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OncoMatch/Clinical Trials/NCT04857164

Study of Pembrolizumab Combined with Chemotherapy in the First Line Therapy for R/M HNSCC in China

Is NCT04857164 recruiting? Yes, currently enrolling (May 2026). This Phase 2 trial studies Pembrolizumab combined with Chemotherapy for head and neck squamous cell carcinoma.

Phase 2RecruitingYuankai ShiNCT04857164Data as of May 2026

Treatment: Pembrolizumab combined with ChemotherapyThis trial is main evaluate the efficacy and safety of pembrolizumab combined with chemotherapy in the first-line treatment of Chinese patients with recurrent or metastatic head and neck squamous cell carcinoma

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Extracted eligibility criteria

Cancer type

Head and Neck Squamous Cell Carcinoma

Biomarker criteria

Required: PD-L1 (CD274) any tested (testing required; no eligibility threshold specified)

There are a large number of tumor tissue samples for PD-L1 immunohistochemical detection

Disease stage

Metastatic disease required

Recurrent and/or metastatic HNSCC without indications for local radical treatment

Performance status

ECOG 0–1(Restricted strenuous activity)

Prior therapy

No prior treatment (treatment-naive required)
Max 0 prior lines

Cannot have received: systemic chemotherapy

Exception: treatment for locally advanced disease as part of multimodal treatment completed >6 months before first trial medication

Have received systemic chemotherapy, but does not include treatment for locally advanced disease as a part of multimodal treatment Chemotherapy (the end of this treatment must be more than 6 months after the first trial medication)

Cannot have received: anti-PD-1 therapy

Have received anti-PD-1, anti-PD-L1, anti-PD-L2, anti-CD137 or anti-CTLA-4 antibodies or targeting effects in the past Any other antibody or drug immunotherapy in T cell co-stimulation or immune checkpoint pathway

Cannot have received: anti-PD-L1 therapy

Have received anti-PD-1, anti-PD-L1, anti-PD-L2, anti-CD137 or anti-CTLA-4 antibodies or targeting effects in the past Any other antibody or drug immunotherapy in T cell co-stimulation or immune checkpoint pathway

Cannot have received: anti-PD-L2 therapy

Have received anti-PD-1, anti-PD-L1, anti-PD-L2, anti-CD137 or anti-CTLA-4 antibodies or targeting effects in the past Any other antibody or drug immunotherapy in T cell co-stimulation or immune checkpoint pathway

Cannot have received: anti-CTLA-4 therapy

Have received anti-PD-1, anti-PD-L1, anti-PD-L2, anti-CD137 or anti-CTLA-4 antibodies or targeting effects in the past Any other antibody or drug immunotherapy in T cell co-stimulation or immune checkpoint pathway

Cannot have received: immunotherapy

Any other antibody or drug immunotherapy in T cell co-stimulation or immune checkpoint pathway

Cannot have received: cetuximab (cetuximab)

Received cetuximab treatment within 6 months before the first administration

Lab requirements

Blood counts

Neutrophils ≥1.5×10^9/L, platelets ≥100×10^9/L, hemoglobin ≥90g/L

Kidney function

Serum creatinine ≤1.5×ULN or Ccr ≥50ml/min (carboplatin) or ≥60ml/min (cisplatin)

Liver function

ALT and AST ≤ 3×ULN (no liver mets), ≤5×ULN (with liver mets); TBIL ≤1.5×ULN (Gilbert ≤3×ULN)

Cardiac function

LVEF ≥50%

The main organs function normally, that is, they meet the following standards: ... see full text for details

Structured fields extracted by AI. May contain errors — verify against the official protocol.

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