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OncoMatch/Clinical Trials/NCT05758389

Tislelizumab Combined APF Chemotherapy in the Treatment of Locally Advanced Head and Neck Tumors

Is NCT05758389 recruiting? Yes, currently enrolling (May 2026). This Phase 2 trial studies Tislelizumab, Paclitaxel (albumin-bound type), Cisplatin, 5-FU for head and neck tumors.

Phase 2RecruitingThe Affiliated Nanjing Drum Tower Hospital of Nanjing University Medical SchoolNCT05758389Data as of May 2026

Treatment: Tislelizumab, Paclitaxel (albumin-bound type), Cisplatin, 5-FUThe goal of this clinical trial is to test in describe participant population. The main questions it aims to answer are: 1. evaluate the efficacy and safety of tislelizumab combined with APF sequential surgery or radical concurrent chemoradiotherapy in the treatment of locally advanced head and neck tumors. 2. the exploration of efficacy-related immune microenvironment genes Participants will receive tislelizumab combined with APF sequential surgery or radical concurrent chemoradiotherapy.

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Extracted eligibility criteria

Biomarker criteria

Required: CDKN2A P16-negative (negative)

III-IVb (P16-)

Required: CDKN2A P16-positive (positive)

II-III (P16+)

Disease stage

Required: Stage III-IVB (P16-), II-III (P16+)

Excluded: Stage DISTANT METASTASIS

The clinical stage is III-IVb (P16-) or II-III (P16+); There is distant metastasis [excluded]

Performance status

ECOG 0–1(Restricted strenuous activity)

Prior therapy

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

Cannot have received: radiotherapy

Have not received radiotherapy and chemotherapy or other anti-tumor drugs before

Cannot have received: chemotherapy

Have not received radiotherapy and chemotherapy or other anti-tumor drugs before

Cannot have received: anti-tumor drugs

Have not received radiotherapy and chemotherapy or other anti-tumor drugs before

Cannot have received: immunotherapy

Received anti-tumor treatment in the past 6 months, including radiotherapy and chemotherapy, surgery, immunotherapy Wait

Cannot have received: surgery

Received anti-tumor treatment in the past 6 months, including radiotherapy and chemotherapy, surgery, immunotherapy Wait

Lab requirements

Blood counts

Neutrophil count ≥ 1.5×10^9/L; Hemoglobin ≥ 10g/dL; Platelet count ≥ 100×10^9/L

Kidney function

Creatinine clearance ≥ 60ml/min

Liver function

Total bilirubin ≤1.5× ULN; AST and ALT < 1.5 ×ULN; Alkaline phosphatase ≤ 5× ULN

Cardiac function

No heart failure above NYHA grade II; LVEF ≥ 50%; no unstable angina; no myocardial infarction within 1 year; no clinically significant arrhythmias requiring intervention (including QTc interval ≥ 470 ms)

The following hematological indicators need to be met... The following biochemical indicators need to be met... heart failure above NYHA grade II or echocardiography showing left ventricular ejection fraction (LVEF) < 50%; unstable angina; myocardial infarction within 1 year; patients with clinically significant supraventricular or ventricular arrhythmias requiring clinical intervention (including QTc interval ≥ 470 ms)

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

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