Last reviewed · How we verify

NCT03342911

Nivolumab, Carboplatin, and Paclitaxel in Treating Patients With Stage III-IV Head and Neck Squamous Cell Carcinoma That Can Be Removed by Surgery

Completed Phase 2 Results posted Last updated 24 April 2025
What this trial tests

Phase 2 trial testing Paclitaxel in Name Human Papillomavirus Positive Oropharyngeal Squamous Cell Carcinoma in 34 participants. Completed in 6 October 2020.

Timeline
13 November 2017
Primary endpoint
6 October 2020
6 October 2020

Quick facts

Lead sponsorSidney Kimmel Comprehensive Cancer Center at Thomas Jefferson University
PhasePhase 2
StatusCompleted
Study typeINTERVENTIONAL
Allocationna
Designsingle group
Maskingnone
Primary purposetreatment
Enrollment34
Start date13 November 2017
Primary completion6 October 2020
Estimated completion6 October 2020
Sites3 locations across United States

Drugs / interventions tested

Conditions studied

Sponsor

Sidney Kimmel Comprehensive Cancer Center at Thomas Jefferson University

Who can join

18 and older, any sex, with Name Human Papillomavirus Positive Oropharyngeal Squamous Cell Carcinoma or Stage II Oropharyngeal Squamous Cell Carcinoma. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Pathologic Complete Response Rate Primary · Up to 26 months

The primary objective of the study is to estimate the rate of pathologic complete response (pCR) at the primary site, defined as the absence of any residual invasive cancer on H\&E evaluation of the resected specimen and all sampled ipsilateral lymph nodes, in patients with newly diagnosed and untreated Stage III-IVA SCCHN of the oral cavity, Oropharynx, Larynx, and Hypopharynx treated with standard neoadjuvant chemotherapy plus Nivolumab, paclitaxel, and carboplatin. Pathologic complete response rate and its associated score 95% confidence interval will be estimated.

GroupValue95% CI
Treatment (Nivolumab, Paclitaxel, Carboplatin)45.528.5 – 63.4
Number of Patients Who Achieved Major Pathologic Response (Defined as 10% or Less Residual Viable Tumor) Secondary · Up to 26 months

patients achieved the major pathologic response (i.e., \<10% viable tumor) or pathologic complete response

GroupValue95% CI
Treatment (Nivolumab, Paclitaxel, Carboplatin)72.7354.2 – 86.1

Adverse events — posted to ClinicalTrials.gov

Time frame: Adverse event data were collected starting Day 1 of study treatment, and continue for up to 100 days after the last study treatment (Day 156 +/- 5 days) or last day of study participation (up to Day 156 +/- 5 days). At each study visit, the investigator (or designee) will inquire about the occurrence of AE/SAEs since the last visit. Events will be followed for outcome information until resolution or stabilization for approximately 6 months.. Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Treatment (Nivolumab, Paclitaxel, Carboplatin)
Serious: 14/34 (41%)
Deaths: 5/34

Serious adverse events (24 terms)

ReactionSystemTreatment (Nivolumab, Pacl…
AspirationRespiratory, thoracic and mediastinal disorders
low absolute neutrophil count grade 4Blood and lymphatic system disorders
Chest pain - CardiacCardiac disorders
Feeding tube dependencyGastrointestinal disorders
Muscle weakness - lower limbsMusculoskeletal and connective tissue disorders
AnemiaBlood and lymphatic system disorders
HypotensionVascular disorders
DehydrationMetabolism and nutrition disorders
DiarrheaGastrointestinal disorders
Gastric UlcerGastrointestinal disorders
lightheaded and anxiousGeneral disorders
HyperglycemiaMetabolism and nutrition disorders
HypoxiaRespiratory, thoracic and mediastinal disorders
CellulitisInfections and infestations
AnorexiaMetabolism and nutrition disorders
StuporRespiratory, thoracic and mediastinal disorders
SepsisBlood and lymphatic system disorders
SeromaBlood and lymphatic system disorders
EdemaSkin and subcutaneous tissue disorders
Hospitalization - Failure to thriveGeneral disorders
Generalized weaknessGeneral disorders
Urinary retentionRenal and urinary disorders
Tracheal HemorrhageSkin and subcutaneous tissue disorders
Wound complicationSurgical and medical procedures
Other adverse events (155 terms — click to expand)

ReactionSystemTreatment (Nivolumab, Pacl…
FatigueGeneral disorders
DiarrheaGastrointestinal disorders
DysphagiaGeneral disorders
edemaVascular disorders
AlopeciaImmune system disorders
ConstipationGastrointestinal disorders
MyalgiaMusculoskeletal and connective tissue disorders
Pain - GeneralGeneral disorders
RashSkin and subcutaneous tissue disorders
NeutropeniaBlood and lymphatic system disorders
paresthesiaSkin and subcutaneous tissue disorders
CoughGeneral disorders
LeukopeniaBlood and lymphatic system disorders
DysphoniaGeneral disorders
Platelet count decreaseBlood and lymphatic system disorders
AnemiaBlood and lymphatic system disorders
AnorexiaPsychiatric disorders
InsomniaPsychiatric disorders
Aphthous stomatitisSkin and subcutaneous tissue disorders
NeuropathyNervous system disorders
ErythemaSkin and subcutaneous tissue disorders
AnxietyPsychiatric disorders
Dry mouthGeneral disorders
headacheGeneral disorders
ThrushInfections and infestations
Pain - JointGeneral disorders
dizzinessEar and labyrinth disorders
DysgeusiaNervous system disorders
Pain - AbdominalGastrointestinal disorders
AphoniaGeneral disorders
DehydrationMetabolism and nutrition disorders
Influenza-like illnessGeneral disorders
hypothyroidismBlood and lymphatic system disorders
mucous hypersecretionHepatobiliary disorders
oral mucositisSkin and subcutaneous tissue disorders
VomitingGastrointestinal disorders
Pain - armGeneral disorders
DroolingGeneral disorders
epistaxisSkin and subcutaneous tissue disorders
Dry skinSkin and subcutaneous tissue disorders

Most-reported serious reactions: Aspiration, low absolute neutrophil count grade 4, Chest pain - Cardiac, Feeding tube dependency, Muscle weakness - lower limbs, Anemia, Hypotension, Dehydration.

Data from ClinicalTrials.gov NCT03342911 adverse events section.

Sponsor's own description

This phase II trial studies how well nivolumab, carboplatin, and paclitaxel work in treating patients with stage III-IV head and neck squamous cell carcinoma that can be removed by surgery. Monoclonal antibodies, such as nivolumab, may interfere with the ability of tumor cells to grow and spread. Drugs used in chemotherapy, such as carboplatin and paclitaxel, work in different ways to stop the growth of tumor cells, either by killing the cells, by stopping them from dividing, or by stopping them from spreading. Giving nivolumab, carboplatin, and paclitaxel may work better in treating patients with head and neck squamous cell carcinoma.

Publications & conference data

8 peer-reviewed publications reference this trial (live from Europe PMC):

  1. HPV-driven oropharyngeal cancer: current knowledge of molecular biology and mechanisms of carcinogenesis.
    Pan C, Issaeva N, Yarbrough WG. · · 2018 · cited 79× · PMID 31093365 · DOI 10.1186/s41199-018-0039-3
  2. Immunotherapy for Head and Neck Cancer: A Paradigm Shift From Induction Chemotherapy to Neoadjuvant Immunotherapy.
    Shibata H, Saito S, Uppaluri R. · · 2021 · cited 71× · PMID 34552878 · DOI 10.3389/fonc.2021.727433
  3. Neoadjuvant PD-1/PD-L1 Inhibitors for Resectable Head and Neck Cancer: A Systematic Review and Meta-analysis.
    Masarwy R, Kampel L, Horowitz G, Gutfeld O, et al · · 2021 · cited 68× · PMID 34473219 · DOI 10.1001/jamaoto.2021.2191
  4. Immune Evasion by Head and Neck Cancer: Foundations for Combination Therapy.
    Horton JD, Knochelmann HM, Day TA, Paulos CM, et al · · 2019 · cited 65× · PMID 30961829 · DOI 10.1016/j.trecan.2019.02.007
  5. Immunotherapy Approaches in HPV-Associated Head and Neck Cancer.
    Julian R, Savani M, Bauman JE. · · 2021 · cited 41× · PMID 34884999 · DOI 10.3390/cancers13235889
  6. The neoadjuvant paradigm reinvigorated: a review of pre-surgical immunotherapy in HNSCC.
    Stafford M, Kaczmar J. · · 2020 · cited 33× · PMID 32195008 · DOI 10.1186/s41199-020-00052-8
  7. A systematic review of neoadjuvant and definitive immunotherapy in locally advanced head and neck squamous cell carcinoma.
    Nindra U, Hurwitz J, Forstner D, Chin V, et al · · 2023 · cited 28× · PMID 36934434 · DOI 10.1002/cam4.5815
  8. 33rd Annual Meeting & Pre-Conference Programs of the Society for Immunotherapy of Cancer (SITC 2018) : Washington, D.C., USA. 7-11 November 2018.
    · 2018 · cited 23× · PMID 30400835 · DOI 10.1186/s40425-018-0422-y

Verify or expand the search:

Other trials of Paclitaxel

Trials testing the same drug.

Other Sidney Kimmel Comprehensive Cancer Center at Thomas Jefferson University trials

Trials by the same sponsor.

Verify against primary sources

Data sources for this page

Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT03342911.

Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing