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There are 197 active trials for advanced/metastatic head and neck cancer.
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TrialFetch AI summary: Adults with PD-L1–positive recurrent or metastatic head and neck squamous cell carcinoma (ECOG 0–1) not candidates for salvage surgery receive pembrolizumab plus oral lovastatin; prior checkpoint inhibitor use and current statin therapy are excluded. Pembrolizumab is an anti–PD-1 antibody, and lovastatin (HMG‑CoA reductase inhibitor) is added to potentially enhance antitumor immunity via mevalonate pathway inhibition.
ClinicalTrials.gov ID: NCT06636734
TrialFetch AI summary: Adults with recurrent/metastatic nasopharyngeal carcinoma after platinum–gemcitabine and prior PD‑1/L1 therapy (up to two prior lines; ECOG 0–2; treated/stable brain mets allowed) are randomized to nivolumab (PD‑1) plus ipilimumab (CTLA‑4) with or without cabozantinib, a multikinase inhibitor of MET/VEGFR2/AXL. Aims to determine whether adding cabozantinib improves outcomes versus dual checkpoint blockade alone.
ClinicalTrials.gov ID: NCT05904080
TrialFetch AI summary: Adults with oligometastatic HNSCC (≤4 metastatic sites) who have not progressed after 3 cycles of pembrolizumab plus platinum/fluorouracil- or paclitaxel-based chemotherapy are randomized to maintenance pembrolizumab (PD-1 inhibitor) with consolidative radiotherapy to all disease sites versus pembrolizumab alone. Requires measurable disease, ECOG 0–1 at induction (0–2 at randomization), no prior head/neck RT, and no active autoimmune disease needing systemic therapy.
ClinicalTrials.gov ID: NCT05721755
TrialFetch AI summary: Adults with recurrent or metastatic nasopharyngeal carcinoma, systemic treatment–naïve for the metastatic setting and with measurable disease, receive induction gemcitabine/platinum plus toripalimab (anti–PD-1), with optional switch to carboplatin from cycle 2, followed by maintenance toripalimab. Excludes candidates for curative local therapy, prior systemic therapy for R/M disease, early recurrence after chemoradiation (<6 months), rapidly progressive disease, and active/untreated CNS metastases.
ClinicalTrials.gov ID: NCT06457503
TrialFetch AI summary: Enrolling children and adults with NTRK1/2/3 fusion–positive differentiated thyroid cancer (post-thyroidectomy) with CT-evaluable pulmonary metastases and no prior RAI or systemic therapy. Patients receive a 6-month lead-in of larotrectinib (selective TRKA/B/C inhibitor) followed by radioactive iodine (131I), aiming to enhance RAI avidity and induce complete pulmonary responses.
ClinicalTrials.gov ID: NCT05783323
TrialFetch AI summary: Adults with symptomatic or progressive radioactive iodine–resistant differentiated thyroid cancer (papillary/follicular/Hürthle; ECOG 0–2; ≤1 prior VEGF/VEGFR therapy) are randomized to lenvatinib monotherapy starting at 24 mg/day versus 10 mg/day. Lenvatinib is a multikinase inhibitor of VEGFR1–3, FGFR1–4, PDGFRα, RET, and KIT; the study tests whether a lower starting dose improves tolerability without compromising antitumor activity.
ClinicalTrials.gov ID: NCT07092514
TrialFetch AI summary: Adults with locally advanced or metastatic solid tumors eligible for on-label PD-1 therapy (nivolumab or pembrolizumab) are randomized in a crossover design to receive standard PD-1 inhibitors via subcutaneous versus intravenous administration, assessing patient/clinician preference, satisfaction, QoL, safety, and selected clinical outcomes. Includes PD-(L)1–naïve patients or those willing to switch; excludes prior severe hypersensitivity and transplant history.
ClinicalTrials.gov ID: NCT07223424
TrialFetch AI summary: Enrolling adults with treatment-naïve, recurrent/metastatic incurable HNSCC of the oral cavity/oropharynx (HPV/p16-negative required)/hypopharynx/larynx (ECOG 0–1, measurable disease; excludes nasopharynx/unknown primary), this study randomizes patients to pembrolizumab + carboplatin with or without amivantamab. Amivantamab is a bispecific EGFR–MET antibody with Fc-mediated immune effector activity, and the control regimen is standard pembrolizumab + platinum (carboplatin/cisplatin) + 5-FU.
ClinicalTrials.gov ID: NCT07276399
TrialFetch AI summary: This clinical trial evaluates the safety and efficacy of the investigational drug NEO212, a novel conjugate of temozolomide and perillyl alcohol with enhanced brain penetration, in adults with Astrocytoma IDH-mutant, Glioblastoma IDH-wildtype, or uncontrolled brain metastases from select solid tumors, including combinations with standard treatments like pembrolizumab or ipilimumab.
ClinicalTrials.gov ID: NCT06047379
TrialFetch AI summary: This trial enrolls adults with advanced or metastatic solid tumors harboring KRAS G12C mutations (including pretreated NSCLC and other solid tumors), who receive a combination of the investigational KRAS G12C inhibitors RMC-6291 and RMC-6236. Both agents specifically inhibit KRAS G12C mutant protein to suppress tumor growth, and eligibility includes both KRAS G12C inhibitor–naïve and previously treated patients, excluding those with primary CNS tumors or active brain metastases.
ClinicalTrials.gov ID: NCT06128551