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NCT07371234

Low-Dose Radiotherapy and Anti-PD-1 Immunotherapy as Neoadjuvant Treatment for Resectable Locally Advanced Head and Neck Squamous Cell Carcinoma

Recruiting now Phase 2 Last updated 3 February 2026
What this trial tests

Phase 2 trial testing Neoadjuvant and Adjuvant Immunotherapy in Locally Advanced Head and Neck Squamous Cell Carcinoma in 22 participants. Currently enrolling.

Timeline
15 December 2025
Primary endpoint
15 January 2027
30 December 2028

Quick facts

Lead sponsorXiwei XU
PhasePhase 2
StatusRecruiting now
Study typeINTERVENTIONAL
Allocationna
Designsingle group
Maskingnone
Primary purposetreatment
Enrollment22
Start date15 December 2025
Primary completion15 January 2027
Estimated completion30 December 2028
Sites1 location across China

Drugs / interventions tested

Conditions studied

Sponsor

Xiwei XU — full company profile →

Who can join

Adults 18 to 75, any sex, with Locally Advanced Head and Neck Squamous Cell Carcinoma. Patients with the condition only — healthy volunteers not accepted.

Sponsor's own description

Over 60% of head and neck squamous cell carcinoma (HNSCC) patients are diagnosed at a locally advanced stage. While standard treatments involve surgery and chemoradiotherapy, prognosis remains poor, with 50-60% experiencing local recurrence within two years. Neoadjuvant therapy can potentially reduce tumor burden, preserve organs, and lower distant metastasis risk. Despite the KEYNOTE-689 trial showing that adjuvant two-cycle pembrolizumab increased major pathological response to 9.8% in stage III-IVB HNSCC, this result remains insufficient. More effective immunotherapy-based combinations are urgently needed to improve long-term survival after neoadjuvant treatment. Preclinical and clinical evidence indicates that low-dose radiotherapy can activate the tumor immune microenvironment and synergize with immunotherapy. Based on this rationale, the present clinical trial will evaluate a neoadjuvant regimen combining LDRT with two cycles of an anti-PD-1 inhibitor in patients with surgically resectable, locally advanced HNSCC.

Publications & conference data

No peer-reviewed publications indexed yet for this trial.

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Data sources for this page

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