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OncoMatch/Clinical Trials/NCT05446467

Pembrolizumab in Combination With Low-dose PFas Neoadjuvant Treatment for Locally Advanced HNSCC

Is NCT05446467 recruiting? Yes, currently enrolling (May 2026). This Phase 2 trial studies pembrolizumab+cisplatin + 5-FU for head and neck squamous cell carcinoma.

Phase 2RecruitingZhejiang Provincial People's HospitalNCT05446467Data as of May 2026

Treatment: pembrolizumab+cisplatin + 5-FUA phase Ⅱ open label multi-cencter clinical trail to evaluate the efficacy and safety of pembrolizumab combined with low-dose PF (cisplatin + 5-fluorouracil) in the neoadjuvant treatment of locally advanced 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) expression (CPS PD-L1 immunohistochemical examination (22C3 DAKO) required; no threshold specified)

Have sufficient tumour tissue samples available for CPS PD-L1 immunohistochemical examination (22C3 DAKO)

Excluded: HPV p16 positive

HPV p16 positive oropharyngeal cancer [excluded]

Disease stage

Required: Stage III, IV A (AJCC 8th edition)

Patients diagnosed with head and neck squamous cell carcinoma with stage III and IV A without distant metastasis according to AJCC staging (8th editon)... Patients with local advanced head and neck squamous cell carcinoma stage T4B and/or N3 [excluded]

Performance status

ECOG 0–1(Restricted strenuous activity)

Prior therapy

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

Cannot have received: any disease-related therapy

Exception: diagnostic biopsies on primary lesions

Lab requirements

Blood counts

ANC≥1.5×10^9 /L, platelets ≥100×10^9 /L, Hb≥ 90 g/L, WBC ≥3.0×10^9 /L before enrollment, no blood transfusion and bleeding tendency within 7 days

Kidney function

Serum creatinine ≤1.5 or creatinine clearance >50 mL/min

Liver function

ALT, AST and ALP ≤ 2.5 × ULN; Serum bilirubin ≤ 1.5 × ULN, for patients with known Gilbert disease, serum bilirubin ≤ 3 x ULN

No abvious signs of hematological disorders, ANC≥1.5×10^9 /L, platelets ≥100×10^9 /L, Hb≥ 90 g/L,WBC ≥3.0×10^9 /L before enrollment, no blood transfusion and bleeding tendency within 7 days; ALT,AST and ALP ≤ 2.5 × ULN; Serum bilirubin ≤ 1.5 × ULN, for patients with known Gilbert disease, serum bilirubin ≤ 3 x ULN; Serum creatinine ≤1.5 or creatinine clearance>50 mL/min

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

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