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OncoMatch/Clinical Trials/NCT05363709

BALSTILIMAB on Viral Clearance in HPV+ Oropharyngeal Cancer Patients

Is NCT05363709 recruiting? Yes, currently enrolling (May 2026). This Phase 2 trial studies Balstilimab for hpv.

Phase 2RecruitingM.D. Anderson Cancer CenterNCT05363709Data as of May 2026

Treatment: BalstilimabThis study aims to leverage this unique property of HPV+ OPC to detect possible minimal residual disease represented by persistent viral detection after the completion of definitive treatment. The study will offer adjuvant immune therapy to patients with persistent viral detection and evaluate the clearance of viral load. It will evaluate the rate of viral clearance with immune therapy and establish the link between viral clearance and long-term disease control.

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Extracted eligibility criteria

Cancer type

Head and Neck Squamous Cell Carcinoma

Biomarker criteria

Required: HPV cfDNA HPV ≥ 16 copies/mL (≥ 16 copies/mL)

Persistent detection of cfDNA HPV (≥ 16 copies/mL) in the absence of clinically evident disease at 3, 6, or 9 months following definitive treatment

Allowed: CDKN2A overexpression

Positive p16 immunohistochemistry or HPV testing, or p16/HPV status unknown with patients having a less than 10 pack-year smoking history

Allowed: HPV positive

Positive p16 immunohistochemistry or HPV testing, or p16/HPV status unknown with patients having a less than 10 pack-year smoking history

Disease stage

Required: Stage I, II, III

Performance status

ECOG 0–1(Restricted strenuous activity)

Prior therapy

Must have received: definitive treatment — surgery, systemic therapy, and/or radiation therapy

following definitive treatment (surgery, systemic therapy, and/or radiation therapy)

Cannot have received: anti-PD-1 therapy

Prior treatment history with anti-PD-1 or anti-PD-L1 therapies are not allowed.

Cannot have received: anti-PD-L1 therapy

Prior treatment history with anti-PD-1 or anti-PD-L1 therapies are not allowed.

Lab requirements

Blood counts

ANC ≥ 1,500/mm3; platelet count ≥100,000/mm3; HgB ≥ 9 g/dL (may be with transfusion)

Kidney function

Creatinine ≤ 1.5x ULN or creatinine clearance (measured via 24-hour urine collection) ≥40 mL/minute

Liver function

Total Serum Bilirubin ≤ 1.5 x ULN (Patients with known Gilbert Syndrome, a total bilirubin ≤ 3.0 x ULN, with direct bilirubin ≤ 1.5 x ULN); SGOT, SGPT ≤ 3 X ULN; SGOT, SGPT ≤ 5 X ULN

Patients must have adequate hematologic, coagulation, hepatic, and renal function for anti-PD1 treatment. this includes: ANC ≥ 1,500/mm3; platelet count ≥100,000/mm3; HgB ≥ 9 g/dL (may be with transfusion); Creatinine ≤ 1.5x ULN or creatinine clearance (measured via 24-hour urine collection) ≥40 mL/minute; Total Serum Bilirubin ≤ 1.5 x ULN (Patients with known Gilbert Syndrome, a total bilirubin ≤ 3.0 x ULN, with direct bilirubin ≤ 1.5 x ULN); SGOT, SGPT ≤ 3 X ULN; SGOT, SGPT ≤ 5 X ULN

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

US trial sites

  • M D Anderson Cancer Center · Houston, Texas

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