Advanced Non-Small Cell Lung CancerPhase 2/3NCT05785767
A Study to Learn if a Combination of Fianlimab and Cemiplimab Versus Cemiplimab Alone is More Effective for Adult Participants With Advanced Non-Small Cell Lung Cancer (NSCLC)
A Phase 2/3 study testing fianlimab and cemiplimab in people with Advanced Non-Small Cell Lung Cancer, run by Regeneron Pharmaceuticals at 106 sites in 11 countries.
Trial summary
This study is researching an experimental drug called fianlimab (also called REGN3767), combined with a medication called cemiplimab (also called REGN2810), individually called a "study drug" or collectively called "study drugs". The study is focused on patients who have advanced non-small cell lung cancer (NSCLC). Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Advanced Non-Small Cell Lung Cancer
- What is being tested?
- fianlimab and cemiplimab
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 149 participants
- Where
- 106 sitesin 11 countries
- Study dates
- 30 Jun 2023to 28 Sep 2027
- Phase
- Phase 2/3
- Are there results?
- Not yet: the study is under way
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
- Patients with non-squamous or squamous histology NSCLC with stage IIIB or stage IIIC disease who are not candidates for surgical resection or definitive chemoradiation per investigator assessment or stage IV (metastatic disease), who received no prior systemic treatment for recurrent or metastatic NSCLC.
- Availability of an archival or on-study formalin-fixed, paraffin-embedded (FFPE) tumor tissue sample, without intervening therapy between biopsy collection and screening as described in the protocol
- For enrollment in phase 2, patients should have PD-L1 levels ≥ 50%, as determined by a College of American Pathologists (CAP)/Clinical Laboratory Improvement Amendments (CLIA) (or equivalently licensed, according to local regulations) accredited laboratory, as described in the protocol
- At least 1 radiographically measurable lesion by computed tomography (CT) or magnetic resonance imaging (MRI) per Response Evaluation Criteria in Solid Tumors version 1.1 (RECIST 1.1) criteria. Target lesions may be located in a previously irradiated field if there is documented (radiographic) disease progression in that site.
- Eastern Cooperative Oncology Group (ECOG) performance status of ≤1.
- Adequate organ and bone marrow function, as described in the protocol.
Who cannot join
- Patients who have never smoked, defined as smoking ≤100 cigarettes in a lifetime.
- Active or untreated brain metastases or spinal cord compression. Patients are eligible if central nervous system (CNS) metastases are adequately treated, and patients have neurologically returned to baseline (except for residual signs or symptoms related to the CNS treatment) for at least 2 weeks prior to enrollment. Patients must be off (immunosuppressive doses of) corticosteroid therapy.
- Patients with tumors tested positive for actionable epidermal growth factor receptor (EGFR) gene mutations, anaplastic lymphoma kinase (ALK) gene translocations, or c-ros oncogene 1 (ROS1) fusions, as described in the protocol.
- Encephalitis, meningitis, or uncontrolled seizures in the year prior to enrollment.
- History of interstitial lung disease (eg, idiopathic pulmonary fibrosis or organizing pneumonia), of active, noninfectious pneumonitis that required immune-suppressive doses of glucocorticoids to assist with management, or of pneumonitis within the last 5 years. A history of radiation pneumonitis in the radiation field is permitted as long as pneumonitis resolved ≥6 months prior to enrollment.
- Known primary immunodeficiencies, either cellular (eg, DiGeorge syndrome, T-cell-negative severe combined immunodeficiency [SCID]) or combined T- and B-cell immunodeficiencies (eg, T- and B-cell negative SCID, Wiskott Aldrich syndrome, ataxia telangiectasia, common variable immunodeficiency).
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- Ongoing or recent (within 2 years) evidence of significant autoimmune disease that required treatment with systemic immunosuppressive treatments, which may suggest risk of immune-mediated treatment-emergent adverse events (imTEAEs). Patients with uncontrolled type 1 diabetes mellitus or with uncontrolled adrenal insufficiency are excluded. 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.
- Patients with a condition requiring corticosteroid therapy (>10 mg prednisone/day or equivalent) within 14 days of randomization. Physiologic replacement doses are allowed even if they are >10 mg of prednisone/day or equivalent, as long as they are not being administered for immunosuppressive intent. Patients with clinically relevant systemic immune suppression within the last 3 months before trial enrollment are excluded. Inhaled or topical steroids are permitted, provided that they are not for treatment of an autoimmune disorder.
- Patients who have received prior systemic therapies are excluded with the exception of the following:
- Adjuvant or neoadjuvant platinum-based doublet chemotherapy (after surgery and/or radiation therapy) if recurrent or metastatic disease develops more than 6 months after completing therapy as long as toxicities have resolved to CTCAE grade ≤1 or baseline with the exception of alopecia and peripheral neuropathy.
- Anti-PD-(L) 1 with or without LAG-3 as an adjuvant or neoadjuvant therapy as long as the last dose is >12 months prior to enrollment.
- Prior exposure to other immunomodulatory or vaccine therapies as an adjuvant or neoadjuvant therapy, Cytotoxic T-lymphocyte-associated protein 4 (anti-CTLA-4) antibodies as long as the last dose is >6 months prior to enrollment. Immune-mediated AEs must be resolved to CTCAE grade ≤1 or baseline by the time of enrollment. Endocrine immune-mediated AEs controlled with hormonal or other non-immunosuppressive therapies without resolution prior to enrollment are allowed.
- Note: Other protocol-defined Inclusion/ Exclusion Criteria apply.
Trial locations and contacts
106 sites in 11 countries.
106 sites in 11 countries
Turkey (Türkiye)30 sites
Acibadem Adana Hastanesi
Adana, Adana, 1330
Adana City Education and Research Hospital
Adana, Yuregir, 1060
Baskent University
Adana, 1123
Hacettepe University Medical Faculty
Altındağ, Ankara, 06230
Ankara Etlik Sehir Hastanesi Ankara Etlik City Hospital
Ankara, 06010
Gulhane Training and Research Hospital
Ankara, 06010
Ankara Yildirim Beyazit Universitesi - Tip Fakultesi
Ankara, 06050
Gazi University
Ankara, 06100
Liv Hospital Ankara
Ankara, 06100
Sbu Doctor Abdurrahman Yurtaslan Ankara Onkoloji Suam
Ankara, 06100
Yuksek Ihtisas Unıversity Medicalpark Hospital
Ankara, 06370
Memorial Ankara Hospital
Ankara, 906520
Ege University Faculty of Medicine
Bornova, İzmir, 35100
Bursa Uludag University Medical Faculty
Bursa, Gorukle Bursa Turkiye, 16059
Trakya University
Edirne, 22030
Gaziantep Medicalpoint Hospital
Gaziantep, Sehitkamil, 27584
Medipol University Hospital
Istanbul, Bagcilar, 34284
Koc University
Istanbul, 34010
Bezmialem Vakif University
Istanbul, 34093
Memorial Bahcelievler Hospital
Istanbul, 34180
Istanbul University Cerrahpasa at Cerrahpasa Medical Faculty
Istanbul, 34450
Istanbul Medeniyet University - Prof Dr Suleyman Yalcin Sehir Hospital
Istanbul, 81450
Izmir Dr.Suat Seren Gogus Hastaliklari Ve Cerrahisi Egitim Ve Arastirma Hastanesi
Izmir, 35110
Izmir Economy University Medical Point Hospital
Izmir, 35325
Kocaeli University Hospital
Kocaeli, Marmara, 41380
Necmettin Erbakan University Meram Faculty of Medicine
Konya, Meram, 42080
Ondokuz Mayıs University
Kurupelit, Samsun, 55139
Istinye University VMMedical Park Pendik Hospital
Pendik, Istanbul, 34899
Sakarya University
Sakarya, Serdivan, 54050
Vm Medicalpark Hospital
Samsun, 55200
United States23 sites
New Mexico Cancer Care Alliance
Albuquerque, New Mexico, 87102
Mary Bird Perkins Cancer Center
Baton Rouge, Louisiana, 70809
St. Vincent Healthcare
Billings, Montana, 59102
Gabrail Cancer Center Research
Canton, Ohio, 44718
University of Virginia Medical Center
Charlottesville, Virginia, 22908
University of Illinois
Chicago, Illinois, 60612
Clermont Oncology Center
Clermont, Florida, 34711
Renovatio Clinical
El Paso, Texas, 79915
Hattiesburg Clinic
Hattiesburg, Mississippi, 39401
MD Anderson Cancer Center
Houston, Texas, 77030
University of Tennessee Medical Center
Knoxville, Tennessee, 37920
Miami Veterans Administration HealthCare System
Miami, Florida, 33125
Bon Secours Cancer Institute Richmond
Midlothian, Virginia, 23114
Eastern CT Hematology and Oncology Associates
Norwich, Connecticut, 06360
Mid Florida Hematology and Oncology Center
Orange City, Florida, 32763
Emad Ibrahim, MD, Inc.
Redlands, California, 92373
Mercy South
St Louis, Missouri, 63128
Pinellas Hematology and Oncology
St. Petersburg, Florida, 33709
Tallahassee Memorial Healthcare
Tallahassee, Florida, 32308
Moffitt Cancer Center
Tampa, Florida, 33612
Arizona Clinical Research Center
Tucson, Arizona, 85715
Clinical Research Alliance Inc
Westbury, New York, 11590
Yuma Regional Medical Center
Yuma, Arizona, 85364
Spain9 sites
Instituto Oncologico Dr Rosell Hospital Universitari Quiron Dexeus Location
Barcelona, Catalonia, 08028
Vall d'Hebron Barcelona Hospital Campus
Barcelona, 08035
Hospital Clinico San Carlos
Madrid, 28040
Hospital Universitario Puerta de Hierro - Majadahonda
Majadahonda, Madrid, 28222
Hospital Regional Universitario de Malaga
Málaga, 29010
Hospital Universitario Central de Asturias
Oviedo, Principality of Asturias, 33011
Son Espases
Palma, Balearic Islands, 07120
Hospital Clinico Universitario Santiago de Compostela
Santiago de Compostela, A Coruna, 15706
Hospital De Valme
Seville, 41001
Georgia8 sites
Cancer Center of Adjara
Batumi, Adjara, 6000
Israeli Georgian Medical Research Clinic Helsicore
Tbilisi, 0112
Research Institute of Clinical Medicine
Tbilisi, 0112
Tbilisi State Medical University and Ingorokva High Medical Technology University Clinic
Tbilisi, 0144
NNLE New Vision University Hospital
Tbilisi, 0159
The Institute of Clinical Oncology
Tbilisi, 0159
TIM - Tbilisi Institute of Medicine
Tbilisi, 0160
JSC Evex Hospitals - Caraps Medline
Tbilisi, 0179
Taiwan8 sites
Dalin Tzu Chi Hospital
Dalin, Chia-Yi, 622
Buddhist Tzu Chi General Hospital
Hualien City, Hualien, 970
Chung-Ho Memorial Hospital
Kaohsiung City, 80756
Taipei Medical University - Shuang Ho Hospital
New Taipei City, 23561
National Cheng Kung University Hospital
Tainan, 704
National Taiwan University Hospital
Taipei, 100
Taipei Medical University Hospital
Taipei, 110301
Tri-Service General Hospital
Taipei, 114
South Korea7 sites
Chungbuk National University Hospital
Cheongju-si, North Chungcheong, 28644
Chungnam National University Hospital
Daejeon, 35015
Gachon University Gil Medical Center
Incheon, Gyeonggi-do, 21565
Korea University Guro Hospital
Seoul, 08308
St. Vincents Hospital - The Catholic University of Korea
Suwon, Gyeonggi-do, 16247
Ajou University Hospital
Suwon, Gyeonggi-do, 16499
Ulsan University Hospital
Ulsan, 44033
Thailand6 sites
King Chulalongkorn Memorial Hospital
Bangkok, 10330
Siriraj Hospital
Bangkok, 10700
Chiang Mai University
Chiang Mai, 50200
Navamindradhiraj University
Dusit, Bangkok, 10300
Prince Of Songkla Hospital, Prince Of Songkhla University
Hat Yai, Changwat Songkhla, 90110
Lampang Cancer Center
Lampang, Changwat Lampang, 52000
Australia5 sites
Ballarat Regional Integrated Cancer Centre (BRICC)
Ballarat, Victoria, 3350
Bendigo Hospital
Bendigo, Victoria, 3550
Macquarie University Health Science Center (MQ Health)
Macquarie Park, New South Wales, 2113
Riverina Cancer Care Centre (RCCC)
Wagga Wagga, New South Wales, 2650
Southern Medical Day Care Centre
Wollongong, New South Wales, 2500
Malaysia5 sites
Hospital Sultan Ismail
Johor Bahru, Johor, 81100
Hospital Kuala Lumpur
Kuala Lumpur, Kuala Lumpur, 50586
Hospital Tengku Ampuan Afzan (HTTA)
Kuantan, Pahang, 25100
Hospital Pulau Pinang
Pulau Pinang, 10990
National Cancer Institute
Putrajaya, Putrajaya, 62250
Israel4 sites
Soroka University Medical Center
Beersheba, Southern District, 84101
Shaare Zedek Medical Center
Jerusalem, 9103102
Tel Aviv Sourasky Medical Center
Tel Aviv, 64239
Assuta Medical Centers
Tel Aviv, 6971028
Canada1 site
British Columbia Cancer Center-Kelowna
Kelowna, British Columbia, V1Y 5L3
About this study
Official title: A Randomized, Double-Blind Phase 2/3 Study of Fianlimab (Anti-LAG-3 Antibody) in Combination With Cemiplimab (Anti-PD-1 Antibody) Versus Cemiplimab Monotherapy in First-Line Treatment of Patients With Advanced Non-Small Cell Lung Cancer (NSCLC) With Tumors Expressing PD-L1 ≥50%
This study is researching an experimental drug called fianlimab (also called REGN3767), combined with a medication called cemiplimab (also called REGN2810), individually called a "study drug" or collectively called "study drugs". The study is focused on patients who have advanced non-small cell lung cancer (NSCLC).
The aim of the study is to see how effective the combination of fianlimab and cemiplimab is in treating advanced NSCLC, in comparison with cemiplimab by itself.
Read more
The study is looking at several other research questions, including:
- What side effects may happen from taking the study drugs
- How much study drug is in your blood at different times
- Whether the body makes antibodies against the study drugs (which could make the drug less effective or could lead to side effects)
- How administering the study drugs might improve your quality of life
Read the detailed description
Phase 3 was not initiated and no participants were enrolled.
- Conditions
- Advanced Non-Small Cell Lung Cancer
- Being tested
- fianlimab, cemiplimab, Placebo
- Keywords
- Treatment naïve, NSCLC
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
fianlimabDrug
Also called REGN3767
Administered per the protocol
cemiplimabDrug
Also called REGN2810, Libtayo
Administered per the protocol
PlaceboDrug
Administered per the protocol
| Study group | Role | What they receive |
|---|---|---|
| A: fianlimab+cemiplimab | Experimental | Phase 2: fianlimab (HD) Receives: Drug: fianlimab; Drug: cemiplimab |
| B: fianlimab+cemiplimab | Experimental | Phase 2: fianlimab (LD) Receives: Drug: fianlimab; Drug: cemiplimab |
| C: cemiplimab monotherapy+placebo | Experimental | Phase 2 Receives: Drug: cemiplimab; Drug: Placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
Objective response rate (ORR) as assessed by blinded independent central review (BICR), using Response Evaluation Criteria in Solid Tumors version 1.1 (RECIST 1.1)
Proportion of patients with a best overall response of confirmed complete response (CR) or partial response (PR)
Measured: Up to 136 weeks
Secondary outcomes (43)
Incidence of treatment-emergent adverse events (TEAEs)
Measured: Up to 136 weeks
Incidence of treatment-related TEAEs
Measured: Up to 136 weeks
Incidence of serious adverse events (SAEs)
Measured: Up to 136 weeks
Incidence of adverse events of special interest (AESIs)
Measured: Up to 136 weeks
Incidence of immune-mediated adverse events (imAEs)
Measured: Up to 136 weeks
Occurrence of interruption of study drug(s) due to TEAEs
Measured: Up to 136 weeks
Occurrence of discontinuation of study drug(s) due to TEAEs
Measured: Up to 136 weeks
Occurrence of interruption of study drug(s) due to AESIs
Measured: Up to 136 weeks
Occurrence of discontinuation of study drug(s) due to AESIs
Measured: Up to 136 weeks
Occurrence of interruption of study drug(s) due to imAEs
Measured: Up to 136 weeks
Occurrence of discontinuation of study drug(s) due to imAEs
Measured: Up to 136 weeks
Incidence of deaths due to TEAE
Measured: Up to 136 weeks
Incidence of grade 3 to 4 laboratory abnormalities
≥ grade 3 per National Cancer Institute-Common Terminology Criteria for Adverse Events [NCI-CTCAE v5.0]
Measured: Up to 136 weeks
ORR by investigator assessment, using RECIST 1.1
Measured: Up to 136 weeks
Disease control rate (DCR) by BICR
Measured: Up to 136 weeks
DCR by investigator assessment
Measured: Up to 136 weeks
Time to tumor response (TTR) by BICR
Measured: Up to 136 weeks
TTR by investigator assessment
Measured: Up to 136 weeks
Duration of response (DOR) by BICR
Measured: Up to 5 years
DOR by investigator assessment
Measured: Up to 5 years
Progression free survival (PFS) by BICR
Measured: Up to 5 years
PFS by investigator assessment
Measured: Up to 5 years
Overall survival (OS)
Measured: Up to 5 years
Change from baseline in patient-reported Global Health Status/Quality of Life (GHS/QoL) per European Organization for Research and Treatment of Cancer Quality of Life Core Questionnaire (EORTC QLQ-C30)
EORTC-QLQ-C30 is a 30-item subject self-report questionnaire composed of both multi-item and single scales, including a GHS/QoL scale. Participants rate items on a four-point scale, with 1 as "not at all" and 4 as "very much." A change of 5 - 10 points is considered a small change. A change of 10 - 20 points is considered a moderate change.
Measured: Up to 5 years
Change from baseline in patient-reported physical functioning per EORTC QLQ-C30
Measured: Up to 5 years
Change from baseline in patient-reported chest pain per European Organization for Research and Treatment of Cancer Quality of Life Questionnaire Lung Cancer (EORTC QLQ-LC13)
EORTC QLQ-LC 13 is a lung cancer specific module developed to assess lung cancer-associated symptoms and treatment-related side effects among lung cancer patients
Measured: Up to 5 years
Change from baseline in patient-reported dyspnea per EORTC QLQ-LC13
Measured: Up to 5 years
Change from baseline in patient-reported cough per EORTC QLQ-LC13
Measured: Up to 5 years
Time until definitive deterioration in patient-reported global health status/QoL per EORTC QLQ-C30
Measured: Up to 5 years
Time until definitive deterioration in patient-reported physical functioning per EORTC QLQ-C30
Measured: Up to 5 years
Time until definitive deterioration in patient-reported chest pain per EORTC QLQ-LC13
Measured: Up to 5 years
Time until definitive deterioration in patient-reported dyspnea per EORTC QLQ-LC13
Measured: Up to 5 years
Time until definitive deterioration in patient-reported cough per EORTC QLQ-LC13
Measured: Up to 5 years
Time until definitive deterioration in patient-reported composite of chest pain, dyspnea and cough per EORTC QLQ-LC13
Measured: Up to 5 years
Change from baseline in patient-reported general health status per EuroQoL-5 Dimensions, 5-level Questionnaire-Visual Analogue Score (EQ-5D-5L VAS)
The EQ-5D-5L VAS records the respondent's self-rated health on a 10 centimeter (cm) vertical, visual analogue scale. It is rated by the respondent on a scale 0 to 100, with 0 being "the worst health you can imagine" and 100 being "the best health you can imagine".
Measured: Up to 5 years
Change from baseline in patient-reported severity with usual or daily activities due to fatigue per the Patient Reported Outcomes for Common Terminology Criteria for Adverse Events (PRO-CTCAE).
PRO-CTCAE questionnaire assesses side effect symptoms in cancer clinical trials using a PRO-CTCAE score. The PRO-CTCAE includes an item library of 124 items representing 78 symptomatic toxicities drawn from the CTCAE.
Measured: Up to 5 years
Change from baseline in patient-reported interference with usual or daily activities due to fatigue per the Patient Reported Outcomes for Common Terminology Criteria for Adverse Events (PRO-CTCAE).
Measured: Up to 5 years
Concentrations of cemiplimab in serum
Measured: Up to 136 weeks
Concentrations of fianlimab in serum
Measured: Up to 136 weeks
Immunogenicity, as measured by anti-drug antibodies (ADA) to fianlimab
Measured: Up to 136 weeks
Immunogenicity, as measured by ADA to cemiplimab
Measured: Up to 136 weeks
Immunogenicity, as measured by neutralizing antibodies (NAb) to fianlimab
Measured: Up to 136 weeks
Immunogenicity, as measured by NAb to cemiplimab
Measured: Up to 136 weeks
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted27 Mar 2023
- Study start30 Jun 2023
- Primary completion28 Sep 2027 (estimated)
- Study completion28 Sep 2027 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Advanced Non-Small Cell Lung CancerStudies of the same condition, open and under way.
- More trials run by Regeneron PharmaceuticalsThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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 2/3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 149 participants (actual)
Sponsor and investigators
- Lead sponsor
- Regeneron Pharmaceuticals
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Clinical Trial Management, Study director, Regeneron Pharmaceuticals
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05785767
- Sponsor's protocol ID
- R3767-ONC-2235
- Other IDs
- 2022-501483-18-00
- Status last verified
- Jun 2026
- First submitted
- 14 Mar 2023
- Last updated
- 2 Jul 2026
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- Yes: All Individual Patient Data (IPD) that underlie publicly available results will be considered for sharing
Study at a glance
From the registry record, last updated by the sponsor on 2 Jul 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Randomized, Double-Blind Phase 2/3 Study of Fianlimab (Anti-LAG-3 Antibody) in Combination With Cemiplimab (Anti-PD-1 Antibody) Versus Cemiplimab Monotherapy in First-Line Treatment of Patients With Advanced Non-Small Cell Lung Cancer (NSCLC) With Tumors Expressing PD-L1 ≥50%
- ClinicalTrials.gov ID
- NCT05785767
- Acronym / sponsor ID
- R3767-ONC-2235
- Conditions
- Advanced Non-Small Cell Lung Cancer
- Keywords
- Treatment naïve, NSCLC
- Phase
- Phase 2/3
- Study type
- Interventional
- Recruitment status
- Active, not recruiting
- Enrolment
- 149 participants (actual)
- Lead sponsor
- Regeneron PharmaceuticalsIndustry (pharma, biotech, devices)
- Study start
- 30 Jun 2023 (actual)
- Primary completion
- 28 Sep 2027 (estimated)
- Study completion
- 28 Sep 2027 (estimated)
- First posted
- 27 Mar 2023 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This study is researching an experimental drug called fianlimab (also called REGN3767), combined with a medication called cemiplimab (also called REGN2810), individually called a "study drug" or collectively called "study drugs". The study is focused on patients who have advanced non-small cell lung cancer (NSCLC).
The aim of the study is to see how effective the combination of fianlimab and cemiplimab is in treating advanced NSCLC, in comparison with cemiplimab by itself.
The study is looking at several other research questions, including:
- What side effects may happen from taking the study drugs
- How much study drug is in your blood at different times
- Whether the body makes antibodies against the study drugs (which could make the drug less effective or could lead to side effects)
- How administering the study drugs might improve your quality of life
Detailed description
Phase 3 was not initiated and no participants were enrolled.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| A: fianlimab+cemiplimab | Experimental | Drug: fianlimab, Drug: cemiplimabPhase 2: fianlimab (HD) |
| B: fianlimab+cemiplimab | Experimental | Drug: fianlimab, Drug: cemiplimabPhase 2: fianlimab (LD) |
| C: cemiplimab monotherapy+placebo | Experimental | Drug: cemiplimab, Drug: PlaceboPhase 2 |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (6 listed)
- Patients with non-squamous or squamous histology NSCLC with stage IIIB or stage IIIC disease who are not candidates for surgical resection or definitive chemoradiation per investigator assessment or stage IV (metastatic disease), who received no prior systemic treatment for recurrent or metastatic NSCLC.
- Availability of an archival or on-study formalin-fixed, paraffin-embedded (FFPE) tumor tissue sample, without intervening therapy between biopsy collection and screening as described in the protocol
- For enrollment in phase 2, patients should have PD-L1 levels ≥ 50%, as determined by a College of American Pathologists (CAP)/Clinical Laboratory Improvement Amendments (CLIA) (or equivalently licensed, according to local regulations) accredited laboratory, as described in the protocol
- At least 1 radiographically measurable lesion by computed tomography (CT) or magnetic resonance imaging (MRI) per Response Evaluation Criteria in Solid Tumors version 1.1 (RECIST 1.1) criteria. Target lesions may be located in a previously irradiated field if there is documented (radiographic) disease progression in that site.
- Eastern Cooperative Oncology Group (ECOG) performance status of ≤1.
Key exclusion criteria (13 listed)
- Patients who have never smoked, defined as smoking ≤100 cigarettes in a lifetime.
- Active or untreated brain metastases or spinal cord compression. Patients are eligible if central nervous system (CNS) metastases are adequately treated, and patients have neurologically returned to baseline (except for residual signs or symptoms related to the CNS treatment) for at least 2 weeks prior to enrollment. Patients must be off (immunosuppressive doses of) corticosteroid therapy.
- Patients with tumors tested positive for actionable epidermal growth factor receptor (EGFR) gene mutations, anaplastic lymphoma kinase (ALK) gene translocations, or c-ros oncogene 1 (ROS1) fusions, as described in the protocol.
- Encephalitis, meningitis, or uncontrolled seizures in the year prior to enrollment.
- History of interstitial lung disease (eg, idiopathic pulmonary fibrosis or organizing pneumonia), of active, noninfectious pneumonitis that required immune-suppressive doses of glucocorticoids to assist with management, or of pneumonitis within the last 5 years. A history of radiation pneumonitis in the radiation field is permitted as long as pneumonitis resolved ≥6 months prior to enrollment.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| fianlimabAlso: REGN3767Administered per the protocol | Drug | A: fianlimab+cemiplimab, B: fianlimab+cemiplimab |
| cemiplimabAlso: REGN2810, LibtayoAdministered per the protocol | Drug | A: fianlimab+cemiplimab, B: fianlimab+cemiplimab, C: cemiplimab monotherapy+placebo |
| PlaceboAdministered per the protocol | Drug | C: cemiplimab monotherapy+placebo |
Primary outcome
Objective response rate (ORR) as assessed by blinded independent central review (BICR), using Response Evaluation Criteria in Solid Tumors version 1.1 (RECIST 1.1)
Time frame: Up to 136 weeks
Proportion of patients with a best overall response of confirmed complete response (CR) or partial response (PR)
43 secondary outcomes
Incidence of treatment-emergent adverse events (TEAEs)
Time frame: Up to 136 weeks
Incidence of treatment-related TEAEs
Time frame: Up to 136 weeks
Incidence of serious adverse events (SAEs)
Time frame: Up to 136 weeks
Incidence of adverse events of special interest (AESIs)
Time frame: Up to 136 weeks
Incidence of immune-mediated adverse events (imAEs)
Time frame: Up to 136 weeks
Occurrence of interruption of study drug(s) due to TEAEs
Time frame: Up to 136 weeks
Occurrence of discontinuation of study drug(s) due to TEAEs
Time frame: Up to 136 weeks
Occurrence of interruption of study drug(s) due to AESIs
Time frame: Up to 136 weeks
Occurrence of discontinuation of study drug(s) due to AESIs
Time frame: Up to 136 weeks
Occurrence of interruption of study drug(s) due to imAEs
Time frame: Up to 136 weeks
Occurrence of discontinuation of study drug(s) due to imAEs
Time frame: Up to 136 weeks
Incidence of deaths due to TEAE
Time frame: Up to 136 weeks
Incidence of grade 3 to 4 laboratory abnormalities
Time frame: Up to 136 weeks
ORR by investigator assessment, using RECIST 1.1
Time frame: Up to 136 weeks
Disease control rate (DCR) by BICR
Time frame: Up to 136 weeks
DCR by investigator assessment
Time frame: Up to 136 weeks
Time to tumor response (TTR) by BICR
Time frame: Up to 136 weeks
TTR by investigator assessment
Time frame: Up to 136 weeks
Duration of response (DOR) by BICR
Time frame: Up to 5 years
DOR by investigator assessment
Time frame: Up to 5 years
Progression free survival (PFS) by BICR
Time frame: Up to 5 years
PFS by investigator assessment
Time frame: Up to 5 years
Overall survival (OS)
Time frame: Up to 5 years
Change from baseline in patient-reported Global Health Status/Quality of Life (GHS/QoL) per European Organization for Research and Treatment of Cancer Quality of Life Core Questionnaire (EORTC QLQ-C30)
Time frame: Up to 5 years
Change from baseline in patient-reported physical functioning per EORTC QLQ-C30
Time frame: Up to 5 years
Change from baseline in patient-reported chest pain per European Organization for Research and Treatment of Cancer Quality of Life Questionnaire Lung Cancer (EORTC QLQ-LC13)
Time frame: Up to 5 years
Change from baseline in patient-reported dyspnea per EORTC QLQ-LC13
Time frame: Up to 5 years
Change from baseline in patient-reported cough per EORTC QLQ-LC13
Time frame: Up to 5 years
Time until definitive deterioration in patient-reported global health status/QoL per EORTC QLQ-C30
Time frame: Up to 5 years
Time until definitive deterioration in patient-reported physical functioning per EORTC QLQ-C30
Time frame: Up to 5 years
Time until definitive deterioration in patient-reported chest pain per EORTC QLQ-LC13
Time frame: Up to 5 years
Time until definitive deterioration in patient-reported dyspnea per EORTC QLQ-LC13
Time frame: Up to 5 years
Time until definitive deterioration in patient-reported cough per EORTC QLQ-LC13
Time frame: Up to 5 years
Time until definitive deterioration in patient-reported composite of chest pain, dyspnea and cough per EORTC QLQ-LC13
Time frame: Up to 5 years
Change from baseline in patient-reported general health status per EuroQoL-5 Dimensions, 5-level Questionnaire-Visual Analogue Score (EQ-5D-5L VAS)
Time frame: Up to 5 years
Change from baseline in patient-reported severity with usual or daily activities due to fatigue per the Patient Reported Outcomes for Common Terminology Criteria for Adverse Events (PRO-CTCAE).
Time frame: Up to 5 years
Change from baseline in patient-reported interference with usual or daily activities due to fatigue per the Patient Reported Outcomes for Common Terminology Criteria for Adverse Events (PRO-CTCAE).
Time frame: Up to 5 years
Concentrations of cemiplimab in serum
Time frame: Up to 136 weeks
Concentrations of fianlimab in serum
Time frame: Up to 136 weeks
Immunogenicity, as measured by anti-drug antibodies (ADA) to fianlimab
Time frame: Up to 136 weeks
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 2 Jul 2026.
- NSCLC (Harmony Peri Op)Link provided by the sponsor.
- Individual participant dataSharing planned: Yes. All Individual Patient Data (IPD) that underlie publicly available results will be considered for sharing
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Clinical Trial Management study director
Regeneron Pharmaceuticals
106 sites in 11 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2/3 study testing fianlimab and cemiplimab in people with Advanced Non-Small Cell Lung Cancer, run by Regeneron Pharmaceuticals at 106 sites in 11 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 6 inclusion and 13 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: under way, not looking for participants, as of the sponsor's last update on 2 Jul 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 106 sites in Turkey (Türkiye), United States, Spain, Georgia, Taiwan and 6 more countries. 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 combined phase mean?
Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
This study is still under way. Results are not available in the source record yet.
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?
Objective response rate (ORR) as assessed by blinded independent central review (BICR), using Response Evaluation Criteria in Solid Tumors version 1.1 (RECIST 1.1) (time frame: Up to 136 weeks). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
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 2 Jul 2026.