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Nivolumab + Paclitaxel

Phase 2

Recurrent/Metastatic Head and Neck Squamous Cell Carcinoma | Small molecule | Oncology |Bristol-Myers Squibb Company|Last Updated: Jun 26, 2025

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
RandomizedACTIVE_CONTROLLEDDMCBiomarker
Total Trials1
Total Enrollment141
FDA Designations
BREAKTHROUGH_THERAPYPRIORITY_REVIEW
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT04282109Study to Assess the Efficacy and Safety of Nivolumab in Combination With Paclitaxel in Subjects With Head and Neck Cancer Unable for Cisplatin-based Chemotherapy (NIVOTAX)PHASE2 COMPLETED 141Jun 3, 2020Mar 21, 2024Jun 26, 202521 Spain
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Study Endpoints
Primary Endpoints
Two Years Overall Survival (OS)
2 years

OS is defined as the time between the date of randomization and the date of death. For subjects without documentation of death, OS will be censored on the last date the subject was known to be alive.

Secondary Endpoints
Progression Free Survival (PFS)
Up to 45 months
Overall Response Rate (ORR)
Up to 2 years
Disease Control Rate (DCR)
Up to 2 years
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Study Design & Arms
AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Arm 1EXPERIMENTALNIVOTAX (nivolumab + paclitaxel, follow by maintenance with nivolumab)
Arm 2ACTIVE_COMPARATORERBITAX (cetuximab + paclitaxel, follow by maintenance with cetuximab)
Interventions
NameTypeDescription
Nivolumab + PaclitaxelDRUGCombination treatment: Nivolumab 240 mg will be administered via IV infusion every 2 weeks. Paclitaxel 80mg/m2 will be administered via IV infusion weekly. After 12 weeks from the start of the combined treatment paclitaxel will be stopped. Maintenance treatment with nivolumab 480 mg every 4 weeks will start two weeks after the last administration of nivolumab 240 mg. Once nivolumab is administered at 480 mg, paclitaxel can no longer be administered. Nivolumab will be continued alone until disease progression, unacceptable toxicity or withdrawal of consent up to a maximum of 24 months.
Cetuximab + PaclitaxelDRUGCombination treatment: Cetuximab 250 mg/m2 (first dose of 400 mg/m2) administered via IV infusion weekly plus weekly paclitaxel (80 mg/m2) administered via IV infusion. After 12 weeks from the start of the combined treatment paclitaxel will be stopped and weekly cetuximab will be continued alone until disease progression, unacceptable toxicity or withdrawal of consent up to a maximum of 24 months.
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Eligibility Criteria
Age Range18 Years — N/A
SexALL
Healthy VolunteersNo
Study Sites21

Inclusion Criteria: 1. Voluntary written consent must be given before performance of any study-related procedure not part of standard medical care. 2. Histologically confirmed HNSCC (oral cavity, oropharynx, hypopharynx, larynx) not amenable to therapy with curative intent (surgery or radiation the...

Countries:Spain
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