A Global Study of Volrustomig (MEDI5752) for Participants With Unresected Locally Advanced Head and Neck Squamous Cell Carcinoma Following Definitive Concurrent Chemoradiotherapy

Phase
Recruitment status
Participants
Lead sponsor
Start date
Number of sites

Summary
The main purpose of this study is to assess the efficacy and safety of volrustomig compared to observation in participants with unresected locally advanced head and neck squamous cell carcinoma (LA-HNSCC) who have not progressed after receiving definitive concurrent chemoradiotherapy (cCRT).
Acronym
eVOLVE-HNSCC
Short title
A Global Study of Volrustomig (MEDI5752) for Participants With Unresected Locally Advanced Head and Neck Squamous Cell Carcinoma Following Definitive Concurrent Chemoradiotherapy
Official title
A Phase III, Randomized, Open-Label, Multi-Center, Global Study of Volrustomig (MEDI5752) as Sequential Therapy Versus Observation in Participants With Unresected Locally Advanced Head and Neck Squamous Cell Carcinoma, Who Have Not Progressed Following Definitive Concurrent Chemoradiotherapy (eVOLVE-HNSCC)

Registry reports results
Listing at source
Recruitment status
Phase
Study type
Interventional

Completion date
First posted
Registry last updated
Primary completion date
Start date

Participants
Participant count basis
Planned participants
Protocol amendments
Number of sites

Data monitoring committee
Registry sponsor category
Lead sponsor
Source registry
ClinicalTrials.gov

Registry ID
ClinicalTrials.gov ID
Registry record
Open registry record

Allocation
Randomised
Model
Parallel groups
Purpose
Treatment
Masking
Single masking
Masked roles
Outcome assessors
Sources for study design

  1. Progression-Free Survival (PFS) in participants with unresected LA-HNSCC with PD-L1 expressing tumors

    Timeframe: Up to approximately 8 years

    PFS is defined as time from randomization until first objective radiological progression per RECIST 1.1 as assessed by Blinded Independent Central Review (BICR), or death due to any cause (in the absence of progression). The analysis will include all randomized participants with PD-L1 expressing tumors.

  1. Progression-Free Survival (PFS) in the unresected LA-HNSCC intent-to-treat (ITT) population

    Timeframe: Up to approximately 8 years

    PFS is defined as time from randomization until first objective radiological progression per RECIST 1.1 as assessed by BICR, or death due to any cause (in the absence of progression). The analysis will include all randomized participants.

  2. Landmark Progression-Free Survival (PFS) Rates

    Timeframe: Up to approximately 8 years

    PFS is defined as time from randomization until first objective radiological progression per RECIST 1.1 as assessed by BICR, or death due to any cause (in the absence of progression). These analyses will include participants with PD-L1 expressing tumors and all randomized participants.

  3. Overall Survival (OS) in participants with unresected LA-HNSCC with PD-L1 expressing tumors

    Timeframe: Up to approximately 8 years

    Overall survival (OS) is defined as the time from randomization until the date of death due to any cause. The analysis will include all randomized participants with PD-L1 expressing tumors.

  4. Landmark Overall Survival (OS) Rates

    Timeframe: Up to approximately 8 years

    OS is defined as the time from randomization until the date of death due to any cause. These analyses will include participants with PD-L1 expressing tumors as randomized and all randomized participants.

  5. Overall Survival (OS) in the unresected LA-HNSCC ITT population

    Timeframe: Up to approximately 8 years

    OS is defined as the time from randomization until the date of death due to any cause. The analysis will include all randomized participants.

  6. Progression Free Survival 2 (PFS2)

    Timeframe: Up to approximately 8 years

    PFS2 is defined as the time from randomization until the earliest of the progression event (following the initial investigator-assessed progression), after the start of the first subsequent therapy, or death from any cause, whichever occurs first. The date of the second progression will be recorded by the investigator in the eCRF and defined according to local standard clinical practice. These analyses will include participants with PD-L1 expressing tumors as randomized and all randomized participants.

  7. Presence of Anti-Drug-Antibodies (ADAs) against volrustomig in serum

    Timeframe: Up to approximately 8 years

    To investigate the immunogenicity of volrustomig.

  8. Participant-reported physical functioning

    Timeframe: Up to approximately 8 years

    Change from baseline of physical functioning as measured by scores on the Patient-Reported Outcomes Measurement Information System (PROMIS) Short Form v.20 - Physical Function 8c are reported on a T score metric (mean = 50 and SD = 10), with higher scores reflecting better physical functioning. The analysis will include all randomized participants.

  9. Participant-reported global health status (GHS)/quality of life (QoL)

    Timeframe: Up to approximately 8 years

    Change from baseline of Global Health Status/Quality of Life subscale scores as measured by the European Organization for Research and Treatment of Cancer (EORTC) Item Library 172 are transformed to a 0-100 range; a higher score represents higher quality of life. The analysis will include all randomized participants.

  10. Percentage of participants with Adverse Events

    Timeframe: Up to approximately 8 years

    Adverse Events as assessed by Common Terminology Criteria for Adverse Events (CTCAE).

  11. Area under the curve (AUC)

    Timeframe: Up to approximately 8 years

    The concentration of Volrustomig in serum will be determined. Area under the curve is the integral of the concentration-time curve. The AUC reflects the actual body exposure to drug after administration. The AUC is dependent on the rate of elimination of the drug from the body and the dose administered.

  12. Maximum plasma concentration of the drug (Cmax)

    Timeframe: Up to approximately 8 years

    The concentration of Volrustomig in serum will be determined (Cmax will be derived).

  13. The time taken to reach the maximum concentration (Tmax)

    Timeframe: Up to approximately 8 years

    The concentration of Volrustomig in serum will be determined (Tmax will be derived).

Sources for outcomes

Sex
All
Age groups
Adults, Older adults
Minimum age
18 Years
Maximum age
130 Years
Healthy volunteers
No

  • Histologically or cytologically documented locally advanced squamous cell carcinoma of the oropharynx, hypopharynx, oral cavity, or larynx with no evidence of metastatic disease (i.e. M0).
  • Confirmed unresected Stage III, Stage IVA or IVB according to the eighth edition of the American Joint Committee on Cancer (AJCC) staging manual (tumor, node, metastasis (TNM) staging system).
  • Participants will have completed definitive concurrent chemoradiotherapy (cCRT) with curative intent prior to randomization.

  • Histologically/cytologically confirmed head and neck cancer of any other primary anatomic location in the head and neck not specified in the inclusion criteria including participants with squamous cell carcinoma of unknown primary or non-squamous histologies (eg, nasopharynx or salivary gland). Participants with >1 primary tumors are not eligible for the study.

  • Participants with any of the following:

    1. LA-HNSCC that was resected before definitive cCRT
    2. LA-HNSCC that was treated and is recurrent at the time of screening
  • Participants who have received radiotherapy (RT) alone as definitive local therapy for LA-HNSCC.

Sources for eligibility

  • Research SiteBirmingham, United StatesRecruiting
  • Research SitePhoenix, United StatesRecruiting
  • Research SitePrescott Valley, United StatesActive, not recruiting
  • Research SiteSpringdale, United StatesWithdrawn
  • Research SiteFountain Valley, United StatesRecruiting
  • Research SiteLos Angeles, United StatesRecruiting
  • Research SiteOrange, United StatesWithdrawn
  • Research SiteSan Francisco, United StatesRecruiting
  • Research SiteSanta Rosa, United StatesRecruiting
  • Research SiteWhittier, United StatesRecruiting
  • Research SiteAurora, United StatesRecruiting
  • Research SiteColorado Springs, United StatesRecruiting
  • Research SiteLone Tree, United StatesRecruiting
  • Research SiteWashington D.C., United StatesRecruiting
  • Research SiteFort Myers, United StatesRecruiting
  • Research SiteGainesville, United StatesWithdrawn
  • Research SiteMiami, United StatesWithdrawn
  • Research SitePalm Bay, United StatesRecruiting
  • Research SiteWest Palm Beach, United StatesRecruiting
  • Research SiteNiles, United StatesRecruiting
  • Research SiteDes Moines, United StatesRecruiting
  • Research SiteKansas City, United StatesCompleted
  • Research SiteLouisville, United StatesRecruiting
  • Research SiteBaton Rouge, United StatesRecruiting
  • Research SiteShreveport, United StatesWithdrawn

And 281 more, listed on the interactive page.

Sources for sites

Related records

Drugs (1)

Lead sponsors (1)

Conditions (1)