Evidence map›Paper›PMID 42615600›Full record

ArticleClinical cancer research : an official journal of the American Association for Cancer Research2026

Danvatirsen plus pembrolizumab versus pembrolizumab for recurrent and/or metastatic head and neck squamous cell carcinoma (PEMDA-HN): a randomized, phase 2 trial.

Nabil F Saba, Marshall Posner, Kevin Harrington, Prakash Neupane, Rod Rezaee, Pablo Nenclares, Antonio Jimeno, Andrew E Denker, Susan MacIntyre, Lukas Makris and 1 more

Registry-linked trialAbstract read
In one paragraph

Article in Clinical cancer research : an official journal of the American Association for Cancer Research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05814666 (An Open-Label, Phase II, Randomized, Controlled Study of Danvatirsen Plus Pembrolizumab Compared to Pembrolizumab Alone in Recurrent or Metastatic Head and Neck Squamous Cell Carcinoma), which is not on this map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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.

NCT05814666 phase2terminatednot on this map

An Open-Label, Phase II, Randomized, Controlled Study of Danvatirsen Plus Pembrolizumab Compared to Pembrolizumab Alone in Recurrent or Metastatic Head and Neck Squamous Cell Carcinoma (HNSCC)

TypeinterventionalSponsorFlamingo Therapeutics NVRan2023 to 2025Enrolled69ConditionsHNSCCArmsDanvatirsen, Pembrolizumab
3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Nabil F SabaEmory University Atlanta United States.ORCID 0000-0003-4972-1477
Marshall PosnerTampa General Hospital/Cancer Center of South Florida Palm Springs, FL United States.ORCID 0000-0003-1912-3281
Kevin HarringtonInstitute of Cancer Research London United Kingdom.ORCID 0000-0002-6014-348X
Prakash NeupaneUniversity of Kansas Medical Center United States.ORCID 0000-0002-7831-6705
Rod Rezaeeuniversity hospitals cleveland Cleveland, Ohio United States.ORCID 0000-0002-2978-6153
Pablo NenclaresInstitute of Cancer Research London United Kingdom.ORCID 0000-0002-1750-3179
Antonio JimenoUniversity of Colorado Anschutz Medical Campus Aurora, CO United States.ORCID 0000-0001-8560-0440
Andrew E DenkerFLamingo Therapeutics United States.ORCID 0000-0001-5929-2472
Susan MacIntyreFlamingo Therapeutics United States.ORCID 0009-0005-9486-3863
Lukas MakrisStathmi New Hope, Pennsylvania United States.ORCID 0000-0001-6963-0105
Deborah WongUniversity of California, Los Angeles Los Angeles, CA United States.ORCID 0000-0002-7811-7247

Funding

Treating recurrent HNSCC with radiation and dual TGF-Beta/PD-L1.P50CA261605 · NCI · UNIVERSITY OF COLORADO DENVER · PI LUCIA, M. SCOTT · 2021 to 2025
$10.1M
Translational and Clinical Trial Correlates CoreU54CA274513 · NCI · CLEVELAND CLINIC LERNER COM-CWRU · PI Shilpa Gupta · 2022 to 2026
$9.3M
Winship National Clinical Trials Network Lead Academic Participating SiteUG1CA233247 · NCI · EMORY UNIVERSITY · PI Ashesh Jani, NABIL F SABA · 2019 to 2026
$6.0M
Targeting PD-L1 interactome signaling to enhance immunotherapy efficacy in head and neck squamous cell cancerR01CA149456 · NCI · UNIVERSITY OF COLORADO DENVER · PI Antonio Jimeno · 2010 to 2026
$5.6M
Development of an autologous humanized model of melanoma exploring human thymic education capacityR01CA213102 · NCI · UNIVERSITY OF COLORADO DENVER · PI JIMENO, ANTONIO · 2017 to 2019
$1.7M
NCI NIH HHS P50 CA261605NCI NIH HHS R01 CA149456NCI NIH HHS R01 CA213102NCI NIH HHS U54 CA274513NCI NIH HHS UG1 CA233247
6 · The paper itself

Abstract

purposeSTAT3 is important in promoting a pro-oncogenic tumor microenvironment. This first randomized trial of a STAT3-targeting ASO with pembrolizumab assessed whether this first-line combination would improve outcomes compared with pembrolizumab alone in recurrent/metastatic (R/M) head and neck squamous cell carcinoma (HNSCC). PATIENTS AND

methodsThis multicenter, randomized, open-label, controlled study (NCT05814666) enrolled patients with previously untreated R/M-HNSCC with positive PD-L1 expression (combined positive score [CPS] ≥1). Patients were stratified by CPS (1-19; ≥20) and randomized 2:1 to danvatirsen 3mg/kg IV weekly (with 2 loading doses in week 1) plus pembrolizumab 200mg IV every 3 weeks or pembrolizumab alone. Patients received 21-day treatment cycles until progressive disease, unacceptable toxicity, or voluntary withdrawal. Primary endpoint was overall response rate (ORR: partial + complete response per RECIST-v1.1).

results69 patients were randomized and 66 treated (51 [77.3%] male), 45 with danvatirsen + pembrolizumab, 21 with pembrolizumab alone. Enrolment was stopped due to lack of response in the CPS 1-19 cohort after ≥1 scan (~6 weeks of treatment) and in the CPS ≥20 cohort after ≥2 scans (~12 weeks). In the final analysis, ORRs were 15.6% and 14.3%, respectively (risk difference 1.3, P=1.0). The treatment-emergent adverse-event rate was increased in the combination arm (97.8% vs 85.7%), and the combination side effect profile was similar to previous danvatirsen studies.

conclusionsCombination danvatirsen + pembrolizumab did not improve ORR compared to pembrolizumab alone in first-line treatment of R/M-HNSCC. Further exploration of STAT3-targeted approaches is needed within the context of immunotherapy.

Identifiers

PMID42615600
PMCPMC13587743

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