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Finotonlimab with chemotherapy in recurrent or metastatic head and neck cancer: a randomized phase 3 trial

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机构: [1]Department of Medical Oncology, Beijing Key Laboratory of Clinical Study on Anticancer Molecular Targeted Drugs, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China. [2]Department of Oral and Maxillofacial-Head and Neck Oncology, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University, School of Medicine, College of Stomatology, National Clinical Research Center for Oral Diseases, Shanghai, China. [3]Hunan Cancer Hospital, Changsha, China. [4]Zhejiang Cancer Hospital, Hangzhou, China. [5]Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou, China. [6]Harbin Medical University Cancer Hospital, Harbin, China. [7]Shanghai General Hospital, Shanghai, China. [8]Chongqing University Cancer Hospital, Chongqing, China. [9]Cancer Hospital of Shantou University Medical College, Shantou, China. [10]The Second Xiangya Hospital of Central South University, Changsha, China. [11]The First Affiliated Hospital of Chongqing Medical University, Chongqing, China. [12]Beijing Tongren Hospital, Capital Medical University, Beijing, China. [13]Department of Oncology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China. [14]Yunnan Cancer Hospital, Kunming, China. [15]Ganzhou People's Hospital, Ganzhou, China. [16]Guangxi Medical University Cancer Hospital, Nanning, China. [17]The Fourth Hospital of Hebei Medical University, Shijiazhuang, China. [18]Yanbian University Hospital, Yanji, China. [19]Department of Medical Oncology, Beijing Key Laboratory of Clinical Study on Anticancer Molecular Targeted Drugs, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China. [20]Peking University Cancer Hospital, Beijing, China. [21]Hainan General Hospital, Haikou, China. [22]Henan Cancer Hospital, Zhengzhou, China. [23]Jiangxi Cancer Hospital, Nanchang, China. [24]The 900 Hospital of Joint Logistics Support Force of PLA, Fuzhou, China. [25]LinYi Cancer Hospital, Linyi, China. [26]Department of Radiation Oncology, The First Affiliated Hospital of Bengbu Medical University, Bengbu, China. [27]The Third Bethune Hospital of Jilin University, Changchun, China. [28]The First Hospital of Jilin University, Changchun, China. [29]The First Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou, China. [30]Affiliated Hospital of Jining Medical University, Jining, China. [31]The Second Norman Bethune Hospital of Jilin University, Changchun, China. [32]Shandong First Medical University Affiliated Cancer Hospital, Jinan, China. [33]Sun Yat-sen University Cancer Center, Guangzhou, China. [34]Chongqing University Three Gorges Hospital, Chongqing, China. [35]Stomatological College of Nanjing Medical University, Nanjing, China. [36]Fudan University Shanghai Cancer Center, Shanghai, China. [37]Shengjing Hospital of China Medical University, Shenyang, China. [38]Tongji Medical College of HUST, Wuhan, China. [39]Chinese PLA General Hospital, Beijing, China. [40]Beijing Engineering Research Center of Protein and Antibody, Sinocelltech Ltd., Beijing, China.
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Immunotherapy combined with chemotherapy regimen has been shown to be effective in recurrent or metastatic (R/M) head and neck squamous cell carcinoma (HNSCC). However, due to the small number of patients, its efficacy remains controversial in Asian populations, particularly in mainland China. Here a randomized, double-blind phase 3 trial evaluated the efficacy and safety of finotonlimab (SCT-I10A), a programmed cell death 1 (PD-1) monoclonal antibody, combined with cisplatin plus 5-fluorouracil (C5F) for the first-line treatment of R/M HNSCC. Eligible patients (n = 370) were randomly 2:1 assigned to receive finotonlimab plus C5F (n = 247) or placebo plus C5F (n = 123). The primary endpoint was overall survival (OS). In the finotonlimab plus C5F group, OS was 14.1 months (95% confidence interval (CI) 11.1-16.4), compared with 10.5 months (95% CI 8.1-11.8) in the placebo plus C5F group. The hazard ratio was 0.73 (95% CI 0.57-0.95, P = 0.0165), meeting the predefined superiority criteria for the primary endpoint. Finotonlimab plus C5F showed significant OS superiority compared with C5F alone and acceptable safety profile with R/M HNSCC, supporting its use as a first-line treatment option for R/M HNSCC. These results validate the efficacy and safety of the combination of finotonlimab and C5F in Asian patients with R/M HNSCC. ClinicalTrials.gov identifier: NCT04146402 .© 2024. The Author(s), under exclusive licence to Springer Nature America, Inc.

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出版当年[2025]版:
大类 | 1 区 医学
小类 | 1 区 生化与分子生物学 1 区 细胞生物学 1 区 医学:研究与实验
最新[2025]版:
大类 | 1 区 医学
小类 | 1 区 生化与分子生物学 1 区 细胞生物学 1 区 医学:研究与实验
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Q1 BIOCHEMISTRY & MOLECULAR BIOLOGY Q1 CELL BIOLOGY Q1 MEDICINE, RESEARCH & EXPERIMENTAL

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第一作者机构: [1]Department of Medical Oncology, Beijing Key Laboratory of Clinical Study on Anticancer Molecular Targeted Drugs, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China.
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