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RecruitingNCT04892173Updated Nov 3, 2026

JNJ-90301900 (NBTXR3) Activated by Radiotherapy With or Without Cetuximab in LA-HNSCC

A Phase 3 interventional study of JNJ-90301900 (NBTXR3) and Cetuximab in Carcinoma, Squamous Cell, sponsored by Johnson & Johnson Enterprise Innovation Inc.. Recruiting at 196 sites in 27 countries. Open to participants aged 60 Years and older. Per ClinicalTrials.gov, last updated 2026-11-03.

Primary conditionSquamous Cell Carcinoma of Head and NeckRegistry: Carcinoma, Squamous CellReclassifiedWhy we changed it
Registry
Carcinoma, Squamous Cell — the first condition term the registry derived for this study.
ClinicalTrials.gg
Squamous Cell Carcinoma of Head and Neck
Why
  1. The study's title name Squamous Cell Carcinoma of Head and Neck, a narrower term within Carcinoma, Squamous Cell.
Confidence
High: the new condition is named in the study's own title. Of 46 hand-checked studies reclassified this way, 72% were exactly right and 89% in the right disease family; the registry's first term was right for 4% (measured 2026-10-21). How we classify →
Wrong?
Tell us the study's main condition →

Sponsored by Johnson & Johnson Enterprise Innovation Inc. (part of Johnson & Johnson) · Phase 3, Interventional, and Treatment

From the registry’s dates

  • Started Dec 2021; still recruiting 4 years 11 months later.
Updated Nov 3, 2026Site recruiting status changed3 sites addedGo to Updates ↓
Phase
Phase 3
Study type
Interventional
Enrollment
500
Allocation
Randomized
Ages
60 Years and older
Sex
All
01

Study summary

This is a global, open-label, randomized, 2-arm, Investigator's choice Phase 3 (Pivotal Stage) study to investigate the efficacy and safety of JNJ-90301900 (NBTXR3) / radiation therapy (RT)±cetuximab versus RT±cetuximab in treatment-naïve, platinum-ineligible, elderly participants with locally advanced head and neck squamous cell carcinoma (LA-HNSCC).

02

Conditions studied

  • Carcinoma, Squamous Cell

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Keywords

  • LA-HNSCC
  • NBTXR3
  • hafnium oxide
  • radioenhancer
  • Radiotherapy
  • RT
  • HNSCC
  • radiation therapy
03

In context

Squamous Cell Carcinoma of Head and Neck Reclassified

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 planned enrollment of 500 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

Johnson & Johnson Enterprise Innovation Inc. is the lead sponsor of 7 studies on the registry; 5 are open to participants now.

Compared within Squamous Cell Carcinoma of Head and Neck, this study's primary condition as ClinicalTrials.gg classifies it; the registry's first condition term is Carcinoma, Squamous Cell. The counts are of registry records indexed under each term, refreshed daily. How we classify →

04

Who can participate

Ages eligible
60 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

  • Age greater than or equal to (>=) 60 years old
  • -confirmed squamous cell carcinoma of the oral cavity, oropharynx, hypopharynx, or supraglottic larynx and a candidate for definitive radiation therapy with or without cetuximab
  • Clinical stage T3-4 NX or T2 N2-3 disease according to the 8th edition of AJCC
  • One primary tumor lesion amendable for intratumoral injection
  • Ineligible to receive platinum-based chemotherapy with radiation (at least one of the following):

    1. Estimated >= 30 and less than (\<) 50 milliliters/minute (mL/min) (per Cockcroft-Gault equation),
    2. Grade >= 2 hearing loss or tinnitus,
    3. Grade >= 2 peripheral neuropathy,
    4. Class 3
    5. Aged 70-74 years old with Geriatric 8 (G8) score less than or equal to (\<=) 14 or Aged >= 75 years old
  • (ECOG) performance status 0 to 1
  • >= 6 months

Exclusion criteria

Exclusion Criteria:

  • Carcinoma of the nasopharynx, paranasal sinus, salivary gland, or thyroid gland; or non-squamous histology or SCC of unknown primary origin
  • Clinical stage T1-2 N0, T2 N1, or M1 disease according to the 8th edition of AJCC
  • Loco-regionally recurrent head \& neck cancer that has been previously treated with surgery, radiation therapy, and/or chemotherapy
  • Prior or concurrent primary (including second synchronous head \& neck cancer) within the last 2 years of and whose natural history has the potential to interfere with the safety and efficacy assessment of the agent
  • Ongoing or active infection requiring treatment with antimicrobial therapy within 2 weeks of randomization
Terms in these criteria, in plain language(8)

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.

Biopsy and archival tissue

A biopsy takes a small piece of tissue to examine. “Archival tissue” is a sample already taken, for example at diagnosis, and kept by the hospital.

Whether a stored sample will do depends on when it was taken, how much there is and what the study needs. Ask whether the study accepts your stored sample or needs a new biopsy.

Creatinine clearance (CrCl)

How quickly the kidneys clear creatinine, a waste product, from the blood. A study may estimate it from a blood test with age, weight and sex (often by the Cockcroft–Gault formula), or measure it using blood and urine collected over a set time. Given in mL/min; higher is better.

NYHA class (heart failure)

The New York Heart Association’s four classes of how much heart failure limits physical activity.

I
No limits: ordinary activity causes no undue tiredness or breathlessness.
II
Slight limits: comfortable at rest, ordinary activity causes symptoms.
III
Marked limits: comfortable at rest, less than ordinary activity causes symptoms.
IV
Symptoms even at rest; any activity makes them worse.

Studies set their own limit — many outside heart failure leave out class III–IV, while heart failure studies may ask for a particular class. Check the class this study names.

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.

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.

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.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

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.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
500 participants (estimated)

Study arms

  • Experimental
    Arm A: JNJ-90301900 (NBTXR3)

    JNJ-90301900 (NBTXR3), as an intratumoral/intranodal injection, activated by investigator's choice of RT alone or RT in combination with cetuximab. JNJ-90301900 (NBTXR3) is given as a dose of 33% of the Gross Tumor Volume.

    Drug: JNJ-90301900 (NBTXR3) · Drug: Cetuximab · Radiation: Radiation Therapy

  • Active comparator
    Arm B: RT alone or RT in combination with cetuximab

    Investigator's choice of RT alone or RT in combination with cetuximab.

    Drug: Cetuximab · Radiation: Radiation Therapy

Interventions

  • Suspension of inert, crystalline hafnium oxide particles, designed to generate oxygen free radicals to destroy cancer cells after activation by ionizing radiation.

    Also known as: Functionalized hafnium oxide nanoparticles, NBTXR3

  • Solution for infusion

    Also known as: Erbitux

  • RadiationRadiation Therapy

    Intensity-modulated radiation therapy (IMRT): 70 Gray in 35 fractions over a 7-week period.

06

What researchers measure

Primary outcomes

  1. Progression-free Survival (PFS) Based on Independent Central Review (ICR)

    PFS is defined as time from randomization to local-regional progression (including recurrence), distant progression, or death from any cause, whichever occurs first.

    Time frame: 30 months following first randomized participant

Secondary outcomes

  1. Overall Survival (OS)

    Time from randomization to death from any cause.

    Time frame: 48 months following first randomized participant

  2. Local-regional control

    Time to local regional progression: time from randomization to local-regional progression (including recurrence) or death, whichever occurs first.

    Time frame: 48 months following first randomized participant

  3. Distant control

    Time to distant progression: time from randomization to distant progression or death, whichever occurs first.

    Time frame: 48 months following first randomized participant

  4. Quality of Life over time - QLQ H&N35

    Change from baseline over time in symptoms, function, and health related QOL using the European organisation for research and treatment of cancer (EORTC) questionnaire-head and neck cancer module (QLQ H\&N35).

    Time frame: 48 months following first randomized participant

  5. Quality of Life over time - EQ 5D 5L

    Change from baseline over time in symptoms, function, and health related QOL using the 5 level EuroQol 5 dimension (EQ 5D 5L) instrument.

    Time frame: 48 months following first randomized participant

  6. Safety across duration of study - AEs

    Adverse events (AEs).

    Time frame: 48 months following first randomized participant

  7. Objective Response Rate (ORR)

    Rate of complete response (CR)+partial response (PR) \[RESIST 1.1\].

    Time frame: 48 months following first randomized participant

  8. Duration of Overall Response

    Time from CR or PR to progression of disease, unequivocal clinical progression, or death, whichever occurs first.

    Time frame: 48 months following first randomized participant

  9. Head and Neck Cancer Specific Event-Free Survival

    Time from randomization to loco regional progression (including recurrence), distant progression, or head and neck cancer related death, as per RECIST 1.1, whichever occurs first.

    Time frame: 48 months following first randomized participant

  10. Head and Neck Cancer-Specific Survival

    Time from randomization to head and neck cancer-related death.

    Time frame: 48 months following first randomized participant

07

Study locations

134 of 196 sites recruiting

Showing the first 100 of 196 sites across 27 countries. Choose a country and city above to see the rest.

08

References and documents

Publications

  • Le Tourneau C, Takacsi-Nagy Z, Nuyts S, Thureau S, Liu F, Hoffmann C, Hackman TG, Lesnik M, Debard A, Finzi L, Devisetty K, Vivar OI, Farber LA, Nguyen F, Liem X, Natelauri E, Psyrri A, Burian M, Yu J, Yom SS. Nanoray-312: phase III study of NBTXR3 + radiotherapy +/- cetuximab in elderly, platinum-ineligible locally advanced HNSCC. Future Oncol. 2025 May;21(12):1489-1499. doi: 10.1080/14796694.2025.2496131. Epub 2025 May 5. PubMed 40323213 ↗

Individual participant data

Plan to share: No

09

Timeline

2 registry updates since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Dec 2021 (actual). Primary completion is estimated for Jun 2028, 78 months after the start.

Of 78 phase 3 interventional studies under Squamous Cell Carcinoma of Head and Neck, half reached primary completion within 76 months of starting (the median), counting those still running; a quarter within 38 and three quarters within 117. This study's planned 78 months is close to that.

How these figures are worked out, and which studies are left out of them.

Registered
May 4, 2021
First posted
May 19, 2021
StartActual
Dec 10, 2021
Primary completionEst.
Jun 30, 2028
CompletionEst.
Jun 30, 2028
Last update
Nov 3, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
Sites
3 sites added. 3 sites changed recruiting status (2 now completed, 1 now active, not recruiting)
Show 3 sites
  • Universitatsklinikum Jena · Jena, GermanyRecruiting→Completed
  • Grand Hopital De Charleroi Site Les Viviers · Charleroi, BelgiumRecruiting→Completed
  • Institutul Oncologic Prof Dr Al Trestioreanu Bucuresti · Bucharest, RomaniaRecruiting→Active, not recruiting
Show 3 added (2 Spain, 1 Austria)
  • Medical University Innsbruck · Innsbruck, Austria
  • Hosp. de Jerez de La Frontera · Jerez de la Frontera, Spain
  • Hosp.Univ.Parc Tauli · Sabadell, Spain
across 2 updates, Sep 25, 2026 – Nov 3, 2026
Show all 2 updates
  1. Nov 3, 2026
    3 sites added. 2 sites changed recruiting status (1 now completed, 1 now active, not recruiting)
    Show 2 sites
    • Grand Hopital De Charleroi Site Les Viviers · Charleroi, BelgiumRecruiting→Completed
    • Institutul Oncologic Prof Dr Al Trestioreanu Bucuresti · Bucharest, RomaniaRecruiting→Active, not recruiting
    Show 3 added (2 Spain, 1 Austria)
    • Medical University Innsbruck · Innsbruck, Austria
    • Hosp. de Jerez de La Frontera · Jerez de la Frontera, Spain
    • Hosp.Univ.Parc Tauli · Sabadell, Spain
    + 1 other change: verification date
  2. Sep 25, 2026
    Universitatsklinikum Jena is now Completed
    + 1 other change: verification date

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT04892173
Responsible party
Sponsor
First posted
May 19, 2021
Start date
Dec 10, 2021
Primary completion
Jun 30, 2028 (estimated)
Completion
Jun 30, 2028 (estimated)
Last update
Nov 3, 2026

Study contacts

Study Contact
Contact
Participate-In-This-Study1@its.jnj.com
844-434-4210
Johnson & Johnson Enterprise Innovation Inc Clinical trial
study director · Johnson & Johnson Enterprise Innovation Inc.

Oversight

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

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Studies of the drug tested here: Hafnium oxide

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