A Global Study of Volrustomig (MEDI5752) for Participants With Unresected Locally Advanced Head and Neck Squamous Cell Carcinoma Following Definitive Concurrent Chemoradiotherapy (eVOLVE-HNSCC)
A Phase III, Randomized, Open-Label, Multi-Center, Global Study of Volrustomig (MEDI5752) as Sequential Therapy Versus Observation in Participants With Unresected Locally Advanced Head and Neck Squamous Cell Carcinoma, Who Have Not Progressed Following Definitive Concurrent Chemoradiotherapy (eVOLVE-HNSCC)
- Locally Advanced Head and Neck Squamous Cell Carcinoma
At a glance
- Phase
- Phase 3
- Study type
- Interventional
- Sponsor
- AstraZeneca
- Enrolment target
- 1,145
- Started
- 14 December 2023
- Main results due (estimated)
- 17 April 2030
- Study ends (estimated)
- 28 February 2031
- Allocation
- Randomized
- Design
- Parallel
- Purpose
- Treatment
- Masking
- Single (outcomes assessor)
- Sites
- 306 · 14 in India
- First posted
- 13 November 2023
- Registry updated
- 30 September 2026
Can you take part?
- Ages 18 years to 130 years.
- Open to any sex.
- You need the condition being studied. Healthy volunteers are not accepted.
Age groups: adult, older adult.
These are the headline rules. Every study has a longer list, and whether you are eligible is decided by the research team at the site, never by this page.
Read the full eligibility criteria
Inclusion Criteria: * Histologically or cytologically documented locally advanced squamous cell carcinoma of the oropharynx, hypopharynx, oral cavity, or larynx with no evidence of metastatic disease (i.e. M0). * Confirmed unresected Stage III, Stage IVA or IVB according to the eighth edition of the American Joint Committee on Cancer (AJCC) staging manual (tumor, node, metastasis (TNM) staging system). * Participants will have completed definitive concurrent chemoradiotherapy (cCRT) with curative intent prior to randomization. Exclusion Criteria: * Histologically/cytologically confirmed head and neck cancer of any other primary anatomic location in the head and neck not specified in the inclusion criteria including participants with squamous cell carcinoma of unknown primary or non-squamous histologies (eg, nasopharynx or salivary gland). Participants with \>1 primary tumors are not eligible for the study. * Participants with any of the following: 1. LA-HNSCC that was resected before definitive cCRT 2. LA-HNSCC that was treated and is recurrent at the time of screening * Participants who have received radiotherapy (RT) alone as definitive local therapy for LA-HNSCC.
What this study is about
In the sponsor’s own words, from the registry.
The main purpose of this study is to assess the efficacy and safety of volrustomig compared to observation in participants with unresected locally advanced head and neck squamous cell carcinoma (LA-HNSCC) who have not progressed after receiving definitive concurrent chemoradiotherapy (cCRT).
What participants receive
- Experimental
Study Arm
Participants in this arm will receive volrustomig.
Drug: volrustomig
- No intervention
Observation Arm
Patients in this arm will undergo observation.
Interventions
volrustomigDrug
Also known as MEDI5752
What the study measures
Primary outcomes
Progression-Free Survival (PFS) in participants with unresected LA-HNSCC with PD-L1 expressing tumors
PFS is defined as time from randomization until first objective radiological progression per RECIST 1.1 as assessed by Blinded Independent Central Review (BICR), or death due to any cause (in the absence of progression). The analysis will include all randomized participants with PD-L1 expressing tumors.
Time frame: Up to approximately 8 years
Secondary outcomes
Progression-Free Survival (PFS) in the unresected LA-HNSCC intent-to-treat (ITT) population
PFS is defined as time from randomization until first objective radiological progression per RECIST 1.1 as assessed by BICR, or death due to any cause (in the absence of progression). The analysis will include all randomized participants.
Time frame: Up to approximately 8 years
Landmark Progression-Free Survival (PFS) Rates
PFS is defined as time from randomization until first objective radiological progression per RECIST 1.1 as assessed by BICR, or death due to any cause (in the absence of progression). These analyses will include participants with PD-L1 expressing tumors and all randomized participants.
Time frame: Up to approximately 8 years
Overall Survival (OS) in participants with unresected LA-HNSCC with PD-L1 expressing tumors
Overall survival (OS) is defined as the time from randomization until the date of death due to any cause. The analysis will include all randomized participants with PD-L1 expressing tumors.
Time frame: Up to approximately 8 years
Landmark Overall Survival (OS) Rates
OS is defined as the time from randomization until the date of death due to any cause. These analyses will include participants with PD-L1 expressing tumors as randomized and all randomized participants.
Time frame: Up to approximately 8 years
Overall Survival (OS) in the unresected LA-HNSCC ITT population
OS is defined as the time from randomization until the date of death due to any cause. The analysis will include all randomized participants.
Time frame: Up to approximately 8 years
Progression Free Survival 2 (PFS2)
PFS2 is defined as the time from randomization until the earliest of the progression event (following the initial investigator-assessed progression), after the start of the first subsequent therapy, or death from any cause, whichever occurs first. The date of the second progression will be recorded by the investigator in the eCRF and defined according to local standard clinical practice. These analyses will include participants with PD-L1 expressing tumors as randomized and all randomized participants.
Time frame: Up to approximately 8 years
Presence of Anti-Drug-Antibodies (ADAs) against volrustomig in serum
To investigate the immunogenicity of volrustomig.
Time frame: Up to approximately 8 years
Participant-reported physical functioning
Change from baseline of physical functioning as measured by scores on the Patient-Reported Outcomes Measurement Information System (PROMIS) Short Form v.20 - Physical Function 8c are reported on a T score metric (mean = 50 and SD = 10), with higher scores reflecting better physical functioning. The analysis will include all randomized participants.
Time frame: Up to approximately 8 years
Participant-reported global health status (GHS)/quality of life (QoL)
Change from baseline of Global Health Status/Quality of Life subscale scores as measured by the European Organization for Research and Treatment of Cancer (EORTC) Item Library 172 are transformed to a 0-100 range; a higher score represents higher quality of life. The analysis will include all randomized participants.
Time frame: Up to approximately 8 years
Percentage of participants with Adverse Events
Adverse Events as assessed by Common Terminology Criteria for Adverse Events (CTCAE).
Time frame: Up to approximately 8 years
Area under the curve (AUC)
The concentration of Volrustomig in serum will be determined. Area under the curve is the integral of the concentration-time curve. The AUC reflects the actual body exposure to drug after administration. The AUC is dependent on the rate of elimination of the drug from the body and the dose administered.
Time frame: Up to approximately 8 years
Maximum plasma concentration of the drug (Cmax)
The concentration of Volrustomig in serum will be determined (Cmax will be derived).
Time frame: Up to approximately 8 years
The time taken to reach the maximum concentration (Tmax)
The concentration of Volrustomig in serum will be determined (Tmax will be derived).
Time frame: Up to approximately 8 years
Who is running it
- Lead sponsor
- AstraZeneca
- Sponsor type
- Industry
- Responsible party
- The sponsor
- Organisation
- AstraZeneca
- Data monitoring committee
- Yes
- US FDA-regulated drug
- Yes
- US FDA-regulated device
- No
- Sponsor's study ID
- D798EC00001
Robert Haddad, MD
Study chair
Dana Farber Cancer Institute Massachusetts, USA
Lisa Licitra, MD
Study chair
Fondazione IRCCS Istituto Nazionale dei Tumori and University of Milan Milan, Italy
Study sites(306)
Research Site
Bengaluru, India
Recruiting
Research Site
Hyderabad, India
Recruiting
Research Site
Kanpur, India
Recruiting
Research Site
Kolkata, India
Recruiting
Research Site
Madurai, India
Recruiting
Research Site
Nashik, India
Recruiting
Research Site
New Delhi, India
Recruiting
Research Site
Thiruvananthapuram, India
Recruiting
Research Site
Vadodara, India
Recruiting
Research Site
Varanasi, India
Recruiting
Research Site
Jaipur, India
Withdrawn
Research Site
Kochi, India
Active, not recruiting
Research Site
Lucknow, India
Withdrawn
Research Site
Mohali, India
Withdrawn
Research Site
Birmingham, Alabama, United States
Recruiting
Research Site
Phoenix, Arizona, United States
Recruiting
Research Site
Fountain Valley, California, United States
Recruiting
Research Site
Los Angeles, California, United States
Recruiting
Research Site
Santa Rosa, California, United States
Recruiting
Research Site
Whittier, California, United States
Recruiting
Research Site
Aurora, Colorado, United States
Recruiting
Research Site
Colorado Springs, Colorado, United States
Recruiting
Research Site
Lone Tree, Colorado, United States
Recruiting
Research Site
Washington D.C., District of Columbia, United States
Recruiting
Research Site
Fort Myers, Florida, United States
Recruiting
Research Site
Palm Bay, Florida, United States
Recruiting
Research Site
West Palm Beach, Florida, United States
Recruiting
Research Site
Niles, Illinois, United States
Recruiting
Research Site
Des Moines, Iowa, United States
Recruiting
Research Site
Louisville, Kentucky, United States
Recruiting
Research Site
Baton Rouge, Louisiana, United States
Recruiting
Research Site
Baltimore, Maryland, United States
Recruiting
Research Site
Bethesda, Maryland, United States
Recruiting
Research Site
Hyattsville, Maryland, United States
Recruiting
Research Site
Towson, Maryland, United States
Recruiting
Research Site
Upper Marlboro, Maryland, United States
Recruiting
Research Site
Boston, Massachusetts, United States
Recruiting
Research Site
Fairhaven, Massachusetts, United States
Recruiting
Research Site
Ann Arbor, Michigan, United States
Recruiting
Research Site
Minneapolis, Minnesota, United States
Recruiting
Showing 40 of 306 sites, filter to narrow it down. 252 of 306 on this study are recruiting right now, and 14 are in India. A site can stop enrolling while the study as a whole is still open.
References and data sharing
- Participant data shared
- Yes
- What is shared
- Study protocol, Sap
- When
- AstraZeneca will meet or exceed data availability as per the commitments made to the EFPIA Pharma Data Sharing Principles. For details of our timelines, please rerefer to our disclosure commitment at https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure
- Access
- When a request has been approved AstraZeneca will provide access to the deidentified individual patient-level data in an approved sponsored tool . Signed Data Sharing Agreement (non-negotiable contract for data accessors) must be in place before accessing requested information. Additionally, all users will need to accept the terms and conditions of the SAS MSE to gain access. For additional details, please review the Disclosure Statements at https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure.
Qualified researchers can request access to anonymized individual patient-level data from AstraZeneca group of companies sponsored clinical trials via the request portal. All request will be evaluated as per the AZ disclosure commitment: https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure
Source: ClinicalTrials.gov record NCT06129864, status verified September 2026. Trialion does not run this study, is not paid to refer anyone to it, and cannot enrol you. Eligibility is always decided by the research team at the site.
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