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OncoMatch/Clinical Trials/NCT05681039

Phase 2 Trial of Neoadjuvant and Adjuvant Tiragolumab Plus Atezolizumab in Patients With Newly Diagnosed PD-L1 CPS Positive Resectable Stage 3-4 Oral Cavity Squamous Cell Carcinoma (OCSCC).

Is NCT05681039 recruiting? Yes, currently enrolling (May 2026). This Phase 2 trial studies multiple treatments including Tiragolumab and Atezolizumab for squamous cell carcinoma.

Phase 2RecruitingM.D. Anderson Cancer CenterNCT05681039Data as of May 2026

Treatment: Tiragolumab · AtezolizumabTo learn if treatment with tiragolumab and atezolizumab before and after standard of care surgery and chemoradiation (radiation therapy with or without cisplatin/carboplatin) can help to control OCSCC that is PD-L1 CPS positive.

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Extracted eligibility criteria

Biomarker criteria

Required: PD-L1 (CD274) cps ≥ 1 (cps ≥ 1)

Disease stage

Required: Stage III, IV, T1-T4N1-3, T3-T4N0 (AJCC 8th edition)

Excluded: Stage T1N0, T2N0

clinical AJCC 8th edition Stage 3-4 (T1-T4N1-3, T3-T4N0)

Performance status

ECOG 0–1(Restricted strenuous activity)

Prior therapy

Cannot have received: radiotherapy

Exception: no prior history of radiotherapy to the head and neck for patients with previously resected stage T1N0 or T2N0 OCSCC

no prior history of radiotherapy to the head and neck are eligible at local +/- regional recurrence if they otherwise meet stage criteria

Cannot have received: in-field radiotherapy for head and neck cancer

Prior treatment for head and neck cancer that includes in field radiotherapy

Cannot have received: CD137 agonist

Prior treatment with CD137 agonists

Cannot have received: immune checkpoint blockade therapy (anti-CTLA-4, anti-PD-1, anti-PD-L1)

Prior treatment with ... immune checkpoint blockade therapies, including antiCTLA-4, anti PD-1, and anti PD-L1 therapeutic antibodies

Cannot have received: investigational therapy

Treatment with investigational therapy within 42 days prior to initiation of study treatment

Cannot have received: systemic immunostimulatory agent (interferon, interleukin 2)

Treatment with systemic immunostimulatory agents (including, but not limited to, interferon and interleukin 2 [IL-2]) within 4 weeks or 5 half-lives of the drug (whichever is longer) prior to initiation of study treatment

Lab requirements

Blood counts

ANC ≥ 1.5 x 10^9/L (1500/μL) without G-CSF; lymphocyte count ≥ 0.5 x 10^9/L (500/μL); platelet count ≥ 100 x 10^9/L (100,000/μL) without transfusion; hemoglobin ≥ 90 g/L (9 g/dL), may be transfused

Kidney function

Creatinine clearance ≥ 50 mL/min (Cockcroft-Gault)

Liver function

AST, ALT, and alkaline phosphatase (ALP) ≤ 2.5 x ULN; serum bilirubin ≤ 1.5 x ULN (≤ 3 x ULN for Gilbert disease)

Adequate hematologic and end-organ function, defined by the following laboratory test results, obtained within 14 days prior to initiation of study treatment

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

US trial sites

  • M D Anderson Cancer Center · Houston, Texas

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

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