Ireland
--:--IST
Recruiting Phase 2/3

Ordastobart (INBRX-106) Add-on to Pembrolizumab in 1L HPV+ PD-L1+ R/M OPSCC (HexAgon-HN)

NCT06295731 · tracked via the Priya Life Science UK tracker
Phase
Phase 2/3
Started
2024-05-14
Last updated
2026-10-28

Condition(s) studied

Head and Neck Squamous Cell Carcinoma (HNSCC)HPV Oropharyngeal Squamous Cell Carcinoma (HPV+ OPSCC)

Investigational drug(s) / intervention(s)

INBRX-106Pembrolizumab →

INBRX-106: INBRX-106 0.1 mg/kg by intravenous (IV) infusion, given every 3 weeks (QW3)

Pembrolizumab: Pembrolizumab 200 mg by intravenous (IV) infusion, given every 3 weeks (QW3)

Study summary

This seamless phase 2/3 randomized controlled study will evaluate the efficacy and safety of the hexavalent OX40 agonist antibody ordastobart (INBRX-106) combined with the anti-PD-1 antibody pembrolizumab versus pembrolizumab (+ placebo in phase 3) as first-line treatment for patients with recurrent or metastatic (R/M) HPV-positive Oropharyngeal Squamous Cell Carcinoma (HPV+ OPSCC) expressing PD-L1.

Eligibility

Sex
ALL
Min age
18 Years
Max age
—
Healthy volunteers
No
Inclusion Criteria: * Has histologically or cytologically confirmed diagnosis of recurrent/metastatic oropharyngeal squamous cell carcinoma (OPSCC) considered incurable by local therapies. * Has tumor PD-L1 expression with a combined proportion score (CPS) ≥1 by central testing. * HPV-positive tumor status as assessed locally by p16 immunohistochemistry (IHC). * Has measurable disease per RECIST 1.1 guidelines. * Has an Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1. Exclusion Criteria: * Has primary tumor site (any histology) of any other location than oropharynx. * Has received prior systemic therapy (eg, prior chemo-, immune-, or biologic therapy) for R/M HNSCC. * Prior systemic therapy completed \>6 months prior to signing informed consent is allowed if given as part of multimodal treatment for locoregionally advanced disease with curative intent, and no PD/recurrence occurred within 6 months of its completion. Prior systemic immunotherapy with curative intent, including but not limited to anti-PD-(L)1 agents, is allowed if PD/recurrence occurred ≥12 months after its completion. * Has clinically active central nervous system metastases and/or carcinomatous meningitis. * Has a diagnosis of immunodeficiency or is receiving systemic steroid therapy or any other form of immunosuppressive therapy within 7 days prior to the first dose of study treatment. * Rapidly progressing disease. * Active or high risk of tumor-associated bleeding. * Current or history of immune-related disease that required systemic treatment in past 2 years, except for replacement therapy.

Primary outcome measure(s)

  • Phase 2: Objective Response Rate by investigator (ORRinv) — From randomization to progressive disease (PD) or death (up to 1 year)
    defined as the proportion of patients with complete response (CR) or partial response (PR) on 2 consecutive occasions ≥4 weeks apart, as determined by the Investigator according to Response Evaluation Criteria in Solid Tumors version 1.1 (RECIST 1.1).
  • Phase 3: Progression-Free Survival by Investigator (PFSinv) — From randomization to PD or death (up to 4 years)
    defined as the time from randomization to first occurrence of PD, as determined by the Investigator according to RECIST 1.1, or death from any cause (whichever occurs first).
  • Phase 3: Overall Survival (OS) — From randomization until death from any cause (up to 4 years)
    defined as the time from randomization to death from any cause.

Trial sites (89)

FacilityCityRegionStatus
City of Hope Medical Center Duarte California Recruiting
Los Angeles Cancer Network (LACN) Los Angeles California Recruiting
Sutter Health Sacramento California Withdrawn
UC Davis Sacramento California Terminated
Medical Oncology Associates of San Diego San Diego California Recruiting
Sarcoma Oncology Center Santa Monica California Recruiting
ChristianaCare Health Services Newark Delaware Active Not Recruiting
University of Florida UF Health Cancer Center Gainesville Florida Active Not Recruiting
The Oncology Institute of Hope & Innovation Miami Florida Recruiting
Mid Florida Hematology and Oncology Center Orange City Florida Recruiting
Cleveland Clinic Florida, The Maroone Cancer Center Weston Florida Active Not Recruiting
University of Illinois Cancer Center Chicago Illinois Recruiting
Norton Cancer Institute Louisville Kentucky Recruiting
Massachusetts General Hospital Boston Massachusetts Active Not Recruiting
Karmanos Cancer Institute Detroit Michigan Recruiting
Washington University St. Louis St Louis Missouri Recruiting
Intermountain Health, St. Vincent Regional Hospital, Cancer Centers of Montana Billings Montana Recruiting
Oncology Hematology West, PC dba Nebraska Cancer Specialists Omaha Nebraska Recruiting
Comprehensive Cancer Centers of Nevada Las Vegas Nevada Recruiting
Christus St. Vincent Regional Cancer Center Santa Fe New Mexico Recruiting
UNC Lineberger Comprehensive Cancer Center Chapel Hill North Carolina Recruiting
Oklahoma University Stephenson Cancer Center Oklahoma City Oklahoma Recruiting
Oregon Health & Science University Portland Oregon Active Not Recruiting
UPMC Hillman Cancer Center Pittsburgh Pennsylvania Recruiting
CHRISTUS Spohn Cancer Center Corpus Christi Texas Recruiting
VCU Massey Comprehensive Cancer Center Richmond Virginia Recruiting
Royal Adelaide Hospital Adelaide South Australia Active Not Recruiting
Antwerp University Hospital Edegem Antwerp Active Not Recruiting
University Hospital Brussels Jette Belgium Active Not Recruiting
Chu Ucl Namur Site De Sainte-Elisabeth Namur Belgium Active Not Recruiting
Vitaz Sint-Niklaas Belgium Active Not Recruiting
Multiprofile Hospital for Active Treatment - "Uni Hospital" Ltd, Medical Oncology Dept Panagyurishte Bulgaria Active Not Recruiting
Complex Oncological Center Plovdiv EOOD Dept of Med Oncology and Oncological Diseases in Hematology Plovdiv Bulgaria Active Not Recruiting
Uni Multiprofile Hospital for Active Treatment Tsaritsa Yoanna - ISUL EAD Clinic of Medical Oncology Sofia Bulgaria Active Not Recruiting
Multiprofile Hospital for Active Treatment Sveta Sofia, Department of Medical Oncology Sofia Bulgaria Active Not Recruiting
CH Annecy Genevois Annecy Epagny Metz Tessy Active Not Recruiting
UNEOS-Hopital R.SCHUMAN Metz Moselle Active Not Recruiting
Centre Jean Perrin Clermont-Ferrand France Active Not Recruiting
Cenre Oscar Lambret Lille France Active Not Recruiting
Centre Leon Berard Lyon France Active Not Recruiting

+ 49 more sites — see the full list on the official registry below.

Other trials for the same condition

Official registry record

This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.

View NCT06295731 on ClinicalTrials.gov ↗ ← All trials in the UK