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Ficerafusp alfa

Phase 2

Squamous Cell Carcinoma of Head and Neck (SCCHN) | Small molecule | Oncology |Bicara Therapeutics Inc.|Last Updated: Jul 17, 2026

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Trial Design
RandomizedACTIVE_CONTROLLEDDMCBiomarker
Total Trials1
Total Enrollment131
FDA Designations
BREAKTHROUGH_THERAPY
Clinical trial landscape

Ficerafusp alfa · 3 trials · 5 indications

Phase 2 3
NCT07529873Phase II Study of Ficerafusp Alfa in Combination With Nivolumab in Patients With Platinum-refractory Head and Neck Squamous Cell CarcinomaSquamous Cell Carcinoma of Head and Neck (SCCHN)
NOT YET_RECRUITING131 Analytics
NCT07465276Neoadjuvant Ficerafusp Alfa With Pembrolizumab in Resectable SCCHead and Neck Squamous Cell Carcinoma (HNSCC)
RECRUITING32 Analytics
NCT06788990FORTIFI-HN01: A Study of Ficerafusp Alfa (BCA101) or Placebo in Combination With Pembrolizumab in First-Line PD-L1-pos, R or M HNSCCMetastatic Head and Neck Squamous Cell Carcinoma
RECRUITING650 Analytics
PHASE2NOT YET_RECRUITING
Phase II Study of Ficerafusp Alfa in Combination With Nivolumab in Patients With Platinum-refractory Head and Neck Squamous Cell Carcinoma
Squamous Cell Carcinoma of Head and Neck (SCCHN)Unlock trial analytics
PHASE2RECRUITING
Neoadjuvant Ficerafusp Alfa With Pembrolizumab in Resectable SCC
Head and Neck Squamous Cell Carcinoma (HNSCC)Unlock trial analytics
PHASE2RECRUITING
FORTIFI-HN01: A Study of Ficerafusp Alfa (BCA101) or Placebo in Combination With Pembrolizumab in First-Line PD-L1-pos, R or M HNSCC
Metastatic Head and Neck Squamous Cell CarcinomaUnlock trial analytics
Study Endpoints
Primary Endpoints
Objective response rate (ORR)
Through study completion, an average of 4 years

the objective response rate (ORR) which is defined as the proportion of patients with a confirmed best overall response (BOR) complete response (CR) or partial response (PR) as determined by the investigator according to RECIST criteria 1.1.

Pathologic Treatment Response-2 (pTR-2) Rate
Assessed at time of surgical resection, between days 30 and 42 from start of neoadjuvant treatment.

pTR-2 rate is defined as ≥50% pathological response of the primary tumor using the surgical specimen following neoadjuvant therapy as established by 2 independent pathologists.

Phase 2 - Incidence and severity of TEAEs, treatment-treatment emergent SAEs TEAEs leading to dose interruption, dose reduction, or permanent discontinuation.
Up to 30 days post end of treatment for TEAEs (90 days for SAEs).

To assess safety and tolerability of ficerafusp alfa with pembrolizumab.

Phase 2 - Objective Response Rate (ORR) per RECIST 1.1 by blinded independent central review (BICR)
Approximately 1 year.

ORR is defined as the proportion of subjects in the DDS who have a confirmed CR or PR per RECIST 1.1. by BICR.

Phase 3 - Objective Response Rate (ORR) per RECIST 1.1 by BICR.
Approximately 2 years.

ORR is defined as the proportion of subjects in the DDS who have a confirmed CR or PR per RECIST 1.1. by BICR.

Phase 3 - Overall Survival (OS)
Approximately 3 years.

OS: Defined as the time from the randomization to death due to any cause.

Secondary Endpoints
Median Event-free survival (EFS)
Disease assessed every 3 months up to 24 months from date of surgery (+42 days from start of neoadjuvant therapy).
Median Overall Survival
Survival assessed every 3 months up to 24 months from date of surgery (+42 days from start of neoadjuvant therapy).
Pathologic Response Rate by PD-LI Combined positive score (CPS) Subgroup
Assessed at time of surgical resection, between days 30 and 42 from start of neoadjuvant treatment.
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Study Design & Arms
AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Ficerafusp + nivolumabEXPERIMENTALCombination of Ficerafusp alfa + Nivolumab * Ficerafusp alfa 1500 mg every week * Nivolumab 240 mg every 2 weeks
NivolumabACTIVE_COMPARATORNivolumab monotherapy • Nivolumab 240 mg every 2 weeks
Ficerafusp Alfa plus PembrolizumabEXPERIMENTAL32 participants will be enrolled and will complete: * Baseline visit * Cycle 1 (21 day cycle): * Day 1: predetermined dose of Prembrolizumab 1x daily. * Days 1, 8, and 15: predetermined dose of Ficerafusp Alfa 1x daily. * Cycle 2 (21 day cycle): * Day 1: predetermined dose of Prembrolizumab 1x daily. * Day 1: predetermined dose of Ficerafusp Alfa 1x daily. * Standard of care surgery * End of treatment visit * Follow up for up to 2 years
Phase 2 Arm AEXPERIMENTALficerafusp alfa 1500 mg QW + pembrolizumab 200 mg every 3 weeks (Q3W)
Phase 2 Arm BEXPERIMENTALficerafusp alfa 750 mg QW + pembrolizumab 200 mg Q3W
Phase 2 Arm CPLACEBO_COMPARATORplacebo QW + pembrolizumab 200 mg Q3W
Phase 3 OBD ArmEXPERIMENTALficerafusp alfa OBD + pembrolizumab 200 mg Q3W
Phase 3 Arm CPLACEBO_COMPARATORplacebo QW + pembrolizumab 200 mg Q3W
Interventions
NameTypeDescription
Ficerafusp alfaDRUGFicerafusp alfais a bifunctional recombinant fusion protein consisting of a chimeric anti-EGFR mAb and human TGFβRII-ECD
NivolumabDRUGNivolumab is a monoclonal antibody that binds to and blocks the programmed cell death 1 receptor. It is used to treat certain cancers.
PembrolizumabDRUGMonoclonal antibody, single-dose vial, via intravenous infusion per protocol.
Pembrolizumab (KEYTRUDA®)DRUGImmunotherapy agent used in combination with investigational agent
PlaceboDRUGPlacebo Control
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Eligibility Criteria
Age Range18 Years to 75 Years
SexALL
Healthy VolunteersNo

Inclusion Criteria: * Patient or legally authorized representative, if applicable, has signed and dated informed consent form (ICF) indicating that the patient (or legally authorized representative, if applicable) has been informed of all the pertinent aspects of the study prior to enrollment and t...

Countries:United StatesArgentinaAustraliaAustriaBelgiumBrazilCanadaCzechiaFranceGermanyGreeceIndiaIrelandIsraelItalyMalaysiaNew ZealandPolandPortugalSingaporeSouth KoreaSpainSwitzerlandTaiwanTurkey (Türkiye)United Kingdom
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Recent Changes (Last 90 Days)
LOWJul 17, 2026NCT06788990lastUpdatePostDate: changed
LOWJul 17, 2026NCT06788990lastUpdatePostDate: changed
LOWJul 9, 2026NCT06788990lastUpdatePostDate: changed
LOWJul 9, 2026NCT06788990lastUpdatePostDate: changed
LOWJun 2, 2026NCT06788990lastUpdatePostDate: changed
LOWJun 2, 2026NCT06788990lastUpdatePostDate: changed
LOWJun 2, 2026NCT06788990lastUpdatePostDate: changed
LOWMay 26, 2026NCT06788990primaryCompletionDate: changed
LOWMay 24, 2026NCT07465276studyFirstPostDate: changed
LOWMay 24, 2026NCT06788990studyFirstPostDate: changed
LOWMay 24, 2026NCT07529873studyFirstPostDate: changed
LOWMay 21, 2026NCT07529873NEW_TRIAL: changed
LOWMay 21, 2026NCT07529873NEW_TRIAL: changed