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Brief Title: NBTXR3 With or Without Cetuximab in LA-HNSCC
Official Title: A Phase 3 Study of NBTXR3 Activated by Investigator's Choice of Radiotherapy Alone or Radiotherapy in Combination With Cetuximab for Platinum-based Chemotherapy-Ineligible Elderly Patients With LA-HNSCC
Study ID: NCT04892173
Brief Summary: This is a global, open-label, randomized, 2-arm, Investigator's choice Phase 3 (Pivotal Stage) study to investigate the efficacy/performance and safety of NBTXR3/RT±cetuximab versus RT±cetuximab in treatment-naïve, platinum-ineligible, elderly participants with LA-HNSCC.
Detailed Description: This is a global, open-label, randomized, 2-arm, Investigator's choice Phase 3 (Pivotal Stage) study to investigate the efficacy/performance and safety of NBTXR3/RT±cetuximab versus RT±cetuximab in treatment-naĂŻve, platinum-ineligible, elderly participants with LA-HNSCC. Participants will undergo a screening assessment over a period of â€28 days to determine eligibility. One primary tumor lesion that is amenable for intratumoral injection, as determined by the Investigator Eligible participants will be treated by the Investigator's choice of RT alone or RT in combination with cetuximab. Following the Investigator's choice, participants will be randomized in a 1:1 ratio on Day: * Arm A: NBTXR3, as an intratumoral/intranodal injection, activated by investigator's choice of RT alone or RT in combination with cetuximab * Arm B: Investigator's choice of RT alone or RT in combination with cetuximab All participants (Arm A and Arm B) will receive 70 Gy in 35 fractions over a 7 week period. An EOT visit will be performed 4 weeks after the completion of RT. Follow-up visits will start at 12 weeks post-RT completion, and will continue every 12 weeks for 2 years, and then every 24 weeks thereafter until death; the participant is determined to be lost to follow up; withdrawal of consent; or the end of the study, whichever occurs first. Participants who have received further anti-cancer therapy for the study disease and/or have had disease progression/recurrence will be followed only for survival information
Minimum Age: 65 Years
Eligible Ages: OLDER_ADULT
Sex: ALL
Healthy Volunteers: No
University of California San Francisco, San Francisco, California, United States
Lee Moffitt Cancer Center and Research Institute, Tampa, Florida, United States
Richmond University Medical Center, Staten Island, New York, United States
University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, United States
Medizinische UniversitÀt Graz, Graz, , Austria
Ordensklinikum Linz GmbH Barmherzige Schwestern, Linz, , Austria
Allgemeines Krankenhaus Wien, Wien, , Austria
Cliniques Universitaires Saint-Luc, Brussel, , Belgium
Universitair Ziekenhuis Leuven - Campus Gasthuisberg, Leuven, , Belgium
Multi-profile Hospital for Active Treatment Uni Hospital, Panagyurishte, , Bulgaria
University Specialized Hospital for Active Treatment in Oncology EAD, Sofia, , Bulgaria
Jewish General Hospital, Montréal, , Canada
The First Affiliated Hospital of Bengbu Medical College, Fujian, , China
The First Affiliated Hospital of Fujian Medical University, Fujian, , China
Guangzhou First People's Hospital, Guandong, , China
Peking University Shenzhen Hospital, Guandong, , China
The First Affiliated Hospital of Guangdong Pharmaceutical University, Guangdong, , China
Guangxi Medical University Affiliated Wuming Hospital, Guangxi, , China
Hubei Cancer Hospital, Hubei, , China
Tongji Hospital affiliated to Tongji Medical College of Huazhong University of Science & Technology, Hubei, , China
Hunan Cancer Hospital, Hunan, , China
Affiliated Hospital of Xuzhou Medical University, Jiangxi, , China
Jiangxi Cancer Hospital, Jiangxi, , China
The Second Affiliated Hospital of Soochow University, Jiangxi, , China
Linyi Tumor Hospital, Shandong, , China
Qilu Hospital of Shandong University, Shandong, , China
Shandong Oncology Hospital, Shandong, , China
Shanxi Cancer Hospital, Shanxi, , China
Tianjin Medical University Cancer Institute & Hospital, Tianjin, , China
Olomouc University Hospital, Olomouc, , Czechia
Bulovka University Hospital, Prague, , Czechia
Tampere University Hospital, Tampere, , Finland
Centre Hospitalier Universitaire Amiens-Picardie - Site Sud, Amiens, , France
Centre Hospitalier Regional Universitaire Brest, Brest, , France
Centre de Lutte contre le Cancer - Centre Oscar Lambret, Lille, , France
Centre LĂ©on BĂ©rard, Lyon, , France
HĂŽpital de la Timone, Marseille, , France
Ambroise Paré Clinic Group - Hartmann Clinic, Paris, , France
HÎpital Européen Georges-Pompidou, Paris, , France
HĂŽpital Tenon, Paris, , France
Institut Curie, Paris, , France
HĂŽpital Haut-LĂ©vĂȘque, Pessac, , France
Centre de Lutte Contre le Cancer - Centre Henri-Becquerel, Rouen, , France
Clinique Mutualiste de l'Estuaire, Saint-Nazaire, , France
Centre Hospitalier Universitaire de Saint-Ătienne, Saint-Ătienne, , France
Centre Hospitalier de Valenciennes, Valenciennes, , France
Institut de CancĂ©rologie de Lorraine, VandĆuvre-lĂšs-Nancy, , France
Institut Gustave Roussy, Villejuif, , France
High Technology Hospital MedCenter, Batumi, , Georgia
Evex Hospitals - Kutaisi Referral Hospital, Kutaisi, , Georgia
LLC Todua Clinic, Tbilisi, , Georgia
Ltd Tbilisi State Medical University and Ingorokva High Medical Technology University Clinic, Tbilisi, , Georgia
University Hospital Cologne, Cologne, , Germany
UniversitĂ€tsklinikum GieĂen und Marburg, GieĂen, , Germany
Hanover Medical School, Hanover, , Germany
Jena University Hospital, Jena, , Germany
Rechts der Isar Hospital of the Technical University of Munich, Munich, , Germany
Rostock University Medical Center, Rostock, , Germany
UniversitÀtsklinikum Ulm, Ulm, , Germany
"Attikon" University General Hospital, AttikĂ, , Greece
University General Hospital of Larissa, Larissa, , Greece
Interbalkan Medical Center of Thessaloniki, ThessalonĂki, , Greece
Hungarian Defence Forces Medical Centre, Budapest, , Hungary
National Institute of Oncology, Budapest, , Hungary
Albert Szent-Györgyi Health Center, Szeged, , Hungary
Samson Assuta Ashdod University Hospital, Ashdod, , Israel
Rambam Health Care Campus, Haifa, , Israel
Hadassah Medical Center, Ramat Gan, , Israel
Tel Aviv Sourasky Medical Center, Tel Aviv, , Israel
Hiroshima University Hospital, Hiroshima, , Japan
Kindai University Hospital, Osaka, , Japan
Osaka Prefectural Hospital Organization - Osaka International Cancer Institute, Osaka, , Japan
Severance Hospital Yonsei University Health System, Seoul, , Korea, Republic of
Ajou University Hospital, Suwon, , Korea, Republic of
The Catholic University of Korea, St. Vincent's Hospital, Suwon, , Korea, Republic of
Hospital de Braga, Braga, , Portugal
Centro Hospitalar UniversitĂĄrio Lisboa Norte - Hospital De Santa Maria, Lisboa, , Portugal
Hospital CUF Descobertas, Santarém, , Portugal
Institutul Oncologic Bucuresti - Prof. Dr. Alexandru Trestioreanu, Bucharest, , Romania
Institute of Oncology and Radiology of Serbia, Belgrade, , Serbia
Vojnomedicinska Akademija, Belgrade, , Serbia
Institute of Oncology of Vojvodina, Sremska Kamenica, , Serbia
Clinical Center Kragujevac, Sumadija, , Serbia
Hospital Universitario Cruces, Barakaldo, , Spain
Hospital ClĂnic de Barcelona, Barcelona, , Spain
Hospital Universitari Vall d'HebrĂłn, Barcelona, , Spain
Hospital Universitario 12 de Octubre, Madrid, , Spain
Complejo Hospitalario de Navarra, Pamplona, , Spain
Hospital Universitario Marqués de Valdecilla, Santander, , Spain
ChangHua Christian Hospital, Chang Hua, , Taiwan
National Cheng Kung University (NCKU) Hospital, Tainan, , Taiwan
National Taiwan University Hospital, Taipei, , Taiwan
Name: Christophe Le Tourneau, MD, PhD
Affiliation: Institute Curie
Role: PRINCIPAL_INVESTIGATOR
Name: Sue Yom, MD, PhD
Affiliation: University of San Francisco
Role: PRINCIPAL_INVESTIGATOR
Name: Jinming Yu, MD, PhD
Affiliation: Shandong Cancer Hospital and Institute
Role: PRINCIPAL_INVESTIGATOR