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This study is being done to better understand whether or not cemiplimab by itself and in combination with other treatments given prior to surgery will cause your tumor to respond in a beneficial way; whether the drug(s) are safe and what side effects they cause; and other details about how they function in the body. One of the treatments that will be combined cemiplimab is another experimental drug called fianlimab. In this form, cemiplimab and fianlimab will each individually be called "study drug" or "study drugs" when combined.
Cemiplimab (also known as REGN2810) and fianlimab (also known as REGN3767) are both a type of drug called a monoclonal antibody. Antibodies are proteins naturally found in your blood that fight infections. A monoclonal antibody is a special kind of antibody that is manufactured as a medication to target specific proteins in the body that may be involved in your cancer.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Cohort A1 | Experimental | Cemiplimab prior to surgery; cemiplimab and platinum doublet post surgery (NSCLC) Not open for accrual |
|
| Cohort A2 | Experimental | Cemiplimab and platinum doublet prior to surgery; cemiplimab and platinum doublet post surgery (NSCLC) Not open for accrual |
|
| Cohort A3 | Experimental | Platinum doublet prior to surgery; cemiplimab and platinum doublet post surgery (NSCLC) Not open for accrual |
|
| Cohort B | Experimental | Cemiplimab prior to surgery; cemiplimab post surgery (HCC) |
|
| Cohort C | Experimental | Cemiplimab prior to surgery; standard of care radiation and/or chemotherapy followed by cemiplimab post surgery (HNSCC) Not open for accrual |
|
| Cohort B2 |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| cemiplimab | Drug | Administered intravenous (IV) |
|
| Measure | Description | Time Frame |
|---|---|---|
| Major pathologic response (MPR) at time of surgery for the NSCLC cohorts | Cohorts A1, A2, A3 | At time of surgery |
| Significant tumor necrosis (STN) at time of surgery is the primary endpoint for the HCC cohorts | Cohort B, B2, B3 | At time of surgery |
| Major treatment effect (MTE) at time of surgery is the primary endpoint for the HNSCC cohort | Cohort C | At time of surgery |
| Measure | Description | Time Frame |
|---|---|---|
| Delay to surgery | Defined as surgery >28 days following the end of the second cycle of cohort specific neoadjuvant therapy | Surgery >28 days following the end of the cycle of last dose of cemiplimab |
| Event-free survival (EFS) |
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Key Inclusion Criteria:
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 |
|---|---|---|---|---|---|---|
| Icahn School of Medicine at Mount Sinai | New York | New York | 10029 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 39437804 | Derived | D'Alessio A, Stefanini B, Blanter J, Adegbite B, Crowley F, Yip V, Slater S, Fulgenzi CAM, Celsa C, Manfredi GF, Pai M, Goldin RD, Ward SC, Fiel MI, Shu DH, Su YY, Cortellini A, Baretti M, Anders R, Yarchoan M, Hsu C, Marron TU, Pinato DJ. Pathological response following neoadjuvant immune checkpoint inhibitors in patients with hepatocellular carcinoma: a cross-trial, patient-level analysis. Lancet Oncol. 2024 Nov;25(11):1465-1475. doi: 10.1016/S1470-2045(24)00457-1. Epub 2024 Oct 19. | |
| 35065058 |
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All Individual Patient Data (IPD) that underlie publicly available results will be considered for sharing
Individual anonymized participant data will be considered for sharing once the indication has been approved by a regulatory body, if there is legal authority to share the data and there is not a reasonable likelihood of participant re-identification.
Qualified researchers may request access to anonymized patient level data or aggregate study data when Regeneron has received marketing authorization from major health authorities (e.g., FDA, European Medicines Agency (EMA), Pharmaceuticals and Medical Devices Agency (PMDA), etc) for the product and indication, has the legal authority to share the data, and has made the study results publicly available (eg, scientific publication, scientific conference, clinical trial registry).
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Cohorts B and C are not randomized
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| Experimental |
SBRT 8 Gy X 3 fractions followed by cemiplimab prior to surgery; cemiplimab post surgery (HCC) |
|
| Cohort B3 | Experimental | Cemiplimab and fianlimab before and after surgery (HCC) |
|
|
| Platinum Doublet | Drug | Administered intravenous (IV) |
|
| fianlimab | Drug | Administered IV |
|
|
Defined as the time from the first study treatment to the date of disease progression that precluded definitive surgery, or recurrence of tumor after successful surgery, or death from any cause.
| Up to 60 months following surgery |
| Disease-free survival (DFS) | Defined as the time from date of surgery until recurrence of tumor or death from any cause after successful surgery and recovery | Up to 60 months following surgery |
| Overall response rate (ORR) | Defined as the percent of patients with a complete response (CR) or partial response (PR) documented by the Investigator per RECIST 1.1. as described in the protocol | Up to 60 months following surgery |
| Overall survival (OS) | Defined as the time from the first study treatment and date of death for any reason | Up to 60 months following surgery |
| OS rate | 12 months |
| OS rate | 18 months |
| OS rate | 24 months |
| OS rate | 36 months |
| OS rate | 48 months |
| OS rate | 60 months |
| Incidence of treatment emergent adverse events (TEAEs) | Grade 3 or higher per Common Terminology Criteria for Adverse Events (CTCAE V5.0) | Up to 60 months following surgery |
| Incidence of imAEs | Grade 3 or higher per Common Terminology Criteria for Adverse Events (CTCAE V5.0) | Up to 60 months following surgery |
| Incidence of SAEs | Grade 3 or higher per Common Terminology Criteria for Adverse Events (CTCAE V5.0) | Up to 60 months following surgery |
| Incidence of deaths | Up to 60 months following surgery |
| Incidence of laboratory abnormalities | Grade 3 or higher per Common Terminology Criteria for Adverse Events (CTCAE V5.0) | Up to 60 months following surgery |
| Change in tumor-infiltrating CD8 T-cell density | Defined as the change from baseline to the time of surgery | Baseline to time of surgery |
| Derived |
| Marron TU, Fiel MI, Hamon P, Fiaschi N, Kim E, Ward SC, Zhao Z, Kim J, Kennedy P, Gunasekaran G, Tabrizian P, Doroshow D, Legg M, Hammad A, Magen A, Kamphorst AO, Shareef M, Gupta NT, Deering R, Wang W, Wang F, Thanigaimani P, Mani J, Troncoso L, Tabachnikova A, Chang C, Akturk G, Buckup M, Hamel S, Ioannou G, Hennequin C, Jamal H, Brown H, Bonaccorso A, Labow D, Sarpel U, Rosenbloom T, Sung MW, Kou B, Li S, Jankovic V, James N, Hamon SC, Cheung HK, Sims JS, Miller E, Bhardwaj N, Thurston G, Lowy I, Gnjatic S, Taouli B, Schwartz ME, Merad M. Neoadjuvant cemiplimab for resectable hepatocellular carcinoma: a single-arm, open-label, phase 2 trial. Lancet Gastroenterol Hepatol. 2022 Mar;7(3):219-229. doi: 10.1016/S2468-1253(21)00385-X. Epub 2022 Jan 20. |
| ID | Term |
|---|---|
| D002289 | Carcinoma, Non-Small-Cell Lung |
| D006528 | Carcinoma, Hepatocellular |
| D000077195 | Squamous Cell Carcinoma of Head and Neck |
| ID | Term |
|---|---|
| D002283 | Carcinoma, Bronchogenic |
| D001984 | Bronchial Neoplasms |
| D008175 | Lung Neoplasms |
| D012142 | Respiratory Tract Neoplasms |
| D013899 | Thoracic Neoplasms |
| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |
| D008171 | Lung Diseases |
| D012140 | Respiratory Tract Diseases |
| D000230 | Adenocarcinoma |
| D002277 | Carcinoma |
| D009375 | Neoplasms, Glandular and Epithelial |
| D009370 | Neoplasms by Histologic Type |
| D008113 | Liver Neoplasms |
| D004067 | Digestive System Neoplasms |
| D004066 | Digestive System Diseases |
| D008107 | Liver Diseases |
| D002294 | Carcinoma, Squamous Cell |
| D006258 | Head and Neck Neoplasms |
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| ID | Term |
|---|---|
| C000627974 | cemiplimab |
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