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A Phase II Window of Opportunity in Preserving Laryngeal Function (WOLF) Trial

Status: Recruiting
Location: See location...
Intervention Type: Radiation, Drug
Study Type: Interventional
Study Phase: Phase 2
SUMMARY

This trial will study the safety and tolerability and disease survival rates in adult patients with recurrent/metastatic (R/M) HNSCC when treated with carboplatin or cisplatin, paclitaxel, and toripalimab.

Eligibility
Participation Requirements
Sex: All
Minimum Age: 18
Healthy Volunteers: f
View:

• Pathologically confirmed and previously untreated squamous cell carcinoma of the larynx or hypopharynx

• AJCC 8th Edition Stage III - IV disease (T1-T2/N1-N3, T3-T4/N0-N3)

• Disease (primary \& nodal) must be potentially surgically resectable and curable with conventional surgery and CRT

• ECOG PS 0 - 2

• Sexually active fertile subjects and their partners must agree to use highly effective method of contraception prior to study entry, during the course of the study, and for 1 year after the last dose of treatment (whichever is later). An additional contraceptive method, such as a barrier method (e.g., condom), is required. In addition, men must agree not to donate sperm and women must agree not to donate eggs (ova, oocyte) for the purpose of reproduction during these same periods.

• Female subjects of childbearing potential must not be pregnant or breastfeeding at screening. Female subjects are considered to be of childbearing potential unless one of the following criteria is met: Permanent sterilization (hysterectomy, bilateral salpingectomy, or bilateral oophorectomy) or documented postmenopausal status (defined as 12 months of amenorrhea in a woman \> 45 years-of-age in the absence of other biological or physiological causes). Note: Documentation may include review of medical records, medical examination, or medical history interview by study site staff.

• Must have normal organ and marrow function as defined below:

‣ Hemoglobin ≥ 9.0 g/dL

⁃ Absolute neutrophil count ≥ 1,500/mcL

⁃ Platelet count ≥ 100,000/mcL

⁃ Total bilirubin ≤ 1.5 X the institutional upper limit of normal (ULN)

⁃ AST (SGOT) ≤ 2.5 X institutional upper limit of normal (ULN)

⁃ ALT (SGPT) ≤ 2.5 X institutional ULN

⁃ Creatinine clearance ≥ 40 mL/min/1.73 m2 for patients with a creatinine level above institutional normal

• Must have the ability to understand and the willingness to sign a written informed consent document.

Locations
United States
Pennsylvania
UPMC Hillman Cancer
RECRUITING
Pittsburgh
Contact Information
Primary
Jennifer Ruth, RN, BSN, CCRP
ruthj2@upmc.edu
412-623-8963
Backup
Mel J Mendez, BS
mendezmj@upmc.edu
878-261-6071
Time Frame
Start Date: 2026-04-06
Estimated Completion Date: 2031-04-30
Participants
Target number of participants: 87
Treatments
Experimental: toripalimab + carboplatin + paclitaxel
Prior to treatment:~Assessments include laryngoscopy and anatomic imaging studies~Treatment:~toripalimab 240mg IV with carboplatin (AUC 5) and paclitaxel (175 mg/m\^2) IV every 3 weeks for two cycles. (Cisplatin 75mg/m\^2 can be used in place of carboplatin at the investigator's discretion.)~After 2 Cycles of Treatment:~Repeat laryngoscopy and anatomic imaging studies. Undergo swallowing function and extranodal extension status assessment.
Experimental: Post-bioselection: Chemoradiation + toripalimab monotherapy
Patients with PR ≥50% (not CR) with preserved swallowing function or CR, with preoperative N+ disease and extranodal extension upon neck dissection.~Induction Treatment: toripalimab 240mg IV+carboplatin (AUC 5)+paclitaxel (175 mg/m\^2) IV Q~Continuation Treatment: toripalimab 240mg IV + carboplatin (AUC 5) + paclitaxel (175 mg/m\^2) IV Q + Radiation therapy as per the Intervention Description + toripalimab 240mg IV monotherapy for 8 cycles
Experimental: Post-bioselection: Radiation + toripalimab monotherapy
Patients with CR, with preoperative N0 disease or N+ disease with no extranodal extension upon neck dissection.~Induction Treatment: toripalimab 240mg IV+carboplatin (AUC 5)+paclitaxel (175 mg/m\^2) IV Q~Continuation Treatment: Radiation therapy as per the Intervention Description + toripalimab 240mg IV monotherapy for 8 cycles
Sponsors
Leads: Matthew Spector
Collaborators: Coherus Oncology, Inc.

This content was sourced from clinicaltrials.gov