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OncoMatch/Clinical Trials/NCT06699212

A Study of ASP-1929 Photoimmunotherapy in Combination With Pembrolizumab in First-line Treatment of Locoregional Recurrent Squamous Cell Carcinoma of the Head and Neck With No Distant Metastases

Is NCT06699212 recruiting? Yes, currently enrolling (May 2026). This Phase 3 trial studies multiple treatments for recurrent head and neck squamous cell carcinoma.

Phase 3RecruitingRakuten Medical, Inc.NCT06699212Data as of May 2026

Treatment: ASP-1929 Photoimmunotherapy · Pembrolizumab · Carboplatin · Cisplatin · 5-fluorouracil · Paclitaxel · DocetaxelThe goal of this clinical trial is to learn if ASP-1929 photoimmunotherapy (PIT) in combination with pembrolizumab works to treat recurrent squamous cell cancer of the head and neck (HNSCC) with no distant metastases. It will also learn about the safety of ASP-1929 PIT in combination with pembrolizumab. Researchers will compare ASP-1929 PIT in combination with pembrolizumab to pembrolizumab alone or pembrolizumab plus chemotherapy (carboplatin or cisplatin, plus 5-fluorouracil or paclitaxel or docetaxel) according to physician's choice (control arm). The overall primary study hypothesis being tested is whether ASP-1929 PIT plus pembrolizumab combination treatment improves the overall survival (OS) of the population defined by the inclusion/exclusion criteria over the control arm.

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Extracted eligibility criteria

Cancer type

Head and Neck Squamous Cell Carcinoma

Biomarker criteria

Required: PD-L1 (CD274) combined positive score (CPS) ≥ 1 (CPS ≥ 1)

Combined positive score (CPS) ≥ 1 as determined locally by an FDA-approved test

Performance status

ECOG 0–1(Restricted strenuous activity)

Prior therapy

Cannot have received: anti-PD-1 therapy

Anti-PD-1 and anti-PD-L1-treatment naïve

Cannot have received: anti-PD-L1 therapy

Anti-PD-1 and anti-PD-L1-treatment naïve

Cannot have received: systemic chemotherapy

Exception: within 2 weeks of C1D1 or not recovered (i.e., Grade ≤ 1 or at baseline) from adverse events

Prior systemic chemotherapy or targeted small molecule therapy or radiation therapy within 2 weeks of C1D1 or has not recovered (i.e., Grade ≤ 1 or at baseline) from adverse events (AEs) due to previously administered agent

Cannot have received: targeted small molecule therapy

Exception: within 2 weeks of C1D1 or not recovered (i.e., Grade ≤ 1 or at baseline) from adverse events

Prior systemic chemotherapy or targeted small molecule therapy or radiation therapy within 2 weeks of C1D1 or has not recovered (i.e., Grade ≤ 1 or at baseline) from adverse events (AEs) due to previously administered agent

Cannot have received: radiation therapy

Exception: within 2 weeks of C1D1 or not recovered (i.e., Grade ≤ 1 or at baseline) from adverse events

Prior systemic chemotherapy or targeted small molecule therapy or radiation therapy within 2 weeks of C1D1 or has not recovered (i.e., Grade ≤ 1 or at baseline) from adverse events (AEs) due to previously administered agent

Cannot have received: anticancer monoclonal antibody therapy

Exception: within 4 weeks of C1D1 or not recovered (i.e., Grade ≤ 1 or at baseline) from adverse events

Prior anticancer monoclonal antibody therapy or investigational agent or intervention within 4 weeks of C1D1 or has not recovered (i.e., Grade ≤ 1 or at baseline) from AEs due to previously administered agent

Cannot have received: investigational agent or intervention

Exception: within 4 weeks of C1D1 or not recovered (i.e., Grade ≤ 1 or at baseline) from adverse events

Prior anticancer monoclonal antibody therapy or investigational agent or intervention within 4 weeks of C1D1 or has not recovered (i.e., Grade ≤ 1 or at baseline) from AEs due to previously administered agent

Cannot have received: ASP-1929 (ASP-1929)

Prior receipt of ASP-1929 at any time

Lab requirements

Blood counts

Kidney function

Liver function

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

US trial sites

  • City of Hope · Duarte, California
  • University of Miami · Miami, Florida
  • Tampa General Hospital · Tampa, Florida
  • University of Kentucky Medical Center · Lexington, Kentucky
  • Thomas Jefferson University, Sidney Kimmel Cancer Center · Philadelphia, Pennsylvania

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

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