A Randomized, Double-Blind, Placebo-Controlled Study of Chemotherapy Plus Cetuximab in Combination With VTX 2337 in Patients With Recurrent or Metastatic Squamous Cell Carcinoma of the Head and Neck
This is a randomized, double-blind, placebo-controlled, parallel group study to evaluate the
safety and efficacy of VTX 2337 in combination with cisplatin or carboplatin, 5-FU and
cetuximab in prolonging the progression-free survival in subjects with recurrent or
metastatic squamous cell carcinoma of the head and neck.
OBJECTIVES:
Primary Objective:
To compare the efficacy of VTX 2337 plus SOC to SOC alone in prolonging the PFS of patients
with recurrent or metastatic SCCHN.
Secondary Objectives:
To compare the following between the two treatment groups:
- Safety of VTX 2337 by adverse events, including clinically significant changes in
physical examination, peripheral blood hematology, serum chemistry, urinalysis, and
ECG.
- Efficacy of VTX 2337 plus SOC in prolonging the OS of patients with recurrent or
metastatic SCCHN.
- Efficacy of VTX-2337 plus SOC on ORR, DOBR, DCR, and DDC by irRECIST and evaluation by
independent radiology review.
Exploratory Objectives:
To compare the following between the two treatment groups:
- Genetic polymorphisms that may impact the response of patients to a TLR8 agonist or to
cetuximab.
- Immune biomarker response to VTX 2337 plus SOC as measured by a multiplexed panel of
cytokines, chemokines, and inflammatory markers.
- The effect of immune cell subsets within the tumor on response to VTX-2337 and/or
clinical outcome, as measured by immunohistochemistry in primary tumor tissue.
OUTLINE:
Subjects will be screened for eligibility (within 14 days) and qualified subjects will be
randomized 1:1 to 1 of 2 treatment groups: SOC + VTX 2337 or SOC + placebo.
Tumor assessments will be by CT or MRI starting at Week 12 (± 3 days), then at Week 18 (± 3
days) and every 8 weeks (± 7 days) thereafter. Response will be evaluated by immune-related
RECIST criteria (irRECIST) and confirmed by an independent radiologist.
Upon independent confirmation of disease progression, active participation in the study is
complete and subjects will undergo the End of Treatment evaluations.
Subjects will be followed for survival until ~12 months after the last subject is
randomized.
Interventional
Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor), Primary Purpose: Treatment
To compare the efficacy of VTX-2337 plus SOC to SOC alone in prolonging the PFS of patients with recurrent or metastatic SCCHN.
approximately 9 months after the last patient is randomized
No
United States: Food and Drug Administration
VRXP-A202
NCT01836029
July 2013
December 2015
Name | Location |
---|---|
University of Chicago | Chicago, Illinois 60637 |