Testing Ficerafusp alfa against a placebo for metastatic head and neck squamous cell carcinoma
Official title: FORTIFI-HN01: A Study of Ficerafusp Alfa (BCA101) or Placebo in Combination With Pembrolizumab in First-Line PD-L1-pos, R or M HNSCC
A Multicenter, Randomized, Double-blind, Phase 2/3 Study of Ficerafusp Alfa (BCA101) or Placebo in Combination With Pembrolizumab for First-Line Treatment of PD-L1-positive, Recurrent or Metastatic Head and Neck Squamous Cell Carcinoma
- Phase 2
- 5 groups
- Sites in Toronto, Vancouver and 1 more city
- Recruiting
Interventions
- Medication
Ficerafusp alfa
Investigational
- Medication
Pembrolizumab (KEYTRUDA®)
Immunotherapy agent used in combination with investigational agent
- Medication
Placebo
Placebo Control
Canadian Sites (3)
3 of 3 recruiting
- Recruiting
Site #0202
Vancouver, British Columbia
- Recruiting
Site #0203
Montreal, Quebec
- Recruiting
Site # 0204
Toronto
Eligibility Criteria
See who this study is looking for27 criteria
The trial’s own eligibility text, word for word from the registry. Only the trial site can say who takes part.
Inclusion
- +Age ≥18 years on the day the Informed Consent FormInformed consentThe process of being told what taking part involves, then choosing freely.Read more → is signed.
- +Histologically or cytologically confirmed R or M HNSCC. Eligible primary tumor locations are oral cavity, hypopharynx, larynx or oropharynx (with documented HPV-negative disease if presenting with OPSCC). Note: primary tumor location of paranasal sinuses and nasopharynx, any histology are excluded.
- +No prior systemic therapy administered in the R or M setting; and completed systemic therapy \>6 months prior if given as part of multimodal treatment for locoregionally advanced disease in the adjuvant or definitive setting.
- +Archival tumor tissue or willing to undergo pretreatment biopsy at ScreeningScreeningThe checks done before joining, to see whether a study fits.Read more → if archival tissue is insufficient or unavailable.
- +PD-L1 CPS ≥1.
- +Measurable disease based on RECIST 1.1.
- +Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1.
- +Adequate organ function, as defined in the protocolProtocolThe detailed plan a study must follow.Read more →.
Exclusion
- −Prior history of Grade ≥2 intolerance or hypersensitivity reaction to anti-EGFR therapy or other murine proteins.
- −Known active central nervous system metastases, history of spinal cord compression from tumor involvement, a history of carcinomatous meningitis, or leptomeningeal disease are excluded.
- −Subjects with chronic hepatitis B virus (HBV) infection with active disease who meet the criteria for anti-HBV therapy and are not on a suppressive antiviral therapy prior to initiation of study treatment.
- −Subjects with a known history of hepatitis C virus (HCV) who have not completed curative antiviral treatment or have an HCV viral load above the limit of quantification at ScreeningScreeningThe checks done before joining, to see whether a study fits.Read more →.
- −Known history of human immunodeficiency virus (HIV).
- −Disease suitable for local therapy administered with curative intent.
- −Prior treatment with anti-TGFβ therapy.
- −Prior therapy with an anti-EGFR antibody (exception: radio sensitizing agents and multimodal treatment for locoregionally advanced disease).
- −Prior therapy with an immune checkpoint inhibitor completed within 6 months prior to study treatment initiation.
- −Progressive disease \<6 months from completion of curative intent systemic therapy for locoregionally advanced HNSCC.
- −Life expectancy less than 3 months.
- −Current active major bleeding, or a recent major bleeding episode within 4 weeks prior to enrollmentEnrolmentThe number of participants a study plans to include, or has included.Read more →.
- −Subject participated in another clinical study or received treatment with another investigational drug must wait at least 5 half-lives of the treatment received or 4 weeks (whichever is shorter) following prior therapy.
- −Active autoimmune disease requiring systemic treatment in the past 2 years.
- −Receipt of any organ transplantation, including autologous and allogeneic stem cell transplantation, with the exception of transplants that do not require immunosuppression.
- −Known to be diagnosed and/or treated for any other additional malignancy within 2 years prior to randomizationRandomisedWhich group you go into is decided by chance, not by you or your doctor.Read more → with the exception of the following: curatively treated basal cell carcinoma or squamous cell carcinoma of the skin, and curatively resected in situ cervical cancer, and curatively resected in situ breast cancer, and low-risk early stage prostate cancer.
- −Any condition requiring systemic treatment with either corticosteroids (\>10 mg daily of prednisone or equivalent) or other immunosuppressive medication within 7 days prior to the first dose of study treatment, except for topical, intranasal, intrabronchial, or ocular steroids.
- −Use of a live or live attenuated vaccine within 4 weeks prior to Screening.
- −Other InclusionInclusion criteriaThe things you must have or be for a study to consider you.Read more →/Exclusion criteriaExclusion criteriaThe things that would prevent someone from taking part.Read more → may apply as defined in the protocolProtocolThe detailed plan a study must follow.Read more →.
In plain language
Assembled directly from this trial’s registry record. Every sentence traces to a field below — nothing here is generated or interpreted.
What this study is
This study is testing a treatment for a condition.
Phase 2Phase 2A middle-stage study looking at what a treatment does and watching for side effects.Read more →/3 — a combined study that runs the middle stage and the large comparison stage together.
From the trial registry
Built from these fields:
- designModule.designInfo.primaryPurpose
- designModule.phases
Who receives what
There are 5 groups in this study.
Groups A, B and D receive one or more of: Ficerafusp alfa and Pembrolizumab (KEYTRUDA®).
Registry label: A: Phase 2 Arm A · B: Phase 2 Arm B · D: Phase 3 OBD Arm
Groups C and E, the placeboPlaceboA dummy treatment with no active medicine, used for comparison.Read more → group, receive one or more of: Pembrolizumab (KEYTRUDA®) and Placebo.
Registry label: C: Phase 2 Arm C · E: Phase 3 Arm C
From the trial registry
Built from these fields:
- armsInterventionsModule.armGroups[].label
- armsInterventionsModule.armGroups[].type
- armsInterventionsModule.armGroups[].interventionNames
How the study is run
Which group you would be placed in is decided by chance, like a coin flip — not by you and not by your doctor.
Neither you nor the study team would know which group you are in until the study ends.
From the trial registry
Built from these fields:
- designModule.designInfo.allocation
- designModule.designInfo.maskingInfo.masking
Is there a placebo?
One group receives a placeboPlaceboA dummy treatment with no active medicine, used for comparison.Read more → — a dummy treatment with no active medicine in it.
From the trial registry
Built from these fields:
- armsInterventionsModule.armGroups[].type
- armsInterventionsModule.armGroups[].interventionNames
Who the study is looking for
The study lists a minimum age of 18 years, with no upper limit given.
The study is open to people of any sex.
The study does not accept healthy volunteersHealthy volunteerSomeone without the condition being studied who takes part anyway.Read more →.
These are the criteria the study lists. Only the trial siteTrial siteA hospital or clinic where a study is actually run.Read more → can decide whether someone can take part.
From the trial registry
Built from these fields:
- eligibilityModule.minimumAge
- eligibilityModule.sex
- eligibilityModule.healthyVolunteers
How big and how long
The study aims to enrol about 650 people.
The study is currently expected to finish around July 2029.
The main measurement is taken over: Up to 30 days post end of treatment for TEAEs (90 days for SAEs).
From the trial registry
Built from these fields:
- designModule.enrollmentInfo.count
- statusModule.completionDateStruct.date
- outcomesModule.primaryOutcomes[].timeFrame
What the study measures
Phase 2Phase 2A middle-stage study looking at what a treatment does and watching for side effects.Read more → - Incidence and severity of TEAEs, treatment-treatment emergent SAEs TEAEs leading to dose interruption, dose reduction, or permanent discontinuation — measured over Up to 30 days post end of treatment for TEAEs (90 days for SAEs).
Phase 2 - Objective Response Rate (ORR) per RECIST 1.1 by blinded independent central review (BICR) — measured over Approximately 1 year.
Phase 3Phase 3A large study comparing a treatment against the current standard.Read more → - Objective Response Rate (ORR) per RECIST 1.1 by BICR — measured over Approximately 2 years.
Phase 3 - Overall Survival (OS) — measured over Approximately 3 years.
From the trial registry
Built from these fields:
- outcomesModule.primaryOutcomes[].measure
- outcomesModule.primaryOutcomes[].timeFrame
Source: NCT06788990 on ClinicalTrials.gov. The full registry text is further down this page — this summary never replaces it.
Not medical advice. What do these terms mean?
What is being tested — in plain terms
About Ficerafusp alfaDrug
Investigational
From the trial registry — its own words, unedited.
What a drug is here: A medicine — a chemical or small-molecule treatment — given as the thing being studied.
Read the full explanation → · in clinical review
About Pembrolizumab (KEYTRUDA®)Drug
Immunotherapy agent used in combination with investigational agent
From the trial registry — its own words, unedited.
What a drug is here: A medicine — a chemical or small-molecule treatment — given as the thing being studied.
Read the full explanation → · in clinical review
About PlaceboDrug
Placebo Control
From the trial registry — its own words, unedited.
What a drug is here: A medicine — a chemical or small-molecule treatment — given as the thing being studied.
Read the full explanation → · in clinical review
Common questions
Answered from this trial’s registry record. Where the record doesn’t say, these answers say so rather than filling the gap.
Am I eligible for this trial?
Only the trial siteTrial siteA hospital or clinic where a study is actually run.Read more → can decide whether someone can take part. Concord cannot make that determination, and neither can any tool that has not examined you.
What the study lists: a minimum age of 18 years.
The full inclusionInclusion criteriaThe things you must have or be for a study to consider you.Read more → and exclusion criteriaExclusion criteriaThe things that would prevent someone from taking part.Read more → are published on this page, exactly as the study team wrote them.
The useful next step is to bring this trial to your doctor. Answering a few questions first gives them something concrete to review.
From the trial registry
- eligibilityModule.minimumAge
- eligibilityModule.eligibilityCriteria
Is there a placebo?
Yes. This study includes a placeboPlaceboA dummy treatment with no active medicine, used for comparison.Read more → group — a dummy treatment with no active medicine in it.
From the trial registry
- armsInterventionsModule.armGroups[].type
Would I know which treatment I am getting?
Neither you nor the study team would know which group you are in until the study ends.
Which group you would be placed in is decided by chance, like a coin flip — not by you and not by your doctor.
From the trial registry
- designModule.designInfo.maskingInfo.masking
- designModule.designInfo.allocation
Who can join?
The study lists a minimum age of 18 years, with no upper limit given.
It is open to people of any sex.
It does not accept healthy volunteersHealthy volunteerSomeone without the condition being studied who takes part anyway.Read more →.
Only the trial siteTrial siteA hospital or clinic where a study is actually run.Read more → can confirm whether a particular person can take part.
From the trial registry
- eligibilityModule.minimumAge
- eligibilityModule.sex
- eligibilityModule.healthyVolunteers
How long would this take?
The study's main measurement is taken over: Up to 30 days post end of treatment for TEAEs (90 days for SAEs)..
The study as a whole is currently expected to finish around 2029-07.
How long any one person takes part can differ from the study length. The study team can tell you what the schedule looks like in practice.
From the trial registry
- outcomesModule.primaryOutcomes[].timeFrame
- statusModule.completionDateStruct.date
How many people are taking part?
The study aims to enrol about 650 people.
From the trial registry
- designModule.enrollmentInfo.count
Where is this happening?
This study lists 9 locations, including: Toronto, Canada; Vancouver, British Columbia, Canada; Montreal, Quebec, Canada; Maplewood, Minnesota, United States; Rochester, Minnesota, United States; New York, New York, United States, and 3 more.
Sites can open and close during a study, so confirm with the team before travelling.
From the trial registry
- trial_locations
About This Trial
Ficerafusp alfa is directed against two targets, Epidermal Growth Factor Receptor (EGFR) and Transforming Growth Factor beta (TGF-β). This study intends to evaluate the safety and efficacy of ficerafusp alfa in combination with pembrolizumab versus placebo with pembrolizumab in 1L PD-L1-positive, recurrent or metastatic Head and Neck Squamous Cell Carcinoma (HNSCC).
Other Sites (8)
Site #0156
Maplewood, Minnesota, United States
Site #0146
Rochester, Minnesota, United States
Site #0155
New York, New York, United States
Site#0142
New York, New York, United States
Site # 0160
Edmonds, Washington, United States
Site # 0159
Seattle, Washington, United States
Site #0125
Seattle, Washington, United States
Site#0120
Vancouver, Washington, United States
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See if this trial could fit youThis page is for informational purposes only and does not constitute medical advice. Clinical trial eligibility can only be determined by the trial site after proper screening. Trial information is sourced from ClinicalTrials.gov and may not reflect the most current status. Always consult your healthcare provider before making decisions about clinical trial participation.