Evidence map›Paper›PMID 40424564›Full record

Trial reportJournal of clinical oncology : official journal of the American Society of Clinical Oncology2025

Randomized Phase II Study of Concurrent Versus Sequential Pembrolizumab in Combination With Chemoradiation in Locally Advanced Head and Neck Cancer.

Dan P Zandberg, Lazar Vujanovic, David A Clump, Brian P Isett, Hong Wang, Gabriel Sica, Riyue Bao, Housayin Li, James Ohr, Heath D Skinner and 4 more

Abstract readClinical Trial, Phase IIRandomized Controlled TrialComparative Study
In one paragraph

Trial report in Journal of clinical oncology : official journal of the American Society of Clinical Oncology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed.

  1. Trial
  2. Trial
  3. Article
  4. Review
  5. Review
  6. Review
  7. RAPTOR Silencing Inhibits Head and Neck Squamous Cell Carcinoma Progression via Regulation of S100A8/A9 and Urokinase Plasminogen Activator.Medical science monitor : international medical journal of experimental and clinical research · 2026
    Article
  8. Article
  9. Review
  10. Review
  11. Article
  12. Review
  13. Timing matters: concurrentTranslational cancer research · 2026
    Article
  14. CD4Journal for immunotherapy of cancer · 2026
    Article
  15. Noncomparative Comparisons: The Paradox of Randomized Noncomparative Trials.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2026
    Article
  16. Facts and Hopes in Radioimmunotherapy for Localized Stages of Cancer.Clinical cancer research : an official journal of the American Association for Cancer Research · 2026
    Review
  17. Article
  18. Review
  19. Review
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

14 authors.

Dan P ZandbergUPMC Hillman Cancer Center, Pittsburgh, PA.ORCID 0000-0002-1002-8301
Lazar VujanovicUPMC Hillman Cancer Center, Pittsburgh, PA.ORCID 0000-0003-1729-8619
David A ClumpDepartment of Radiation Oncology, West Virginia University, Morgantown, WV.
Brian P IsettUPMC Hillman Cancer Center, Pittsburgh, PA.ORCID 0000-0002-1581-0706
Hong WangUPMC Hillman Cancer Center, Pittsburgh, PA.
Gabriel SicaUPMC Hillman Cancer Center, Pittsburgh, PA.
Riyue BaoUPMC Hillman Cancer Center, Pittsburgh, PA.ORCID 0000-0002-6105-1704
Housayin LiMolecular Genetics and Developmental Biology Graduate Program, University of Pittsburgh, Pittsburgh, PA.
James OhrUPMC Hillman Cancer Center, Pittsburgh, PA.ORCID 0000-0002-7037-6404
Heath D SkinnerUPMC Hillman Cancer Center, Pittsburgh, PA.
Raja R SeethalaUPMC Hillman Cancer Center, Pittsburgh, PA.ORCID 0000-0003-3617-075X
Simion I ChioseaUPMC Hillman Cancer Center, Pittsburgh, PA.
Robert L FerrisUNC Lineberger Comprehensive Cancer Center, Chapel Hill, NC.ORCID 0000-0001-6605-2071
Julie E BaumanGW Cancer Center, The George Washington University School of Medicine and Health Sciences, Washington, DC.ORCID 0000-0002-1398-6636

Funding

VECTOR CORE FACILITYP30CA047904 · NCI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI CHRISTOPHER J. BAKKENIST · 1988 to 2026
$158.0M
WILD TYPE P53-BASED ADJUVANT IMMUNOTHERAPY FOR SCCHNP50CA097190 · NCI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI Heath Devin Skinner · 2004 to 2026
$49.6M
Identifying cellular and molecular signatures from distinct T cell receptor clonotypes associated with favorable immune checkpoint inhibitor responses in HNSCCsR01DE031947 · NIDCR · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Robert L. Ferris, Lazar Vujanovic · 2022 to 2026
$3.6M
Immune Exclusion in Cancer ImmunotherapyR01DE031729 · NIDCR · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI Riyue Bao, Dan Paul Zandberg · 2022 to 2026
$3.0M
Mechanistic connection between HPV-specific TCRs and therapeutic responses to ICI in HPV+ HNSCCR01CA282074 · NCI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI Robert L. Ferris, Jing Hong Wang · 2024 to 2026
$2.0M
High-Throughput Computing for Genomics and Bioinformatics ResearchS10OD028483 · OD · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI LEE, ADRIAN V · 2021 to 2021
$574k
NCI NIH HHS P30 CA047904NCI NIH HHS P50 CA097190NCI NIH HHS R01 CA282074NIDCR NIH HHS R01 DE031729NIDCR NIH HHS R01 DE031947NIH HHS S10 OD028483
6 · The paper itself

Abstract

purposeThe optimal timing of pembrolizumab with chemoradiation (CRT) in locally advanced (LA) head and neck squamous cell carcinoma (HNSCC) is unknown. PATIENTS AND

methodsOur phase II trial randomly assigned patients 1:1 to concurrent pembrolizumab (200 mg once every 3 weeks × 8) starting 1 week before CRT (cisplatin 40 mg/m

resultsTreated patients (41 concurrent and 39 sequential) were 71% oropharynx (53% HPV+), 92.5% stage IV (46% T4, 76% N2), similar by arm. Both arms met the trivariate primary end point, with superior 1-year PFS in the sequential arm (84%

conclusionCRT with sequential pembrolizumab met criteria for further study. Immunosuppressive changes in the TME differed between arms, reflecting the impact of one dose of pembrolizumab in the concurrent arm.

Indexed as

Antibodies, Monoclonal, HumanizedAntineoplastic Agents, ImmunologicalChemoradiotherapyHead and Neck NeoplasmsSquamous Cell Carcinoma of Head and NeckAdultAgedCisplatinFemaleHumansMaleMiddle AgedProgression-Free SurvivalAntibodies, Monoclonal, HumanizedAntineoplastic Agents, ImmunologicalCisplatinpembrolizumab

Identifiers

PMID40424564
PMCPMC12316147

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.