NCT06989671

Brief Summary

This is a Phase II study of anti-nectin-4 ADC combined with the EGFR monoclonal antibody and the PD-1 monoclonal antibody in participants with advanced head and neck squamous cell carcinoma.

Trial Health

65
Monitor

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
430

participants targeted

Target at P75+ for phase_2

Timeline
28mo left

Started Aug 2025

Typical duration for phase_2

Status
not yet recruiting

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Progress24%
Aug 2025Jul 2028

First Submitted

Initial submission to the registry

April 25, 2025

Completed
1 month until next milestone

First Posted

Study publicly available on registry

May 25, 2025

Completed
3 months until next milestone

Study Start

First participant enrolled

August 30, 2025

Completed
2.3 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 30, 2027

Expected
7 months until next milestone

Study Completion

Last participant's last visit for all outcomes

July 30, 2028

Last Updated

August 27, 2025

Status Verified

August 1, 2025

Enrollment Period

2.3 years

First QC Date

April 25, 2025

Last Update Submit

August 20, 2025

Conditions

Outcome Measures

Primary Outcomes (4)

  • Dose-limiting Toxicities (DLTs)

    Up to 28 days

  • Incidence of Adverse Events (AEs)

    Up to approximately 2 years

  • Maximum Tolerated Dose (MTD)

    Up to approximately 2 years

  • Objective Response Rate (ORR)

    Up to approximately 2 years

Secondary Outcomes (4)

  • Disease Control Rate (DCR)

    Up to approximately 2 years

  • Duration of Response (DOR)

    Up to approximately 2 years

  • Progression-free Survival (PFS)

    Up to approximately 2 years

  • Overall Survival (OS)

    Up to approximately 3 years

Study Arms (8)

SYS6002 monotherapy (Q2W)

EXPERIMENTAL
Drug: SYS6002

SYS6002 monotherapy (Q3W)

EXPERIMENTAL
Drug: SYS6002

JMT101 monotherapy

EXPERIMENTAL
Drug: JMT101

SYS6002 combinational therapy (Q2W)

EXPERIMENTAL
Drug: JMT101Drug: SYS6002Drug: SG001

SYS6002 combinational therapy (Q3W)

EXPERIMENTAL
Drug: JMT101Drug: SYS6002Drug: SG001

Factorial Group

EXPERIMENTAL
Drug: SYS6002Drug: SG001

Experimental Group 1

EXPERIMENTAL
Drug: JMT101Drug: SYS6002Drug: SG001

Experimental Group 2

EXPERIMENTAL
Drug: JMT101Drug: SYS6002Drug: SG001

Interventions

JMT101DRUG

JMT101 Q2W or Q3W, intravenous injection

Experimental Group 1Experimental Group 2JMT101 monotherapySYS6002 combinational therapy (Q2W)SYS6002 combinational therapy (Q3W)

SYS6002 Q2W or Q3W, intravenous injection

Experimental Group 1Experimental Group 2Factorial GroupSYS6002 combinational therapy (Q2W)SYS6002 combinational therapy (Q3W)SYS6002 monotherapy (Q2W)SYS6002 monotherapy (Q3W)
SG001DRUG

SG001 Q2W or Q3W, intravenous injection

Experimental Group 1Experimental Group 2Factorial GroupSYS6002 combinational therapy (Q2W)SYS6002 combinational therapy (Q3W)

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Aged 18 years or older, regardless of gender.
  • Able to understand and voluntarily sign a written informed consent form (ICF).
  • Confirmed recurrent or metastatic HNSCC that is not curable with local treatments. Primary tumor must be located in the oral cavity, oropharynx, hypopharynx, or larynx.
  • Able to provide well-preserved or fresh tumor tissue.
  • According to the Response Evaluation Criteria in Solid Tumors (RECIST) v1.1, at least one measurable lesion confirmed by CT or MRI.
  • Eastern Cooperative Oncology Group (ECOG) performance status score of 0-1.
  • Life expectancy ≥ 3 months.
  • Normal major organ function within 7 days prior to treatment.

You may not qualify if:

  • Primary tumor located in the nasopharynx, nasal cavity, paranasal sinuses, salivary glands, thyroid or parathyroid glands, skin, or squamous cell carcinoma with an unknown primary site.
  • Presence of leptomeningeal metastasis, spinal cord compression, symptomatic or progressive brain metastases.
  • (Only for Stage 2 in Part 2) Prior systemic anti-tumor therapy for recurrent or metastatic HNSCC.
  • Known allergy to any component of SYS6002, JMT101, or Enlonstobart injection.
  • Participants who have previously received MMAE toxin ADC treatment (only for Part 1 and Stage 2 in Part 2).
  • Adverse events related to prior anti-tumor treatment that have not resolved to ≤ Grade 1 according to NCI-CTCAE v5.0 (except for toxicities deemed low-risk by the investigator, such as Grade 2 alopecia).
  • Washout period not met for anti-tumor medications or treatments.
  • Any serious and/or uncontrolled comorbid conditions that may interfere with the participant's ability to participate in the study
  • Pregnant or breastfeeding women; women of childbearing potential with a positive pregnancy test within 7 days before enrollment. Breastfeeding women may participate if they stop breastfeeding, but they cannot resume breastfeeding during the treatment and after the study ends.
  • Any male or female participants of childbearing potential who refuse to use highly effective contraception during the study and for 6 months after the last dose of study drug.
  • Unwilling or unable to comply with the study procedures and requirements, or deemed unsuitable for participation by the investigator.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

MeSH Terms

Conditions

Squamous Cell Carcinoma of Head and Neck

Condition Hierarchy (Ancestors)

Carcinoma, Squamous CellCarcinomaNeoplasms, Glandular and EpithelialNeoplasms by Histologic TypeNeoplasmsHead and Neck NeoplasmsNeoplasms by Site

Central Study Contacts

Clinical Trials Information Group officer

CONTACT

Study Design

Study Type
interventional
Phase
phase 2
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
FACTORIAL
Model Details: Randomized, open-label, factorial design
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

April 25, 2025

First Posted

May 25, 2025

Study Start

August 30, 2025

Primary Completion (Estimated)

December 30, 2027

Study Completion (Estimated)

July 30, 2028

Last Updated

August 27, 2025

Record last verified: 2025-08