Evaluating TG4050 for head and neck cancer treatment

A Randomized Phase I/II Trial in Patients With Newly Diagnosed, Locoregionally Advanced Squamous Cell Carcinoma of the Head and Neck (SCCHN) Evaluating a Mutanome-directed Immunotherapy.

Phase1; Phase2 Interventional Transgene · NCT04183166

This study is testing a new treatment called TG4050 to see if it can help people with advanced head and neck cancer feel better and respond well to surgery.

Quick facts

PhasePhase1; Phase2
Study typeInterventional
Enrollment80 (estimated)
Ages18 Years and up
SexAll
SponsorTransgene Industry-sponsored
Locations14 sites (Jacksonville, Florida and 13 other locations)
Trial IDNCT04183166 on ClinicalTrials.gov

What this trial studies

This multicenter, open-label, randomized phase I/II clinical trial is designed to assess the safety, tolerability, and preliminary efficacy of TG4050 in patients diagnosed with squamous cell carcinoma of the head and neck. The study will involve two arms and will focus on patients who are newly diagnosed with stage III or IV cancer that is amenable to surgical intervention. Participants will be monitored for their response to the treatment and any associated side effects throughout the trial.

Who should consider this trial

Good fit: Ideal candidates for this study are adults aged 18 and older with newly diagnosed stage III or IV squamous cell carcinoma of the oral cavity, oropharynx, hypopharynx, or larynx who are eligible for surgery.

Not a fit: Patients with other types of head and neck cancers or those who have previously received certain anti-cancer treatments may not benefit from this study.

Why it matters

Potential benefit: If successful, this treatment could provide a new therapeutic option for patients with advanced head and neck cancer.

How similar studies have performed: While this approach is novel, similar studies evaluating immunotherapies in head and neck cancers have shown promising results.

Eligibility criteria

Show full inclusion / exclusion criteria
Inclusion Criteria:

1. Signed written informed consent
2. Newly diagnosed stage III or IV, amenable to surgery (AJCC 8th edition) squamous-cell carcinoma of the oral cavity, oropharynx, hypopharynx or larynx
3. Female or male patients, aged at least 18 years
4. Patients in Complete Response after treatment of their primary tumor.
5. Eastern Cooperative Oncology Group (ECOG) performance status (PS) of 0 or 1.
6. Adequate hematological, hepatic and renal functions

Exclusion Criteria:

1. Patients with carcinoma of the nasopharynx, squamous cell-carcinoma of unknown primary, squamous cell carcinoma that originates from the skin and salivary gland or paranasal sinus, non-squamous histologies.
2. Prior exposure to anti-cancer vaccines and any antibody targeting T-cell co-regulatory proteins such as anti-PD1, anti-PDL1 or anti-CTLA4 antibodies.
3. Other active malignancy requiring concurrent systemic intervention.
4. Patients with previous malignancies other than the target malignancy to be investigated in this trial
5. Known history of positive testing for Human Immunodeficiency Virus (HIV) or known Acquired Immune Deficiency Syndrome (AIDS)
6. Clinical or laboratory history or evidence of Hepatitis C Virus (HCV) or Hepatitis B Virus (HBV) indicating acute or chronic infection
7. Pregnant or nursing (lactating) women, where pregnancy is defined as the state of a female after conception and until the termination of gestation, confirmed by a positive hCG laboratory test (\> 10 mIU/mL)
8. Treatment with another investigational agent since the beginning of the screening period
9. Uncontrolled intercurrent illness

Where this trial is running

Jacksonville, Florida and 13 other locations

Study contacts

How to participate

  1. Review the eligibility criteria above with your treating physician.
  2. Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
  3. Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.
Conditions Squamous Cell Carcinoma of Head and Neck
Last reviewed 2026-06-13 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.