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NCT03666325: I-Tackle
Immunotherapy +/- EGFR Inhibitor In Advanced/Metastatic cSCC: Tackling Primary And Secondary Resistance
Phase 2 trial testing Pembrolizumab in Skin Neoplasm in 43 participants. Status unknown.
1 October 2020
Quick facts
| Lead sponsor | Fondazione IRCCS Istituto Nazionale dei Tumori, Milano |
|---|---|
| Phase | Phase 2 |
| Status | Status unknown |
| Study type | INTERVENTIONAL |
| Allocation | na |
| Design | single group |
| Masking | none |
| Primary purpose | treatment |
| Enrollment | 43 |
| Start date | 1 October 2018 |
| Primary completion | 1 October 2020 |
| Estimated completion | 1 October 2022 |
| Sites | 7 locations across Italy |
Drugs / interventions tested
- Pembrolizumab (pembrolizumab) — full drug profile →
- Cetuximab (cetuximab) — full drug profile →
Conditions studied
- Skin Neoplasm — all drugs for Skin Neoplasm →
Sponsor
Fondazione IRCCS Istituto Nazionale dei Tumori, Milano — full company profile →
Who can join
18 and older, any sex, with Skin Neoplasm. Patients with the condition only — healthy volunteers not accepted.
Sponsor's own description
Cutaneous Squamous Cell Cancer (Cscc, 25%) and basal cell carcinoma (BCC; 75%) are the major subtypes of non-melanoma skin cancer. Most cSCC arise in the head and neck region because it is frequently exposed to sunlight and its ensuing UV radiation-induced DNA damage, which is the major etiologic factor. There is an urgent need to identify new therapeutic targets for patients with locally advanced or metastatic squamous Cell Cancer of the skin. Substantial progress has recently been made in the development of immunotherapy for the treatment of cancer. In particular, the treatment with pembrolizumab alone or in conjunction with an anti epidermal growth factor receptor (EGFR) agent may reverse this condition, so performing radical surgery. Finally, the adjunct of an anti EGFR agent as cetuximab could reverse the primary and secondary resistance to pembrolizumab, with a synergistic effect able to counteract pathway redundancy (i.e. the presence of several concurrent pathways which need to be addressed together) and boosting T cell priming. Hence, there is rationale to combine cetuximab with pembrolizumab in order to increase its effectiveness.
Publications & conference data
8 peer-reviewed publications reference this trial (live from Europe PMC):
-
Skin cancer: understanding the journey of transformation from conventional to advanced treatment approaches.
Hasan N, Nadaf A, Imran M, Jiba U, et al · · 2023 · cited 117× · PMID 37803407 · DOI 10.1186/s12943-023-01854-3 -
Update in the treatment of non-melanoma skin cancers: the use of PD-1 inhibitors in basal cell carcinoma and cutaneous squamous-cell carcinoma.
Ascierto PA, Schadendorf D. · · 2022 · cited 39× · PMID 36455990 · DOI 10.1136/jitc-2022-005082 -
Cutaneous Squamous Cell Carcinoma: An Updated Review.
Jiang R, Fritz M, Que SKT. · · 2024 · cited 36× · PMID 38791879 · DOI 10.3390/cancers16101800 -
Immunotherapy for the Treatment of Cutaneous Squamous Cell Carcinoma.
Boutros A, Cecchi F, Tanda ET, Croce E, et al · · 2021 · cited 28× · PMID 34513710 · DOI 10.3389/fonc.2021.733917 -
Immune Checkpoint Inhibition in Non-Melanoma Skin Cancer: A Review of Current Evidence.
Stonesifer CJ, Djavid AR, Grimes JM, Khaleel AE, et al · · 2021 · cited 25× · PMID 34988009 · DOI 10.3389/fonc.2021.734354 -
Immunotherapy for Cutaneous Squamous Cell Carcinoma: Results and Perspectives.
Alberti A, Bossi P. · · 2021 · cited 24× · PMID 35070956 · DOI 10.3389/fonc.2021.727027 -
Clinical application of immunogenic cell death inducers in cancer immunotherapy: turning cold tumors hot.
Han Y, Tian X, Zhai J, Zhang Z. · · 2024 · cited 20× · PMID 38774648 · DOI 10.3389/fcell.2024.1363121 -
Immune Checkpoint Inhibitors in Advanced Cutaneous Squamous Cell Carcinoma: Real-World Experience from a Canadian Comprehensive Cancer Centre.
Koch Hein EC, Vilbert M, Hirsch I, Fernando Ribeiro M, et al · · 2023 · cited 14× · PMID 37686588 · DOI 10.3390/cancers15174312
Verify or expand the search:
- PubMed search for NCT03666325
- Europe PMC full search
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Currently open trials in the same condition.
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Verify against primary sources
- ClinicalTrials.gov — authoritative US registry record
- WHO ICTRP — international registry index
- EU Clinical Trials Register
- Sponsor press releases (Google)
- Trial protocol + status: ClinicalTrials.gov NCT03666325 (US National Library of Medicine, public domain)
- Publications: Europe PMC API search by NCT ID, retrieved 10 June 2026
- Drug + disease cross-links: matched in real time against Drug Landscape's normalised drug + company + condition tables
- Sponsor: as reported to ClinicalTrials.gov by Fondazione IRCCS Istituto Nazionale dei Tumori, Milano
- Last refreshed: 11 September 2018
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/NCT03666325.
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