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OncoMatch/Clinical Trials/NCT05172245

Testing the Addition of Ipatasertib to Usual Chemotherapy and Radiation for Head and Neck Cancer

Is NCT05172245 recruiting? Yes, currently enrolling (May 2026). This Phase 1 trial studies multiple treatments including Cisplatin and Ipatasertib for clinical stage iii hpv-mediated (p16-positive) oropharyngeal carcinoma ajcc v8.

Phase 1RecruitingNational Cancer Institute (NCI)NCT05172245Data as of May 2026

Treatment: Cisplatin · IpatasertibThis phase I/Ib trial tests the safety and best dose of ipatasertib in combination with the usual treatment approach using chemotherapy together with radiation therapy ("chemo-radiation") in patients with head and neck cancer. Ipatasertib is in a class of medications called protein kinase B (AKT) inhibitors. It may stop the growth of tumor cells and may kill them. Cisplatin, which is a chemotherapy used in this trial, is in a class of medications known as platinum-containing compounds. It works by killing, stopping or slowing the growth of cancer cells. Radiation therapy uses high energy to kill tumor cells and shrink tumors. Giving ipatasertib in combination with chemo-radiation may be better than chemo-radiation alone in treating patients with advanced head and neck cancer.

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Extracted eligibility criteria

Cancer type

Head and Neck Squamous Cell Carcinoma

Biomarker criteria

Required: CDKN2A p16 overexpression (positive)

Oropharyngeal and unknown primary squamous cell cancers must test for human papilloma virus (HPV), for example by p16 immunohistochemistry (IHC), in situ hybridization (ISH), or polymerase chain reaction (PCR). Patients with p16-positive tumors are eligible if clinical stage III (cT4 or cN3, M0)...

Required: CDKN2A p16-negative (negative)

Patients with p16-negative (or not tested) tumors are eligible if clinical stage III-IVB (locally advanced but non-metastatic)...

Disease stage

Required: Stage III, IVA, IVB

Performance status

ECOG 0–1(Restricted strenuous activity)

Prior therapy

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

Cannot have received: chemotherapy

Exception: Patients who underwent prior definitive surgery alone for an early stage (T1-2N0) HNSCC which has now recurred with stage III-IVB disease at least 3 months after the initial surgery are eligible

Prior treatment (e.g., chemotherapy, radiation, or definitive surgery) for the current locally advanced HNSCC is not permitted

Cannot have received: radiation therapy

Exception: Patients who underwent prior definitive surgery alone for an early stage (T1-2N0) HNSCC which has now recurred with stage III-IVB disease at least 3 months after the initial surgery are eligible

Prior treatment (e.g., chemotherapy, radiation, or definitive surgery) for the current locally advanced HNSCC is not permitted

Cannot have received: definitive surgery

Exception: Biopsies, including those performed under anesthesia, are not considered surgery. Patients who underwent prior definitive surgery alone for an early stage (T1-2N0) HNSCC which has now recurred with stage III-IVB disease at least 3 months after the initial surgery are eligible

Prior treatment (e.g., chemotherapy, radiation, or definitive surgery) for the current locally advanced HNSCC is not permitted

Lab requirements

Blood counts

Absolute neutrophil count >= 3000/mcL; Hemoglobin >= 10 g/dL; Platelets >= 150,000/mcL; Serum albumin >= 3 g/dL; PTT (or aPTT) and INR <= 1.5 institutional ULN (except for patients receiving anticoagulation therapy)

Kidney function

Creatinine clearance (CLcr) > 60 mL/min (Cockroft-Gault formula)

Liver function

Total bilirubin <= 1.5 x institutional ULN; AST/ALT <= 2.5 x institutional ULN / 2 x institutional ULN; ALP <= 2.0 x institutional ULN

Absolute neutrophil count >= 3000/mcL; Hemoglobin >= 10 g/dL; Platelets >= 150,000/mcL; Serum albumin >= 3 g/dL; Total bilirubin <= 1.5 x institutional ULN; AST/ALT <= 2.5 x institutional ULN / 2 x institutional ULN; ALP <= 2.0 x institutional ULN; PTT (or aPTT) and INR <= 1.5 institutional ULN (except for patients receiving anticoagulation therapy); Creatinine clearance (CLcr) > 60 mL/min

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

US trial sites

  • Moffitt Cancer Center · Tampa, Florida
  • Northwestern University · Chicago, Illinois
  • University of Kansas Clinical Research Center · Fairway, Kansas
  • University of Kansas Cancer Center · Kansas City, Kansas
  • University of Kansas Hospital-Westwood Cancer Center · Westwood, Kansas

Showing up to 5 US sites. See all sites on ClinicalTrials.gov →

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