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A Study of Amivantamab in Addition to Standard of Care Agents (SOC) Compared With SOC Alone in Participants With Recurrent/Metastatic Head and Neck Cancer

RecruitingPhase 3

A Phase 3, Randomized, Open-Label, Multicenter Study of Amivantamab in Addition to Carboplatin and Pembrolizumab, Compared to Standard of Care Platinum and Pembrolizumab and 5-FU, in Participants With Treatment-Naïve Recurrent/Metastatic Head and Neck Squamous Cell Carcinoma

Who can join

Ages 18 and older · All sexes

Full eligibility criteria
Inclusion criteria:

* Be more than or equal to (\>=) 18 years of age (or the legal age of majority in the jurisdiction in which the study is taking place, whichever is greater)
* Have histologically or cytologically confirmed recurrent/metastatic (R/M) HNSCC that is considered incurable by local therapies: a. eligible primary tumor locations are the oral cavity, oropharynx, hypopharynx, or larynx; b. Must not have a primary tumor site of nasopharynx or primary tumor of unknown location; c. Must have documented local testing results per local regulations; d. Human papillomavirus (HPV) status must be known for participants with primary tumor location in oropharynx via p16 test, HPV DNA test, or high-risk HPV in situ hybridization (ISH). Any known p16, HPV DNA, or high-risk HPV ISH status of tumor must be negative
* Be treatment-naive for systemic therapy in the R/M setting
* Have an ECOG performance status of 0 or 1
* Have measurable disease according to Response Evaluation Criteria in Solid Tumors (RECIST) version (v).1.1

Exclusion criteria:

* Have an uncontrolled illness
* Have untreated brain metastases or history of known presence of leptomeningeal disease
* Have a history of clinically significant cardiovascular disease
* Inadequate organ or bone marrow function
* Known allergies, hypersensitivity, contraindications, or intolerance to excipients of: Amivantamab, Pembrolizumab, Carboplatin, Cisplatin, 5-FU and Hyaluronidase

About the study

The purpose of this study is to compare anti-tumor activity of amivantamab in addition to pembrolizumab and carboplatin versus pembrolizumab, 5-fluorouracil (FU), and platinum therapy (carboplatin or cisplatin) in participants with refractory/metastatic (R/M) head and neck squamous cell carcinoma (HNSCC). HNSCC is a type of cancer that develops in the head and neck regions, including the outer tissue layer of the mouth and throat. This study will focus on participants with HNSCC who are treatment-naive (have not received prior treatment) in the R/M setting.

What is being tested

Sponsor: Janssen Research & Development, LLC · Participants: 500 · Started: Dec 3, 2025

Contact the study team

Official record on ClinicalTrials.gov — NCT07276399

Locations in the U.S.

ArizonaIronwood Cancer and Research Center, Chandler
University of Arizona Cancer Center, Tucson
CaliforniaProvidence St Jude Medical Center, Fullerton
Scripps Health, La Jolla
University of California, Los Angeles UCLA, Los Angeles
Valkyrie Clinical Trials, Los Angeles
Valkyrie Clinical Trials Murrieta, Murrieta
University Of California - Davis, Sacramento
Stanford University Medical Center, Stanford
ConnecticutHartford Hospital, Hartford
Yale Cancer Center, New Haven
FloridaFlorida Cancer Specialists South, Fort Myers
University of Miami Sylvester Comprehensive Cancer Center, Miami
AdventHealth Medical Group Oncology and Hematology at Orlando, Orlando
Florida Cancer Specialists North Region, St. Petersburg
Florida Cancer Specialists East, West Palm Beach
GeorgiaEmory University, Atlanta
Central Georgia Cancer Care, Macon
IllinoisRush University Medical Center Rush University Cancer Center Chicago, Chicago
The University of Chicago Medical Center (UCMC), Chicago
Cancer Care Specialists of Central Illinois, O'Fallon
KentuckyUniversity of Kentucky Medical Center, Lexington
MarylandUniversity of Maryland Greenebaum Cancer Center, Baltimore
MassachusettsDana Farber Cancer Institute, Boston
MichiganTrinity Health St Joseph Mercy Ann Arbor, Ann Arbor
Karmanos Cancer Institute, Detroit
MissouriWashington University School Of Medicine, St Louis
NebraskaNHO Revive Research Institute, LLC, Lincoln
New JerseyRutgers Cancer Institute of New Jersey, New Brunswick
New YorkLaura & Isaac Perlmutter Cancer Center at NYU Langone Hospital - Long Island, Mineola
Laura and Isaac Perlmutter Cancer Center at NYU Langone Health, New York
Bronx Veterans Affairs Medical Center, The Bronx
Montefiore Medical Center, The Bronx
North CarolinaCarolina Cancer Research Center, Wilson
OhioUniversity of Cincinnati, Cincinnati
Ohio State University, Columbus
OregonOregon Health And Science University, Portland
PennsylvaniaPenn State Milton S. Hershey Medical Center, Hershey
University of Pennsylvania Perelman Center for Advanced Medicine, Philadelphia
TennesseeTennessee Cancer Specialists, Knoxville
Vanderbilt University Medical Center, Nashville
TexasUT Southwestern Medical Center, Dallas
Texas Oncology - San Antonio, Fredericksburg
MD Anderson Cancer Center, Houston
UT Health East Texas HOPE Cancer Center, Tyler
Texas Oncology-Central South, Waco
UtahHuntsman Cancer Institute, Salt Lake City
VirginiaUniversity of Virginia, Charlottesville
Virginia Cancer Specialists, Fairfax

Conditions

From ClinicalTrials.gov, data retrieved Sep 29, 2026. Each study sets its own eligibility; the study team decides who can join.