Clinical trial · Interventional
TRYHARD: Radiation Therapy Plus Cisplatin With or Without Lapatinib in Treating Patients With Head and Neck Cancer.
TRYHARD: A Phase II, Randomized, Double Blind, Placebo-Controlled Study of Lapatinib (Tykerb®) for Non-HPV Locally Advanced Head and Neck Cancer With Concurrent Chemoradiation
NCT01711658CI-TRIAL-00070555TRYHARDcompletedPhase 2Results postedClinicalTrials.gov clinicaltrialsProvenance
- Source
- ClinicalTrials.gov
- Retrieved
- Sep 8, 2026
- Layer
- normalized (units and labels harmonized; values unchanged)
- Run
- ING-CLINICALTRIALS-20260908-000001
Summary
Brief summary (as posted)
PURPOSE: This trial is studying if and how well lapatinib adds to the effectiveness of radiation therapy plus cisplatin in patients who have head and neck cancer that is not related to the human papillomavirus (HPV).
Conditions
Conditions (1)
Free-text conditions as registered, with the CancerIndex entity they were reconciled to and the match type.
| Condition (as posted) | Mapped entity | Match | Confidence |
|---|---|---|---|
| Non-HPV Locally Advanced Head and Neck Cancer | Head and Neck Neoplasm | ONTOLOGY_EXACT | 0.90 |
Interventions
Interventions (4)
Design
Arms and outcomes
Arms (2)
- type
- PLACEBO_COMPARATOR
- label
- IMRT + cisplatin + placebo
- description
- Intensity Modulated Radiation Therapy (IMRT) with cisplatin and placebo
- interventionNames
- Radiation: IMRT
- Drug: Cisplatin
- Drug: placebo
- type
- ACTIVE_COMPARATOR
- label
- IMRT + cisplatin + lapatinib
- description
- IMRT with cisplatin and lapatinib
- interventionNames
- Radiation: IMRT
- Drug: Cisplatin
- Drug: Lapatinib
Primary outcomes (1)
- measure
- Percentage of Participants Alive Without Progression (Progression-free Survival)
Eligibility
Eligibility (as posted)
- Sex
- All
- Minimum age
- 18 Years
Show eligibility criteria text
Inclusion criteria: * Patients must have histologically or cytologically confirmed diagnosis (from primary lesion and/or lymph nodes) of Squamous Cell Cancer of the oropharynx, hypopharynx or larynx (For patients with oropharynx primary, the tumor must be negative for p16 by immunohistochemistry). * Patients with selected Stage III or IV disease (T2 N2-3 M0, T3-4 any N M0, T1 N2b, N2c or N3 p16 negative oropharynx cancer or T1-2 any N+ hypopharynx cancer) including no distant metastases. * History/Physical examination by a Radiation Oncologist and Medical oncologist prior to entering the study. * Examination by an ears, nose, throat (ENT) or Head \& Neck Surgeon including laryngopharyngoscopy prior to entering the study. * Patients must have a chest CT scan, or positron emission tomography (PET)/CT scan to rule out metastatic disease * Patients must have a contrast enhanced CT scan or MRI or PET/CT scan of the tumor site and neck nodes prior to entering the study. * Patients must have an EKG and echocardiogram (ECHO) or multigated acquisition (MUGA) scan prior to entering the study. * Patients must have Zubrod Performance Status of 0-1. * Patients must be ≥ 18 years of age. * Patients must have normal organ and marrow function as defined below: * Absolute neutrophil count (ANC) ≥ 1,500 cells/mm3 * Platelets ≥ 100,000 cells/mm3 * Hemoglobin ≥ 8.0 g/dl * Serum creatinine \< 1.5 mg/dl or creatinine clearance (CC) ≥ 50 ml/min * Total bilirubin \< 2 x the institutional upper limit of normal * Aspartate aminotransferase (AST) or alanine aminotransferase (ALT) ≤ 3 x the institutional upper limit of normal * Patient must have magnesium, calcium, glucose, potassium and sodium levels within normal limits * Women of childbearing potential must have a negative pregnancy test prior to registration. * Patients of reproductive potential must practice effective contraception while on study and for at least 60 calendar days following treatment. * All patients must sign an informed consent prior to enrollment. * Patients must comply with the treatment plan and follow-up schedule. Exclusion criteria: * Patients with simultaneous primaries or bilateral tumors. * Patients who have had gross total excision of the primary tumor. * Patients with initial surgical treatment, radical or modified neck dissection. * Patients who received prior systemic chemotherapy for the study cancer. * Patients who received prior radiotherapy to the region of the study cancer that would result in overlap of radiation therapy fields. * Patients with primary tumor of oral cavity, nasopharynx, sinuses or salivary glands. * Prior allergic reaction to the study drugs. * Patients who have had prior therapy that specifically and directly targets the epidermal growth factor receptor (EGFR)/human epidermal growth factor receptor 2 (HER2) pathway. * Patients who have current active hepatic or biliary disease (with exception of patients with Gilbert's syndrome, asymptomatic gallstones, or stable chronic liver disease per investigator assessment); * Pregnant women or sexually active patients not willing or able to use medically acceptable forms of contraceptive method while on treatment. * Patients with severe, active co-morbidity, defined as follows: * Uncontrolled cardiac disease, such as uncontrolled hypertension, unstable angina, and/or congestive heart failure requiring hospitalization within the last 6 months * Transmural myocardial infarction within the last 6 months * Left ventricular ejection fraction \< 45% * Acute bacterial or fungal infection requiring intravenous antibiotics at the time of registration * Chronic Obstructive Pulmonary Disease exacerbation or other respiratory illness requiring hospitalization or precluding study therapy within 30 calendar days prior to registration * Hepatic insufficiency resulting in clinical jaundice and/or Coagulation defects * Acquired Immune Deficiency Syndrome (AIDS) based upon current Centers for Disease Control and Prevention (CDC) definition
References
Publications (3)
- BACKGROUNDAng KK, Harris J, Wheeler R, Weber R, Rosenthal DI, Nguyen-Tan PF, Westra WH, Chung CH, Jordan RC, Lu C, Kim H, Axelrod R, Silverman CC, Redmond KP, Gillison ML. Human papillomavirus and survival of patients with oropharyngeal cancer. N Engl J Med. 2010 Jul 1;363(1):24-35. doi: 10.1056/NEJMoa0912217. Epub 2010 Jun 7. PMID 20530316
- BACKGROUNDHarrington K. et al. Phase II study of oral Lapatinib, a dual-tyrosine kinase inhibitor, combined with chemoradiotherapy (CRT) in patients with advanced squamous cell carcinoma of the head and neck (SCCHN). J Clin Oncol. 28:15s, 2010 suppl. Abstract 5505. GSK study 884
- DERIVEDWong SJ, Torres-Saavedra PA, Saba NF, Shenouda G, Bumpous JM, Wallace RE, Chung CH, El-Naggar AK, Gwede CK, Burtness B, Tennant PA, Dunlap NE, Redman R, Stokes WA, Rudra S, Mell LK, Sacco AG, Spencer SA, Nabell L, Yao M, Cury FL, Mitchell DL, Jones CU, Firat S, Contessa JN, Galloway T, Currey A, Harris J, Curran WJ Jr, Le QT. Radiotherapy Plus Cisplatin With or Without Lapatinib for Non-Human Papillomavirus Head and Neck Carcinoma: A Phase 2 Randomized Clinical Trial. JAMA Oncol. 2023 Nov 1;9(11):1565-1573. doi: 10.1001/jamaoncol.2023.3809. PMID 37768670