CA209-891: Neoadjuvant and Adjuvant Nivolumab as Immune Checkpoint Inhibition in Oral Cavity Cancer
NICO
NICO - CA209-891: Neoadjuvant and Adjuvant Nivolumab as Immune Checkpoint Inhibition in Oral Cavity Cancer
Sponsor study identifier
Secondary identifiers
EUDRACT_NUMBER
REGISTRY · ISRCTN
OTHER_GRANT · Bristol Myers Squibb
NIH
interventional
21
1 country
1
Study Start
May 10, 2019
Actual (reported)Primary Completion
February 24, 2025
Actual (reported)Study Completion
February 24, 2025
Actual (reported)This trial is to investigate the use of nivolumab in sequence with standard of care surgery and radiation/chemoradiation in locally advanced oral cavity Squamous cell carcinoma of the oral cavity.
Registry-reported information. Elapsed time and enrollment totals alone do not measure study progress or recruitment pace.
February 24, 2025
Actual (reported)Click on a node to explore related trials.
Some registry-reported names shown below are not yet linked in this graph.
Dates and qualifiers reported by the registry. Estimated dates do not confirm that a milestone has occurred.
July 23, 2018
Actual (reported)October 26, 2018
Actual (reported)May 10, 2019
Actual (reported)February 24, 2025
Actual (reported)February 24, 2025
Actual (reported)Disease free survival
1 year disease free survival defined as disease recurrence or death at 12 months from surgery
Patients will be followed up for 12 months following surgery
Recruitment Rate
Measured as the number of patients/site/month
Period of recruitment
Overall survival
Patients will be followed up for 12 months following surgery
Surgical complications - Infection rate
up to 8 weeks post date of surgery
Surgical complications - length of hospital admission
up to 8 weeks post date of surgery
Surgical complications - free flap failure
up to 8 weeks post date of surgery
Surgical complications - perioperative (30-day mortality)
up to 30 days post date of surgery
Patients will be treated with a single dose of nivolumab (240mg flat dose), followed by surgery to remove their tumour within 1-2 weeks. Based on pathological risk factors determined following surgery, patients will be assigned to undergo adjuvant radiotherapy or chemoradiotherapy. Patients with low risk criteria following surgery will be assigned to radiotherapy. A single dose of nivolumab (240mg flat dose) will be given between surgery and commencement of radiotherapy (1-2 weeks prior). Radiotherapy will be administered over 30 fractions i.e. over 30 days (Monday to Friday for 6 consecutive weeks). Following completion of radiation (within 1-2 weeks), patients will commence adjuvant nivolumab, with a total of 6 doses (480mg flat dose) given at 4 weekly intervals
Patients will be treated with a single dose of nivolumab (240mg flat dose), followed by surgery to remove their tumour within 1-2 weeks. Based on pathological risk factors determined following surgery, patients will be assigned to undergo adjuvant radiotherapy or chemoradiotherapy. Patients with high risk criteria following surgery will be assigned to chemoradiotherapy. A single dose of nivolumab (240mg flat dose) will be given between surgery and chemoradiotherapy (1-2 weeks prior). Chemoradiotherapy will be administered over 30 fractions i.e. over 30 days with concomitant Cisplatin (100mg/m2) on day 1 and 21. Following completion of radiation (within 1-2 weeks), patients will commence adjuvant nivolumab, with a total of 6 doses (480mg flat dose) given at 4 weekly intervals.
A single dose of nivolumab 7-14 days before curative surgery. A further single dose will be administered following surgery and prior to radiotherapy commencing. Six further doses of nivolumab will be received post radiotherapy
These entries preserve how the registry describes the intervention. Their treatment roles are shown separately from molecular identities.
Treatment and procedure
Nivolumab, Surgery, Radiotherapy
The registry names a treatment alongside a procedure. This entry does not establish their timing or actual administration.
View registry recordTreatment and procedure
Nivolumab, Surgery, Chemoradiotherapy
The registry names a treatment alongside a procedure. This entry does not establish their timing or actual administration.
View registry recordClatterbridge Cancer Centre NHS Foundation Trust
Bebington, CH634JY, United Kingdom
Joseph Sacco, MBChB
University of Liverpool
21 participants (actual enrollment reported by the registry).
First Submitted
July 23, 2018
First Posted
October 26, 2018
Study Start
May 10, 2019
Actual (reported)A single dose of nivolumab 7-14 days before curative surgery. A further single dose will be administered following surgery and prior to Chemoradiotherapy (cisplatin) commencing. Six further doses of nivolumab will be received post radiotherapy
Registry-reported names are shown in full. Names without a link have not yet been matched to a Syfrah profile.
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Primary Completion
February 24, 2025
Actual (reported)Study Completion
February 24, 2025
Actual (reported)Last Updated
February 25, 2025
Record last verified: 2025-02
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Source: ClinicalTrials.gov.
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