ClinicalTrials.gg
CompletedNCT07435311Updated Jul 14, 2026

A Phase I Comparative Study of Pharmacokinetics, Safety, and Efficacy of RPH-002 and Erbitux® in Unresectable Metastatic or Recurrent Head and Neck Squamous Cell Carcinoma

A Phase 1 interventional study of RPH-002 and Erbitux® in Head and Neck Squamous Cell Carcinoma, sponsored by R-Pharm. Completed at 18 sites in Russia. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-07-14.

Sponsored by R-Pharm · Phase 1, Interventional, and Treatment

From the registry’s dates

  • Registered 5 years 8 months after the study started (first participant enrolled Jun 2020, registered Feb 2026).
Phase
Phase 1
Study type
Interventional
Enrollment
118
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 86 studies testing cetuximab in Squamous Cell Carcinoma of Head and Neck — 11 open to participants now, 19 under way, 7 of them phase 3. Cetuximab · Squamous Cell Carcinoma of Head and Neck.

Enrollment
17th of 84
118 · median 46
Started
2020
with 2 others
Phase 1
16 of 86
1 open now
Registered
84th of 86
by date

Among the 86 studies testing cetuximab in Squamous Cell Carcinoma of Head and Neck, this one is the 17th largest by enrollment of the 84 interventional ones, is one of 3 that started in 2020, is one of 16 in phase 1, and was the 84th registered.

By phase

86 studies; the count open now beside each. This study's row is marked.

Phase 241 · 6 open
Phase 1this study16 · 1 open
Phase 316 · 4 open
Phase 1/28 · 0 open
No phase3 · 0 open
Phase 2/32 · 0 open

By the year they started

First in 1999; this study’s year is marked. 3 started in 2020.

Size and results

Median enrollment 46 across the 84 interventional studies. Of the 59 that completed or were terminated, 32 (54%) have results posted.

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02

Study summary

The primary objective of this clinical study is to compare the pharmacokinetic parameters of drugs RPH-002 and Erbitux® after a single intravenous administration, as well as to evaluate the safety of drug RPH-002 in comparison with drug Erbitux® when used in combination with Docetaxel and Cisplatin as first-line therapy in patients with Recurrent Head and Neck Squamous Cell Carcinoma. In addition, this study will include a comparative assessment of immunogenicity and a pilot evaluation of efficacy

Read the detailed description

This study is a multicenter, open-label, randomized Phase I study

This clinical study includes the following stages:

  • Stage 1: Evaluation of the pharmacokinetics of drugs RPH-002 and Erbitux® after the first administration, and evaluation of the safety and immunogenicity of drugs RPH-002 and Erbitux® after four administrations of the study therapy
  • Stage 2: Evaluation of pharmacokinetics, safety, immunogenicity, and pilot efficacy of drugs RPH-002 and Erbitux® during up to 18 weeks of therapy
  • Stage 3: Evaluation of safety, immunogenicity, and pilot efficacy of RPH-002 and Erbitux® after 6 months of therapy, as well as evaluation of safety, immunogenicity, and pilot efficacy of drug RPH-002 after 1 year of therapy

Therapy with cetuximab within this clinical study will continue until disease progression or the development of unacceptable toxicity

Disease progression is defined as the presence of one or more of the following criteria:

  • Clinical progression as assessed by the investigator
  • Radiologically confirmed progression according to RECIST 1.1 criteria: an increase of at least 20% in the sum of diameters of target lesions compared with the smallest sum recorded during the study (with an absolute increase of at least 5 mm), or the appearance of one or more new lesions

The maximum duration of therapy with cetuximab within the study will be 54 weeks

The study will include the following periods:

  1. Screening Period 1 (up to 15 days)

    Includes Days -14 to 0 (prior to the first administration of the investigational product/comparator)

  2. Main Period (Period 1)

    The main study period includes Days 1-126

    Patients will be randomized in a 1:1 ratio into one of two study groups: RPH-002 and Erbitux®. Patients will receive combination therapy with RPH-002 or Erbitux®, docetaxel, and cisplatin for 18 weeks, or until the development of unacceptable toxicity or disease progression

    The Main Period includes collection of data on complaints and symptoms, physical examination, assessment of vital signs (body temperature, blood pressure, pulse), monitoring of laboratory parameters (hematology, serum biochemistry, coagulation tests, blood analysis, and urinalysis), blood sampling for determination of serum cetuximab concentration and immunogenicity assessment, ECG, and evaluation of Karnofsky performance status. Tumor response assessment will be performed every 6 weeks during Period 1

  3. Screening Period 2 (up to 8 days)

    Includes Days -7 to 0 (prior to Visit 1 of the Maintenance Therapy Period). During Screening Period 2, the patient's general condition and laboratory and instrumental test results will be evaluated to determine eligibility for continuation of therapy in the Maintenance Therapy Period

  4. Maintenance Therapy Period (Period 2)

    Days 127-386

    Patients eligible for the Maintenance Therapy Period will be those who have achieved stable disease or an objective tumor response according to RECIST 1.1 at Week 18 of the Main Period

    During the Maintenance Therapy Period, patients will receive monotherapy with RPH-002 or Erbitux® at the same dose regimen (250 mg/m²) once weekly. The maximum number of administrations of cetuximab during this period will be 36

    Treatment during this period will continue until the earliest of the following:

    • 54 weeks from the start of study therapy;
    • Disease progression (according to RECIST 1.1 or clinical progression);
    • Development of unacceptable toxicity

    The Period includes collection of data on complaints and symptoms, physical examination, assessment of vital signs (body temperature, blood pressure, pulse), monitoring of laboratory parameters (hematology, serum biochemistry, coagulation tests, and urinalysis), collection of biological samples for immunogenicity analysis, ECG, and evaluation of Karnofsky performance status. Tumor response assessment will be performed every 6 weeks during Period 2

  5. Follow-up Period

This study period includes safety evaluation of the investigational therapy in all patients who completed Period 1 and did not enter Period 2, as well as all patients who completed therapy during Period 2. The follow-up visit will be conducted 28 ± 3 days after the last administration of the study treatment

03

Conditions studied

  • Head and Neck Squamous Cell Carcinoma

Keywords

  • Head and Neck Squamous Cell Carcinoma
  • RPH-002
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

Main Period (Period 1)

  1. A voluntarily signed and dated form (ICF) of the patient
  2. confirmed squamous cell carcinoma of the head and neck
  3. (BMI) between 18 and 30 kg/m\^2, inclusive
  4. Documented unresectable locoregional recurrence or distant , or progression after prior chemoradiotherapy or combination therapy completed >3 months before screening, not amenable to local treatment (except cases with high risk of tumor lysis or bleeding), or newly diagnosed metastatic disease not previously treated with systemic therapy. Study treatment is therapy
  5. At least one per 1.1
  6. performance status ≥70%
  7. Screening laboratory values within the following limits (per local lab normal ranges):

    • ≥90 g/L
    • Leukocytes ≥3.0 × 10\^9/L
    • Neutrophils ≥1.5 × 10\^9/L
    • ≥100 × 10\^9/L
    • Total ≤2 × (ULN)
    • (AST) ≤3 × ULN
    • Alanine aminotransferase (ALT) ≤3 × ULN
    • Estimated (eGFR) ≥60 mL/min
  8. Men and women of , and women within 2 years of menopause, must agree to use reliable from informed consent through at least 6 months after study treatment; women of childbearing potential must have a negative urine pregnancy test. Women with no (≥2 years or surgically sterile) are exempt
  9. Ability and willingness to comply with study protocol and procedures for the planned duration of participation
  10. Ability to undergo required pharmacokinetic sample collection, as judged by the investigator

Maintenance Therapy Period (Period 2)

  1. Documented tumor response or disease stabilization per RECIST 1.1 by computed tomography (CT) or magnetic resonance imaging (MRI) at Week 18 of the Main Period
  2. Ability and willingness to provide written informed consent for participation in Period 2
  3. Karnofsky performance status ≥ 70%
  4. Laboratory values within the following limits (per local lab normal ranges):

    • Hemoglobin ≥ 90 g/L
    • Leukocytes ≥ 3.0 × 10\^9/L
    • Neutrophils ≥ 1.5 × 10\^9/L
    • Platelets ≥ 100 × 10\^9/L
    • Total bilirubin ≤ 2 × ULN (upper limit of normal)
    • AST ≤ 3 × ULN
    • ALT ≤ 3 × ULN
    • eGFR ≥ 60 mL/min
  5. Men and women of childbearing potential, and women within 2 years of menopause, must agree to use reliable contraception from informed consent through at least 6 months after study treatment; women of childbearing potential must have a negative urine pregnancy test. Women with no reproductive potential (≥2 years post-menopause or surgically sterile) are exempt

Exclusion criteria

Exclusion Criteria:

Main Period (Period 1)

  1. Prior therapy with cetuximab or other monoclonal antibody-based biologics
  2. Chemotherapy, radiotherapy, or surgery for head and neck cancer within 3 months before screening
  3. Any other surgery (except , implantable venous port placement, or urgent non-cancer surgery) within 3 months before screening
  4. Nasopharyngeal carcinoma
  5. Other within the past 5 years or prior/concurrent squamous cell carcinoma (except cured in situ ductal carcinoma, cervical carcinoma in situ, basal cell or squamous cell skin cancer)
  6. Expected survival \< 3 months
  7. Women who are pregnant or breastfeeding, or unwilling to use effective during the study and for at least 6 months after
  8. Significant cardiovascular disease per investigator, including uncontrolled hypertension (systolic ≥180 mmHg or diastolic ≥130 mmHg), coronary artery disease, myocardial infarction within 12 months, high-risk uncontrolled arrhythmias, or uncontrolled heart failure
  9. Active infection requiring systemic antibiotic therapy
  10. Ongoing systemic immunotherapy, hormone therapy, or other cancer treatments not specified in the protocol within 6 months prior to screening or during the study
  11. Known or suspected , including parenchymal, , or dural involvement associated with symptoms
  12. Positive screening for , anti-, anti-HIV1/2 antibodies, or syphilis within 3 months prior to screening
  13. Conditions preventing compliance with the study protocol per investigator
  14. Participation in another drug study within 6 months prior to screening
  15. Unstable medical conditions, including uncontrolled diabetes, psychiatric disorders, or uncontrolled seizures, that could interfere with protocol adherence
  16. Known to any component of study therapy or combination chemotherapy drugs
  17. Excessive alcohol use (>10 standard drinks/week) or history of alcoholism or substance abuse associated with symptoms. One standard drink = 250 mL beer, 125 mL wine, or 30 mL spirits

Maintenance Therapy Period (Period 2)

  1. No documented tumor response or disease stabilization per 1.1 by CT or MRI at Week 18 of the Main Period
  2. Women who are pregnant or breastfeeding, or unwilling to use effective contraception during the study and for at least 6 months after
  3. Significant cardiovascular disease per investigator, including uncontrolled hypertension (systolic ≥180 mmHg or diastolic ≥130 mmHg), coronary artery disease, myocardial infarction within 12 months, high-risk uncontrolled arrhythmias, or uncontrolled heart failure
  4. Active infection requiring systemic antibiotics
  5. Ongoing systemic immunotherapy, hormone therapy, or other cancer treatments not specified in the protocol for Period 2
  6. Known or suspected brain metastases, including parenchymal, leptomeningeal, or dural involvement associated with symptoms
  7. Conditions preventing compliance with study procedures per investigator
  8. Participation in another investigational drug study
  9. Unstable medical conditions, including uncontrolled diabetes, psychiatric disorders, or uncontrolled seizures, that could interfere with protocol adherence
  10. Excessive alcohol use (>10 standard drinks/week) or history of alcoholism or substance abuse associated with symptoms. One standard drink = 250 mL beer, 125 mL wine, or 30 mL spirits
Terms in these criteria, in plain language(26)

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.

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.

Histologically or cytologically confirmed

The diagnosis was confirmed by looking at a sample under a microscope: tissue from a biopsy or surgery (histology), or cells from a fluid or needle sample (cytology).

Your pathology report is the document that shows this.

BMI (body mass index)

Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.

What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.

Metastases

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

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.

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.

Karnofsky performance status (KPS)

A 0–100 scale of how well someone can carry out everyday activities. 100 is no complaints and no signs of illness; 70 is able to look after yourself but not to work or keep up normal activity; 50 is needing considerable help and frequent medical care.

Studies often ask for 60 or 70 and above. Your doctor gives the score.

Hemoglobin (Hb)

The protein in red blood cells that carries oxygen. A low level is anaemia, which can cause tiredness and breathlessness. Measured in g/dL or g/L (9 g/dL is 90 g/L).

Platelets

Blood cells that help blood clot. Too few raises the risk of bleeding and bruising. A usual adult range is about 150–400 × 10⁹/L (150,000–400,000 per µL); each lab has its own reference range.

Bilirubin

A yellow substance made when red blood cells are broken down, which the liver clears. A high level can mean a problem with the liver or the bile ducts.

Criteria often allow more for people with Gilbert’s syndrome, a harmless inherited condition that raises bilirubin.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

GFR and eGFR (kidney filtering)

GFR (glomerular filtration rate) is how much blood the kidneys filter each minute. It is usually estimated from a blood test — eGFR, by formulas such as CKD-EPI or MDRD — and some studies ask for it to be measured directly instead. Usually given in mL/min/1.73 m².

Check the method, the units and the minimum the study states. A value of 90 or above is in the normal-or-high range, but kidney damage can show in other tests too.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Reproductive potential

Able to have children. For women this usually means from the first period until menopause, unless permanently unable to through surgery; for men, unless permanently sterile. Read who the line is about — participants, women, men, or their partners.

Criteria about it usually ask for contraception during the study and for a time after it.

Postmenopausal

Periods have stopped for good: usually no period for 12 months in a row without another medical reason, sometimes confirmed by a blood test (FSH).

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.

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.

Brain metastases

Cancer deposits in the brain from a cancer that started elsewhere in the body (CNS metastases include the spinal cord).

Studies differ: some leave out any brain metastases, some accept ones treated and stable for some weeks. Check what this study allows.

Leptomeningeal disease

Cancer that has spread to the leptomeninges, the thin layers covering the brain and spinal cord, and the fluid between them. It is not the same as brain metastases.

Criteria often treat it separately, and many studies leave it out even where treated brain metastases are allowed.

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.

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.

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.

05

Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
118 participants (actual)

Study arms

  • Experimental
    RPH-002 + docetaxel + cisplatin

    Patients receive RPH-002 in combination with docetaxel and cisplatin during the Main Period (up to 18 weeks, 6 cycles) and RPH-002 monotherapy during the Maintenance Period (up to 36 weeks), or until disease progression or unacceptable toxicity

    Drug: RPH-002 · Drug: cisplatin · Drug: docetaxel

  • Active comparator
    Erbitux® + docetaxel + cisplatin

    Patients receive Erbitux® in combination with docetaxel and cisplatin during the Main Period (up to 18 weeks, 6 cycles) and Erbitux® monotherapy during the Maintenance Period (up to 36 weeks), or until disease progression or unacceptable toxicity

    Drug: Erbitux® · Drug: cisplatin · Drug: docetaxel

Interventions

  • RPH-002: solution for infusion, 5 mg/mL RPH-002 is administered IV once weekly. The first dose is 400 mg/m², given as a 20 mg/m² IV test dose over 10 minutes followed by 380 mg/m² IV over the remainder of 120 minutes. Subsequent weekly doses are 250 mg/m² IV over 60 minutes Thirty to sixty minutes prior to the infusion of RPH-002, premedication with diphenhydramine 50 mg (or other H1-receptor antagonist) administered orally or intravenously and a glucocorticosteroid (e.g., dexamethasone 8 mg) is required

    Also known as: cetuximab

  • Erbitux®: solution for infusion, 5 mg/mL Erbitux® is administered IV once weekly. The first dose is 400 mg/m², given as a 20 mg/m² IV test dose over 10 minutes followed by 380 mg/m² IV over the remainder of 120 minutes. Subsequent weekly doses are 250 mg/m² IV over 60 minutes Thirty to sixty minutes prior to the infusion of Erbitux®, premedication with diphenhydramine 50 mg (or other H1-receptor antagonist) administered orally or intravenously and a glucocorticosteroid (e.g., dexamethasone 8 mg) is required

    Also known as: cetuximab

  • Solution for injection (500 μg / 1 mg / 1 mL; 10 / 25 / 50 / 100 mg per vial) Cisplatin is administered intravenously at 75 mg/m² once every 3 weeks. Hydration is required to promote diuresis and reduce cisplatin-related nephrotoxicity

  • Concentrate for solution for infusion (40 mg/mL; 0.5 mL / 2 mL per vial) Docetaxel is administered intravenously at 75 mg/m² over 60 minutes once every 3 weeks, prior to the cisplatin infusion and concurrently with prehydration

06

What researchers measure

Primary outcomes

  1. Area under the pharmacokinetic curve "concentration-time" (AUC(0-168)) of cetuximab

    Area under the pharmacokinetic curve "concentration-time" of cetuximab after the first (single dose) administration, truncated at the point before the second administration, i.e. up to 168 hours

    Time frame: Pre-dose on Day 1 (first administration) and 1, 2, 3, 4, 6, 12, 24, 48, 96, 168 hours post-dose

  2. Proportion of patients (%) with adverse drug reactions (ADRs) of any severity

    Proportion of patients (%) with adverse drug reactions (ADRs) of any severity

    Time frame: Up to Day 365

Secondary outcomes

  1. Maximum serum concentration of cetuximab after the first administration (Cmax)

    Maximum serum concentration of cetuximab after the first administration (Cmax)

    Time frame: Pre-dose on Day 1 (first administration) and 1, 2, 3, 4, 6, 12, 24, 48, 96, 168 hours post-dose

  2. Maximum serum concentration of cetuximab at steady state (Cmax ss)

    Maximum serum concentration of cetuximab at steady state (Cmax ss)

    Time frame: Pre-dose on Day 22 (fourth infusion) and 1, 2, 3, 4, 6, 12, 24, 168 hours post-dose

  3. Minimum serum concentration of cetuximab at steady state (Cmin ss)

    Minimum serum concentration of cetuximab at steady state (Cmin ss)

    Time frame: Within 30 ± 10 minutes prior to dosing at Visits 3 (Day 15), 5 (Day 29), 6 (Day 36), 7 (Day 43), 8 (Day 50), 9 (Day 57), 12 (Day 78), 15 (Day 99), and 18 (Day 120)

  4. Area under the pharmacokinetic curve "concentration-time" of cetuximab at steady state (AUC tau)

    Area under the pharmacokinetic curve "concentration-time" of cetuximab at steady state (AUC tau ss)

    Time frame: Pre-dose on Day 22 (fourth infusion) and 1, 2, 3, 4, 6, 12, 24, 168 hours post-dose

  5. Proportion of patients (%) with adverse events (AEs) of any severity

    Proportion of patients (%) with adverse events (AEs) of any severity

    Time frame: Up to Day 365

  6. Proportion of patients (%) with AEs of severity grade ≥ 3

    Proportion of patients (%) with AEs of severity grade ≥ 3 according to CTCAE 5.0

    Time frame: Up to Day 365

  7. Proportion of patients (%) with serious adverse events (SAEs)

    Proportion of patients (%) with SAEs

    Time frame: Up to Day 365

  8. Proportion of patients (%) with serious adverse drug reactions (SADRs)

    Proportion of patients (%) with SADRs

    Time frame: Up to Day 365

  9. Proportion of patients (%) with ADRs of severity grade ≥ 3

    Proportion of patients (%) with ADRs of severity grade ≥ 3

    Time frame: Up to Day 365

  10. Proportion of patients (%) who required discontinuation of treatment due to development of ADRs

    Proportion of patients (%) who required discontinuation of treatment due to development of ADRs

    Time frame: Up to Day 365

  11. Proportion of patients (%) who developed anti-drug antibodies (ADA) to cetuximab

    Proportion of patients (%) who developed anti-drug antibodies (ADA) to cetuximab

    Time frame: Pre-dose in Period 1 on Days 1, 15, 29, 57, and 85, and 28 ± 3 days post-last infusion; pre-dose in Period 2 on Days 6, 12, 18, 24, 30, and 36

  12. Proportion of patients (%) who developed neutralizing antibodies (NAb) to cetuximab

    Proportion of patients (%) who developed neutralizing antibodies (NAb) to cetuximab

    Time frame: Pre-dose in Period 1 on Days 1, 15, 29, 57, and 85, and 28 ± 3 days post-last infusion; pre-dose in Period 2 on Days 6, 12, 18, 24, 30, and 36

Other outcomes

  1. Area under the pharmacokinetic curve "concentration-time" (AUC(0-∞)) of cetuximab

    Area under the pharmacokinetic curve "concentration-time" of cetuximab after the first administration to infinity (AUC(0-∞))

    Time frame: Pre-dose on Day 1 (first administration) and 1, 2, 3, 4, 6, 12, 24, 48, 96, 168 hours post-dose

  2. Time to reach the maximum concentration of cetuximab in the blood serum after the first administration (Tmax)

    Time to reach the maximum concentration of cetuximab in the blood serum after the first administration (Tmax)

    Time frame: Pre-dose on Day 1 (first administration) and 1, 2, 3, 4, 6, 12, 24, 48, 96, 168 hours post-dose

  3. Elimination half-life of cetuximab after the first administration (T1/2)

    Elimination half-life of cetuximab after the first administration (T1/2)

    Time frame: Pre-dose on Day 1 (first administration) and 1, 2, 3, 4, 6, 12, 24, 48, 96, 168 hours post-dose

  4. Volume of distribution of cetuximab after the first administration (Vd)

    Volume of distribution of cetuximab after the first administration (Vd)

    Time frame: Pre-dose on Day 1 (first administration) and 1, 2, 3, 4, 6, 12, 24, 48, 96, 168 hours post-dose

  5. Elimination rate constant of cetuximab after the first administration (Kel)

    Elimination rate constant of cetuximab after the first administration (Kel)

    Time frame: Pre-dose on Day 1 (first administration) and 1, 2, 3, 4, 6, 12, 24, 48, 96, 168 hours post-dose

  6. Area under the pharmacokinetic curve "concentration-time" of cetuximab to infinity at steady state (AUC(0-∞) ss)

    Area under the pharmacokinetic curve "concentration-time" of cetuximab to infinity at steady state (AUC(0-∞) ss)

    Time frame: Pre-dose on Day 22 (fourth infusion) and 1, 2, 3, 4, 6, 12, 24, 168 hours post-dose

  7. Time to reach the maximum concentration of cetuximab at steady state (Tmax ss)

    Time to reach the maximum concentration of cetuximab at steady state (Tmax ss)

    Time frame: Pre-dose on Day 22 (fourth infusion) and 1, 2, 3, 4, 6, 12, 24, 168 hours post-dose

  8. Elimination half-life of cetuximab at steady state (T1/2 ss)

    Elimination half-life of cetuximab at steady state (T1/2 ss)

    Time frame: Pre-dose on Day 22 (fourth infusion) and 1, 2, 3, 4, 6, 12, 24, 168 hours post-dose

  9. Volume of distribution of cetuximab at steady state (Vd, ss)

    Volume of distribution of cetuximab at steady state (Vd, ss)

    Time frame: Pre-dose on Day 22 (fourth infusion) and 1, 2, 3, 4, 6, 12, 24, 168 hours post-dose

  10. Residual concentration of cetuximab at repeated administration (Cthrough)

    Residual concentration of cetuximab at repeated administration (Cthrough)

    Time frame: Visits 18 (Day 120)

  11. Objective response rate (%) (ORR)

    Objective response rate (%) (ORR) for a period of up to 18 weeks of therapy inclusive The objective response rate (ORR) is defined as the percentage of patients in each treatment group who achieve a complete or partial tumor response to therapy according to RECIST 1.1 criteria: * Complete response (CR): disappearance of all target lesions confirmed by CT for at least 4 weeks; the short axis of any lymph node previously considered pathological (target or non-target) must be \< 10 mm * Partial response (PR): at least a 30% decrease in the sum of diameters of target lesions sustained for at least 4 weeks compared with the baseline sum at screening

    Time frame: At Visits 6 (Day 36), 12 (Day 78), and 18 (Day 120)

  12. Objective response rate (%) (ORR)

    Objective response rate (%) (ORR) for a period of up to 6 months of therapy inclusive The objective response rate (ORR) is defined as the percentage of patients in each treatment group who achieve a complete or partial tumor response to therapy according to RECIST 1.1 criteria: * Complete response (CR): disappearance of all target lesions confirmed by CT for at least 4 weeks; the short axis of any lymph node previously considered pathological (target or non-target) must be \< 10 mm * Partial response (PR): at least a 30% decrease in the sum of diameters of target lesions sustained for at least 4 weeks compared with the baseline sum at screening

    Time frame: Up to Week 9 (Visit 9) in Period 2

  13. Disease control rate (DCR) (%)

    Disease control rate (DCR) (%) for a period of up to 18 weeks of therapy inclusive The disease control rate is defined as the percentage of patients in a given treatment group who achieve a complete response, partial response, or stable disease during therapy, in accordance with RECIST 1.1 criteria: * Complete Response (CR) - disappearance of all target lesions, confirmed by CT scans for at least 4 weeks; the short axis of any lymph node previously considered pathological (target or non-target) must be \<10 mm * Partial Response (PR) - at least a 30% decrease in the sum of diameters of target lesions, maintained for at least 4 weeks compared with baseline (screening) measurements * Stable Disease (SD) - neither sufficient shrinkage in the sum of diameters to qualify as partial response nor sufficient increase to qualify as progressive disease compared with the smallest sum recorded during the study

    Time frame: At Visits 6 (Day 36), 12 (Day 78), and 18 (Day 120)

  14. Disease control rate (DCR) (%)

    Disease control rate (DCR) (%) for a period of up to 6 months of therapy inclusive The disease control rate is defined as the percentage of patients in a given treatment group who achieve a complete response, partial response, or stable disease during therapy, in accordance with RECIST 1.1 criteria: * Complete Response (CR) - disappearance of all target lesions, confirmed by CT scans for at least 4 weeks; the short axis of any lymph node previously considered pathological (target or non-target) must be \<10 mm * Partial Response (PR) - at least a 30% decrease in the sum of diameters of target lesions, maintained for at least 4 weeks compared with baseline (screening) measurements * Stable Disease (SD) - neither sufficient shrinkage in the sum of diameters to qualify as partial response nor sufficient increase to qualify as progressive disease compared with the smallest sum recorded during the study

    Time frame: Up to Week 9 (Visit 9) in Period 2

  15. Disease control rate (DCR) (%) (non-comparative evaluation in the RPH-002 group)

    Disease control (DCR) (%) within a period of up to 1 year of therapy inclusive (non-comparative evaluation in the RPH-002 group) The disease control rate is defined as the percentage of patients in a given treatment group who achieve a complete response, partial response, or stable disease during therapy, in accordance with RECIST 1.1 criteria: * Complete Response (CR) - disappearance of all target lesions, confirmed by CT scans for at least 4 weeks; the short axis of any lymph node previously considered pathological (target or non-target) must be \<10 mm * Partial Response (PR) - at least a 30% decrease in the sum of diameters of target lesions, maintained for at least 4 weeks compared with baseline (screening) measurements * Stable Disease (SD) - neither sufficient shrinkage in the sum of diameters to qualify as partial response nor sufficient increase to qualify as progressive disease compared with the smallest sum recorded during the study

    Time frame: At Visits 6, 12, and 18 in Period 1 (Days 36, 78, and 120) and Visits 6, 12, 18, 24, 30, and 36 in Period 2 (Weeks 6-36)

  16. Objective response rate (%) (ORR) (non-comparative evaluation in the RPH-002 group)

    Objective response rate (%) (ORR) for a period of up to 1 year of therapy inclusive (non-comparative evaluation in the RPH-002 group) The objective response rate (ORR) is defined as the percentage of patients in each treatment group who achieve a complete or partial tumor response to therapy according to RECIST 1.1 criteria: * Complete response (CR): disappearance of all target lesions confirmed by CT for at least 4 weeks; the short axis of any lymph node previously considered pathological (target or non-target) must be \< 10 mm * Partial response (PR): at least a 30% decrease in the sum of diameters of target lesions sustained for at least 4 weeks compared with the baseline sum at screening

    Time frame: At Visits 6, 12, and 18 in Period 1 (Days 36, 78, and 120) and Visits 6, 12, 18, 24, 30, and 36 in Period 2 (Weeks 6-36)

  17. Progression-free survival (PFS)

    Progression-free survival (PFS) expressed as the rate (%) of 6-month PFS PFS is defined as the time from randomization to disease progression according to RECIST 1.1 (an increase of at least 20% in the sum of diameters of target lesions compared with the smallest sum recorded during the study (with an absolute increase of at least 5 mm), or the appearance of one or more new lesions), clinical progression, or death from any cause

    Time frame: Up to Week 9 (Visit 9) in Period 2

  18. Progression-free survival (PFS) (non-comparative evaluation in the RPH-002 group)

    Progression-free survival (PFS) expressed as the rate (%) of 1-year PFS (non-comparative evaluation in the RPH-002 group) PFS is defined as the time from randomization to disease progression according to RECIST 1.1 (an increase of at least 20% in the sum of diameters of target lesions compared with the smallest sum recorded during the study (with an absolute increase of at least 5 mm), or the appearance of one or more new lesions), clinical progression, or death from any cause

    Time frame: Up to Day 365

  19. Overall survival (OS) (non-comparative evaluation in the RPH-002 group)

    Overall survival (OS) expressed as median OS for a period of up to 1 year of therapy (non-comparative evaluation in the RPH-002 group)

    Time frame: Up to Day 365

07

Study locations

18 sites
  • Regional State Budgetary Healthcare Institution "Altai Regional Oncological Dispensary"
    Barnaul, 656045, Russia
  • Autonomous Institution of the Chuvash Republic "Republican Clinical Oncological Dispensary" of the Ministry of Health of the Chuvash Republic
    Cheboksary, 428020, Russia
  • State Budgetary Healthcare Institution "Regional Oncological Dispensary"
    Irkutsk, 664035, Russia
  • State Budgetary Healthcare Institution of Moscow "Moscow City Oncological Hospital No. 62, Department of Health of Moscow"
    Istra, 143515, Russia
  • Regional Budgetary Healthcare Institution "Ivanovo Regional Oncological Dispensary"
    Ivanovo, 153040, Russia
  • State Budgetary Healthcare Institution of Kaluga Region "Kaluga Regional Clinical Oncological Dispensary"
    Kaluga, 248007, Russia
  • State Budgetary Healthcare Institution "Leningrad Regional Clinical Hospital"
    Kuz'molovskiy, 191104, Russia
  • Federal State Autonomous Higher Education Institution "First Moscow State Medical University named after I.M. Sechenov" of the Ministry of Health of the Russian Federation (Sechenov University)
    Moscow, 119435, Russia
  • Limited Liability Company "COMPAS-LA"
    Moscow, 119602, Russia
  • State Budgetary Healthcare Institution of Moscow "City Clinical Hospital named after S.S. Yudin, Department of Health of Moscow"
    Moscow, 129090, Russia
  • Joint-Stock Company "Medsi Group of Companies"
    Moscow, 143442, Russia
  • State Budgetary Healthcare Institution of Novosibirsk Region "Novosibirsk Regional Clinical Oncological Dispensary"
    Novosibirsk, 630108, Russia
  • Federal State Budgetary Institution "National Medical Research Center of Radiology" of the Ministry of Health of the Russian Federation, Branch: A.F. Tsyba Medical Radiological Research Center
    Obninsk, 249036, Russia
  • Budgetary Healthcare Institution of Omsk Region "Clinical Oncological Dispensary"
    Omsk, 644013, Russia
  • Private Medical Institution "Euromedservice"
    Pushkin, 196603, Russia
  • Saint Petersburg State Budgetary Healthcare Institution "City Clinical Oncological Dispensary"
    Saint Petersburg, 197022, Russia
  • State Autonomous Healthcare Institution "Republican Clinical Oncological Dispensary" of the Ministry of Health of the Republic of Bashkortostan
    Ufa, 450054, Russia
  • State Budgetary Healthcare Institution of Yaroslavl Region "Regional Clinical Oncological Hospital"
    Yaroslavl, 150054, Russia
08

Timeline

Tracking 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

Ran from Jun 2020 to primary completion in Jul 2024, 49 months.

Of 154 industry-sponsored phase 1 interventional studies under Squamous Cell Carcinoma of Head and Neck, half reached primary completion within 52 months of starting (the median), counting those still running; a quarter within 35 and three quarters within 72. This study's 49 months is close to that.

Counting every sponsor, half of 267 studies reached it within 49 months; a quarter within 33 and three quarters within 66.

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

Registered
Feb 20, 2026
First posted
Feb 27, 2026
StartActual
Jun 15, 2020
Primary completionActual
Jul 17, 2024
CompletionActual
Jul 17, 2024
Last update
Jul 14, 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.
No changes since tracking began. The registry record was last updated on Jul 14, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT07435311
Lead sponsor
R-Pharm
Responsible party
Sponsor
First posted
Feb 27, 2026
Start date
Jun 15, 2020
Primary completion
Jul 17, 2024
Completion
Jul 17, 2024
Last update
Jul 14, 2026

Study contacts

Mikhail Samsonov
study director · R-Pharm

Oversight

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

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This study is completed, as verified in Jul 2026. You cannot join it, but the record below documents what was studied.

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Studies of the drug tested here: Cetuximab

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