ClinicalTrials.gg
CompletedNCT04180215Updated Sep 15, 2025

A Phase 1/2 Study in Patients With HPV16+ Recurrent/Metastatic Head and Neck Squamous Cell Carcinoma and Other Cancers

A Phase 1/2 interventional study of HB-201 intravenous administration. and HB-202 intravenous administration alternating with HB-201 intravenous administration. in HPV-Related Squamous Cell Carcinoma, sponsored by Hookipa Biotech GmbH. Completed at 34 sites in 3 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2025-09-15.

Sponsored by Hookipa Biotech GmbH · Phase 1/2, Interventional, and Treatment

From the registry’s dates

  • Primary completion was Jan 2025, 1 year 10 months ago, and no results have been posted to the registry.
Phase
Phase 1/2
Study type
Interventional
Enrollment
198
Allocation
Non-randomized
Ages
18 Years and older
Sex
All
01

Study summary

This is a First in Human (FIH) Phase I/II, multinational, multicenter, open-label study of HB-201 single vector therapy and HB-201 \& HB-202 two-vector therapy in patients with HPV 16+ confirmed cancers comprising two parts: Phase I Dose Escalation and Phase II Dose Expansion.

Read the detailed description

HB-201 and HB-202 are study drugs which are designed to train the body to recognize and fight substances found in HPV 16+ cancer. This trial studies the safety and anti-cancer effect of HB-201 and HB-202 in people.

The trial is enrolling patients with metastatic/recurrent head and neck cancer who have not yet received treatment in this setting (1L, first line) and who are eligible to receive pembrolizumab as part of their standard of care. This trial is also enrolling patients with metastatic/recurrent head and neck who have received prior treatment in this setting (2L+, second and later line) who are eligible to receive pembrolizumab as part of their standard of care. Patients will receive the study drugs in addition to their pembrolizumab standard of care regimen.

02

Conditions studied

  • HPV-Related Squamous Cell Carcinoma

Keywords

  • Vaccine
  • Gene Therapy
  • TheraT®
  • E7E6
  • HPV 16 E7E6
  • HNSCC
  • HPV 16+ head and neck squamous cell cancer
  • Oropharyngeal cancer
  • HPV16
  • HPV 16
  • Head and neck cancer
  • Carcinoma
  • Carcinoma, squamous cell
  • Squamous cell carcinoma of head and neck
  • Neoplasms, squamous cell
  • Head and neck neoplasms
  • Pembrolizumab
03

In context

Squamous Cell Carcinoma of Head and Neck

2,018 studies on the registry are indexed under Squamous Cell Carcinoma of Head and Neck; 573 are open to participants now.

This study's enrollment of 198 is above the median of 48 across 1,653 interventional studies indexed under Squamous Cell Carcinoma of Head and Neck.

Browse Squamous Cell Carcinoma of Head and Neck studies →

Lead sponsor

Hookipa Biotech GmbH is the lead sponsor of 7 studies on the registry; none are open to participants now.

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

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

All Patients:

  • Documentation of confirmed HPV 16+ cancer via genotype testing.
  • ≥ 1 by imaging for tumor response following
  • performance status of 0 to 1.
  • Prior curative radiation therapy and prior focal palliative completed per protocol-specified wash-out windows.
  • Screening laboratory values must meet protocol-specified criteria.
  • Able to provide tumor tissue following last treatment, unless otherwise agreed.

Treatment Group E or Group F:

  • Documentation of confirmed head and neck squamous cell carcinoma.
  • Eligible to receive pembrolizumab, per standard of care and product label.
  • Group E: this group includes / 1L patients who have not yet received treatment in the /recurrent setting.
  • Group F: Tumor progression or recurrence on standard of care therapy, including ≥1 systemic therapy.

Imaging Sub-Study (for specific participants at Memorial Sloan Kettering Cancer Center only):

  • Meeting requirements of inclusion criteria for Treatment Group 1 or Group 3.
  • At least 1 non-irradiated measurable lesion documented through imaging.

Exclusion criteria

Exclusion Criteria:

All patients:

  • central nervous system disease, and/or carcinomatous meningitis.
  • Any serious or uncontrolled medical disorder that, in the opinion of the Investigator, may increase the risk associated with study participation / treatment administration.
  • Concurrent that is or requires active intervention, unless protocol-defined criteria are met.
  • Active, known or suspected, or inflammatory disorders requiring therapy.
  • Has a of less than 3 months.
  • Any toxicities attributed to systemic prior anticancer therapy o that have not resolved to Grade 1 or baseline prior to the first administration of study drug, unless protocol-defined criteria is met.
  • Not meeting the protocol-specified for prohibited medications.
  • Prior anaphylactic reaction to or known allergy or to product(s) or any of the of the investigational product(s).
  • Positive surface antigen (HBsAg) or virus (HCV) antibody, indicating acute or chronic infection.
  • Known history of acquired immunodeficiency syndrome.

For patients in Groups E or F and certain backfill cohorts:

  • History of severe hypersensitivity reaction to or other to receiving pembrolizumab.
  • History of/Presently having non-infectious pneumonitis requiring treatment.
  • Was discontinued due to a Grade 3 or higher immune-related AE (irAE) after receiving prior therapy with check point inhibitors.

Imaging Sub-Study (for specific participants at Memorial Sloan Kettering Cancer Center only):

  • Having splenic disorders or prior splenectomy, and can compromise protocol objectives per Investigator and/or Sponsor.
  • Meeting requirements of exclusion criteria for Treatment Group 3
Terms in these criteria, in plain language(17)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Measurable disease

The amount of disease can be tracked with a defined measurement, so the study can see whether it shrinks or grows. It might be a tumour measured on a scan or, in some blood cancers such as myeloma, a marker measured in blood or urine.

The criteria or the study team say which measurement counts — having no tumour visible on a scan does not by itself rule you out.

RECIST

The standard rules for measuring tumours on CT or MRI scans, to tell whether a cancer is shrinking, stable or growing during treatment.

“Measurable disease per RECIST 1.1” usually means at least one tumour 10 mm or more at its longest on a CT scan, or a lymph node 15 mm or more across its short axis.

ECOG performance status

A scale of how much an illness limits everyday activity. For people being assessed to join a study, scores run from 0 (fully active) to 4; lower is more active.

0
Fully active, no restrictions.
1
Limited in strenuous activity, but walking and able to do light work, such as housework or office work.
2
Walking and able to look after yourself, but unable to work; up and about more than half of waking hours.
3
Able to look after yourself only in part; in bed or a chair more than half of waking hours.
4
Unable to look after yourself at all; in bed or a chair all day.

Studies most often ask for 0–1 or 0–2. Your doctor gives the score; the WHO scale uses the same steps. The full scale also has 5, which records death.

Line of therapy

A line of therapy is one course of treatment, which may combine several drugs. First-line is the first course given; second-line follows when that stops working or is not tolerated.

“Two prior lines” means two courses that count separately under the study’s rules — not simply two drugs. Ask the study team if you are unsure how yours are counted.

Metastases

Cancer that has spread from where it began to other parts of the body. “Metastatic” cancer is cancer that has spread this way.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

Autoimmune disease

A condition in which the immune system attacks the body’s own tissues, such as rheumatoid arthritis, lupus, psoriasis, type 1 diabetes or inflammatory bowel disease.

Immunotherapy studies often leave out active autoimmune disease, and some name exceptions, such as thyroid disease on replacement hormone. Check the exceptions this study lists.

Immunosuppression

A weakened immune system. It can come from an illness, such as HIV or some blood cancers, or from medicines that turn the immune system down, for example after an organ transplant or for an autoimmune disease; steroids at higher doses count.

Read whether the line is about a condition or about medicines, and which medicines and doses it means.

Life expectancy

The study doctor’s estimate of how long someone is likely to live. Criteria use it so that people can stay in the study long enough for it to answer its question.

Washout period

A planned gap after a treatment, so that its effects can lessen before the study treatment or a study assessment. Ask the study team and the doctor who prescribed it before changing any medicine.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

Excipients

The other ingredients in a medicine besides the active drug, such as fillers, colours or preservatives.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

Hepatitis C tests

Hepatitis C is a virus that infects the liver. An HCV antibody test can stay positive after an infection has cleared (and is occasionally positive without one); an HCV RNA test shows whether the virus is there now.

After treatment, hepatitis C counts as cured when HCV RNA is still undetectable 12 weeks or more after the treatment ended. Studies often accept people cured this way.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

05

Study design

Phase
Phase 1 / Phase 2
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Sequential assignment
Masking
None (open label)
Enrollment
198 participants (actual)

Study arms

  • Experimental
    Ph I, Group 1 and Group 2

    Patients with HPV 16+ HNSCC or Non-HNSCC who had tumor progression or recurrence on standard of care therapy.

    Drug: HB-201 intravenous administration.

  • Experimental
    Ph I, Group 3 and Group 4

    Patients with HPV 16+ HNSCC or Non-HNSCC who had tumor progression or recurrence on standard of care therapy.

    Drug: HB-202 intravenous administration alternating with HB-201 intravenous administration.

  • Experimental
    Ph II, Group B

    Patients with HPV 16+ HNSCC who are eligible to receive immune checkpoint inhibitor as part of standard of care.

    Drug: HB-201 intravenous administration + standard of care regimen including pembrolizumab.

  • Experimental
    Ph II, Group E

    Patients with HPV 16+ HNSCC who are eligible to receive pembrolizumab as part of 1L standard of care.

    Drug: HB-202 / HB-201 alternating intravenous administration + standard of care regimen including pembrolizumab.

  • Experimental
    Ph II, Group F

    Patients with HPV 16+ cancers who had tumor progression or recurrence on standard of care therapy and who are eligible to receive pembrolizumab as part of 2L+ standard of care..

    Drug: HB-202 / HB-201 alternating intravenous administration + pembrolizumab.

  • Experimental
    Ph I, sub-study

    Patients with HPV 16+ HNSCC who had tumor progression or recurrence on standard of care therapy

    Drug: HB-201 or HB-201/HB-202 alternating treatment using CD8 PET Tracer (Zr-Df-IAB22M2C)

Interventions

  • Dose / Schedule determined by 3+3 dose escalation (3 to 6 patients per cohort).

  • DrugHB-202 intravenous administration alternating with HB-201 intravenous administration.

    Drug pages: HB-202 · HB-201

    Dose / Schedule determined by 3+3 dose escalation (3 to 6 patients per cohort).

  • DrugHB-201 intravenous administration + standard of care regimen including pembrolizumab.

    Dose Expansion

  • DrugHB-202 / HB-201 alternating intravenous administration + pembrolizumab.

    Dose Expansion

  • DrugHB-202 / HB-201 alternating intravenous administration + standard of care regimen including pembrolizumab.

    Dose Expansion

  • DrugHB-201 or HB-201/HB-202 alternating treatment using CD8 PET Tracer (Zr-Df-IAB22M2C)

    Dose escalation; 10 patients

This study also gives Pembrolizumab. No intervention listed here names it: that was found by reading the record.

06

What researchers measure

Primary outcomes

  1. Phase I Dose Escalation: Determine Phase II dose based on incidence of dose-limiting toxicities.

    Determine the recommended Phase II dose in terms of safety and tolerability for intravenously administered HB-201, and intravenously administered HB-202 by assessing drug limiting toxicities.

    Time frame: From dosing until 21-28 days after first dose

  2. Phase II Dose Expansion: Number of participants with preliminary antitumor activity based on objective response rate.

    Assess the preliminary antitumor activity of dosage regimens of HB-201 and HB-202 using Response Evaluation Criteria in Solid Tumors (RECIST) to determine objective response rate (ORR).

    Time frame: Until progression, (estimated up to 30-months)

Secondary outcomes

  1. Phase I Dose Escalation: Number of participants with adverse events (type, frequency, severity).

    Assess the safety and tolerability of dosage regimens of HB-201 and HB-202 by monitoring the type, frequency, and severity of AEs and SAEs by monitoring the type, frequency, and severity of AEs and SAEs.

    Time frame: From informed consent through 30 days after last dose.

  2. Phase I Dose Escalation: Number of participants with preliminary antitumor activity based on objective response rate and disease control rate.

    Assess the preliminary antitumor activity of dosage regimens of HB-201 and HB-202 using RECIST and iRECIST

    Time frame: Until progression, (estimated up to 30-months)

  3. Phase II Dose Expansion: Number of participants with confirmed duration of preliminary antitumor activity.

    Confirm duration of preliminary antitumor activity of dosage regimens of HB-201 and HB-202 alone of in combination with pembrolizumab, using RECIST and iRECIST

    Time frame: Up to 30-months (until progression)

  4. Phase II Dose Expansion: Number of participants with adverse events (type, frequency, severity).

    Assess the safety and tolerability of dosage regimens of HB-201 and HB-202 alone or in combination with pembrolizumab by monitoring the type, frequency, and severity of AEs and SAEs.

    Time frame: From informed consent through 30 days after last dose

07

Study locations

34 sites
  • O'Neal Comprehensive Cancer Center at UAB
    Birmingham, Alabama 35294, United States
  • Banner MD Anderson Cancer Center
    Gilbert, Arizona 85234, United States
  • University of Arkansas for Medical Sciences, Cancer Institute, Clinical Trials Office
    Fayetteville, Arkansas 72205, United States
  • USC/Norris Comprehensive Cancer Center
    Los Angeles, California 90033, United States
  • UCLA (University of California, Los Angeles)
    Los Angeles, California 90095, United States
  • Sylvester Comprehensive Cancer Center
    Miami, Florida 33136, United States
  • University of Chicago Medical Center
    Chicago, Illinois 60637, United States
  • Loyola University Medical School
    Maywood, Illinois 60153, United States
  • University of Iowa Hospitals & Clinics
    Iowa City, Iowa 52242, United States
  • University of Kansas Medical Center
    Fairway, Kansas 66205, United States
  • Henry Ford Hospital
    Detroit, Michigan 48202, United States
  • Washington University School of Medicine
    St Louis, Missouri 63110, United States
  • Nebraska Methodist Hospital
    Omaha, Nebraska 68114, United States
  • Rutgers Cancer Institute of New Jersey
    New Brunswick, New Jersey 08903, United States
  • Grossman School of Medicine
    New York, New York 10016, United States
  • Memorial Sloan Kettering Cancer Center
    New York, New York 10021, United States
  • Icahn School of Medicine at Mount Sinai
    New York, New York 10029, United States
  • Perlmutter Cancer Center at NYU Langone Hospital-Long Island
    New York, New York 11501, United States
  • Montefiore-Einstein Center for Cancer Care
    The Bronx, New York 10461, United States
  • Cleveland Clinic
    Cleveland, Ohio 44195, United States
  • University of Oklahoma Health Sciences Center
    Oklahoma City, Oklahoma 73104, United States
  • Providence Portland Medical Center
    Portland, Oregon 97213, United States
  • Greenville Hospital System University Medical Center (ITOR)
    Greenville, South Carolina 29605, United States
  • The University of Texas MD Anderson Cancer Center
    Houston, Texas 77030, United States
  • University of Virgina Health System
    Charlottesville, Virginia 22908, United States
  • Froedtert Hospital and Medical College of Wisconsin
    Milwaukee, Wisconsin 53226, United States
  • Amsterdam UMC, Locatie VUMC
    Amsterdam, 1081, Netherlands
  • Hospital Universitari Vall d'Hebron
    Barcelona, 08035, Spain
  • Hospital Clinic de Barcelona
    Barcelona, 08036, Spain
  • Hospital de la Santa Creu i Sant Pau
    Barcelona, 8041, Spain
  • Hospital Universitario Fundacion Jimenez Diaz
    Madrid, 28040, Spain
  • Centro Integral Oncologico Clara Campal
    Madrid, 28050, Spain
  • Hospital Universitario Virgen Macarena
    Seville, 410009, Spain
  • Hospital Universitario Virgen del Rocio
    Seville, 41013, Spain
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 15, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04180215
Lead sponsor
Hookipa Biotech GmbH
Responsible party
Sponsor
First posted
Nov 27, 2019
Start date
Dec 11, 2019
Primary completion
Jan 9, 2025
Completion
Jan 9, 2025
Last update
Sep 15, 2025

Study contacts

Head of Clinical Development
study director · Hookipa Biotech GmbH

Oversight

Data monitoring committee
Yes
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 Sep 2025. You cannot join it, but the record below documents what was studied.

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Discussion

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Studies of the drugs tested here: HB-201 · HB-202

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