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NCT03666325: I-Tackle

Immunotherapy +/- EGFR Inhibitor In Advanced/Metastatic cSCC: Tackling Primary And Secondary Resistance

Status unknown Phase 2 Last updated 11 September 2018
What this trial tests

Phase 2 trial testing Pembrolizumab in Skin Neoplasm in 43 participants. Status unknown.

Timeline
1 October 2018
Primary endpoint
1 October 2020
1 October 2022

Quick facts

Lead sponsorFondazione IRCCS Istituto Nazionale dei Tumori, Milano
PhasePhase 2
StatusStatus unknown
Study typeINTERVENTIONAL
Allocationna
Designsingle group
Maskingnone
Primary purposetreatment
Enrollment43
Start date1 October 2018
Primary completion1 October 2020
Estimated completion1 October 2022
Sites7 locations across Italy

Drugs / interventions tested

Conditions studied

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):

  1. 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
  2. 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
  3. Cutaneous Squamous Cell Carcinoma: An Updated Review.
    Jiang R, Fritz M, Que SKT. · · 2024 · cited 36× · PMID 38791879 · DOI 10.3390/cancers16101800
  4. 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
  5. 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
  6. Immunotherapy for Cutaneous Squamous Cell Carcinoma: Results and Perspectives.
    Alberti A, Bossi P. · · 2021 · cited 24× · PMID 35070956 · DOI 10.3389/fonc.2021.727027
  7. 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
  8. 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:

Other trials of Pembrolizumab

Trials testing the same drug.

Other recruiting trials for Skin Neoplasm

Currently open trials in the same condition.

Other Fondazione IRCCS Istituto Nazionale dei Tumori, Milano trials

Trials by the same sponsor.

Verify against primary sources

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