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Advanced CancerPhase 1NCT02383212

Study of REGN2810 (Anti-PD-1) in Patients With Advanced Malignancies

A Phase 1 study testing Cemiplimab, Hypofractionated radiotherapy and Cyclophosphamide in people with Advanced Cancer and Advanced Malignancies, run by Regeneron Pharmaceuticals at 47 sites in 3 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

This is a phase 1, open-label, multicenter, ascending-dose escalation study of cemiplimab, alone and in combination with other anti-cancer therapies in patients with advanced malignancies. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Advanced Cancer, Advanced Malignancies
What is being tested?
Cemiplimab, Hypofractionated radiotherapy and Cyclophosphamide
Type of treatment
Surgery or procedure
Could I receive a placebo?
No, everyone receives an active treatment
How many people
398 participants
Where
47 sitesin 3 countries
Study dates
2 Feb 2015to 18 Nov 2019
Phase
Phase 1
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Histologically or cytologically confirmed diagnosis of malignancy with demonstrated progression of a solid tumor (non-lymphoma) with no alternative standard-of-care therapeutic option (certain exceptions may apply).
  • At least 1 measurable lesion according to Response Evaluation Criteria in Solid Tumors (RECIST) 1.1 criteria for response assessment (certain exceptions may apply)
  • Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1

Who cannot join

  • Ongoing or recent (within 5 years) evidence of significant autoimmune disease that required treatment with systemic immunosuppressive treatments, which may suggest risk for immune-related adverse events (irAEs). The following are not exclusionary: vitiligo, childhood asthma that has resolved, residual hypothyroidism that required only hormone replacement or psoriasis that does not require systemic treatment.
  • Prior treatment with an agent that blocks the programmed death-1/ programmed death-ligand 1 (PD-1/PD-L1 pathway) (certain exceptions may apply)
  • Prior treatment with other immune modulating agents within fewer than 4 weeks prior to the first dose of cemiplimab. Examples of immune modulating agents include blockers of CTLA-4, 4-1BB (CD137), OX-40, therapeutic vaccines, or cytokine treatments.
  • Untreated brain metastasis(es) that may be considered active. Patients with previously treated brain metastases may participate provided they are stable (i.e., without evidence of progression by imaging for at least 6 weeks prior to the first dose of study treatment, and any neurologic symptoms have returned to baseline), and there is no evidence of new or enlarging brain metastases, and the patient does not require any systemic corticosteroids for management of brain metastases within 4 weeks prior to the first dose of cemiplimab (certain exceptions may apply).
  • Immunosuppressive corticosteroid doses (>10 mg prednisone daily or equivalent) within 4 weeks prior to the first dose of cemiplimab
  • The information provided above is not intended to contain all considerations relevant to potential participation in a clinical trial, therefore not all inclusion/ exclusion criteria are listed.

Trial locations and contacts

47 sites in 3 countries.

47 sites in 3 countries

United States40 sites
  • Winship Cancer Institute, Emory University

    Atlanta, Georgia

  • Dana Farber Cancer Institute

    Boston, Massachusetts

  • University of Chicago

    Chicago, Illinois

  • University Hospitals Case Medical Center

    Cleveland, Ohio

  • Mary Crowley Cancer Research Center - Medical City

    Dallas, Texas

  • Sarah Cannon Research Institute at HealthONE

    Denver, Colorado

  • Barbara Ann Karmanos Cancer Center

    Detroit, Michigan

  • City of Hope National Medical Center

    Duarte, California

  • Duke Cancer Institute

    Durham, North Carolina

  • University of Kansas Cancer Center

    Fairway, Kansas

  • Banner MD Anderson Cancer Center

    Gilbert, Arizona

  • Western Regional Medical Center

    Goodyear, Arizona

  • Hackensack University Medical Center

    Hackensack, New Jersey

  • Penn State Milton S Hershey Medical Center

    Hershey, Pennsylvania

  • Baylor College of Medicine

    Houston, Texas

  • The University of Texas MD Anderson Cancer Center

    Houston, Texas

  • Indiana University

    Indianapolis, Indiana

  • The Angeles Clinic and Research Institute

    Los Angeles, California, 90025

  • Ronald Reagan UCLA Medical Center

    Los Angeles, California

  • Sarah Cannon Research Institute

    Nashville, Tennessee

  • Vanderbilt University Medical Center

    Nashville, Tennessee

  • Cancer Institute of New Jersey

    New Brunswick, New Jersey

  • Columbia University Medical Center

    New York, New York

  • Laura & Isaac Perlmutter Cancer Center

    New York, New York

  • Mount Sinai Medical Center

    New York, New York

  • Weill Cornell Medical College

    New York, New York

  • Norwalk Hospital

    Norwalk, Connecticut

  • Stephenson Cancer Center

    Oklahoma City, Oklahoma

  • Nebraska Methodist Hospital

    Omaha, Nebraska

  • Mayo Clinic

    Phoenix, Arizona

  • University of Pittsburgh Medical Center Shadyside

    Pittsburgh, Pennsylvania, 15232

  • Providence Portland Medical Center

    Portland, Oregon

  • Miriam Hospital

    Providence, Rhode Island

  • START South Texas Accelerated Research Therapeutics

    San Antonio, Texas

  • Washington University School of Medicine Siteman Cancer Center

    St Louis, Missouri

  • Stanford University

    Stanford, California

  • Northwest Medical Specialties

    Tacoma, Washington

  • H Lee Moffitt Cancer Center and Research Institute

    Tampa, Florida

  • University of Arizona Cancer Center

    Tucson, Arizona

  • Georgetown University Medical Center

    Washington D.C., District of Columbia

Other trials in United States

Spain6 sites
  • Hospital Universitario Vall d'Hebron

    Barcelona

  • Institut Catala d'Oncologia L'hospitalet

    L'Hospitalet de Llobregat, Barcelona

  • Fundacion Jimenez Diaz

    Madrid

  • Hospital Universitario HM Sanchinarro-CIOCC

    Madrid

  • Hospital Universitario Ramon y Cajal

    Madrid

  • MD Anderson Cancer Center

    Madrid

Other trials in Spain

Australia1 site
  • Peter Maccallum Cancer Centre

    Melbourne

Other trials in Australia

About this study

Official title: A First-in-Human Study of Repeat Dosing With REGN2810, a Monoclonal, Fully Human Antibody to Programmed Death - 1 (PD-1), as Single Therapy and in Combination With Other Anti-Cancer Therapies in Patients With Advanced Malignancies

This is a phase 1, open-label, multicenter, ascending-dose escalation study of cemiplimab, alone and in combination with other anti-cancer therapies in patients with advanced malignancies.

Being tested
Cemiplimab, Hypofractionated radiotherapy, Cyclophosphamide, Docetaxel, Carboplatin
Keywords
Advanced cancerous growth

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

Study groups in NCT02383212
Study groupRoleWhat they receive
Monotherapy CohortExperimentalCemiplimab will be administered alone
Receives: Drug: Cemiplimab
Dual Combination CohortsExperimentalDoses of cemiplimab will be administered in combination with hypofractionated radiotherapy Doses of cemiplimab will be administered in combination with Cyclophosphamide Doses of cemiplimab will be administered in combination with Docetaxel
Receives: Drug: Cemiplimab; Radiation: Hypofractionated radiotherapy; Drug: Cyclophosphamide; Drug: Docetaxel
Triple Combination CohortsExperimentalDoses of cemiplimab will be administered in combination with hypofractionated radiotherapy plus Cyclophosphamide Doses of cemiplimab will be administered in combination with hypofractionated radiotherapy plus GM-CSF Doses of cemiplimab will be administered in combination with Carboplatin plus Paclitaxel Doses of cemiplimab will be administered in combination with Carboplatin plus Pemetrexed Doses of cemiplimab will be administered in combination with Carboplatin plus Docetaxel
Receives: Drug: Cemiplimab; Radiation: Hypofractionated radiotherapy; Drug: Cyclophosphamide; Drug: Docetaxel; Drug: Carboplatin; Drug: GM-CSF; Drug: Paclitaxel; Drug: Pemetrexed
Quadruple Combination CohortsExperimentalDoses of cemiplimab will be administered in combination with hypofractionated radiotherapy plus GM-CSF plus Cyclophosphamide
Receives: Drug: Cemiplimab; Radiation: Hypofractionated radiotherapy; Drug: Cyclophosphamide; Drug: GM-CSF

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Incidence of Treatment Emergent Adverse Events (TEAEs)

    Primary safety variables include incidence and severity of TEAEs, abnormal laboratory findings and number of participants with dose limiting toxicities (DLTs)

    Measured: Change from baseline to week 48

  2. Incidence of abnormal laboratory findings

    Measured: Change from baseline to week 48

  3. Number of participants with dose limiting toxicities (DLTs)

    Measured: Change from baseline to 28 days after first dose of cemiplimab

Secondary outcomes (5)
  1. Response Evaluation Criteria in Solid Tumors (RECIST) as measured by Computed Tomography (CT) or Magnetic Resonance Imaging (MRI)

    Measured: Change from baseline to week 48

  2. Immune-Related Response Criteria (irRC) applied to RECIST measurements

    Measured: Change from baseline to week 48

  3. Incidence of development of anti-cemiplimab antibodies

    Measured: Up to week 48

  4. Antitumor activity measured by progression-free survival (PFS)

    Measured: Up to 72 weeks

  5. Antitumor activity measured by overall survival

    Measured: Up to 249 weeks

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted9 Mar 2015 (estimated)
  2. Study start2 Feb 2015
  3. Primary completion18 Nov 2019
  4. Study completion18 Nov 2019

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 1
Primary purpose
Treatment
Allocation
Non-randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
398 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02383212
Sponsor's protocol ID
R2810-ONC-1423
Other IDs
2015-002132-41, 2015
Status last verified
Jan 2020
First submitted
2 Feb 2015
Last updated
27 Jan 2020
Results posted
No
Data monitoring committee
No

Publications

  • Babiker H, Brana I, Mahadevan D, Owonikoko T, Calvo E, Rischin D, Moreno V, Papadopoulos KP, Crittenden M, Formenti S, Giralt J, Garrido P, Soria A, Hervas-Moron A, Mohan KK, Fury M, Lowy I, Mathias M, Feng M, Li J, Stankevich E. Phase I Trial of Cemiplimab, Radiotherapy, Cyclophosphamide, and Granulocyte Macrophage Colony-Stimulating Factor in Patients with Recurrent or Metastatic Head and Neck Squamous Cell Carcinoma. Oncologist. 2021 Sep;26(9):e1508-e1513. doi: 10.1002/onco.13810. Epub 2021 May 22.

    PubMed 33942954
  • Moreno V, Garrido P, Papadopoulos KP, De Miguel Luken MJ, Gil-Martin M, Aljumaily R, Rosen LS, Rietschel P, Mohan KK, Yoo SY, Stankevich E, Lowy I, Fury MG. Tolerability and antitumor activity of cemiplimab, a human monoclonal anti-PD-1, as monotherapy in patients with pretreated non-small cell lung cancer (NSCLC): Data from the Phase 1 NSCLC expansion cohort. Lung Cancer. 2021 May;155:151-155. doi: 10.1016/j.lungcan.2021.02.034. Epub 2021 Mar 4.

    PubMed 33831732
  • Rischin D, Migden MR, Lim AM, Schmults CD, Khushalani NI, Hughes BGM, Schadendorf D, Dunn LA, Hernandez-Aya L, Chang ALS, Modi B, Hauschild A, Ulrich C, Eigentler T, Stein B, Pavlick AC, Geiger JL, Gutzmer R, Alam M, Okoye E, Mathias M, Jankovic V, Stankevich E, Booth J, Li S, Lowy I, Fury MG, Guminski A. Phase 2 study of cemiplimab in patients with metastatic cutaneous squamous cell carcinoma: primary analysis of fixed-dosing, long-term outcome of weight-based dosing. J Immunother Cancer. 2020 Jun;8(1):e000775. doi: 10.1136/jitc-2020-000775.

    PubMed 32554615
  • Migden MR, Rischin D, Schmults CD, Guminski A, Hauschild A, Lewis KD, Chung CH, Hernandez-Aya L, Lim AM, Chang ALS, Rabinowits G, Thai AA, Dunn LA, Hughes BGM, Khushalani NI, Modi B, Schadendorf D, Gao B, Seebach F, Li S, Li J, Mathias M, Booth J, Mohan K, Stankevich E, Babiker HM, Brana I, Gil-Martin M, Homsi J, Johnson ML, Moreno V, Niu J, Owonikoko TK, Papadopoulos KP, Yancopoulos GD, Lowy I, Fury MG. PD-1 Blockade with Cemiplimab in Advanced Cutaneous Squamous-Cell Carcinoma. N Engl J Med. 2018 Jul 26;379(4):341-351. doi: 10.1056/NEJMoa1805131. Epub 2018 Jun 4.

    PubMed 29863979
  • Falchook GS, Leidner R, Stankevich E, Piening B, Bifulco C, Lowy I, Fury MG. Responses of metastatic basal cell and cutaneous squamous cell carcinomas to anti-PD1 monoclonal antibody REGN2810. J Immunother Cancer. 2016 Nov 15;4:70. doi: 10.1186/s40425-016-0176-3. eCollection 2016.

    PubMed 27879972

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing Cemiplimab, Hypofractionated radiotherapy and Cyclophosphamide in people with Advanced Cancer and Advanced Malignancies, run by Regeneron Pharmaceuticals at 47 sites in 3 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 3 inclusion and 6 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 27 Jan 2020. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 47 sites in United States, Spain, Australia. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Incidence of Treatment Emergent Adverse Events (TEAEs) (time frame: Change from baseline to week 48). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT02383212, which also lists 5 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 27 Jan 2020.

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