CR was defined as the disappearance of all target lesions, any pathological lymph nodes (whether target or non-target) with reduction in short axis to <10 mm (<1 cm). PR was defined as at least a 30% decrease in the sum of the diameters of target lesions, taking as reference the baseline sum diameters. PD was defined as at least a 20% increase in the sum of the diameters of target lesions, taking as reference the smallest sum on study (this included the baseline sum if that was the smallest on study), in addition to the relative increase of 20%, the sum must have also demonstrated an absolute increase of at least 5 mm (0.5 cm).

    Measured: From first dose of study treatment administration (Day 1) up to maximum exposure of study treatment; approximately 27 months (Cohort A1), 26 months (Cohort B1) and 25 months (Cohort B2)

  4. All Cohorts: Clinical Benefit Rate (CBR)

    CBR was defined as the percentage of participants with clinical benefit (confirmed CR or PR as best overall response [BOR], or SD lasting at least 6 months), as per RECIST v 1.1. CR was defined as the disappearance of all target lesions, any pathological lymph nodes (whether target or non-target) with reduction in short axis to <10mm (<1 cm). PR was defined as at least a 30% decrease in the sum of the diameters of target lesions, taking as reference the baseline sum diameters. BOR was defined as the best response recorded from the start of the study treatment until disease progression/recurrence (taking as reference for PD the smallest measurements recorded since the treatment started). SD was defined as neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD, taking as reference the smallest sum diameters while on study.

    Measured: From first dose of study treatment administration (Day 1) up to maximum exposure of study treatment; approximately 27 months (Cohort A1), 26 months (Cohort B1) and 25 months (Cohort B2)

  5. All Cohorts: Progression-Free Survival (PFS)

    PFS was defined as the time from the date of first study treatment to the date of the first documentation of objective PD or death due to any cause, whichever occurred first, as per RECIST v 1.1. PD was defined as at least a 20% increase in the sum of the diameters of target lesions, taking as reference the smallest sum on study (this included the baseline sum if that was the smallest on study), in addition to the relative increase of 20%, the sum must have also demonstrated an absolute increase of at least 5 mm (0.5 cm).

    Measured: From first dose of study treatment administration (Day 1) up to maximum exposure of study treatment; approximately 27 months (Cohort A1), 26 months (Cohort B1) and 25 months (Cohort B2)

  6. Plasma Concentration of Pegenzileukin

    Blood samples were collected at specified timepoints for the assessment of plasma concentration of pegenzileukin.

    Measured: Cycle 1 Day 2 (each cycle is 21 days)

  7. All Cohorts: Number of Participants With Anti-Drug Antibodies (ADAs) Against Pegenzileukin

    Blood samples were collected at specified timepoints to assess the presence of ADAs against pegenzileukin. Treatment-emergent ADA was defined as at least one treatment-induced or treatment-boosted ADA. Treatment-induced ADA was defined as ADA that developed during the TE period and without pre-existing ADA (including participants without pre-treatment samples). Treatment-boosted ADA was defined as pre-existing ADA that was boosted during the TE period to a significant higher titer than the baseline. Number of participants with treatment-emergent ADA are presented.

    Measured: From first dose of study treatment administration (Day 1) up to 30 days post last dose of study treatment administration, up to approximately 28 months (Cohort A1), 27 months (Cohort B1) and 26 months (Cohort B2)

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted29 Sep 2021
  2. Study start8 Oct 2021
  3. Primary completion21 Jul 2023
  4. Study completion26 Nov 2024

Why it stopped: Early discontinuation based on strategic sponsor decision not driven by any safety concerns.

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 2
Primary purpose
Treatment
Allocation
Non-randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
59 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05061420
Sponsor's protocol ID
ACT16903
Other IDs
U1111-1251-5073, KEYNOTE-B75, 2021-002105-99
Status last verified
Aug 2025
First submitted
21 Sep 2021
Last updated
22 Sep 2025
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Yes: Qualified researchers may request access to patient level data and related study documents including the clinical study report, study protocol with any amendments, blank case report form, statistical analysis plan, and dataset specifications. Patient level data will be anonymized and study documents will be redacted to protect the privacy of trial participants. Further details on Sanofi's data sharing criteria, eligible studies, and process for requesting access can be found at: https://vivli.org

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Pembrolizumab, SAR444245 (Thor-707) and Cetuximab in people with Squamous Cell Carcinoma of Head and Neck, run by Sanofi at 27 sites in 11 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 7 inclusion and 7 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: stopped early, as of the sponsor's last update on 22 Sep 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 27 sites in United States, France, Chile, Spain, Netherlands and 6 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 22 Sep 2025). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Cohort A1: Objective Response Rate (ORR) (time frame: From first dose of study treatment administration (Day 1) up to approximately 21 months). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 22 Sep 2025.

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