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CompletedNCT02350712Updated Sep 11, 2018

Patritumab With Cetuximab and a Platinum Containing Therapy for Patients With Head and Neck Cancer

A Phase 1 interventional study of Patritumab and Cetuximab in Squamous Cell Carcinoma of the Head and Neck, sponsored by Daiichi Sankyo. Completed at 3 sites in United Kingdom. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2018-09-11.

Sponsored by Daiichi Sankyo · Phase 1, Interventional, and Treatment

Phase
Phase 1
Study type
Interventional
Enrollment
15
Allocation
Non-randomized
Ages
18 Years and older
Sex
All
01

Study summary

The purpose of this study is to test a study drug called patritumab. Patritumab may work when combined with other medications that are approved in the UK for treating Squamous Cell Carcinoma of the Head and Neck (SCCHN), called cetuximab, cisplatin or carboplatin. It is hoped that patritumab may have some benefit in treating patients with cancer. This study will help identify how much patritumab can be given in combination with cetuximab, and cisplatin or carboplatin. This study will show how safe and how well tolerated patritumab is when these medications are given together.

Read the detailed description

The trial will be performed in two "phases" (Periods):

Period 1: Initial phase in which the recommended phase 2 dose (RP2D) is determined

Period 2: Extension phase in which participants who are deriving benefit (stable disease or better) will have the opportunity to continue treatment at the discretion of the Investigator

02

Conditions studied

  • Squamous Cell Carcinoma of the Head and Neck

Keywords

  • Recurrent or metastatic squamous cell carcinoma of the head and neck
  • SCCHN
03

In context

Carcinoma

6,741 studies on the registry are indexed under Carcinoma; 1,161 are open to participants now.

This study's enrollment of 15 is below the median of 45 across 5,170 interventional studies indexed under Carcinoma.

Browse Carcinoma studies →

Lead sponsor

Daiichi Sankyo is the lead sponsor of 316 studies on the registry; 35 are open to participants now.

Of its 51 completed or terminated interventional studies of FDA-regulated products, 38 (75%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Histologically or cytologically confirmed recurrent disease or metastatic SCCHN originating from the oral cavity, oropharynx, hypopharynx, and larynx
  • Has documented disease recurrence following prior treatment
  • Has Eastern Cooperative Oncology Group (ECOG) performance status 0 or 1
  • Has adequate hematological function, per protocol
  • Has adequate renal function, per protocol
  • Has adequate hepatic function, per protocol
  • Has prothrombin time (PT) or partial thromboplastin time (PTT) within 1.5 x upper limit of normal (ULN)
  • Has a negative serum pregnancy test performed within 14 days prior to enrollment (where required by local regulations, test may be required within 72 hours prior to enrollment), if a woman of child-bearing potential
  • Agrees to use double-barrier contraceptive measures, oral contraception, or avoidance of intercourse during the study and for 90 days after last study dose received, if of child-bearing potential
  • Is willing and able to comply with scheduled visits, treatment plan, laboratory tests, and other study procedures

Exclusion criteria

Exclusion Criteria:

  • Has left ventricular ejection fraction (LVEF) \< 50%
  • Has received prior epidermal growth factor receptor (EGFR) targeted regimen
  • Has received prior anti-HER2, anti-HER3, or anti-HER4 therapy
  • Has received prior treatment for recurrent/metastatic disease
  • Has history of other malignancies, except adequately treated non-melanoma skin cancer, curatively treated in-situ disease, or other solid tumors curatively treated with no evidence of disease for ≥ 5 years
  • Has known history of and active brain metastases
  • Has uncontrolled hypertension (systolic > 160 mm Hg or diastolic > 100 mm Hg)
  • Has clinically significant electrocardiogram (ECG) changes
  • Has had myocardial infarction within 1 year before enrollment, symptomatic congestive heart failure (New York Heart Association >Class II), unstable angina, or unstable cardiac arrhythmia requiring medication
  • Had platinum-containing drug therapy/chemotherapy with radiotherapy \< 6 months before study drug treatment
  • Had therapeutic or palliative radiation therapy or major surgery within 4 weeks before study drug treatment.
  • Participated in clinical drug trials within 4 weeks before study drug treatment or is currently participating in other investigational procedures
  • Has uncontrolled infection requiring intravenous (IV) antibiotics, antivirals, or antifungals, known human immunodeficiency virus (HIV) infection, active hepatitis B or C infection, or is undergoing medical treatment for infection
  • Has uncontrolled type 1 or 2 diabetes mellitus
  • Has known hypersensitivity or allergic reaction against any of the components of the trial treatment
  • Is pregnant, breastfeeding, or unwilling/unable to use acceptable contraception
  • Has psychological, social, familial, or geographical factors that would interfere with study participation or follow up
05

Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Single group
Masking
None (open label)
Enrollment
15 participants (actual)

Study arms

  • Experimental
    All Participants - Period 1

    All participants receive patritumab with cetuximab plus platinum-based therapy (cisplatin or carboplatin) in Period 1 - Initial phase of the trial.

    Drug: Patritumab · Drug: Cetuximab · Drug: Cisplatin · Drug: Carboplatin

  • Experimental
    All Participants - Period 2

    Participants deriving clinical benefit enter Period 2 - Extension phase, during which they continue to receive patritumab with cetuximab, but not platinum-based therapy.

    Drug: Patritumab · Drug: Cetuximab

Interventions

  • DrugPatritumab

    Patritumab initial loading dose is 18 mg/kg IV over 60 minutes, followed in Cycle 2 and beyond with a maintenance dose of 9 mg/kg IV over 60 minutes (+/- 10 minutes) every 3 weeks. Infusion time can be extended to a maximum of 120 minutes for participants unable to tolerate the 60-minute infusion.

    Also known as: U3-1287, Monoclonal antibody

  • DrugCetuximab

    Cetuximab initial dose at 400 mg/m2 IV as a 2-hour infusion, followed by 250 mg/m2 IV over 60 minutes weekly.

    Also known as: Chemotherapy

  • DrugCisplatin

    Cisplatin is given as an IV infusion, over 1 hour, 1 hour after the cetuximab infusion, every 3 weeks up to a maximum of 6 cycles (with standard pre- or post-treatment therapies at the investigator's discretion).

    Also known as: Chemotherapy, Platinum therapy

  • DrugCarboplatin

    Carboplatin is given as an IV-bolus, over 30-60 minutes, every 3 weeks, for a maximum of 6 cycles (with standard pre- or post-treatment therapies at the investigator's discretion).

    Also known as: Chemotherapy, Platinum therapy

06

What researchers measure

Primary outcomes

  1. Percentage of participants experiencing dose-limiting toxicities (DLTs)

    DLTs are used to determine the maximum tolerated dose.

    Time frame: 6 months

Secondary outcomes

  1. Pharmacokinetic profile of serum patritumab

    Cmax and AUC

    Time frame: 6 months

  2. Pharmacokinetic profile of serum cetuximab

    Cmax and AUC

    Time frame: 6 months

  3. Percentage of participants with human anti-human antibody (HAHA) formation (anti-patritumab antibodies)

    Time frame: 6 months

  4. Titer of HAHA formation (anti-patritumab antibodies)

    A titer is a way of expressing concentration. Titer testing employs serial dilution to obtain approximate quantitative information from an analytical procedure that inherently only evaluates as positive or negative. The titer corresponds to the highest dilution factor that still yields a positive reading.

    Time frame: 6 months

07

Study locations

3 sites
  • The Royal Marsden Hospital
    Sutton, Surrey SM2 5PT, United Kingdom
  • University College London Hospital
    London, NW1 2BU, United Kingdom
  • The Royal Marsden Hospital
    London, SW3 6JJ, United Kingdom
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 11, 2018, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT02350712
Lead sponsor
Daiichi Sankyo
Responsible party
Sponsor
First posted
Jan 30, 2015
Start date
Dec 2014
Primary completion
Mar 2016
Completion
Jun 2016
Last update
Sep 11, 2018

Study contacts

Global Team Leader
study director · Daiichi Sankyo

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Sep 2018. You cannot join it, but the record below documents what was studied.

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