OSI-774 + Chemotherapy for Head and Neck Cancer

Not currently recruiting at 1 trial location
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)
Prior Safety DataThis treatment has passed at least one previous human trial

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial explores whether a combination of three drugs—Tarceva® (OSI-774), Platinol®, and Taxotere®—can effectively treat head and neck cancer that has spread or returned. Researchers aim to determine if this new drug mix outperforms current treatments and ensure its safety for patients. Individuals with a confirmed diagnosis of metastatic or recurrent head and neck squamous cell carcinoma who have not previously received chemotherapy for it may qualify for this study. As a Phase 2 trial, the research focuses on assessing the treatment's effectiveness in an initial, smaller group of participants.

Will I have to stop taking my current medications?

The trial does not specify if you need to stop taking your current medications. However, you cannot participate if you are receiving other investigational agents or certain treatments for HIV. It's best to discuss your specific medications with the trial team.

Is there any evidence suggesting that this trial's treatments are likely to be safe?

Research has shown that a combination of the drugs Tarceva® (OSI-774), Platinol® (cisplatin), and Taxotere® (docetaxel) has been tested in patients with head and neck cancer. Studies have found that cisplatin and docetaxel are generally well-tolerated, meaning most patients can handle the side effects. These drugs work together to target and destroy cancer cells.

Patients have reported that the side effects of this combination are manageable and not too severe. Tarceva® is a newer drug in this mix but is generally considered safe when used with other chemotherapy drugs. Some patients might experience mild side effects, which can often be managed with medical help.12345

Why do researchers think this study treatment might be promising for head and neck cancer?

Researchers are excited about the combination of OSI-774 with chemotherapy for head and neck cancer because it introduces a targeted approach that differs from the standard treatments like surgery, radiation, and conventional chemotherapy alone. OSI-774, also known as erlotinib, is a tyrosine kinase inhibitor that specifically targets the epidermal growth factor receptor (EGFR), which plays a crucial role in the growth and spread of cancer cells. By combining OSI-774 with traditional chemotherapy agents like cisplatin and docetaxel, this treatment aims to enhance the overall effectiveness by not only attacking cancer cells directly but also disrupting their growth signals. This targeted mechanism potentially offers a more efficient way to halt cancer progression with potentially fewer side effects compared to traditional treatments.

What evidence suggests that this trial's treatments could be effective for head and neck cancer?

This trial will evaluate the combination of cisplatin, docetaxel, and OSI-774 for treating head and neck cancers. Studies have shown that cisplatin and docetaxel together can be very effective, with manageable side effects. Participants in this trial will receive this combination along with OSI-774, which research suggests has shown promise for patients with advanced head and neck cancer. OSI-774 is already approved for treating a different type of cancer, supporting its potential effectiveness here. Overall, this combination aims to improve treatment outcomes by leveraging the strengths of each drug.13678

Who Is on the Research Team?

Xiuning Le | MD Anderson Cancer Center

Xiuning Le, M.D., Ph.D.

Principal Investigator

M.D. Anderson Cancer Center

Are You a Good Fit for This Trial?

Adults with metastatic or recurrent head and neck squamous cell carcinoma who haven't had systemic chemotherapy for this condition. They must have measurable disease, be in a stable health condition, not pregnant, willing to use contraception, and without severe allergies to the drugs being tested.

Inclusion Criteria

My organs and bone marrow are functioning normally.
I had cancer other than melanoma over 5 years ago and have been cancer-free since.
I can take care of myself but might not be able to do heavy physical work.
See 7 more

Exclusion Criteria

History of allergic reactions attributed to compounds of similar chemical or biologic composition to OSI-774 or other agents used in the study
Pregnant or lactating women
I have received treatment targeting EGFR before.
See 12 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks
1 visit (in-person)

Treatment

Participants receive OSI-774 daily, and docetaxel and cisplatin every 3 weeks for 18 weeks

18 weeks
Weekly blood tests, physical exams every 3 weeks

Follow-up

Participants are monitored for safety and effectiveness after treatment

4 weeks
1 visit (in-person)

Open-label extension

Participants may continue receiving OSI-774 as long as their cancer responds to treatment

Indefinite, every 3 months assessments
Physical exams, blood tests, imaging every 3 months

What Are the Treatments Tested in This Trial?

Interventions

  • Cisplatin
  • Docetaxel
  • OSI-774
Trial Overview The trial is testing the effectiveness and safety of combining Tarceva (OSI-774) with Platinol (cisplatin) and Taxotere (docetaxel) in treating advanced head and neck cancer. It aims to see if this new drug combination can help patients.
How Is the Trial Designed?
1Treatment groups
Experimental Treatment
Group I: Cisplatin + Docetaxel + OSI-774Experimental Treatment3 Interventions

Cisplatin is already approved in European Union, United States, Canada, Japan for the following indications:

🇪🇺
Approved in European Union as Platinol for:
🇺🇸
Approved in United States as Platinol for:
🇨🇦
Approved in Canada as Platinol for:
🇯🇵
Approved in Japan as Platinol for:

Find a Clinic Near You

Who Is Running the Clinical Trial?

M.D. Anderson Cancer Center

Lead Sponsor

Trials
3,107
Recruited
1,813,000+

Aventis Pharmaceuticals

Industry Sponsor

Trials
81
Recruited
15,000+

Paul Hudson

Aventis Pharmaceuticals

Chief Executive Officer since 2019

Degree in Economics from Manchester Metropolitan University

Christopher Corsico

Aventis Pharmaceuticals

Chief Medical Officer

MD from Cornell University, MPH in Chronic Disease Epidemiology from Yale University

Genentech, Inc.

Industry Sponsor

Trials
1,578
Recruited
569,000+
Ashley Magargee profile image

Ashley Magargee

Genentech, Inc.

Chief Executive Officer since 2024

MBA from Harvard University, BA from Princeton University

Levi Garraway profile image

Levi Garraway

Genentech, Inc.

Chief Medical Officer since 2021

MD, PhD

Published Research Related to This Trial

Induction chemotherapy with docetaxel, cisplatin, and 5-fluorouracil (TPF) significantly improves patient outcomes, providing 4.1 quality-adjusted life years (QALYs) compared to 2.0 QALYs for the standard treatment (PF).
The cost-effectiveness analysis shows that TPF has a cost of £1,782 per QALY gained compared to PF, indicating that TPF is a cost-effective option for treating locally advanced squamous cell carcinoma of the head and neck in the UK.
Cost utility of docetaxel as induction chemotherapy followed by chemoradiation in locally advanced squamous cell carcinoma of the head and neck.Parthan, A., Posner, MR., Brammer, C., et al.[2018]
The combination of docetaxel, cisplatin, and 5-fluorouracil (5-FU) showed a response rate of 64% in patients at dose level I and 78.3% at dose level II, indicating significant efficacy in treating squamous cell carcinoma of the head and neck (SCCHN).
The treatment was associated with manageable safety concerns, with dose-limiting toxicities including renal toxicity and nausea, and the maximum tolerated dose was reached at level II, suggesting that dose level I is safer and recommended for further testing.
Docetaxel, cisplatin and 5-fluorouracil in patients with locally advanced unresectable head and neck cancer: a phase I-II feasibility study.Schrijvers, D., Van Herpen, C., Kerger, J., et al.[2020]
In a phase III study involving 358 patients with advanced head and neck cancer, adding docetaxel to cisplatin and 5-fluorouracil (TPF) improved overall survival and reduced toxicity compared to the PF regimen.
Patients receiving TPF showed a trend towards better health-related quality of life (HRQOL) and experienced greater improvements in swallowing and coughing issues during treatment, suggesting that TPF may enhance patient well-being alongside survival benefits.
Short-term health-related quality of life and symptom control with docetaxel, cisplatin, 5-fluorouracil and cisplatin (TPF), 5-fluorouracil (PF) for induction in unresectable locoregionally advanced head and neck cancer patients (EORTC 24971/TAX 323).van Herpen, CM., Mauer, ME., Mesia, R., et al.[2022]

Citations

OSI-774/Cisplatin/Taxotere in Head & Neck Squamous ...OSI-774 is approved by the FDA for treatment of NSCLC in patients who have relapsed. Its use in this study is considered investigational. Docetaxel and ...
Efficacy and safety of cisplatin and weekly docetaxel in ...For patients with R/M HNSCC, a cisplatin and weekly docetaxel regimen showed high efficacy with tolerable toxicity as a first-line treatment.
A Systematic Review and Meta‐Analysis of Aggregate DataThis systematic review of the literature compares the efficacy, toxicity, and compliance of low‐dose cisplatin given once a week during external beam ...
Locally Advanced Cancer of the ThroatResearchers recently reported the results of a clinical trial evaluating OSI-774 in 124 patients with advanced head and neck cancer. Overall ...
Once-a-Week Versus Once-Every-3-Weeks Cisplatin ...Once-every-3-weeks cisplatin at 100 mg/m 2 resulted in superior LRC, albeit with more toxicity, than did once-a-week cisplatin at 30 mg/m 2.
docetaxel NewsTrial primary completion date: OSI-774/Cisplatin/Taxotere in Head & Neck ... safety outcomes, consistent with the results from the pivotal clinical trials.
Study of Chemotherapy With Cisplatin/Carboplatin, and ...The goal of this clinical research study is to learn if adding erlotinib to a standard chemotherapy combination (docetaxel and either cisplatin or ...
Targeted therapy for head and neck cancer - NatureThe addition of cetuximab to platinum-based chemotherapy increased the median overall survival (OS) to 10.1 months, which makes the EXTREME ...
Unbiased ResultsWe believe in providing patients with all the options.
Your Data Stays Your DataWe only share your information with the clinical trials you're trying to access.
Verified Trials OnlyAll of our trials are run by licensed doctors, researchers, and healthcare companies.
Terms of Service·Privacy Policy·Cookies·Security