This is a randomized, active-controlled, open-label study of pembrolizumab given prior to surgery and pembrolizumab in combination with standard of care radiotherapy (with or without cisplatin), as post-surgical therapy in treatment naïve participants with newly diagnosed Stage III/IVA, resectable, locoregionally advanced, head and neck squamous cell carcinoma (LA-HNSCC). Efficacy outcomes will be stratified by programmed cell death ligand 1 (PD-L1) combined positive score (CPS) status. The primary hypothesis is that pembrolizumab given before surgery and after surgery in combination with radiotherapy (with or without cisplatin) improves event-free survival compared to radiotherapy (with or without cisplatin) given after surgery alone.
200 mg administered IV infusion on Day 1 of each 21-day cycle
Low risk participants administered 2 Gray in 30 fractions. Administered using intensity modulated radiation therapy.
High risk participants administered 2 Gray in 33 fractions. Administered using intensity modulated radiation therapy.
Participants with gross residual disease administered 2 Gray in 35 fractions. Administered using intensity modulated radiation therapy.
100 mg/m\^2 administered by IV infusion on Day 1 of each 21-day cycle
Pilar, Buenos Aires, Argentina
Buenos Aires, Buenos Aires F.D., Argentina
Ciudad de Buenos Aires, Buenos Aires F.D., Argentina
Rosario, Santa Fe Province, Argentina
Rosario, Santa Fe Province, Argentina
Rosario, Santa Fe Province, Argentina
Rosario, Santa Fe Province, Argentina
Buenos Aires, Argentina
Buenos Aires, Argentina
Buenos Aires, Argentina
San Juan, Argentina