Safety and Pharmacokinetics of Cemiplimab Anti-programmed Death-ligand 1 (Anti-PD-1) and Other Agents in Japanese Adult Patients With Advanced Malignancies

Last updated: April 1, 2025
Sponsor: Regeneron Pharmaceuticals
Overall Status: Active - Not Recruiting

Phase

1

Condition

Neoplasms

Advanced Malignancies

Treatment

Gemcitabine

Pemetrexed

Paclitaxel

Clinical Study ID

NCT03233139
R2810-ONC-1622
  • Ages > 20
  • All Genders

Study Summary

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.

Eligibility Criteria

Inclusion

Key Inclusion Criteria:

  1. Disease types under study:
  • Part 1: Histologically or cytologically confirmed diagnosis of malignancy withno alternative standard-of-care therapeutic option

  • Part 2: Patients with histologically or cytologically documented squamous ornon-squamous NSCLC with stage IIIB or IIIC or stage IV disease who received noprior systemic treatment for recurrent or metastatic NSCLC.

  • Patients in Part 2 NSCLC cohorts must have available archival or newly obtainedformalin-fixed tumor tissue from a metastatic/recurrent site, which has notpreviously been irradiated.

  1. ECOG (Eastern Cooperative Oncology Group) PS (Performance status) ≤1 (Restricted inphysically strenuous activity but ambulatory and able to carry out work of a lightor sedentary nature [eg, light housework or office work]). Note: Patients with ECOGPS >1 are ineligible.

  2. Patients must have been born in Japan, and their biological parents and grandparentsmust all have been of Japanese origin

  3. Willing and able to comply with clinic visits and study-related procedures

  4. For Part 2, Cohorts D and E: Available tissue for retrospective testing using assayperformed by a central laboratory, as specified in the study manual.

Exclusion

Key Exclusion Criteria:

  1. Ongoing or recent (within 5 years) evidence of significant autoimmune disease thatrequires treatment with systemic immunosuppressive treatments, which may suggestrisk for Immune-mediated adverse event (imAE)s. The following are not exclusionary:vitiligo, childhood asthma that has resolved, residual hypothyroidism that requiresonly hormone replacement or psoriasis that does not require systemic treatment.

  2. Untreated brain metastasis (es) that may be considered active. Patients withpreviously treated brain metastases may participate provided they are stable, thereis no evidence of new or enlarging brain metastases, and the patient does notrequire any systemic corticosteroids for management of brain metastases within 4weeks prior to the first dose of cemiplimab.

  3. Immunosuppressive corticosteroid doses (>10 mg prednisone daily or equivalent)within 4 weeks prior to the first dose of cemiplimab.

  4. Any positive test (ribonucleic acid (RNA) or Deoxyribonucleic acid (DNA) bypolymerase chain reaction) for hepatitis B, hepatitis C, or human immunodeficiencyvirus indicating uncontrolled active or chronic infection.

  5. History of pneumonitis or interstitial lung disease

  6. Surgery within 1 month of first dose and radiation therapy within 2 weeks of firstdose

  7. Completed palliative radiation therapy within the prior 2 weeks or has not recoveredfrom any medically significant radiation-related Adverse Event (AE)

  8. Patients that have never smoked, defined as smoking ≤100 cigarettes in a lifetime (Part 2)

  9. Patients with tumors tested positive for epidermal growth factor receptor (EGFR)gene mutations, anaplastic lymphoma kinase (ALK) gene translocations, or ROS1fusions (Part 2)

Note: Other protocol defined inclusion/exclusion criteria apply.

Study Design

Total Participants: 146
Treatment Group(s): 7
Primary Treatment: Gemcitabine
Phase: 1
Study Start date:
June 21, 2017
Estimated Completion Date:
September 30, 2027

Connect with a study center

  • Nagoya Medical Center

    Nagoya, Aichi 460-0001
    Japan

    Active - Recruiting

  • National Hospital Organization Nagoya Medical Center

    Nagoya, Aichi 460-0001
    Japan

    Site Not Available

  • Kurume University Hospital

    Kurume, Fukuoka 830-0011
    Japan

    Site Not Available

  • Gunma Prefectural Cancer Center

    Ota, Gunma 373-8550
    Japan

    Site Not Available

  • Kobe City Medical Center General Hospital

    Kobe, Hyogo 650-0047
    Japan

    Site Not Available

  • Kanazawa University Hospital

    Kanazawa, Ishikawa 920-8641
    Japan

    Site Not Available

  • Kitasato University Hospital

    Sagamihara, Kanagawa 252-0375
    Japan

    Site Not Available

  • Kanagawa Cancer Center

    Yokohama, Kanagawa 241-8515
    Japan

    Active - Recruiting

  • Kanagawa Cardiovascular and Respiratory Center

    Yokohama, Kanagawa 236-0051
    Japan

    Site Not Available

  • Kanagawa Cancer Center - Thora

    Yokohama-shi, Kanagawa 241-8515
    Japan

    Site Not Available

  • Sasebo City General Hospital

    Sasebo, Nagasaki 857-8511
    Japan

    Site Not Available

  • Kurashiki Central Hospital

    Kurashiki, Okayama 710-8602
    Japan

    Site Not Available

  • Kansai Medical University Hirakata Hospital

    Hirakata, Osaka 573-1191
    Japan

    Site Not Available

  • Kansai Medical University Hospital

    Hirakata, Osaka 573-1191
    Japan

    Active - Recruiting

  • Osaka Metropolitan University Hospital

    Osaka City, Osaka 545-8586
    Japan

    Site Not Available

  • Kinki-Chuo Chest Medical Center

    Sakai, Osaka 591-8555
    Japan

    Site Not Available

  • National Hospital Organization Kinki-chuo Chest Medical Center

    Sakai-shi, Osaka 591-8555
    Japan

    Site Not Available

  • Osaka Medical College Hospital

    Takatsuki, Osaka 569-8686
    Japan

    Active - Recruiting

  • Osaka Medical and Pharmaceutical University Hospital

    Takatsuki, Osaka 569-8686
    Japan

    Site Not Available

  • Saitama Cancer Center

    Ina, Saitama 362-0806
    Japan

    Site Not Available

  • Saitama Cancer Center - Respir

    Ina, Saitama 362-0806
    Japan

    Active - Recruiting

  • Saitama Cancer Center

    Kita Adachi, Saitama 362-0806
    Japan

    Site Not Available

  • Saitama Cancer Center

    Kita-adachi, Saitama 362-0806
    Japan

    Site Not Available

  • National Cancer Center Hospital

    Cho-Ku, Tokyo 104-0055
    Japan

    Site Not Available

  • National Cancer Center Hospital - Tsukiji Campus

    Chuo ku, Tokyo 104-0045
    Japan

    Site Not Available

  • Tokyo Medical University Hospital

    Shinjuku, Tokyo 160-0023
    Japan

    Site Not Available

  • Tokyo Medical University Hospital

    Shinjuku ku, Tokyo 160-0023
    Japan

    Site Not Available

  • Gunma Prefectural Cancer Center

    Gunma, 373-8550
    Japan

    Site Not Available

  • Hiroshima City Hiroshima Citiz

    Hiroshima, 730-8518
    Japan

    Site Not Available

  • Hiroshima City Hiroshima Citizens Hospital

    Hiroshima, 730-8518
    Japan

    Active - Recruiting

  • Nagasaki University Hospital

    Nagasaki, 852-8501
    Japan

    Site Not Available

  • Osaka City University Hospital

    Osaka, 545-8586
    Japan

    Active - Recruiting

  • Osaka International Cancer Center

    Osaka, 541-8567
    Japan

    Active - Recruiting

  • Osaka International Cancer Institute

    Osaka, 541-8567
    Japan

    Site Not Available

  • Tokushima University Hospital

    Tokushima, 770-8503
    Japan

    Site Not Available

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