Carcinoma, Squamous CellPhase 3NCT04892173
JNJ-90301900 (NBTXR3) Activated by Radiotherapy With or Without Cetuximab in LA-HNSCC
A Phase 3 study testing JNJ-90301900 (NBTXR3), Cetuximab and Radiation Therapy in people with Carcinoma, Squamous Cell, run by Johnson & Johnson Enterprise Innovation Inc. at 196 sites in 27 countries.
Trial summary
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… Read more about this study
- Who is it for?
- Ages 60 years and older
- Conditions the study is for
- Carcinoma, Squamous Cell
- What is being tested?
- JNJ-90301900 (NBTXR3), Cetuximab and Radiation Therapy
- Type of treatment
- Injection or infusion, Surgery or procedure
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 500 participants
- Where
- 196 sitesin 27 countries
- Study dates
- 10 Dec 2021to 30 Jun 2028
- Phase
- Phase 3
- Are there results?
- Not yet: the study is under way
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 60 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- 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):
- Estimated creatinine clearance >= 30 and less than (<) 50 milliliters/minute (mL/min) (per Cockcroft-Gault equation),
Show all 12Show fewer
- Grade >= 2 hearing loss or tinnitus,
- Grade >= 2 peripheral neuropathy,
- New York Heart Association Class 3
- 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
Who cannot join
- 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
Trial locations and contacts
196 sites in 27 countries. Contact the study team or a site near you to ask about taking part.
196 sites in 27 countries
China35 sites, 22 recruiting
- Completed
The Affiliated Hospital of Bengbu Medical College
Bengbu, 233004
- Completed
Xiangya Hospital Central South University
Changsha, 410008
- Recruiting
Hunan Cancer hospital
Changsha, 410013
- Recruiting
Sichuan Cancer Hospital
Chengdu, 610041
- Recruiting
Dongguan People s Hospital
Dongguan, 523109
- Completed
Fujian Medical University Union Hospital
Fuzhou, 350001
- Recruiting
The First Affiliated Hospital of Fujian Medical University
Fuzhou, 350005
- Recruiting
Fujian Medical University Fujian Provincial Cancer Hospital
Fuzhou, 350014
- Recruiting
The First Affiliated Hospital of Guangdong Pharmaceutical University
Guangzhou, 510080
- Recruiting
Guangzhou Medical University Affiliated Oncology Hospital
Guangzhou, 510095
- Recruiting
Guangzhou First Municipal People's Hospital
Guangzhou, 510180
- Recruiting
Qilu Hospital of Shandong University
Jinan, 250012
- Recruiting
Shandong Cancer Hospital
Jinan, 250117
- Recruiting
Linyi Cancer Hospital
Linyi, 276002
- Recruiting
Liuzhou people's Hospital
Liuzhou, 545006
- Completed
Jiangxi Cancer Hospital
Nanchang, 330029
- Completed
Jiangsu Cancer Hospital
Nanjing, 210009
- Recruiting
Nanjing Drum Tower Hospital The Affiliated Hospital of Nanjing University Medical School
Nanjing, 223800
- Recruiting
Wuming Hospital of Guangxi Medical University
Nanning, 530000
- Recruiting
The Cancer Hospital Affiliated to Guangxi Medical University
Nanning, 530021
- Recruiting
The Affiliated Hospital of Medical College Qingdao University
Qingdao, 266003
- Completed
Fudan University Shanghai Cancer Center
Shanghai, 200032
- Completed
Liaoning Cancer Hospital and Institute
Shenyang, 110042
- Recruiting
Peking University Shenzhen Hospital
Shenzhen, 518036
- Recruiting
The Fourth Hospital of Hebei Medical University
Shijiazhuang, 50011
- Completed
Second Affiliated Hospital, SooChow University
Suzhou, 215004
- Completed
Shanxi Provincial Cancer hospital
Taiyuan, 30013
- Completed
Tianjin Medical University Cancer Institute and Hospital
Tianjin, 300060
- Recruiting
Union Hospital Tongji Medical College of Huazhong University of Science and Technology
Wuhan, 430022
- Recruiting
Tongji Hospital Tongji Medical College of Huazhong University of Science and Technology
Wuhan, 430030
- Recruiting
Hubei Cancer Hospital
Wuhan, 430079
- Completed
The first affiliated hospital of xiamen university
Xiamen, 361003
- Completed
The Affiliated Hospital of Xuzhou Medical University
Xuzhou, 221000
- Completed
Henan Cancer Hospital
Zhengzhou, 450008
- Recruiting
The Fifth Affiliated Hospital Sun Yat Sen University
Zhuhai, 519000
United States26 sites, 22 recruiting
- Recruiting
Emory University Hospital Midtown
Atlanta, Georgia, 30308
- Recruiting
University of Alabama at Birmingham
Birmingham, Alabama, 35294
- Recruiting
Boston Medical Center
Boston, Massachusetts, 02118
- Recruiting
University of North Carolina at Chapel Hill
Chapel Hill, North Carolina, 27514
- Recruiting
Atrium Health Levine Cancer Institute
Charlotte, North Carolina, 28204
- Recruiting
University of Virginia
Charlottesville, Virginia, 22908
- Recruiting
University of Cincinnati
Cincinnati, Ohio, 45219
- Recruiting
City of Hope
Duarte, California, 91010
- Recruiting
Mayo Clinic Jacksonville
Jacksonville, Florida, 32224
- Recruiting
University of California at San Diego Moores Cancer Center
La Jolla, California, 92093
- Completed
Memorial Radiation Oncology Medical Group Laguna Hills
Laguna Hills, California, 92653
- Recruiting
University of Kentucky Markey Cancer Center
Lexington, Kentucky, 40536
- Recruiting
UCLA Hematology Oncology
Los Angeles, California, 90095
- Completed
Herbert Irving Comprehensive Cancer Center Columbia University Medical Center
New York, New York, 10032
- Completed
Hoag Memorial Hospital
Newport Beach, California, 92663
- Recruiting
Macon Joan Brock Virginia Health Sciences Eastern Virginia Medical Group at Old Dominion University
Norfolk, Virginia, 23507
- Recruiting
Stephenson Cancer Center
Oklahoma City, Oklahoma, 73104
- Recruiting
AdventHealth Orlando
Orlando, Florida, 32803
- Recruiting
University of Pennsylvania Perelman Center for Advanced Medicine
Philadelphia, Pennsylvania, 19104
- Recruiting
Oregon Health And Science University
Portland, Oregon, 97239
- Recruiting
University of California San Francisco
San Francisco, California, 94158
- Completed
Christus St. Vincent Regional Cancer Center
Santa Fe, New Mexico, 87505
- Recruiting
Richmond University Medical Center
Staten Island, New York, 10310
- Recruiting
Moffitt Cancer Center
Tampa, Florida, 33612
- Recruiting
Montefiore Medical Center
The Bronx, New York, 10467
- Recruiting
George Washington University Cancer Center
Washington D.C., District of Columbia, 20052
Spain19 sites, 15 recruiting
- Recruiting
Hosp. Univ. de Cruces
Barakaldo, 48903
- Completed
Hosp Clinic de Barcelona
Barcelona, 08036
- Recruiting
Hosp Univ Vall D Hebron
Barcelona, 8035
- Recruiting
Hosp. de Jerez de La Frontera
Jerez de la Frontera, 11407
- Recruiting
Instituto Catalan Deoncologia Hospital Duran I Reynals
L'Hospitalet de Llobregat, 08908
- Completed
Hospitales Universitarios San Roque En Las Palmas de Gran Canaria Centro Oncologico Integral Canario
Las Palmas de Gran Canaria, 35001
- Recruiting
Hosp. Univ. Lucus Augusti
Lugo, 27003
- Recruiting
Hosp. Gral. Univ. Gregorio Maranon
Madrid, 28007
- Recruiting
Hosp Univ Fund Jimenez Diaz
Madrid, 28040
- Recruiting
Hosp. Univ. 12 de Octubre
Madrid, 28041
- Completed
Hosp Univ Hm Sanchinarro
Madrid, 28050
- Recruiting
Hosp Regional Univ de Malaga
Málaga, 29010
- Completed
Hosp. de Navarra
Pamplona, 31008
- Recruiting
Hosp.Univ.Parc Tauli
Sabadell, 08208
- Recruiting
Hosp. Univ. Marques de Valdecilla
Santander, 39008
- Recruiting
Hosp. Virgen Del Rocio
Seville, 41013
- Recruiting
Inst. Valenciano de Oncologia
Valencia, 46009
- Recruiting
Hosp. Gral. Univ. Valencia
Valencia, 46014
- Recruiting
Hosp. Clinico Univ. Lozano Blesa
Zaragoza, 50009
France18 sites, 15 recruiting
- Recruiting
CHU Amiens Picardie
Amiens, 80000
- Recruiting
CHU Brest
Brest, 29609
- Recruiting
Centre Francois Baclesse
Caen, 14076
- Recruiting
Centre Georges Francois Leclerc
Dijon, 21000
- Recruiting
Centre de Lutte contre le Cancer Centre Oscar Lambret
Lille, 59020
- Completed
Centre Leon Berard
Lyon, 69008
- Recruiting
Hopital de la Timone
Marseille, 13385
- Completed
Clinique Ambroise Pare
Neuilly-sur-Seine, 92200
- Recruiting
Hopital Europeen Georges Pompidou
Paris, 75015
- Recruiting
Institut Curie
Paris, 75248
- Recruiting
Hopital Tenon
Paris, 75970
- Recruiting
Hopital Haut Leveque
Pessac, 33604
- Recruiting
Hopital Pontchaillou
Rennes, 35000
- Recruiting
CLCC - Centre Henri Becquerel
Rouen, 76038
- Recruiting
CHU Saint Etienne
Saint-Etienne, 42055
- Completed
Centre Hospitalier de Valenciennes Hopital Jean Bernard
Valenciennes, 59322
- Recruiting
Institut de Cancerologie de Lorraine
Vandœuvre-lès-Nancy, 54500
- Recruiting
Gustave Roussy
Villejuif, 94805
Brazil16 sites, 14 recruiting
- Recruiting
Fundacao Pio XII
Barretos, 14784-400
- Recruiting
Nucleo de Ensino e Pesquisa do Instituto Mario Penna
Belo Horizonte, 30380 472
- Completed
Centro Regional Integrado de Oncologia CRIO
Fortaleza, 60336 232
- Recruiting
Instituto Do Cancer Do Ceara
Fortaleza, 60430-230
- Recruiting
Fundacao Sao Francisco Xavier
Ipatinga, 35160 158
- Recruiting
Fundacao Doutor Amaral Carvalho
Jaú, 17210 080
- Recruiting
Hospital do Cancer de Londrina
Londrina, 86015 520
- Recruiting
Irmandade Santa Casa de Misericordia de Porto Alegre
Porto Alegre, 90050 170
- Recruiting
Uniao Brasileira de Educacao e Assistencia Hospital Sao Lucas da PUCRS
Porto Alegre, 90610-000
- Completed
Hospital Nossa Senhora da Conceicao
Porto Alegre, 91350-200
- Recruiting
Oncoclinicas Rio de Janeiro S A
Rio de Janeiro, 22 250 905
- Recruiting
Ensino e Terapia de Inovacao Clinica AMO Etica
Salvador, 41950 640
- Recruiting
Funfarme Sjrp
São José do Rio Preto, 15090-000
- Recruiting
Fundacao Faculdade de Medicina - Instituto do Cancer do Estado de Sao Paulo
São Paulo, 01246 000
- Recruiting
Sociedade Beneficente de Senhoras Hospital Sirio Libanes
São Paulo, 01308 050
- Recruiting
Associacao Feminina de Educacao e Combate ao Cancer Hospital Santa Rita de Cassia
Vitória, 29043 260
Japan10 sites, 9 recruiting
- Recruiting
Tokyo Medical and Dental University Hospital
Bunkyō City, 113-8519
- Recruiting
Hiroshima University Hospital
Hiroshima, 734 8551
- Recruiting
National Cancer Center Hospital East
Kashiwa, 277-8577
- Recruiting
Aichi Cancer Center
Nagoya, 464-8681
- Recruiting
Osaka International Cancer Institute
Osaka, 541 8567
- Completed
Kindai University Hospital
Osaka Sayama Shi, 589 8511
- Recruiting
Tohoku University Hospital
Sendai, 980 8574
- Recruiting
Jichi Medical University Hospital
Shimotsuke, 329-0498
- Recruiting
Tokyo Medical University Hospital
Shinjuku, 160 0023
- Recruiting
Shizuoka Cancer Center
Sunto Gun, 411 8777
India8 sites, 5 recruiting
- Recruiting
M S Ramaiah Memorial Hospital
Bangalore, 560054
- Completed
Apollo Speciality Hospital, Chennai
Chennai, 600035
- Completed
Meenakshi Mission Hospital and Research Center
Madurai, 625107
- Recruiting
Tata Memorial Hospital
Mumbai, 400012
- Recruiting
HealthCare Global HCG Manavata Cancer Centre
Nashik, 422002
- Recruiting
Rajiv Gandhi Cancer Institute and Research Centre
New Delhi, 110085
- Completed
Grant Medical foundation Ruby Hall Clinic
Pune, 411 001
- Recruiting
HCG cancer center
Vijayawada, 520002
United Kingdom6 sites, 6 recruiting
- Recruiting
Western General Hospital
Edinburgh, EH4 2XU
- Recruiting
NHS Greater Glasgow and Clyde
Glasgow, G12 0YN
- Recruiting
The Royal Surrey County Hospital NHS Foundation Trust
Guildford, GU2 7XX
- Recruiting
The Royal Marsden NHS Trust
London, SW3 6JJ
- Recruiting
Newcastle upon Tyne Hospitals NHS Foundation Trust
Newcastle upon Tyne, NE7 7DN
- Recruiting
Nottingham City Hospital
Nottingham, NG5 1PB
Germany5 sites, 2 recruiting
- Recruiting
Universitaetsklinikum Giessen und Marburg GmbH
Giessen, 35392
- Recruiting
Medizinische Hochschule Hannover
Hanover, 30625
- Completed
Universitatsklinikum Jena
Jena, 07747
- Completed
Klinikum rechts der Isar an der Technischen Universitat Munchen
München, 81675
- Completed
Universitaetsmedizin Rostock
Rostock, 18059
Portugal5 sites, 2 recruiting
- Completed
Uls Braga - Hosp. Braga
Braga, 4710 243
- Completed
Uls Santa Maria - Hosp. Santa Maria
Lisbon, 1649 035
- Recruiting
Hosp. Cuf Descobertas
Lisbon, 1998050
- Completed
Uls Santo Antonio - Hosp. Santo Antonio
Porto, 4099-001
- Recruiting
Uls Gaia Espinho
Vila Nova de Gaia, 4434 502
Taiwan5 sites, 5 recruiting
- Recruiting
National Cheng Kung University Hospital
Bei Qu, 704
- Recruiting
Changhua Christian Hospital
Changhua, 500
- Recruiting
Chang-Gung Memorial Hospital-Keelung
Keelung, 20442
- Recruiting
Taichung Veterans General Hospital
Taichung, 40705
- Recruiting
National Taiwan University Hospital
Taipei, 100
Austria4 sites, 3 recruiting
- Completed
Medizinische Universitat Graz
Graz, 8036
- Recruiting
Medical University Innsbruck
Innsbruck, 6020
- Recruiting
Ordensklinikum Linz GmbH Barmherzige Schwestern
Linz, 4010
- Recruiting
Medizinische Universitaet Wien
Vienna, 1090
Georgia4 sites, 3 recruiting
- Recruiting
High Technology Hospital MedCenter Ltd Batumi
Batumi, 6000
- Recruiting
JSC Vian Kutaisi Referral Hospital
Kutaisi, 4600
- Completed
Todua Clinic
Tbilisi, 0112
- Recruiting
Ltd Tbilisi State Medical University and Ingorokva High Medical Technology University Clinic
Tbilisi, 144
Greece4 sites, 3 recruiting
- Recruiting
University General Hospital Attikon General Hospital Of West Attica H Agia Varvara
Athens, 124 62
- Recruiting
University Hospital Of Larissa
Larissa, 41110
- Recruiting
Athens Medical Center S A Interbalkan Medical Center of Thessaloniki
Thessaloniki, 54639
- Completed
Interbalkan Medical Center of Thessaloniki
Thessaloniki, 57001
Israel4 sites
- Active, not recruiting
Samson Assuta Ashdod University Hospital
Ashdod, 7747629
- Completed
Rambam Health Care Campus
Haifa, 3109601
- Completed
Hadassah Medical Center
Jerusalem, 9112001
- Completed
Tel Aviv Sourasky Medical Center
Tel Aviv, 6423906
Philippines4 sites
- Completed
University of Perpetual Help Dalta Medical Center, Inc
Las Piñas, 1742
- Completed
Manila Doctors Hospital
Manila, 1000
- Active, not recruiting
The Medical City
Pasig, 1600
- Completed
St. Luke's Medical Center
Quezon City, 1112
Serbia4 sites
- Completed
Institute of Oncology and Radiology of Serbia
Belgrade, 11000
- Completed
Vojnomedicinska Akademija
Belgrade, 11000
- Completed
Institute of Oncology of Vojvodina
Kamenitz, 21204
- Completed
University Clinical Center Kragujevac
Kragujevac, 34000
South Korea4 sites, 3 recruiting
- Recruiting
Severance Hospital Yonsei University Health System
Seoul, 03722
- Recruiting
Asan Medical Center
Seoul, 05505
- Completed
The Catholic University of Korea Seoul St Mary s Hospital
Seoul, 06591
- Recruiting
The Catholic university of Korea, St. Vincent's Hospital
Suwon, 16247
Belgium3 sites, 2 recruiting
- Recruiting
Cliniques Universitaires Saint Luc
Brussels, 1200
- Completed
Grand Hopital De Charleroi Site Les Viviers
Charleroi, 6060
- Recruiting
Universitair Ziekenhuis Leuven
Leuven, 3000
Hungary3 sites, 2 recruiting
- Completed
Eszak Pesti Centrumkorhaz Honvedkorhaz
Budapest, 1062
- Recruiting
Orszagos Onkologiai Intezet
Budapest, 1122
- Recruiting
Szent Gyorgyi Albert Klinikai Kozpont Onkoterapias Klinika
Szeged, 6720
Bulgaria2 sites
- Completed
MHAT Uni Hospital
Panagyurishte, 4500
- Completed
Specialized Hospital for Active Treatment in Oncology
Sofia, 1756
Czechia2 sites
- Completed
Fakultni nemocnice Olomouc
Olomouc, 779 00
- Active, not recruiting
Nemocnice Bulovka
Prague, 180 81
Canada1 site, 1 recruiting
- Recruiting
Sunnybrook Health Sciences Center
Toronto, Ontario, M4N 3M5
Romania1 site
- Active, not recruiting
Institutul Oncologic Prof Dr Al Trestioreanu Bucuresti
Bucharest, 22328
About this study
Official title: A Phase 3 Study of NBTXR3 Activated by Investigator's Choice of Radiotherapy Alone or Radiotherapy in Combination With Cetuximab for Platinum-based Chemotherapy-Ineligible Elderly Patients With Locally Advanced Head & Neck Squamous Cell Carcinoma
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).
- Conditions
- Carcinoma, Squamous Cell
- Being tested
- JNJ-90301900 (NBTXR3), Cetuximab, Radiation Therapy
- Keywords
- LA-HNSCC, NBTXR3, hafnium oxide, radioenhancer, Radiotherapy, RT, HNSCC, radiation therapy
- Medical subject headings
- Carcinoma, Squamous Cell, Squamous Cell Carcinoma of Head and Neck
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
JNJ-90301900 (NBTXR3)Drug
Also called Functionalized hafnium oxide nanoparticles, NBTXR3
Suspension of inert, crystalline hafnium oxide particles, designed to generate oxygen free radicals to destroy cancer cells after activation by ionizing radiation.
CetuximabDrug
Also called Erbitux
Solution for infusion
Radiation TherapyRadiation
Intensity-modulated radiation therapy (IMRT): 70 Gray in 35 fractions over a 7-week period.
| Study group | Role | What they receive |
|---|---|---|
| Arm A: JNJ-90301900 (NBTXR3) | Experimental | 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. Receives: Drug: JNJ-90301900 (NBTXR3); Drug: Cetuximab; Radiation: Radiation Therapy |
| Arm B: RT alone or RT in combination with cetuximab | Active comparator | Investigator's choice of RT alone or RT in combination with cetuximab. Receives: Drug: Cetuximab; Radiation: Radiation Therapy |
What is being measured
The primary outcome is the main question the study is designed to answer.
Progression-free Survival (PFS) Based on Independent Central Review (ICR)
PFS is defined as time from randomization to local-regional progression (including recurrence), distant progression, or death from any cause, whichever occurs first.
Measured: 30 months following first randomized participant
Secondary outcomes (10)
Overall Survival (OS)
Time from randomization to death from any cause.
Measured: 48 months following first randomized participant
Local-regional control
Time to local regional progression: time from randomization to local-regional progression (including recurrence) or death, whichever occurs first.
Measured: 48 months following first randomized participant
Distant control
Time to distant progression: time from randomization to distant progression or death, whichever occurs first.
Measured: 48 months following first randomized participant
Quality of Life over time - QLQ H&N35
Change from baseline over time in symptoms, function, and health related QOL using the European organisation for research and treatment of cancer (EORTC) questionnaire-head and neck cancer module (QLQ H\&N35).
Measured: 48 months following first randomized participant
Quality of Life over time - EQ 5D 5L
Change from baseline over time in symptoms, function, and health related QOL using the 5 level EuroQol 5 dimension (EQ 5D 5L) instrument.
Measured: 48 months following first randomized participant
Safety across duration of study - AEs
Adverse events (AEs).
Measured: 48 months following first randomized participant
Objective Response Rate (ORR)
Rate of complete response (CR)+partial response (PR) [RESIST 1.1].
Measured: 48 months following first randomized participant
Duration of Overall Response
Time from CR or PR to progression of disease, unequivocal clinical progression, or death, whichever occurs first.
Measured: 48 months following first randomized participant
Head and Neck Cancer Specific Event-Free Survival
Time from randomization to loco regional progression (including recurrence), distant progression, or head and neck cancer related death, as per RECIST 1.1, whichever occurs first.
Measured: 48 months following first randomized participant
Head and Neck Cancer-Specific Survival
Time from randomization to head and neck cancer-related death.
Measured: 48 months following first randomized participant
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted19 May 2021
- Study start10 Dec 2021
- Primary completion30 Jun 2028 (estimated)
- Study completion30 Jun 2028 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Carcinoma, Squamous CellStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 500 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Johnson & Johnson Enterprise Innovation Inc.
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Johnson & Johnson Enterprise Innovation Inc Clinical trial, Study director, Johnson & Johnson Enterprise Innovation Inc.
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT04892173
- Sponsor's protocol ID
- NANORAY-312
- Other IDs
- NANORAY-312, 2024-520386-31-00
- Status last verified
- Nov 2026
- First submitted
- 4 May 2021
- Last updated
- 3 Nov 2026
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- No
Publications
Le Tourneau C, Takacsi-Nagy Z, Nuyts S, Thureau S, Liu F, Hoffmann C, Hackman TG, Lesnik M, Debard A, Finzi L, Devisetty K, Vivar OI, Farber LA, Nguyen F, Liem X, Natelauri E, Psyrri A, Burian M, Yu J, Yom SS. Nanoray-312: phase III study of NBTXR3 + radiotherapy +/- cetuximab in elderly, platinum-ineligible locally advanced HNSCC. Future Oncol. 2025 May;21(12):1489-1499. doi: 10.1080/14796694.2025.2496131. Epub 2025 May 5.
PubMed 40323213
Study at a glance
From the registry record, last updated by the sponsor on 3 Nov 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 3 Study of NBTXR3 Activated by Investigator's Choice of Radiotherapy Alone or Radiotherapy in Combination With Cetuximab for Platinum-based Chemotherapy-Ineligible Elderly Patients With Locally Advanced Head & Neck Squamous Cell Carcinoma
- ClinicalTrials.gov ID
- NCT04892173
- Acronym / sponsor ID
- NANORAY-312
- Conditions
- Carcinoma, Squamous Cell
- Keywords
- LA-HNSCC, NBTXR3, hafnium oxide, radioenhancer, Radiotherapy, RT, HNSCC, radiation therapy
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Recruiting
- Enrolment
- 500 participants (estimated)
- Lead sponsor
- Johnson & Johnson Enterprise Innovation Inc.Industry (pharma, biotech, devices)
- Study start
- 10 Dec 2021 (actual)
- Primary completion
- 30 Jun 2028 (estimated)
- Study completion
- 30 Jun 2028 (estimated)
- First posted
- 19 May 2021 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
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).
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Arm A: JNJ-90301900 (NBTXR3) | Experimental | Drug: JNJ-90301900 (NBTXR3), Drug: Cetuximab, Radiation: Radiation TherapyJNJ-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. |
| Arm B: RT alone or RT in combination with cetuximab | Active comparator | Drug: Cetuximab, Radiation: Radiation TherapyInvestigator's choice of RT alone or RT in combination with cetuximab. |
Who may qualify
- Ages
- 60 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (12 listed)
- 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):
Key exclusion criteria (5 listed)
- 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
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| JNJ-90301900 (NBTXR3)Also: Functionalized hafnium oxide nanoparticles, NBTXR3Suspension of inert, crystalline hafnium oxide particles, designed to generate oxygen free radicals to destroy cancer cells after activation by ionizing radiation. | Drug | Arm A: JNJ-90301900 (NBTXR3) |
| CetuximabAlso: ErbituxSolution for infusion | Drug | Arm A: JNJ-90301900 (NBTXR3), Arm B: RT alone or RT in combination with cetuximab |
| Radiation TherapyIntensity-modulated radiation therapy (IMRT): 70 Gray in 35 fractions over a 7-week period. | Radiation | Arm A: JNJ-90301900 (NBTXR3), Arm B: RT alone or RT in combination with cetuximab |
Primary outcome
Progression-free Survival (PFS) Based on Independent Central Review (ICR)
Time frame: 30 months following first randomized participant
PFS is defined as time from randomization to local-regional progression (including recurrence), distant progression, or death from any cause, whichever occurs first.
10 secondary outcomes
Overall Survival (OS)
Time frame: 48 months following first randomized participant
Local-regional control
Time frame: 48 months following first randomized participant
Distant control
Time frame: 48 months following first randomized participant
Quality of Life over time - QLQ H&N35
Time frame: 48 months following first randomized participant
Quality of Life over time - EQ 5D 5L
Time frame: 48 months following first randomized participant
Safety across duration of study - AEs
Time frame: 48 months following first randomized participant
Objective Response Rate (ORR)
Time frame: 48 months following first randomized participant
Duration of Overall Response
Time frame: 48 months following first randomized participant
Head and Neck Cancer Specific Event-Free Survival
Time frame: 48 months following first randomized participant
Head and Neck Cancer-Specific Survival
Time frame: 48 months following first randomized participant
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 3 Nov 2026.
- Derived from this study: PubMed 40323213Le Tourneau C, Takacsi-Nagy Z, Nuyts S, Thureau S, Liu F, Hoffmann C, Hackman TG, Lesnik M, Debard A, Finzi L, Devisetty K, Vivar OI, Farber LA, Nguyen F, Liem X, Natelauri E, Psyrri A, Burian M, Yu J, Yom SS. Nanoray-312: phase III study of NBTXR3 + radiotherapy +/- cetuximab in elderly, platinum-ineligible locally advanced HNSCC. Future Oncol. 2025 May;21(12):1489-1499. doi: 10.1080/14796694.2025.2496131. Epub 2025 May 5.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part.
Johnson & Johnson Enterprise Innovation Inc Clinical trial study director
Johnson & Johnson Enterprise Innovation Inc.
196 sites in 27 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing JNJ-90301900 (NBTXR3), Cetuximab and Radiation Therapy in people with Carcinoma, Squamous Cell, run by Johnson & Johnson Enterprise Innovation Inc. at 196 sites in 27 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 12 inclusion and 5 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: looking for participants now, as of the sponsor's last update on 3 Nov 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 196 sites in China, United States, Spain, France, Brazil and 22 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
Contact Study Contact (844-434-4210, Participate-In-This-Study1@its.jnj.com), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Progression-free Survival (PFS) Based on Independent Central Review (ICR) (time frame: 30 months following first randomized participant). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT04892173, which also lists 1 linked publication.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 3 Nov 2026.