Head and Neck Squamous Cell Carcinoma (HNSCC)Phase 2/3HexAgon-HNNCT06295731
Ordastobart (INBRX-106) Add-on to Pembrolizumab in 1L HPV+ PD-L1+ R/M OPSCC (HexAgon-HN)
A Phase 2/3 study testing INBRX-106 and Pembrolizumab in people with Head and Neck Squamous Cell Carcinoma (HNSCC) and HPV Oropharyngeal Squamous Cell Carcinoma (HPV+ OPSCC), run by Inhibrx Biosciences, Inc at 89 sites in 13 countries.
Trial summary
This seamless phase 2/3 randomized controlled study will evaluate the efficacy and safety of the hexavalent OX40 agonist antibody ordastobart (INBRX-106) combined with the anti-PD-1 antibody pembrolizumab versus pembrolizumab (+ placebo in phase 3) as first-line treatment for patients with recurrent or metastatic… Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Head and Neck Squamous Cell Carcinoma (HNSCC), HPV Oropharyngeal Squamous Cell Carcinoma (HPV+ OPSCC)
- What is being tested?
- INBRX-106 and Pembrolizumab
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 450 participants
- Where
- 89 sitesin 13 countries
- Study dates
- 14 May 2024to May 2031
- Phase
- Phase 2/3
- Are there results?
- Not yet: the study is under way
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
- Has histologically or cytologically confirmed diagnosis of recurrent/metastatic oropharyngeal squamous cell carcinoma (OPSCC) considered incurable by local therapies.
- Has tumor PD-L1 expression with a combined proportion score (CPS) ≥1 by central testing.
- HPV-positive tumor status as assessed locally by p16 immunohistochemistry (IHC).
- Has measurable disease per RECIST 1.1 guidelines.
- Has an Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1.
Who cannot join
- Has primary tumor site (any histology) of any other location than oropharynx.
- Has received prior systemic therapy (eg, prior chemo-, immune-, or biologic therapy) for R/M HNSCC.
- Prior systemic therapy completed >6 months prior to signing informed consent is allowed if given as part of multimodal treatment for locoregionally advanced disease with curative intent, and no PD/recurrence occurred within 6 months of its completion. Prior systemic immunotherapy with curative intent, including but not limited to anti-PD-(L)1 agents, is allowed if PD/recurrence occurred ≥12 months after its completion.
- Has clinically active central nervous system metastases and/or carcinomatous meningitis.
- Has a diagnosis of immunodeficiency or is receiving systemic steroid therapy or any other form of immunosuppressive therapy within 7 days prior to the first dose of study treatment.
- Rapidly progressing disease.
- Active or high risk of tumor-associated bleeding.
- Current or history of immune-related disease that required systemic treatment in past 2 years, except for replacement therapy.
Trial locations and contacts
89 sites in 13 countries. Contact the study team or a site near you to ask about taking part.
89 sites in 13 countries
United States26 sites, 19 recruiting
- Recruiting
Intermountain Health, St. Vincent Regional Hospital, Cancer Centers of Montana
Billings, Montana, 59102
406-238-6963
Patrick Cobb, MD
- Active, not recruiting
Massachusetts General Hospital
Boston, Massachusetts, 02114
- Recruiting
UNC Lineberger Comprehensive Cancer Center
Chapel Hill, North Carolina, 27599-7305
Jonathan Jackson, 919-966-4432, jtjacks@email.unc.edu
Helan Mathai, 919-966-4432, helan@email.unc.edu
- Recruiting
University of Illinois Cancer Center
Chicago, Illinois, 60612
Annette Kinsella, 312-996-6275, annettek@uic.edu
Ameen Salahudeen, MD, PhD
- Recruiting
CHRISTUS Spohn Cancer Center
Corpus Christi, Texas, 78404
361-861-9721
Swetha Panati, MD
- Recruiting
Karmanos Cancer Institute
Detroit, Michigan, 48201
313-576-9811
Ammar Sukari, MD
- Recruiting
City of Hope Medical Center
Duarte, California, 91010
800-826-4673
Victoria M Villaflor, MD
- Active, not recruiting
University of Florida UF Health Cancer Center
Gainesville, Florida, 32608
- Recruiting
Comprehensive Cancer Centers of Nevada
Las Vegas, Nevada, 89169
Ann Lovelace, ann.lovelace@usoncology.com
Lindsay Kondo, 7029523406, lindsay.kondo@usoncology.com
- Recruiting
Los Angeles Cancer Network (LACN)
Los Angeles, California, 91204
213-977-1214
Sungwon Rachel Kyung, MD
- Recruiting
Norton Cancer Institute
Louisville, Kentucky, 40202
502-629-3569
Jaspreet Grewal, MD
- Recruiting
The Oncology Institute of Hope & Innovation
Miami, Florida, 33169
562-693-4477
Edgardo Santos, MD
- Active, not recruiting
ChristianaCare Health Services
Newark, Delaware, 19713
- Recruiting
Oklahoma University Stephenson Cancer Center
Oklahoma City, Oklahoma, 73104
Shae Pfenning, RN, 405-271-8001 ext. 18001, Shae-Pfenning@ouhsc.edu
Minh Phan, md
- Recruiting
Oncology Hematology West, PC dba Nebraska Cancer Specialists
Omaha, Nebraska, 68130
402-334-4773
Yungpo B. Su, MD
- Recruiting
Mid Florida Hematology and Oncology Center
Orange City, Florida, 32763
866-977-6322
Santosh Nair, MD
- Recruiting
UPMC Hillman Cancer Center
Pittsburgh, Pennsylvania, 15232
Jennifer Ruth, 412-623-4522, Ruthj2@upmc.edu
Justin Siegel, 412-623-4522, siegeljt@upmc.edu
- Active, not recruiting
Oregon Health & Science University
Portland, Oregon, 97239
- Recruiting
VCU Massey Comprehensive Cancer Center
Richmond, Virginia, 23298
Elisabeth Holmes, 804-628-2622, masseyirb@vcu.edu
Erin Alesi, MD
- Withdrawn
Sutter Health
Sacramento, California, 95816
- Terminated
UC Davis
Sacramento, California, 95817
- Recruiting
Medical Oncology Associates of San Diego
San Diego, California, 92123
Amanda Somo, 858-637-7860, asomo@oncologysandiego.com
Steven Kossman, MD
- Recruiting
Christus St. Vincent Regional Cancer Center
Santa Fe, New Mexico, 87505
505-913-8900
Andrea Teague, MD
- Recruiting
Sarcoma Oncology Center
Santa Monica, California, 90403
310-499-8851
Neal Chawla, MD
- Recruiting
Washington University St. Louis
St Louis, Missouri, 63110
314-747-6475
Jesse Zaretsky, MD
- Active, not recruiting
Cleveland Clinic Florida, The Maroone Cancer Center
Weston, Florida, 33331
Spain9 sites
- Active, not recruiting
Complexo Hospitalario Universitario A Coruña
A Coruña, 15006
- Active, not recruiting
Intituto Catalán de Oncología
Barcelona, Catalonia, 08908
- Active, not recruiting
IOB / Institute of Oncology, Hospital Quirónsalud Barcelona
Barcelona, Gracia, 08023
- Active, not recruiting
Hospital Clinic de Barcelona
Barcelona, 08036
- Active, not recruiting
Hospital Universitario Gregorio Marañón
Madrid, Retiro, 28007
- Active, not recruiting
MD Anderson Cancer Centre
Madrid, 28033
- Active, not recruiting
Hospital Universitario de Navarra
Pamplona, Navarre, 31008
- Active, not recruiting
Hospital Clinico Universitario de Santiago de Compostela
Santiago, A Coruña, 15706
- Active, not recruiting
Hospital Universitario y Politécnico La Fe
Valencia
South Korea8 sites
- Active, not recruiting
Keimyung University Dongsan Hospital of Korea
Daegu, 42601
- Active, not recruiting
The Catholic University of Korea, Eunpyeong St. Mary's Hospital
Seoul, Eunpyeong-gu, 03312
- Active, not recruiting
Gachon University Gil Medical Center of Korea
Seoul, Incheon, 21565
- Active, not recruiting
Korea Cancer Center Hospital
Seoul, 01812
- Active, not recruiting
Korea University Anam Hospital
Seoul, 02841
- Active, not recruiting
Severance Hospital, Yonsei University Health System
Seoul, 03722
- Active, not recruiting
Korea University Guro Hospital
Seoul, 08308
- Active, not recruiting
Pusan National University Yangsan Hospital
Yangsan, Gyeongsangnam-do, 50612
United Kingdom8 sites
- Active, not recruiting
NHS Grampian / Aberdeen Royal Infirmary
Aberdeen, AB25 2ZN
- Active, not recruiting
Addenbrooke's Hospital
Cambridge, CB2 0QQ
- Active, not recruiting
The Royal Marsden NHS Foundation Trust, Chelsea
Chelsea, London, SW36JJ
- Active, not recruiting
The Christie NHS Foundation Trust
Manchester, M204BX
- Active, not recruiting
The Newcastle Upon Tyne Hospitals NHS Foundation Trust, Northern Centre for Cancer Care, Freeman Hospital
Newcastle upon Tyne, Northumbria, NE7 7DN
- Active, not recruiting
Mount Vernon Cancer Centre
Northwood, Middlesex, HA6 2RN
- Active, not recruiting
Norwich and Norfolk University Hospital
Norwich, NR47UY
- Active, not recruiting
The Royal Marsden NHS Foundation Trust, Sutton
Sutton, Surrey, SM25PT
Taiwan7 sites
- Active, not recruiting
Changhua Christian Medical Foundation Changhua Christian Hospital
Changhua, 500
- Active, not recruiting
Kaohsiung Medical University Chung-Ho Memorial Hospital
Kaohsiung City, 80756
- Active, not recruiting
Taichung Veterans General Hospital
Taichung, China, 407219
- Active, not recruiting
National Cheng Kung University Hospital
Tainan, 704
- Active, not recruiting
Taipei Veterans General Hospital
Taipei, Beitou District / R.o.c., 11217
- Active, not recruiting
National Taiwan University Hospital
Taipei, 100226
- Active, not recruiting
Koo Foundation Sun Yat-Sen Cancer Center
Taipei City, Taipei, 11259
Malaysia6 sites
- Active, not recruiting
Hospital Canselor Tuanku Muhriz (HCTM) UKM
Cheras, Kuala Lumpur, 56000
- Active, not recruiting
Hospital Universiti Sains Malaysia
Kubang Kerian, Kelantan, 16150
- Active, not recruiting
Sarawak General Hospital
Kuching, Sarawak, 93586
- Active, not recruiting
Thomson Hospital Kota Damansara
Petaling Jaya, Selangor, 47810
- Active, not recruiting
Beacon Hospital
Petaling Jaya, 46050
- Active, not recruiting
Institut Kanser Negara
Putrajaya, 62250
France5 sites
- Active, not recruiting
CH Annecy Genevois
Annecy, Epagny Metz Tessy, 74370
- Active, not recruiting
Centre Jean Perrin
Clermont-Ferrand, 63011
- Active, not recruiting
Cenre Oscar Lambret
Lille, 59000
- Active, not recruiting
Centre Leon Berard
Lyon, 69008
- Active, not recruiting
UNEOS-Hopital R.SCHUMAN
Metz, Moselle, 57000
Belgium4 sites
- Active, not recruiting
Antwerp University Hospital
Edegem, Antwerp, 2650
- Active, not recruiting
University Hospital Brussels
Jette, 1090
- Active, not recruiting
Chu Ucl Namur Site De Sainte-Elisabeth
Namur, 5000
- Active, not recruiting
Vitaz
Sint-Niklaas, 9100
Bulgaria4 sites
- Active, not recruiting
Multiprofile Hospital for Active Treatment - "Uni Hospital" Ltd, Medical Oncology Dept
Panagyurishte, 4500
- Active, not recruiting
Complex Oncological Center Plovdiv EOOD Dept of Med Oncology and Oncological Diseases in Hematology
Plovdiv, 4004
- Active, not recruiting
Uni Multiprofile Hospital for Active Treatment Tsaritsa Yoanna - ISUL EAD Clinic of Medical Oncology
Sofia, 1527
- Active, not recruiting
Multiprofile Hospital for Active Treatment Sveta Sofia, Department of Medical Oncology
Sofia, 1618
Italy4 sites
- Active, not recruiting
Istituto Nazionale Tumori IRCCS - (National Cancer Institute)
Milan, 20133
- Active, not recruiting
European Institute of Oncology
Milan, 20141
- Active, not recruiting
Istituto Nazionale Tumori IRCCS - Fondazione Giovanni Pascale (National Cancer Institute)
Naples, Naples, 80131
- Active, not recruiting
Fondazione IRCCS Policlinico San Matteo
Pavia, 27100
Romania4 sites
- Active, not recruiting
ARENSIA Clinic Oncology Institute Bucharest
Bucharest, 022328
- Active, not recruiting
Arensia Exploratory Medicine S.R.L in collaboration with "Prof. Dr. Ion Chiricuta" Oncology Institute
Cluj-Napoca, Cluj, 400015
- Active, not recruiting
Sc Oncolab Srl
Craiova, Dolj, 200385
- Active, not recruiting
Sc Centrul de Oncologie Sf Nectarie Srl
Craiova, Dolj, 200745
Poland3 sites
- Active, not recruiting
Narodowy Instytut Onkologii im. Marii Skłodowskiej-Curie Państwowy Instytut Badawczy Oddział w Gliwicach
Gliwice, 44-102
- Active, not recruiting
Przychodnia Lekarska KOMED
Konin, 62-500
- Active, not recruiting
Provita Profamilia
Piotrkow Trybunalski, 97-300
Australia1 site
- Active, not recruiting
Royal Adelaide Hospital
Adelaide, South Australia, 5000
About this study
Official title: A Phase 2/3, Randomized Study of Ordastobart (INBRX-106) Plus Pembrolizumab vs Pembrolizumab as First-Line Treatment for Patients With Recurrent or Metastatic HPV-positive Oropharyngeal Squamous Cell Carcinoma Expressing PD-L1 (HexAgon-HN)
This seamless phase 2/3 randomized controlled study will evaluate the efficacy and safety of the hexavalent OX40 agonist antibody ordastobart (INBRX-106) combined with the anti-PD-1 antibody pembrolizumab versus pembrolizumab (+ placebo in phase 3) as first-line treatment for patients with recurrent or metastatic (R/M) HPV-positive Oropharyngeal Squamous Cell Carcinoma (HPV+ OPSCC) expressing PD-L1.
- Conditions
- Head and Neck Squamous Cell Carcinoma (HNSCC), HPV Oropharyngeal Squamous Cell Carcinoma (HPV+ OPSCC)
- Being tested
- INBRX-106, Pembrolizumab
- Keywords
- OX40 receptor agonist, PD-L1 positive, Pembrolizumab, Immunotherapy, Chemotherapy-free, HNSCC, Head and Neck Cancer, Keytruda, Oropharyngeal cancer, INBRX-106, HPV positive, squamous cell carcinoma, OPSCC, ordastobart
- Medical subject headings
- Squamous Cell Carcinoma of Head and Neck, Head and Neck Neoplasms, Oropharyngeal Neoplasms, Carcinoma, Squamous Cell
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
INBRX-106Drug
Also called Hexavalent OX40 agonist antibody, Ordastobart
INBRX-106 0.1 mg/kg by intravenous (IV) infusion, given every 3 weeks (QW3)
PembrolizumabDrug
Also called Keytruda
Pembrolizumab 200 mg by intravenous (IV) infusion, given every 3 weeks (QW3)
| Study group | Role | What they receive |
|---|---|---|
| ordastobart (INBRX-106) plus pembrolizumab | Experimental | Participants will receive INBRX-106 plus pembrolizumab, both given by intravenous (IV) infusion every 3 weeks (QW3) Receives: Drug: INBRX-106; Drug: Pembrolizumab |
| pembrolizumab monotherapy (+ placebo in phase 3 part) | Active comparator | Participants will receive pembrolizumab (plus placebo in Phase 3), given by intravenous (IV) infusion every 3 weeks (QW3) Receives: Drug: Pembrolizumab |
What is being measured
The primary outcome is the main question the study is designed to answer.
Phase 2: Objective Response Rate by investigator (ORRinv)
defined as the proportion of patients with complete response (CR) or partial response (PR) on 2 consecutive occasions ≥4 weeks apart, as determined by the Investigator according to Response Evaluation Criteria in Solid Tumors version 1.1 (RECIST 1.1).
Measured: From randomization to progressive disease (PD) or death (up to 1 year)
Phase 3: Progression-Free Survival by Investigator (PFSinv)
defined as the time from randomization to first occurrence of PD, as determined by the Investigator according to RECIST 1.1, or death from any cause (whichever occurs first).
Measured: From randomization to PD or death (up to 4 years)
Phase 3: Overall Survival (OS)
defined as the time from randomization to death from any cause.
Measured: From randomization until death from any cause (up to 4 years)
Secondary outcomes (17)
Phase 2 and 3: Objective Response Rate by Blinded Independent Review Committee (ORRbirc)
defined as the proportion of patients with a CR or PR on 2 consecutive occasions ≥4 weeks apart, per RECIST 1.1
Measured: From randomization to PD or death (up to 1 year)
Phase 2 and 3: Duration of Response by Investigator and by BIRC (DORinv, DORbirc)
defined as the time from the first occurrence of a documented objective response (CR/PR) until PD, both as determined by the Investigator or BIRC, respectively, according to RECIST 1.1, or death from any cause (whichever occurs first)
Measured: From the first occurrence of a documented objective response to PD or death (up to 4 years)
Phase 2 and 3: Clinical Benefit Rate (CBR) by Investigator and by BIRC
defined as the proportion of patients with stable disease (SD) for ≥12 weeks or a CR or PR, as determined by the Investigator or BIRC respectively, according to RECIST 1.1.
Measured: From randomization to PD or death (up to 1 year)
Phase 2 and 3: Progression-free survival by BIRC (PFSbirc)
defined as the time from randomization to first occurrence of PD, as determined by the BIRC according to RECIST 1.1, or death from any cause (whichever occurs first).
Measured: From randomization to PD or death (up to 4 years)
Phase 2 and 3: PFSinv and PFSbirc rates at 6, 9, 12 and 24 months
defined as the proportion of patients who are progression-free, as determined by the Investigator or BIRC, respectively, according to RECIST 1.1, and alive 6, 9, 12 and 24 months after randomization.
Measured: From randomization to PD or death, with landmark-specific timeframes (up to 2 years)
Phase 2 and Phase 3: OS rates at 12 and 24 months
defined as the proportion of patients who are alive 12 and 24 months after randomization.
Measured: From randomization to death, with landmark-specific timeframes (up to 2 years)
Phase 2: PFS by Investigator (PFSinv)
defined as the time from randomization to first occurrence of PD, as determined by the Investigator according to RECIST 1.1, or death from any cause (whichever occurs first).
Measured: From randomization to PD or death (up to 4 years)
Phase 2: Overall Survival (OS)
defined as the time from randomization to death from any cause
Measured: From randomization to death (up to 4 years)
Phase 3: Objective Response Rate by investigator (ORRinv)
defined as the proportion of patients with CR or PR on 2 consecutive occasions ≥4 weeks apart, as determined by the Investigator according to RECIST 1.1.
Measured: From randomization to progressive disease (PD) or death (up to 1 year)
Phase 3: Time to Chemotherapy (TTCtx)
defined as the time from randomization until the start date of chemotherapy or death from any cause (whichever occurs first).
Measured: From randomization until the start of chemotherapy or death (up to 4 years)
Phase 2 and Phase 3: Incidence and Severity of treatment-emergent Adverse Events (AEs)
Incidence will be reported as the number of participants with at least one AE, with severity determined according to the National Cancer Institute Common Toxicity Criteria for Adverse Events, version 5 (NCI CTCAE v 5.0)
Measured: From first study treatment dose until the end of protocol-defined safety follow-up period (up to 2 years)
Phase 2 and Phase 3: Evaluate the safety and tolerability of study treatment
Incidence of dose interruptions and treatment discontinuation.
Measured: Up to approximately 24 months
Phase 2 and Phase 3: Number of patients who experienced abnormalities in vital signs and clinical laboratory parameters
Vital signs include respiratory rate, pulse rate, systolic and diastolic blood pressure, and temperature. Clinical laboratory parameter include hematology and biochemistry tests over the course of the study.
Measured: From first study treatment dose until the end of protocol-defined safety follow-up period (up to 2 years)
Phase 3: Time to Confirmed Deterioration (TTCD) in Pain Presence and Interference
TTCD in pain presence and interference is defined as the time from randomization to the first documentation of ≥10-point increase in pain score, as determined using the European Organization for Research and Treatment of Cancer Quality of Life-Core 30 (EORTC QLQ-C30) questionnaire
Measured: From randomization until treatment discontinuation (up to 2 years)
Phase 3: TTCD in physical functioning (PF)
defined as the time from randomization to the first documentation of a ≥10 point decrease from baseline in the EORTC QLQ-C30 linearly transformed PF scale score.
Measured: From randomization until treatment discontinuation (up to 2 years)
Phase 3: TTCD in role functioning (RF)
defined as the time from randomization to the first documentation of a ≥10 point decrease from baseline in the EORTC QLQ-C30 linearly transformed RF scale score.
Measured: From randomization until treatment discontinuation (up to 2 years)
Phase 3: TTCD in Global Health Status/quality of life (GHS/QoL)
defined as the time from randomization to the first documentation of a ≥10 point decrease from baseline in the EORTC QLQ-C30 linearly transformed GHS/QoL scale score.
Measured: From randomization until treatment discontinuation (up to 2 years)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted6 Mar 2024
- Study start14 May 2024
- Primary completionDec 2029 (estimated)
- Study completionMay 2031 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Head and Neck Squamous Cell Carcinoma (HNSCC)Studies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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 2/3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind
- Who is masked
- Participant, Investigator
- Enrolment
- 450 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Inhibrx Biosciences, Inc
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Clinical Lead, Study director, Inhibrx Biosciences, Inc
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06295731
- Sponsor's protocol ID
- INBRX106-01-201
- Other IDs
- EU CT
- Acronym
- HexAgon-HN
- Status last verified
- Oct 2026
- First submitted
- 22 Feb 2024
- Last updated
- 28 Oct 2026
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 28 Oct 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 2/3, Randomized Study of Ordastobart (INBRX-106) Plus Pembrolizumab vs Pembrolizumab as First-Line Treatment for Patients With Recurrent or Metastatic HPV-positive Oropharyngeal Squamous Cell Carcinoma Expressing PD-L1 (HexAgon-HN)
- ClinicalTrials.gov ID
- NCT06295731
- Acronym / sponsor ID
- HexAgon-HN / INBRX106-01-201
- Conditions
- Head and Neck Squamous Cell Carcinoma (HNSCC), HPV Oropharyngeal Squamous Cell Carcinoma (HPV+ OPSCC)
- Keywords
- OX40 receptor agonist, PD-L1 positive, Pembrolizumab, Immunotherapy, Chemotherapy-free, HNSCC, Head and Neck Cancer, Keytruda
- Phase
- Phase 2/3
- Study type
- Interventional
- Recruitment status
- Recruiting
- Enrolment
- 450 participants (estimated)
- Lead sponsor
- Inhibrx Biosciences, IncIndustry (pharma, biotech, devices)
- Study start
- 14 May 2024 (actual)
- Primary completion
- Dec 2029 (estimated)
- Study completion
- May 2031 (estimated)
- First posted
- 6 Mar 2024 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This seamless phase 2/3 randomized controlled study will evaluate the efficacy and safety of the hexavalent OX40 agonist antibody ordastobart (INBRX-106) combined with the anti-PD-1 antibody pembrolizumab versus pembrolizumab (+ placebo in phase 3) as first-line treatment for patients with recurrent or metastatic (R/M) HPV-positive Oropharyngeal Squamous Cell Carcinoma (HPV+ OPSCC) expressing PD-L1.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (participant, investigator)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| ordastobart (INBRX-106) plus pembrolizumab | Experimental | Drug: INBRX-106, Drug: PembrolizumabParticipants will receive INBRX-106 plus pembrolizumab, both given by intravenous (IV) infusion every 3 weeks (QW3) |
| pembrolizumab monotherapy (+ placebo in phase 3 part) | Active comparator | Drug: PembrolizumabParticipants will receive pembrolizumab (plus placebo in Phase 3), given by intravenous (IV) infusion every 3 weeks (QW3) |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (5 listed)
- Has histologically or cytologically confirmed diagnosis of recurrent/metastatic oropharyngeal squamous cell carcinoma (OPSCC) considered incurable by local therapies.
- Has tumor PD-L1 expression with a combined proportion score (CPS) ≥1 by central testing.
- HPV-positive tumor status as assessed locally by p16 immunohistochemistry (IHC).
- Has measurable disease per RECIST 1.1 guidelines.
- Has an Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1.
Key exclusion criteria (8 listed)
- Has primary tumor site (any histology) of any other location than oropharynx.
- Has received prior systemic therapy (eg, prior chemo-, immune-, or biologic therapy) for R/M HNSCC.
- Has clinically active central nervous system metastases and/or carcinomatous meningitis.
- Has a diagnosis of immunodeficiency or is receiving systemic steroid therapy or any other form of immunosuppressive therapy within 7 days prior to the first dose of study treatment.
- Rapidly progressing disease.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| INBRX-106Also: Hexavalent OX40 agonist antibody, OrdastobartINBRX-106 0.1 mg/kg by intravenous (IV) infusion, given every 3 weeks (QW3) | Drug | ordastobart (INBRX-106) plus pembrolizumab |
| PembrolizumabAlso: KeytrudaPembrolizumab 200 mg by intravenous (IV) infusion, given every 3 weeks (QW3) | Drug | ordastobart (INBRX-106) plus pembrolizumab, pembrolizumab monotherapy (+ placebo in phase 3 part) |
Primary outcome
Phase 2: Objective Response Rate by investigator (ORRinv)
Time frame: From randomization to progressive disease (PD) or death (up to 1 year)
defined as the proportion of patients with complete response (CR) or partial response (PR) on 2 consecutive occasions ≥4 weeks apart, as determined by the Investigator according to Response Evaluation Criteria in Solid Tumors version 1.1 (RECIST 1.1).
Phase 3: Progression-Free Survival by Investigator (PFSinv)
Time frame: From randomization to PD or death (up to 4 years)
defined as the time from randomization to first occurrence of PD, as determined by the Investigator according to RECIST 1.1, or death from any cause (whichever occurs first).
Phase 3: Overall Survival (OS)
Time frame: From randomization until death from any cause (up to 4 years)
defined as the time from randomization to death from any cause.
17 secondary outcomes
Phase 2 and 3: Objective Response Rate by Blinded Independent Review Committee (ORRbirc)
Time frame: From randomization to PD or death (up to 1 year)
Phase 2 and 3: Duration of Response by Investigator and by BIRC (DORinv, DORbirc)
Time frame: From the first occurrence of a documented objective response to PD or death (up to 4 years)
Phase 2 and 3: Clinical Benefit Rate (CBR) by Investigator and by BIRC
Time frame: From randomization to PD or death (up to 1 year)
Phase 2 and 3: Progression-free survival by BIRC (PFSbirc)
Time frame: From randomization to PD or death (up to 4 years)
Phase 2 and 3: PFSinv and PFSbirc rates at 6, 9, 12 and 24 months
Time frame: From randomization to PD or death, with landmark-specific timeframes (up to 2 years)
Phase 2 and Phase 3: OS rates at 12 and 24 months
Time frame: From randomization to death, with landmark-specific timeframes (up to 2 years)
Phase 2: PFS by Investigator (PFSinv)
Time frame: From randomization to PD or death (up to 4 years)
Phase 2: Overall Survival (OS)
Time frame: From randomization to death (up to 4 years)
Phase 3: Objective Response Rate by investigator (ORRinv)
Time frame: From randomization to progressive disease (PD) or death (up to 1 year)
Phase 3: Time to Chemotherapy (TTCtx)
Time frame: From randomization until the start of chemotherapy or death (up to 4 years)
Phase 2 and Phase 3: Incidence and Severity of treatment-emergent Adverse Events (AEs)
Time frame: From first study treatment dose until the end of protocol-defined safety follow-up period (up to 2 years)
Phase 2 and Phase 3: Evaluate the safety and tolerability of study treatment
Time frame: Up to approximately 24 months
Phase 2 and Phase 3: Number of patients who experienced abnormalities in vital signs and clinical laboratory parameters
Time frame: From first study treatment dose until the end of protocol-defined safety follow-up period (up to 2 years)
Phase 3: Time to Confirmed Deterioration (TTCD) in Pain Presence and Interference
Time frame: From randomization until treatment discontinuation (up to 2 years)
Phase 3: TTCD in physical functioning (PF)
Time frame: From randomization until treatment discontinuation (up to 2 years)
Phase 3: TTCD in role functioning (RF)
Time frame: From randomization until treatment discontinuation (up to 2 years)
Phase 3: TTCD in Global Health Status/quality of life (GHS/QoL)
Time frame: From randomization until treatment discontinuation (up to 2 years)
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 28 Oct 2026.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part.
Clinical Lead study director
Inhibrx Biosciences, Inc
89 sites in 13 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2/3 study testing INBRX-106 and Pembrolizumab in people with Head and Neck Squamous Cell Carcinoma (HNSCC) and HPV Oropharyngeal Squamous Cell Carcinoma (HPV+ OPSCC), run by Inhibrx Biosciences, Inc at 89 sites in 13 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 5 inclusion and 8 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: looking for participants now, as of the sponsor's last update on 28 Oct 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 89 sites in United States, Spain, South Korea, United Kingdom, Taiwan and 8 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 combined 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.
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
Contact Study Director - Inhibrx (858-500-7833, clinicaltrials@inhibrx.com), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Phase 2: Objective Response Rate by investigator (ORRinv) (time frame: From randomization to progressive disease (PD) or death (up to 1 year)). 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 28 Oct 2026.