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NCT04943445: SMART-KEY
Study of a Pembrolizumab-based Organ Preservation Strategy for Locally Advanced Larynx Cancers
Phase 2 trial testing carboplatin AUC of 6, paclitaxel 175 mg/m2, and pembrolizumab 200 mg, i.v. on day 1, every 21 days for 3 cycles in Squamous Cell Carcinoma of Larynx in 43 participants. Participants enrolled and being followed up; not accepting new ones.
16 October 2025
Quick facts
| Lead sponsor | Latin American Cooperative Oncology Group |
|---|---|
| Phase | Phase 2 |
| Status | Active, enrolled |
| Study type | INTERVENTIONAL |
| Allocation | na |
| Design | single group |
| Masking | none |
| Primary purpose | treatment |
| Enrollment | 43 |
| Start date | 22 February 2022 |
| Primary completion | 16 October 2025 |
| Estimated completion | 16 October 2025 |
| Sites | 10 locations across Brazil |
Drugs / interventions tested
- carboplatin AUC of 6, paclitaxel 175 mg/m2, and pembrolizumab 200 mg, i.v. on day 1, every 21 days for 3 cycles
- Concurrent radio-immunotherapy: radiation therapy given concurrently with pembrolizumab 200 mg i.v. on day 1, every 21 days for 3 cycles.
- Consolidation immunotherapy: pembrolizumab 200 mg i.v. on day 1, every 21 days for 11 doses. — full drug profile →
Conditions studied
- Squamous Cell Carcinoma of Larynx — all drugs for Squamous Cell Carcinoma of Larynx →
Sponsor
Latin American Cooperative Oncology Group
Who can join
18 and older, any sex, with Squamous Cell Carcinoma of Larynx. Patients with the condition only — healthy volunteers not accepted.
Sponsor's own description
This a prospective, single-arm, multi-institutional, open label, phase 2 trial evaluating the effects of induction chemo-immunotherapy, followed by radioimmunotherapy, followed by consolidation immunotherapy in patients with locally advanced squamous cell carcinoma of the larynx who are candidates for organ preservation.
Publications & conference data
4 peer-reviewed publications reference this trial (live from Europe PMC):
-
Systemic therapy for laryngeal carcinoma.
Fuereder T, Kocher F, Vermorken JB. · · 2025 · cited 4× · PMID 40104492 · DOI 10.3389/fonc.2025.1541385 -
Is precision medicine the solution to improve organ preservation in laryngeal/hypopharyngeal cancer? A position paper by the Preserve Research Group.
Mattavelli D, Wichmann G, Smussi D, Paderno A, et al · · 2024 · cited 4× · PMID 39165689 · DOI 10.3389/fonc.2024.1433333 -
Releasing the brakes: the role of immune checkpoint inhibitors in laryngeal cancer.
Athanasopoulos M, Samara P, Agrogiannis G, Athanasopoulos I, et al · · 2025 · cited 3× · PMID 40061133 · DOI 10.37349/etat.2025.1002292 -
Safety and preliminary activity of pembrolizumab-carboplatin-paclitaxel in heavily pretreated and/or fragile patients with PDL1-positive recurrent/metastatic head and neck cancer.
Cabezas-Camarero S, Merino-Menéndez S, Cabrera-Martín MN, Sotelo MJ, et al · · 2023 · cited 3× · PMID 36589672 · DOI 10.3892/ol.2022.13623
Verify or expand the search:
- PubMed search for NCT04943445
- Europe PMC full search
- ASCO Meeting Library
- ESMO Meeting Library
- bioRxiv preprints
- medRxiv preprints
- Google Scholar
Related trials
Other recruiting trials for Squamous Cell Carcinoma of Larynx
Currently open trials in the same condition.
- NCT05144698 — RAPA-201 Therapy of Solid Tumors · Phase 1, PHASE2 · recruiting
Other Latin American Cooperative Oncology Group trials
Trials by the same sponsor.
- NCT07192991 — Neuroendocrine Carcinomas: Patient Journey And Treatment Outcomes In Latin America · not yet recruiting
- NCT06822543 — A Single Arm, Phase 2 Study of Datopotamab Deruxtecan, Carboplatin, and Pembrolizumab for Treatment-naive Brain Metastas · Phase 2 · recruiting
- NCT06527690 — Race Impact on Efficacy of Niraparib Plus Abiraterone Acetate and Prednisone in Patients With Homologous Repair Deficien · Phase 2 · withdrawn
- NCT06279442 — Adrenal Project: Clinical and Epidemiological Characterization of Adrenocortical Carcinoma in a Brazilian Cohort · recruiting
- NCT06014580 — Molecular and Epidemiological Characteristics of Endometrial Cancer in Brazil · active not recruiting
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 NCT04943445 (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 Latin American Cooperative Oncology Group
- Last refreshed: 13 February 2025
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/NCT04943445.
Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing