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Head and Neck CancerPhase 1NCT07501650

Pembrolizumab Plus Ultrasound-Induced Microbubble Cavitation in Head and Neck Cancer

A Phase 1 study testing Pembrolizumab, Definity and Ultrasound-Induced Microbubble Cavitation in people with Head and Neck Cancer and Head and Neck Small Cell Carcinoma, run by Thomas Jefferson University at 1 site in United States.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
Search all trials

Trial summary

This is a feasibility trial studying anti-PD-1 therapy (Pembrolizumab) among patients with R/M HNSCC, delivered with ultrasound-induced microbubble cavitation, with the goal of optimizing delivery of Pembrolizumab and tumor response to Pembrolizumab. Read more about this study

Who is it for?
Ages 18 years and older
What is being tested?
Pembrolizumab, Definity and Ultrasound-Induced Microbubble Cavitation
Could I receive a placebo?
No, everyone receives an active treatment
How many people
6 participants
Where
1 siteUnited States
Study dates
18 Mar 2026to Mar 2028
Phase
Phase 1
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 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Individuals must meet all of the following inclusion criteria in order to be eligible to participate in the study:
  • Pathologically confirmed, HPV-negative, R/M HNSCC per American Joint Committee on Cancer (AJCC) 8th Edition Staging Criteria, with CPS score > 1
  • The target lesion is ultrasound-accessible, biopsy-accessible, and measurable in at least one dimension, based on RECISTv1.1 criteria.
  • Male or female, aged ≥18 years of age
  • ECOG Performance status 0-2.
  • Must have a life expectancy of at least 6 months as judged by the treating physician.
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  • Adequate organ function:
  • Absolute neutrophil count 1500/μl or more;
  • Platelets 100,000/μl or more,
  • Hemoglobin 8 g/dl or more;
  • Bilirubin less than or equal to 1.5 x the upper limit of normal (except subjects with Gilbert syndrome, who can have total bilirubin <3 mg/dl);
  • AST and ALT less than or equal to 2.5x the upper limit of normal
  • Women of reproductive potential should have a negative serum or urine pregnancy test (minimum sensitivity 25 IU/L or equivalent units of HCG), which must also be confirmed as negative within 28 days of the start of study drugs.
  • Women of reproductive potential must use highly effective contraception methods to avoid pregnancy for 90 days after the last dose of study drugs. "Women of reproductive potential" is defined as any female who has experienced menarche and who has not undergone surgical sterilization (hysterectomy, tubal ligation, or bilateral oophorectomy) or who is not postmenopausal. Menopause is defined clinically as 12 months of amenorrhea in a woman over 45 in the absence of other biological or physiological causes. In addition, women under the age of 55 must have a documented serum follicle stimulating hormone (FSH) level less than 40 mIU/mL.
  • Men of reproductive potential who are sexually active with women of reproductive potential must use any contraceptive method with a failure rate of less than 1% per year. Men who are receiving the study medications will be instructed to adhere to contraception for 90 days after the last dose of study drugs. Men who are azoospermic do not require contraception.
  • Informed Consent: All subjects must be able to comprehend and sign a written informed consent document.

Who cannot join

  • An individual who meets any of the following criteria will be excluded from participation in this study:
  • Patients with HPV-positive or p16-positive SCC
  • Prior treatment with an anti-PD-1, anti-PD-L1, anti-PD-L2, anti-CD137, or antiCTLA-4 antibody
  • Any history of allergy to the study drug components, including to polyethyleneglycol or medications containing polyethylene glycol.
  • Patients with the following cardiac conditions or history:
  • Patients with a known history of anatomic right-to-left, bi-directional, or transient right-to-left cardiac shunts
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  • Patients with NYHA class III or greater heart failure, unstable anginal syndrome, or experiencing active chest pain.
  • Uncontrolled arterial hypertension (defined as systolic blood pressure ≥ 200 mmHg or diastolic blood pressure ≥ 110 mmHg) or arterial hypotension (defined as systolic blood pressure ≤ 90 mmHg)
  • Patients who have experienced a STEMI or NSTEMI within the last 6 months
  • QTc >500 as determined by Fridericia correction
  • Patients with a history of ventricular arrhythmia that has not been corrected by placement of a PPM or ICD
  • Any concurrent malignancies: exceptions include- cutaneous basal cell carcinoma, chronic lymphocytic leukemia, melanoma in situ, squamous cell carcinoma of the skin of a secondary location, superficial bladder cancer or in situ cervical cancer that has undergone potentially curative therapy. Patients with a history of other prior malignancy must have been treated with curative intent and must have remained disease-free for 2 years post-diagnosis.
  • Any unresolved toxicity CTCAEv5.0 Grade ≥2 from previous anticancer therapy with the exception of alopecia, vitiligo, and the laboratory values defined in the inclusion criteria. Patients with Grade ≥2 neuropathy will be evaluated on a caseby-case basis after consultation with the Study Physician. Patients with irreversible toxicity not reasonably expected to be exacerbated by treatment with anti-PD-1 therapy may be included only after consultation with the Study Physician.
  • Any subjects with a condition requiring systemic treatment with either corticosteroids (> 10 mg daily prednisone equivalents) or other immunosuppressive medications within 28 days of study drug administration., or a prior history of allogenic organ transplantation.
  • Any active autoimmune disease that has required systemic treatment in the past 2 years (i.e., with use of disease modifying agents, corticosteroids, or immunosuppressive drugs). Replacement therapy (e.g., thyroxine, insulin, or physiologic corticosteroid replacement therapy for adrenal or pituitary insufficiency, etc.) is not considered a form of systemic treatment.
  • Patients must not be receiving any other investigational agents; must not have participated in a study of an investigational agent or be using an investigational device within 4 weeks of the first dose of Pembrolizumab plus Definity.
  • Receipt of a live attenuated vaccine within 30 days prior to the first dose of drug on trial.
  • Uncontrolled intercurrent illness, including but not limited to, ongoing or active infection, symptomatic congestive heart failure, uncontrolled hypertension, unstable angina pectoris, cardiac arrhythmia, interstitial lung disease, serious chronic gastrointestinal conditions associated with diarrhea, or psychiatric illness/social situations that would limit compliance with study requirement, substantially increase risk of incurring AEs or compromise the ability of the patient to give written informed consent.
  • Patients must not be pregnant or breastfeeding.
  • Active infection including tuberculosis (clinical evaluation that includes clinical history, physical examination and radiographic findings, and TB testing in line with local practice), hepatitis B (known positive HBV surface antigen (HBsAg) result), hepatitis C, or human immunodeficiency virus (positive HIV 1/2 antibodies). Patients with a past or resolved HBV infection (defined as the presence of hepatitis B core antibody [anti-HBc]and absence of HBsAg) are eligible. Patients positive for hepatitis C (HCV) antibody are eligible only if polymerase chain reaction is negative for HCVRNA.
  • Any untreated metastasis(es) to the brain that may be considered active.
  • History of pneumonitis within the past 5 years.

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

Site Public Contact contact

215-600-9151

ONCTrialNow@jefferson.edu

United States1 site, 1 recruiting
  • Sidney Kimmel Comprehensive Cancer Center at Thomas Jefferson University

    Philadelphia, Pennsylvania, 19107

    Joseph Curry, MD, 215-600-9151, ONCTrialNow@jefferson.edu

    Recruiting

Other trials in United States

About this study

Official title: Feasibility Trial of Pembrolizumab Plus Ultrasound-Induced Microbubble Cavitation in Recurrent or Metastatic Head and Neck Squamous Cell Carcinoma

This is a feasibility trial studying anti-PD-1 therapy (Pembrolizumab) among patients with R/M HNSCC, delivered with ultrasound-induced microbubble cavitation, with the goal of optimizing delivery of Pembrolizumab and tumor response to Pembrolizumab. Patients will undergo 3 infusions of Pembrolizumab plus Definity 3 weeks apart. Following each infusion, ultrasound will be directed at the primary tumor site to induce microbubble cavitation, with the goal of tumor sonoporation. The primary endpoints will be feasibility, measured based on successful recruitment of 6 participants within 1 year of initiating recruitment, with successful completion of trial procedures among at least 80 percent of patients. Secondary endpoints will include proportion of serious adverse events, clinical/radiographic response, overall survival, and progression-free survival.

Read the detailed description

The proposed study is a feasibility trial of Pembrolizumab plus Definity Perflutren Lipid Microsphere (Lantheus Medical Imaging), followed by ultrasound-induced microbubble cavitation (UC), which will target patients with R/M HNSCC, for which Pembrolizumab is already indicated as standard of care treatment. Patients will undergo up to 3 cycles of therapy. Participants may continue study treatment for up to 3 cycles, 3 weeks apart, from the time of initiating treatment, with 3-month safety follow-up.

Participant characteristics and endpoints will be summarized through appropriate descriptive statistics-the mean and standard deviation (or median and interquartile range, if appropriate) for continuous variables, and frequency counts and percentages for categorical variables.

Primary Analysis Among all patients enrolled, feasibility will be assessed, defined as enrollment of 6 participants within 1 year of study initiation, and completion of all trial procedures, including 3 cycles of PD treatment and follow-up visits, among at least 80 percent of enrolled patients.

Recruitment feasibility (primary objective secondary endpoint) will be assessed as the number of participants enrolled during the first 12 months from site activation. Success is defined as 6 participants enrolled within this window. The investigators will summarize the 6-month enrollment count and accrual rate descriptively. Protocol completion feasibility (primary objective primary endpoint) will be assessed as the proportion of enrolled participants who complete all pre-specified trial procedures (all scheduled visits/assessments through end-of-treatment and the primary follow-up time point). The denominator is all enrolled participants. Unknown or missing completion status will be counted as not complete. Success is defined as at least 80 percent completion. The investigators will report the completion proportion with 95 percent exact binomial (Clopper-Pearson) confidence intervals.

Secondary Analysis Assessment of the following secondary metrics is anticipated using descriptive statistics; no hypothesis tests are planned. Where applicable, 95% exact binomial CIs (Clopper-Pearson) will be provided for proportions.

  • Proportion of serious adverse events (according to CTCAEv5.0)
  • Objective Response Rate (Clinical/Radiographic Response)
  • Progression Free Survival
  • Overall Survival

Exploratory/Correlative Analysis/Assessments Assessment of the following correlative metrics through descriptive statistics is anticipated. No hypothesis tests are planned.

  • IHC measures of the prevalence of intratumoral immune cell populations including but not limited to CD8, CD45, FoxP3, PD-L1
  • IHC-based measures of myeloid lineage differentiation markers:CD3, CD4, CD8, CD11b, CD11c, CD14, CD33, CD163, CD204, and HLA-DR, also analyzed with flow cytometry
  • Luminex panel of inflammatory markers with the Milliplex MAP Human Cytokine/chemokine kit
  • Variant files (VCFs) including point mutations, insertions, and deletions, as well as HLA-type, identified from whole exome sequencing
  • Epitope analysis of neoantigens and HLA typing using RNAseq
  • Spatially-resolved, digital quantitation of mRNA using Nanostring GeoMx DSP
  • Quantitative-CEUS parameters collected during treatment infusion, correlated with treatment efficacy and TME parameters

Interim Analyses and Stopping Rules The study will be discontinued if there are more than 2 "study-limiting adverse events" at any point during the trial, with a "study-limiting adverse event" being defined as any grade 3 or higher cardiac, endocrine, or immunologic adverse event, or any grade 4 or higher adverse event.

Being tested
Pembrolizumab, Definity, Ultrasound-Induced Microbubble Cavitation
Keywords
Recurrent, Pembrolizumab, Pembro, Microbubble, Cavitation
Medical subject headings
Head and Neck Neoplasms, Recurrence

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • PembrolizumabDrug

    Also called Keytruda

    Pembrolizumab will be administered intravenously at a dose of 200 mg every 3 weeks for up to 3 cycles

  • DefinityDrug

    Also called Definity RT, perflutren lipid microsphere

    Definity will be administered intravenously during each treatment cycle to facilitate ultrasound-induced microbubble cavitation.

  • Ultrasound-Induced Microbubble CavitationDevice

    Also called Therapeutic Ultrasound

    Therapeutic Ultrasound will be applied to the tumor site during and following the Definity infusion to induce microbubble cavitation using modified ultrasound parameters.

Study groups in NCT07501650
Study groupRoleWhat they receive
Arm 1: Pembro + Ultrasound-Induced Microbubble CavitationExperimentalTreatment will be administered on an outpatient basis. 200 mg Pembrolizumab + 3 mL Definity infusions will be administered by nurses at Thomas Jefferson University every 3 weeks for up to 3 cycles. The first cycle will take 60 minutes, while the subsequent infusions should take half an hour to complete.
Receives: Drug: Pembrolizumab; Drug: Definity; Device: Ultrasound-Induced Microbubble Cavitation

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Number of Participants who complete all planned treatment cycles

    The number of participants who completed trial procedures among at least 80 percent of patients, among patients with recurrent or metastatic head and neck squamous cell carcinoma.

    Measured: Up to 9 weeks

Secondary outcomes (5)
  1. Number of Treatment-Related Adverse Events (TRAEs)

    Number of adverse events related to study treatment, assessed using the National Cancer Institute Common Terminology Criteria for Adverse Events (CTCAE) v5.0.

    Measured: Up to 6 months post-treatment

  2. Objective Response Rate using RECIST v1.1

    Objective Response Rate (ORR) will be assessed using Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0). The number of participants who achieve a Complete Response (CR)-disappearance of all target lesions, Partial Response (PR)-at least a 30% reduction in tumor size from baseline, Progressive Disease (PD)--At least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum on study, and Stable Disease (SD)--Neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD, will be reported. ORR measured using the RECISTv1.1 criteria or assessment of clinical and pathologic response.

    Measured: Up to 3 months after last treatment

  3. Overall Survival

    Time from treatment start until death from any cause.

    Measured: 90 days after last dose

  4. Disease-Free Survival

    Time from treatment start until recurrence of disease or death from any cause, whichever occurs first.

    Measured: 90 days after last dose

  5. Progression-Free Survival

    Progression is defined using Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0), as a 20% increase in the sum of the longest diameter of target lesions, or a measurable increase in a non-target lesion, or the appearance of new lesions

    Measured: 90 days after last dose

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted30 Mar 2026
  2. Study start18 Mar 2026
  3. Primary completionMar 2027 (estimated)
  4. Study completionMar 2028 (estimated)

Resources

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 1
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
6 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07501650
Sponsor's protocol ID
iRISID-2025-0984
Other IDs
JT 45752
Status last verified
Oct 2026
First submitted
24 Mar 2026
Last updated
28 Oct 2026
Results posted
No
FDA-regulated drug
Yes
FDA-regulated device
Yes

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing Pembrolizumab, Definity and Ultrasound-Induced Microbubble Cavitation in people with Head and Neck Cancer and Head and Neck Small Cell Carcinoma, run by Thomas Jefferson University at 1 site in United States.

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 16 inclusion and 22 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 28 Oct 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in United States. 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 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

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 Site Public Contact (215-600-9151, ONCTrialNow@jefferson.edu), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Number of Participants who complete all planned treatment cycles (time frame: Up to 9 weeks). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 28 Oct 2026; AzTrials last refreshed its copy on 8 Nov 2026.

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