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CompletedNCT03795610Updated Jul 25, 2025Results posted

IPI-549 in Patients With Locally Advanced HPV+ and HPV- Head and Neck Squamous Cell Carcinoma

A Phase 2 interventional study of IPI-549 in Head and Neck Squamous Cell Carcinoma, Head and Neck Cancer and Head and Neck Carcinoma, sponsored by Assuntina G. Sacco, MD. Completed at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2025-07-25.

Sponsored by Assuntina G. Sacco, MD · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
16
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

The purpose of this study is to investigate how effective the study drug IPI-549 is against types of cancers. IPI-549 is considered experimental because it is not approved by the US Food and Drug Administration (FDA) for the treatment of cancer.

Patients will be treated with 2 weeks of IPI-549, a specific PI3Kγ inhibitor. Tumor tissue for research purposes through core biopsies will be obtained prior to initiation of IPI-549 and at surgery.

Read the detailed description

This is a phase 2 window of opportunity trial in patients with locally advanced head and neck cancer. A key objective is to provide the first proof that macrophage phenotype switching can be accomplished in humans and lay the groundwork for future trials of this novel approach to immune therapy. Patients who are candidates for surgical resection will be enrolled and treated with 2 weeks of IPI-549, a specific PI3Kγ inhibitor. Tumor tissue for research purposes through core biopsies will be obtained prior to initiation of IPI-549 and at surgery.

The study team hypothesizes that mRNA signatures of immune response will be increased in IPI-549-treated patients. For the efficacy endpoints, RECISTv1.1 will be used.

02

Conditions studied

  • Head and Neck Squamous Cell Carcinoma
  • Head and Neck Cancer
  • Head and Neck Carcinoma
  • Head and Neck Cancer Stage IV
  • Head and Neck Cancer Stage III
  • HPV-Related Carcinoma
  • HPV-Related Malignancy
  • HPV-Related Squamous Cell Carcinoma

Keywords

  • HPV positive
  • HPV negative
  • HPV-
  • HPV+
  • PI3K-γ
  • microenvironment
  • immunotherapy
  • tumor
  • resection
  • PI3K
  • cancer
  • carcinoma
  • malignancy
  • head
  • neck
  • throat
  • esophageal
  • nasopharyngeal
  • nasopharynx
03

In context

Squamous Cell Carcinoma of Head and Neck

1,680 studies on the registry are indexed under Squamous Cell Carcinoma of Head and Neck; 539 are open to participants now.

This study's enrollment of 16 is below the median of 49 across 1,432 interventional studies indexed under Squamous Cell Carcinoma of Head and Neck.

Browse Squamous Cell Carcinoma of Head and Neck studies →

Lead sponsor

Assuntina G. Sacco, MD is the lead sponsor of 2 studies on the registry; none are open to participants now.

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

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Who can participate

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

Inclusion criteria

  • Have locally advanced that is amenable to surgical resection
  • Must be able to swallow tablets
  • Must be able to undergo a core tumor biopsy.
  • Must have adequate organ function.

Exclusion criteria

Exclusion Criteria:

  • Diagnosis of cutaneous squamous cell carcinoma (SCC) or Epstein-Barr virus (EBV) related nasopharynx cancer.
  • Planned major surgery within 4 weeks prior to initiation of study drug
  • Patients treated with chemotherapy, biologic therapy, or other investigational agent within \< 28 days of starting study drug
  • History of infection with human immunodeficiency virus (HIV), hepatitis B, or hepatitis C virus (HCV)
  • On going treatment with chronic immunosuppressants (e.g., cyclosporine) or systemic steroids
  • Prior surgery or gastrointestinal dysfunction that may affect drug absorption (e.g. gastric bypass surgery, gastrectomy)
  • Female subjects who are pregnant or breastfeeding
  • Concurrent active malignancy other than nonmelanoma skin cancer, carcinoma in situ of the cervix, or prostate intraepithelial neoplasia
05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
16 participants (actual)

Study arms

  • Experimental
    Arm A: IPI-549 40 mg PO qdaily

    Patients enrolled in Arm A will receive IPI-549 40 mg by mouth daily for at least 14 days

    Drug: IPI-549

Interventions

  • DrugIPI-549

    40mg by mouth (PO) every day (QD) for at least 14 days

    Also known as: Eganelisib

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What researchers measure

Primary outcomes

  1. Participants Experiencing Adverse Events

    To determine safety and tolerability of IPI-549 in patients with locally advanced HNSCC.

    Time frame: 7 weeks

07

Results

Posted Jul 25, 2025

Participant flow

Participant flow — Overall Study
MilestoneArm A: IPI-549 40 mg PO Qdaily
Started16
Completed10
Not completed6
Withdrew: Screen failure (did not meet inclusion/exclusion)4
Withdrew: Withdrawal by subject1
Withdrew: Screen failure (unknown)1

Outcome measures

PrimaryParticipants Experiencing Adverse Events

To determine safety and tolerability of IPI-549 in patients with locally advanced HNSCC.

Time frame:
7 weeks
Reported as:
Count of participants · Participants
Participants Experiencing Adverse Events
ParticipantsArm A: IPI-549 40 mg PO Qdaily
Participants Experiencing Adverse Events10

Adverse events

Collected over 7 weeks. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Arm A: IPI-549 40 mg PO Qdaily0/10 (0%)2/10 (20%)9/10 (90%)
Most frequent serious events
Most frequent serious events
EventArm A: IPI-549 40 mg PO Qdaily
SepsisInfections and infestations1/10
Oral hemorrhageGastrointestinal disorders1/10
Most frequent other events
Most frequent other events
EventArm A: IPI-549 40 mg PO Qdaily
Gastrointestinal disordersGastrointestinal disorders8/10
General disorders and administration site conditionsGeneral disorders4/10
Nervous system disordersNervous system disorders3/10
Immune system disordersImmune system disorders1/10
InvestigationsInvestigations1/10
Psychiatric disordersPsychiatric disorders1/10
Renal and urinary disordersRenal and urinary disorders1/10
Respiratory, thoracic and mediastinal disordersRespiratory, thoracic and mediastinal disorders1/10
Skin and subcutaneous tissue disordersSkin and subcutaneous tissue disorders1/10
Vascular disordersVascular disorders1/10

Baseline characteristics

Age, Categorical
Age, Categorical(Participants)Arm A: IPI-549 40 mg PO Qdaily
<=18 years0
Between 18 and 65 years7
>=65 years3
Age, Continuous
Age, Continuous(Years)Arm A: IPI-549 40 mg PO Qdaily
Mean56.2 ± 13.29
Sex: Female, Male
Sex: Female, Male(Participants)Arm A: IPI-549 40 mg PO Qdaily
Female3
Male7
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)Arm A: IPI-549 40 mg PO Qdaily
Hispanic or Latino1
Not Hispanic or Latino7
Unknown or Not Reported2
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Arm A: IPI-549 40 mg PO Qdaily
American Indian or Alaska Native0
Asian1
Native Hawaiian or Other Pacific Islander0
Black or African American1
White5
More than one race1
Unknown or Not Reported2
Cancer Type
Cancer Type(Participants)Arm A: IPI-549 40 mg PO Qdaily
Nasal cavity1
Oral cavity4
Oropharynx5
08

Study locations

1 site
  • UC San Diego Moores Cancer Center
    La Jolla, California 92093, United States
09

References and documents

Publications

  • Kaneda MM, Cappello P, Nguyen AV, Ralainirina N, Hardamon CR, Foubert P, Schmid MC, Sun P, Mose E, Bouvet M, Lowy AM, Valasek MA, Sasik R, Novelli F, Hirsch E, Varner JA. Macrophage PI3Kgamma Drives Pancreatic Ductal Adenocarcinoma Progression. Cancer Discov. 2016 Aug;6(8):870-85. doi: 10.1158/2159-8290.CD-15-1346. Epub 2016 May 13. PubMed 27179037 ↗
  • Kaneda MM, Messer KS, Ralainirina N, Li H, Leem CJ, Gorjestani S, Woo G, Nguyen AV, Figueiredo CC, Foubert P, Schmid MC, Pink M, Winkler DG, Rausch M, Palombella VJ, Kutok J, McGovern K, Frazer KA, Wu X, Karin M, Sasik R, Cohen EE, Varner JA. PI3Kgamma is a molecular switch that controls immune suppression. Nature. 2016 Nov 17;539(7629):437-442. doi: 10.1038/nature19834. Epub 2016 Sep 19. PubMed 27642729 ↗
  • De Palma M, Lewis CE. Macrophage regulation of tumor responses to anticancer therapies. Cancer Cell. 2013 Mar 18;23(3):277-86. doi: 10.1016/j.ccr.2013.02.013. PubMed 23518347 ↗
  • Gabrilovich DI, Ostrand-Rosenberg S, Bronte V. Coordinated regulation of myeloid cells by tumours. Nat Rev Immunol. 2012 Mar 22;12(4):253-68. doi: 10.1038/nri3175. PubMed 22437938 ↗
  • Schmid MC, Avraamides CJ, Dippold HC, Franco I, Foubert P, Ellies LG, Acevedo LM, Manglicmot JR, Song X, Wrasidlo W, Blair SL, Ginsberg MH, Cheresh DA, Hirsch E, Field SJ, Varner JA. Receptor tyrosine kinases and TLR/IL1Rs unexpectedly activate myeloid cell PI3kgamma, a single convergent point promoting tumor inflammation and progression. Cancer Cell. 2011 Jun 14;19(6):715-27. doi: 10.1016/j.ccr.2011.04.016. PubMed 21665146 ↗
  • Eisenhauer EA, Therasse P, Bogaerts J, Schwartz LH, Sargent D, Ford R, Dancey J, Arbuck S, Gwyther S, Mooney M, Rubinstein L, Shankar L, Dodd L, Kaplan R, Lacombe D, Verweij J. New response evaluation criteria in solid tumours: revised RECIST guideline (version 1.1). Eur J Cancer. 2009 Jan;45(2):228-47. doi: 10.1016/j.ejca.2008.10.026. PubMed 19097774 ↗

Study documents

  • Protocol and statistical analysis plan · Dec 3, 2021
  • Informed consent form · May 1, 2023

Documents are hosted by the registry — open the source record to download them.

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 25, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT03795610
Lead sponsor
Assuntina G. Sacco, MD
Collaborators
The V Foundation for Cancer Research
Responsible party
Assuntina G. Sacco, MD (Professor of Medicine, University of California, San Diego) — Sponsor-investigator
First posted
Jan 8, 2019
Start date
Mar 6, 2020
Primary completion
Dec 22, 2022
Completion
Aug 24, 2023
Results posted
Jul 25, 2025
Last update
Jul 25, 2025

Study contacts

Ezra Cohen, MD
principal investigator · University of California, San Diego

Oversight

FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Jul 2025. You cannot join it, but the record below documents what was studied.

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