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Part 2 Cohorts A and C This study is being conducted to test the safety and pharmacokinetics of cemiplimab in patients with lung cancer. The study is also being conducted to test if cemiplimab, alone or in combination, can reduce the size of your tumor by helping the immune system destroy the tumor.
Part 2 Cohorts D and E This study is being conducted to test the safety and pharmacokinetics of fianlimab and cemiplimab in patients with lung cancer. The study is also being conducted to test if fianlimab and cemiplimab, with or without chemotherapy, can reduce the size of your tumor by helping the immune system destroy the tumor.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Cemiplimab | Experimental | Part 1 |
|
| Cohort A | Experimental | Part 2 |
|
| Cohort B | Experimental | Part 2 |
|
| Cohort C | Experimental | Part 2 |
|
| Cohort D | Experimental | Part 2 |
|
| Cohort E | Experimental | Part 2 |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Cemiplimab | Drug | Patients will be administered cemiplimab as per protocol. For Cohort A Only, patients with confirmed progressive disease may opt to receive up to 4 cycles of platinum doublet chemotherapy in addition to cemiplimab per investigator's judgement. |
| Measure | Description | Time Frame |
|---|---|---|
| Incidence and severity of treatment-emergent adverse events (TEAEs) in patients treated with cemiplimab as monotherapy | Up to 136 weeks | |
| Incidence and severity of TEAEs in patients treated with cemiplimab in combination with other agents | Up to 136 weeks | |
| Incidence and severity of TEAEs in patients treated with fianlimab in combination with cemiplimab without chemotherapy | Up to 136 weeks | |
| Incidence and severity of TEAEs in patients treated with fianlimab in combination with cemiplimab with chemotherapy | Up to 136 weeks | |
| PK of cemiplimab: Cmax | Peak serum concentration | Up to 136 weeks |
| PK of cemiplimab: tmax | Time to Cmax | Up to 136 weeks |
| PK of cemiplimab: Ctrough | Drug concentration in serum at the end of a dosing interval | Up to 136 weeks |
| PK of cemiplimab: Area under the drug concentration-time curve in serum (AUC3w) | AUC over a 3-week dosing interval | Up to 136 weeks |
| PK of cemiplimab: t½ estimated over a 3-week dosing interval |
| Measure | Description | Time Frame |
|---|---|---|
| Immunogenicity against cemiplimab and fianlimab | Evaluate the immunogenicity of cemiplimab and fianlimab after single-dose administration | Up to 136 weeks |
| Objective Response Rate (ORR) | As assessed by an Independent Review Committee (IRC) using RECIST 1.1 (Eisenhauer 2009) in Part 2, Cohorts A and C |
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Key Inclusion Criteria:
Disease types under study:
ECOG (Eastern Cooperative Oncology Group) PS (Performance status) ≤1 (Restricted in physically strenuous activity but ambulatory and able to carry out work of a light or sedentary nature [eg, light housework or office work]). Note: Patients with ECOG PS >1 are ineligible.
Patients must have been born in Japan, and their biological parents and grandparents must all have been of Japanese origin
Willing and able to comply with clinic visits and study-related procedures
For Part 2, Cohorts D and E: Available tissue for retrospective testing using assay performed by a central laboratory, as specified in the study manual.
Key Exclusion Criteria:
Note: Other protocol defined inclusion/exclusion criteria apply.
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| Name | Affiliation | Role |
|---|---|---|
| Clinical Trial Management | Regeneron Pharmaceuticals | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| National Hospital Organization Nagoya Medical Center | Nagoya | Aichi-ken | 460-0001 | Japan | ||
| Kurume University Hospital |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 33146741 | Derived | Kitano S, Shimizu T, Koyama T, Ebata T, Iwasa S, Kondo S, Shimomura A, Fujiwara Y, Yamamoto N, Paccaly A, Li S, Rietschel P, Sims T. Dose exploration results from Phase 1 study of cemiplimab, a human monoclonal programmed death (PD)-1 antibody, in Japanese patients with advanced malignancies. Cancer Chemother Pharmacol. 2021 Jan;87(1):53-64. doi: 10.1007/s00280-020-04161-6. Epub 2020 Nov 4. |
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|
| Ipilimumab | Drug | To be administered per protocol |
|
| Platinum-doublet chemotherapy | Drug | To be administered per protocol |
|
| Gemcitabine | Drug | To be administered per protocol |
|
|
| Pemetrexed | Drug | To be administered per protocol |
|
|
| Paclitaxel | Drug | To be administered per protocol |
|
|
| Fianlimab | Drug | To be administered per protocol |
|
Observed terminal half-life
| Up to 136 weeks |
| Up to 135 weeks |
| Duration of Response (DOR) | As assessed by an IRC (per RECIST1.1) in Part 2, Cohorts A and C | Up to 136 weeks |
| Kurume |
| Fukuoka |
| 830-0011 |
| Japan |
| Gunma Prefectural Cancer Center | Ōta | Gunma | 373-8550 | Japan |
| Kobe City Medical Center General Hospital | Kobe | Hyōgo | 650-0047 | Japan |
| Kanazawa University Hospital | Kanazawa | Ishikawa-ken | 920-8641 | Japan |
| Kitasato University Hospital | Sagamihara | Kanagawa | 252-0375 | Japan |
| Kanagawa Cardiovascular and Respiratory Center | Yokohama | Kanagawa | 236-0051 | Japan |
| Kanagawa Cancer Center - Thora | Yokohama | Kanagawa | 241-8515 | Japan |
| Sasebo City General Hospital | Sasebo | Nagasaki | 857-8511 | Japan |
| Kurashiki Central Hospital | Kurashiki | Okayama-ken | 710-8602 | Japan |
| Kansai Medical University Hirakata Hospital | Hirakata | Osaka | 573-1191 | Japan |
| Osaka Metropolitan University Hospital | Osaka | Osaka | 545-8586 | Japan |
| National Hospital Organization Kinki-chuo Chest Medical Center | Sakai-shi | Osaka | 591-8555 | Japan |
| Osaka Medical and Pharmaceutical University Hospital | Takatsuki | Osaka | 569-8686 | Japan |
| Saitama Cancer Center | Shinden | Saitama | 362-0806 | Japan |
| National Cancer Center Hospital - Tsukiji Campus | Chuo Ku | Tokyo | 104-0045 | Japan |
| Hiroshima City Hiroshima Citiz | Hiroshima | 730-8518 | Japan |
| Nagasaki University Hospital | Nagasaki | 852-8501 | Japan |
| Osaka International Cancer Institute | Osaka | 541-8567 | Japan |
| Tokushima University Hospital | Tokushima | 770-8503 | Japan |
| ID | Term |
|---|---|
| C000627974 | cemiplimab |
| D000074324 | Ipilimumab |
| D000093542 | Gemcitabine |
| D000068437 | Pemetrexed |
| D017239 | Paclitaxel |
| ID | Term |
|---|---|
| D061067 | Antibodies, Monoclonal, Humanized |
| D000911 | Antibodies, Monoclonal |
| D000906 | Antibodies |
| D007136 | Immunoglobulins |
| D007162 | Immunoproteins |
| D001798 | Blood Proteins |
| D011506 | Proteins |
| D000602 | Amino Acids, Peptides, and Proteins |
| D012712 | Serum Globulins |
| D005916 | Globulins |
| D006571 | Heterocyclic Compounds |
| D003841 | Deoxycytidine |
| D003562 | Cytidine |
| D011741 | Pyrimidine Nucleosides |
| D011743 | Pyrimidines |
| D006573 | Heterocyclic Compounds, 1-Ring |
| D006147 | Guanine |
| D007042 | Hypoxanthines |
| D011688 | Purinones |
| D011687 | Purines |
| D006574 | Heterocyclic Compounds, 2-Ring |
| D000072471 | Heterocyclic Compounds, Fused-Ring |
| D005971 | Glutamates |
| D024342 | Amino Acids, Acidic |
| D000596 | Amino Acids |
| D000600 | Amino Acids, Dicarboxylic |
| D043823 | Taxoids |
| D043822 | Cyclodecanes |
| D003516 | Cycloparaffins |
| D006840 | Hydrocarbons, Alicyclic |
| D006844 | Hydrocarbons, Cyclic |
| D006838 | Hydrocarbons |
| D009930 | Organic Chemicals |
| D004224 | Diterpenes |
| D013729 | Terpenes |
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