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Monalizumab

Phase 3

Squamous Cell Carcinoma of the Head and Neck | Small molecule | Oncology |AstraZeneca PLC|Last Updated: Jun 1, 2026

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedDouble-BlindACTIVE_CONTROLLEDDMCBiomarker
Total Trials1
Total Enrollment370
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT04590963Assessment of Efficacy and Safety of Monalizumab Plus Cetuximab Compared to Placebo Plus Cetuximab in Recurrent or Metastatic Head and Neck CancerPHASE3 ACTIVE NOT_RECRUITING 370Oct 2, 2020Sep 24, 2026Jun 1, 2026127 United States, Argentina +21
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Study Endpoints
Primary Endpoints
Overall Survival (OS) in Human Papillomavirus (HPV)-Unrelated Analysis Set
Baseline (-28 to -1) through 17.5 months (maximum observed duration)

The OS is defined as time from the date of randomization until death due to any cause regardless of whether the participant withdraws from randomized therapy or receives another anti-cancer therapy (i.e. date of death or censoring - date of randomization + 1). The OS was analyzed using Kaplan-Meier technique. Statistical analysis was performed using P-value from a stratified log-rank test and hazard ratio (HR) and confidence intervals (CIs) from a stratified Cox proportional hazards model. Analyses were stratified on World Health Organization/ Eastern Cooperative Oncology Group performance status (WHO/ECOG PS) (0 or 1) and number of prior lines of therapy in recurrent or metastatic (R/M) setting (1 or 2).

Secondary Endpoints
Overall Survival in Full Analysis Set (FAS)
Baseline (-28 to -1) through 17.5 months (maximum observed duration)
Progression-Free Survival (PFS) Per Response Evaluation Criteria in Solid Tumors (RECIST) 1.1 by Investigator Assessment in HPV-unrelated Analysis Set
Baseline (-28 to -1) through 17.5 months (maximum observed duration)
Progression-Free Survival Per RECIST 1.1 by Investigator Assessment in FAS
Baseline (-28 to -1) through 17.5 months (maximum observed duration)
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Study Design & Arms
AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Monalizumab 750 mg Q2W + Cetuximab 400 mg/m^2EXPERIMENTALParticipants will receive intravenous (IV) monalizumab 750 mg every two weeks (Q2W) and IV cetuximab 400 mg/m\^2 initial dose followed by 250 mg/m\^2 every one week (Q1W) until disease progression, unacceptable toxicity, withdrawal of consent, or another discontinuation criterion was met.
Placebo Q2W + Cetuximab 400 mg/m^2ACTIVE_COMPARATORParticipants will receieve IV placebo matched to monalizumab Q2W and IV cetuximab 400 mg/m\^2 initial dose followed by 250 mg/m\^2 Q1W until disease progression, unacceptable toxicity, withdrawal of consent, or another discontinuation criterion was met.
Interventions
NameTypeDescription
MonalizumabDRUGParticipants will receive IV infusion of monalizumab as stated in arm description.
CetuximabDRUGParticipants will receive IV infusion of cetuximab as stated in arm description.
PlaceboOTHERParticipants will receive IV infusion of placebo as stated in arm description.
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Eligibility Criteria
Age Range18 Years — 130 Years
SexALL
Healthy VolunteersNo
Study Sites127

Inclusion Criteria: * Are aged 18 years and over * Recurrent or metastatic squamous cell carcinoma of the SCCHN, oral cavity, oropharynx, hypopharynx, or larynx which has progressed on or after previous systemic cancer therapy and is not amenable to curative therapy * Received prior treatment using...

Countries:United StatesArgentinaAustraliaAustriaBelgiumBrazilBulgariaCanadaFranceGermanyGreeceItalyJapanNetherlandsPhilippinesPolandPortugalRussiaSouth KoreaSpainSwitzerlandTaiwanUnited Kingdom
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Recent Changes (Last 90 Days)
LOWJun 2, 2026NCT04590963lastUpdatePostDate: changed
LOWJun 2, 2026NCT04590963lastUpdatePostDate: changed
LOWJun 2, 2026NCT04590963lastUpdatePostDate: changed
LOWMay 26, 2026NCT04590963primaryCompletionDate: changed
LOWMay 24, 2026NCT04590963studyFirstPostDate: changed