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NCT06912087PHASE1RECRUITING

Dose Finding Study of Zanzalintinib With Pembrolizumab and Cetuximab in Head and Neck SCC

A Phase I Study of Zanzalintinib With Pembrolizumab and Cetuximab in Patients With Recurrent and/or Metastatic Squamous Cell Carcinoma of the Head and Neck

Sponsor: University of Chicago + Exelixis

No open prediction endpoints

Endpoints are classified and published by ProgramSignal analysts.

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Key Facts

Study type
INTERVENTIONAL
Conditions
Head and Neck Neoplasms, Carcinoma, Squamous Cell, Neoplasm Recurrence, Local, Neoplasm Metastasis, Recurrent Squamous Cell Carcinoma
Interventions
Zanzalintinib, Cetuximab, Pembrolizumab
Enrollment
36 participants
Primary completion
Jun 2027
Study completion
Jun 2027
First posted
Apr 2025
Last updated
Dec 2025

Primary Endpoints (CT.gov)

Maximally Tolerated Dose (MTD) of Zanzalintinib in Combination with Pembrolizumab and Cetuximab

Time frame: end of DLT evaluation period (first 28 days of treatment)

Recommended Phase II Dose (RP2D) of Zanzalintinib in Combination with Pembrolizumab and Cetuximab

Time frame: End of enrollment

Secondary Endpoints

Progression-Free Survival (PFS)

Overall Survival (OS)

Safety of zanzalintinib in combination with pembrolizumab and cetuximab

Eligibility Criteria

Inclusion Criteria: * Histologically or cytologically confirmed recurrent and/or metastatic squamous cell carcinoma of the head and neck (R/M HNSCC), which is considered incurable by local therapies. * Primary tumor locations: oropharynx, oral cavity, hypopharynx, larynx, nasopharynx, and sinonasal. Unknown primary is also eligible. * Age: Participants must be at least 18 years old. * ECOG Performance Status: Must be 0-1. * Measurable disease by Response Evaluation Criteria in Solid Tumors (RECIST) 1.1 criteria. * For oropharyngeal cancer: HPV (p16) testing is required. p16 Immunohistochemistry (IHC) is sufficient for Human Papillomavirus (HPV) testing. * Programmed cell death ligand 1 (PD-L1) combined positive score (CPS) : For patients with previously untreated R/M disease, a combined positive score (CPS) of 1 or greater is required. There is no PD-L1 restriction for patients who have previously received anti-PD(L)1 therapy. * Recovery to baseline or ≤ Grade 1 severity (CTCAE v5) fr

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✦ Analyst Commentary

Expert commentary on why this trial matters and what to watch for.

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Source

Open on ClinicalTrials.gov