Description:
The primary objective of the study is to evaluate the clinical activity of neoadjuvant
cemiplimab therapy in patients with resectable Non-small cell lung cancer (NSCLC),
Hepatocellular carcinoma (HCC), and Head and neck squamous cell carcinoma (HNSCC) lesions, as
measured by pathological evaluations of resected tumors.
The secondary objectives of the study are:
- To assess the anti-tumor activity of neoadjuvant and adjuvant cemiplimab therapy as
defined by multiple criteria
- To determine the safety and tolerability of neoadjuvant and adjuvant cemiplimab therapy
including delay to surgery
- To assess the change in tumor-infiltrating CD8 T-cell density and to explore the
correlation to the pathological response to therapy
Title
- Brief Title: Neoadjuvant Cemiplimab for the Treatment of Resectable NSCLC, HCC, and HNSCC
- Official Title: A Multi-Cohort Exploratory Study of Neoadjuvant Cemiplimab for the Treatment of Resectable NSCLC, HCC, and HNSCC
Clinical Trial IDs
- ORG STUDY ID:
R2810-ONC-1866
- NCT ID:
NCT03916627
Conditions
- Non-small Cell Lung Cancer
- Hepatocellular Carcinoma
- Head and Neck Squamous Cell Carcinoma
Interventions
Drug | Synonyms | Arms |
---|
cemiplimab | REGN2810, Libtayo | Cohort A1 |
Platinum Doublet | | Cohort A1 |
Purpose
The primary objective of the study is to evaluate the clinical activity of neoadjuvant
cemiplimab therapy in patients with resectable Non-small cell lung cancer (NSCLC),
Hepatocellular carcinoma (HCC), and Head and neck squamous cell carcinoma (HNSCC) lesions, as
measured by pathological evaluations of resected tumors.
The secondary objectives of the study are:
- To assess the anti-tumor activity of neoadjuvant and adjuvant cemiplimab therapy as
defined by multiple criteria
- To determine the safety and tolerability of neoadjuvant and adjuvant cemiplimab therapy
including delay to surgery
- To assess the change in tumor-infiltrating CD8 T-cell density and to explore the
correlation to the pathological response to therapy
Trial Arms
Name | Type | Description | Interventions |
---|
Cohort A1 | Experimental | Cemiplimab prior to surgery; cemiplimab and platinum doublet post surgery (NSCLC) | - cemiplimab
- Platinum Doublet
|
Cohort A2 | Experimental | Cemiplimab and platinum doublet prior to surgery; cemiplimab and platinum doublet post surgery (NSCLC) | - cemiplimab
- Platinum Doublet
|
Cohort A3 | Experimental | Platinum doublet prior to surgery; cemiplimab and platinum doublet post surgery (NSCLC) | - cemiplimab
- Platinum Doublet
|
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) | |
Eligibility Criteria
Key Inclusion Criteria:
- Patient must have a known diagnosis of NSCLC, HCC, or HNSCC as defined in the protocol
- Patient must be willing and able to provide blood samples at the indicated time points
- Patient must be willing and able to have excisional or core needle biopsies of tumor
prior to initiation of cemiplimab as defined in the protocol
- Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1
- Patient is determined to be a surgical candidate for resection of their tumor
- Adequate organ and bone marrow function as defined in the protocol
Key Exclusion Criteria:
- Patients who have had any systemic anti-cancer therapy or radiotherapy within 6 months
prior to entering the study for their current tumor or a different primary tumor
- Patients whose tumor burden, or pace of tumor growth, in the opinion of the
Investigator will not permit delaying surgery
- Patients who have participated in a study of an investigational agent or an
investigational device within 4 weeks of study therapy or 5 half-lives (whichever is
longer)
- Patients who have had major surgery within 14 days prior to initiation of neoadjuvant
Therapy
- Patients with metastatic disease for whom the intent of surgery would not be curative
- Uncontrolled, intercurrent illness as defined in the protocol and as determined by the
Investigator
- Is receiving systemic steroid therapy or any other form of immunosuppressive therapy
within 7 days prior to the first dose of study treatment
- Has active autoimmune disease that has required systemic treatment in the past 1 year
- Has a known, additional malignancy that is progressing and/or requires active
treatment. Exceptions include patients with: basal cell carcinoma of the skin or
squamous cell carcinoma of the skin that has undergone potentially curative therapy;
in situ cervical or anal cancer; prostate cancer on stable dose of hormonal therapy
without rising PSA; breast cancer who have been treated with curative intent, who may
be on hormonal therapy.
- Encephalitis, meningitis, or uncontrolled seizures in the year prior to informed
consent
- History of interstitial lung disease (eg, idiopathic pulmonary fibrosis, organizing
pneumonia) or active, noninfectious pneumonitis that required immune-suppressive doses
of glucocorticoids to assist with management. A history of radiation pneumonitis in
the radiation field is permitted as long as pneumonitis resolved ≥6 months prior to
study treatment.
- Uncontrolled infection with human immunodeficiency virus (HIV), HBV or hepatitis C
infection (HCV); or diagnosis of immunodeficiency as defined in the protocol
Note: Other protocol defined Inclusion/Exclusion criteria apply
Maximum Eligible Age: | N/A |
Minimum Eligible Age: | 18 Years |
Eligible Gender: | All |
Healthy Volunteers: | No |
Primary Outcome Measures
Measure: | Major pathologic response (MPR) at time of surgery for the NSCLC cohorts |
Time Frame: | At time of surgery |
Safety Issue: | |
Description: | Cohorts A1, A2, A3 |
Secondary Outcome Measures
Measure: | Delay to surgery |
Time Frame: | Surgery >28 days following the end of the cycle of last dose of cemiplimab |
Safety Issue: | |
Description: | Defined as surgery >28 days following the end of the cycle of last dose of cemiplimab in neoadjuvant period |
Measure: | Disease-free survival (DFS) |
Time Frame: | Up to 60 months |
Safety Issue: | |
Description: | Defined as the time from date of surgery until recurrence of tumor or death from any cause after successful surgery and recovery |
Measure: | Overall response rate (ORR) |
Time Frame: | At time of surgery |
Safety Issue: | |
Description: | Defined as the percent of patients with a complete response (CR) or partial response (PR) documented by the Investigator per modified RECIST 1.1. |
Measure: | Overall survival (OS) |
Time Frame: | Up to 60 months |
Safety Issue: | |
Description: | Defined as the time from the first dosing of cemiplimab (chemotherapy for cohort A3) and date of death for any reason |
Measure: | OS rate |
Time Frame: | 12 months |
Safety Issue: | |
Description: | |
Measure: | OS rate |
Time Frame: | 18 months |
Safety Issue: | |
Description: | |
Measure: | OS rate |
Time Frame: | 24 months |
Safety Issue: | |
Description: | |
Measure: | OS rate |
Time Frame: | 36 months |
Safety Issue: | |
Description: | |
Measure: | OS rate |
Time Frame: | 48 months |
Safety Issue: | |
Description: | |
Measure: | OS rate |
Time Frame: | 60 months |
Safety Issue: | |
Description: | |
Measure: | Incidence of treatment emergent adverse events (TEAEs) |
Time Frame: | 90 days post last dose of cemiplimab |
Safety Issue: | |
Description: | Grade 3 or higher per Common Terminology Criteria for Adverse Events (CTCAE V5.0) |
Measure: | Incidence of irAEs |
Time Frame: | 90 days post last dose of cemiplimab |
Safety Issue: | |
Description: | Grade 3 or higher per Common Terminology Criteria for Adverse Events (CTCAE V5.0) |
Measure: | Incidence of SAEs |
Time Frame: | 90 days post last dose of cemiplimab |
Safety Issue: | |
Description: | Grade 3 or higher per Common Terminology Criteria for Adverse Events (CTCAE V5.0) |
Measure: | Incidence of deaths |
Time Frame: | 90 days post last dose of cemiplimab |
Safety Issue: | |
Description: | |
Measure: | Incidence of laboratory abnormalities |
Time Frame: | 90 days post last dose of cemiplimab |
Safety Issue: | |
Description: | Grade 3 or higher per Common Terminology Criteria for Adverse Events (CTCAE V5.0) |
Measure: | Change in tumor-infiltrating CD8 T-cell density |
Time Frame: | Baseline to time of surgery |
Safety Issue: | |
Description: | Defined as the change from baseline to the time of surgery |
Details
Phase: | Phase 2 |
Primary Purpose: | Interventional |
Overall Status: | Recruiting |
Lead Sponsor: | Regeneron Pharmaceuticals |
Trial Keywords
Last Updated
December 2, 2020