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Purpose

This is a global, open-label, randomized, 2-arm, Investigator's choice Phase 3 (Pivotal Stage) study to investigate the efficacy and safety of JNJ-90301900 (NBTXR3) / radiation therapy (RT)±cetuximab versus RT±cetuximab in treatment-naïve, platinum-ineligible, elderly participants with locally advanced head and neck squamous cell carcinoma (LA-HNSCC).

Condition

Eligibility

Eligible Ages
Over 60 Years
Eligible Sex
All
Accepts Healthy Volunteers
No

Inclusion Criteria

  • Age greater than or equal to (>=) 60 years old - Biopsy-confirmed squamous cell carcinoma of the oral cavity, oropharynx, hypopharynx, or supraglottic larynx and a candidate for definitive radiation therapy with or without cetuximab - Clinical stage T3-4 NX or T2 N2-3 disease according to the 8th edition of AJCC - One primary tumor lesion amendable for intratumoral injection - Ineligible to receive platinum-based chemotherapy with radiation (at least one of the following): 1. Estimated creatinine clearance >= 30 and less than (<) 50 milliliters/minute (mL/min) (per Cockcroft-Gault equation), 2. Grade >= 2 hearing loss or tinnitus, 3. Grade >= 2 peripheral neuropathy, 4. New York Heart Association Class 3 5. Aged 70-74 years old with Geriatric 8 (G8) score less than or equal to (<=) 14 or Aged >= 75 years old - Eastern cooperative oncology group (ECOG) performance status 0 to 1 - Life expectancy >= 6 months

Exclusion Criteria

  • Carcinoma of the nasopharynx, paranasal sinus, salivary gland, or thyroid gland; or non-squamous histology or SCC of unknown primary origin - Clinical stage T1-2 N0, T2 N1, or M1 disease according to the 8th edition of AJCC - Loco-regionally recurrent head & neck cancer that has been previously treated with surgery, radiation therapy, and/or chemotherapy - Prior or concurrent primary malignancy (including second synchronous head & neck cancer) within the last 2 years of informed consent and whose natural history has the potential to interfere with the safety and efficacy assessment of the investigational agent - Ongoing or active infection requiring treatment with antimicrobial therapy within 2 weeks of randomization

Study Design

Phase
Phase 3
Study Type
Interventional
Allocation
Randomized
Intervention Model
Parallel Assignment
Primary Purpose
Treatment
Masking
None (Open Label)

Arm Groups

ArmDescriptionAssigned Intervention
Experimental
Arm A: JNJ-90301900 (NBTXR3) 		JNJ-90301900 (NBTXR3), as an intratumoral/intranodal injection, activated by investigator's choice of RT alone or RT in combination with cetuximab. JNJ-90301900 (NBTXR3) is given as a dose of 33% of the Gross Tumor Volume.
  • Drug: JNJ-90301900 (NBTXR3)
    Suspension of inert, crystalline hafnium oxide particles, designed to generate oxygen free radicals to destroy cancer cells after activation by ionizing radiation.
    Other names:
    • Functionalized hafnium oxide nanoparticles
    • NBTXR3
  • Drug: Cetuximab
    Solution for infusion
    Other names:
    • Erbitux
  • Radiation: Radiation Therapy
    Intensity-modulated radiation therapy (IMRT): 70 Gray in 35 fractions over a 7-week period.
Active Comparator
Arm B: RT alone or RT in combination with cetuximab 		Investigator's choice of RT alone or RT in combination with cetuximab.
  • Drug: Cetuximab
    Solution for infusion
    Other names:
    • Erbitux
  • Radiation: Radiation Therapy
    Intensity-modulated radiation therapy (IMRT): 70 Gray in 35 fractions over a 7-week period.

Recruiting Locations

University of Alabama at Birmingham
Birmingham, Alabama 35294

City of Hope
Duarte, California 91010

University of California at San Diego Moores Cancer Center
La Jolla, California 92093

UCLA Hematology Oncology
Los Angeles, California 90095

University of California San Francisco
San Francisco, California 94158

George Washington University Cancer Center
Washington D.C., District of Columbia 20052

Mayo Clinic Jacksonville
Jacksonville, Florida 32224

AdventHealth Orlando
Orlando, Florida 32803

Moffitt Cancer Center
Tampa, Florida 33612

Emory University Hospital Midtown
Atlanta, Georgia 30308

University of Kentucky Markey Cancer Center
Lexington, Kentucky 40536

Boston Medical Center
Boston, Massachusetts 02118

Richmond University Medical Center
Staten Island, New York 10310

Montefiore Medical Center
The Bronx, New York 10467

University of North Carolina at Chapel Hill
Chapel Hill, North Carolina 27514

Atrium Health Levine Cancer Institute
Charlotte, North Carolina 28204

University of Cincinnati
Cincinnati, Ohio 45219

Stephenson Cancer Center
Oklahoma City, Oklahoma 73104

Oregon Health And Science University
Portland, Oregon 97239

University of Pennsylvania Perelman Center for Advanced Medicine
Philadelphia, Pennsylvania 19104

University of Virginia
Charlottesville, Virginia 22908

Macon Joan Brock Virginia Health Sciences Eastern Virginia Medical Group at Old Dominion University
Norfolk, Virginia 23507

More Details

Status
Recruiting
Sponsor
Johnson & Johnson Enterprise Innovation Inc.

Study Contact

Study Contact
844-434-4210
Participate-In-This-Study1@its.jnj.com

Notice

Study information shown on this site is derived from ClinicalTrials.gov (a public registry operated by the National Institutes of Health). The listing of studies provided is not certain to be all studies for which you might be eligible. Furthermore, study eligibility requirements can be difficult to understand and may change over time, so it is wise to speak with your medical care provider and individual research study teams when making decisions related to participation.