Description:
The primary objectives of the study in Dose Escalation are to evaluate safety, tolerability,
and pharmacokinetics (PK) of REGN5678 alone and in combination with cemiplimab and in Dose
Expansion are to assess efficacy, as measured by objective response rate (ORR) per modified
Prostate Cancer Working Group 3 (PCWG3) criteria, of REGN5678 in combination with cemiplimab.
The secondary objectives of the study in Dose Escalation are to assess efficacy, as measured
by ORR per modified PCWG3 criteria, of REGN5678 in combination with cemiplimab and in Dose
Expansion are to characterize the safety profile in each expansion cohort and to characterize
the PK of REGN5678 in combination with cemiplimab. Secondary objectives in both Dose
Escalation and Dose Expansion are to assess efficacy of REGN5678 in combination with
cemiplimab, as measured by additional criteria and to assess immunogenicity of REGN5678 in
combination with cemiplimab.
Title
- Brief Title: Study of REGN5678 (Anti-PSMAxCD28) With Cemiplimab (Anti-PD-1) in Patients With Metastatic Castration-resistant Prostate Cancer
- Official Title: A Phase 1/2 Study of REGN5678 (Anti-PSMAxCD28) With Cemiplimab (Anti-PD-1) in Patients With Metastatic Castration-resistant Prostate Cancer
Clinical Trial IDs
- ORG STUDY ID:
R5678-ONC-1879
- SECONDARY ID:
2019-000658-71
- NCT ID:
NCT03972657
Conditions
- Metastatic Castration-resistant Prostate Cancer
Interventions
Drug | Synonyms | Arms |
---|
REGN5678 | | Dose Escalation Cohorts |
Cemiplimab | REGN2810 | Dose Escalation Cohorts |
Purpose
The primary objectives of the study in Dose Escalation are to evaluate safety, tolerability,
and pharmacokinetics (PK) of REGN5678 alone and in combination with cemiplimab and in Dose
Expansion are to assess efficacy, as measured by objective response rate (ORR) per modified
Prostate Cancer Working Group 3 (PCWG3) criteria, of REGN5678 in combination with cemiplimab.
The secondary objectives of the study in Dose Escalation are to assess efficacy, as measured
by ORR per modified PCWG3 criteria, of REGN5678 in combination with cemiplimab and in Dose
Expansion are to characterize the safety profile in each expansion cohort and to characterize
the PK of REGN5678 in combination with cemiplimab. Secondary objectives in both Dose
Escalation and Dose Expansion are to assess efficacy of REGN5678 in combination with
cemiplimab, as measured by additional criteria and to assess immunogenicity of REGN5678 in
combination with cemiplimab.
Trial Arms
Name | Type | Description | Interventions |
---|
Dose Escalation Cohorts | Experimental | In a series of dose escalation cohorts, patients will receive a 3-week monotherapy lead-in of 3 weekly doses of REGN5678 followed by REGN5678 and cemiplimab in combination. | |
Dose Expansion Cohorts | Experimental | In a series of dose expansion cohorts, patients will receive 3-week monotherapy and then combination therapy of REGN5678 at the recommended phase 2 dose (RP2D) and cemiplimab | |
Eligibility Criteria
Key Inclusion Criteria:
- Histologically or cytologically confirmed adenocarcinoma of the prostate without pure
small cell carcinoma
- Metastatic, castration-resistant prostate cancer (mCRPC) with PSA value at screening
≥4 ng/mLthat has progressed within 6 months prior to screening as defined in the
protocol
- Has received ≥2 lines prior systemic therapy approved in the metastatic and/or
castration-resistant setting (in addition to androgen deprivation therapy [ADT])
including at least one second-generation anti-androgen therapy (eg, abiraterone,
enzalutamide, apalutamide, or darolutamide)
Key Exclusion Criteria:
- Has received treatment with an approved systemic therapy within 3 weeks of dosing or
has not yet recovered (ie, grade ≤1 or baseline) from any acute toxicities
- Has received any previous systemic biologic therapy within 5 half-lives of first dose
of study therapy
- Has received prior PSMA-targeting therapy
- Dose Expansion Only: Has had prior anti-cancer immunotherapy
- Any condition that requires ongoing/continuous corticosteroid therapy (>10 mg
prednisone/day or anti-inflammatory equivalent) within 1 week prior to the first dose
of study therapy
- Ongoing or recent (within 5 years) evidence of significant autoimmune disease that
required treatment with systemic immunosuppressive treatments
- Encephalitis, meningitis, neurodegenerative disease (with the exception of mild
dementia that does not interfere with activities of daily living [ADLs]) or
uncontrolled seizures in the year prior to first dose of study therapy
- Uncontrolled infection with human immunodeficiency virus (HIV), hepatitis B or
hepatitis C infection; or diagnosis of immunodeficiency
NOTE: Other protocol defined Inclusion/Exclusion Criteria apply
Maximum Eligible Age: | N/A |
Minimum Eligible Age: | 18 Years |
Eligible Gender: | Male |
Healthy Volunteers: | No |
Primary Outcome Measures
Measure: | Incidence and severity of treatment-emergent adverse events (TEAEs) |
Time Frame: | Through study completion, Up to 5 years |
Safety Issue: | |
Description: | Dose Escalation Phase |
Secondary Outcome Measures
Measure: | ORR per modified PCWG3 criteria |
Time Frame: | Through study completion, Up to 5 years |
Safety Issue: | |
Description: | Dose Escalation Phase |
Measure: | Incidence and severity of TEAEs |
Time Frame: | Through study completion, Up to 5 years |
Safety Issue: | |
Description: | Dose Expansion Phase |
Measure: | Incidence and severity of AESIs |
Time Frame: | Through study completion, Up to 5 years |
Safety Issue: | |
Description: | Dose Expansion Phase |
Measure: | Incidence and severity of SAEs |
Time Frame: | Through study completion, Up to 5 years |
Safety Issue: | |
Description: | Dose Expansion Phase |
Measure: | Number of patients with grade ≥3 laboratory abnormalities |
Time Frame: | Through study completion, Up to 5 years |
Safety Issue: | |
Description: | Dose Expansion Phase |
Measure: | Concentration of REGN5678 in combination with cemiplimab in serum over time |
Time Frame: | Through study completion, Up to 5 years |
Safety Issue: | |
Description: | Dose Expansion Phase |
Measure: | ORR based upon prostate specific antigen (PSA) response |
Time Frame: | Through study completion, Up to 5 years |
Safety Issue: | |
Description: | Dose Escalation and Dose Expansion Phases |
Measure: | Percentage of patients with ≥90% decline of PSA |
Time Frame: | Through study completion, Up to 5 years |
Safety Issue: | |
Description: | Dose Escalation and Dose Expansion Phases |
Measure: | Percentage of patients who have achieved conversion of circulating tumor cell (CTC) count from baseline of ≥5 cells/7.5mL to <5 cells/7.5mL |
Time Frame: | Through study completion, Up to 5 years |
Safety Issue: | |
Description: | Dose Escalation and Dose Expansion Phases |
Measure: | Presence or absence of antibodies against REGN5678 |
Time Frame: | Through study completion, Up to 5 years |
Safety Issue: | |
Description: | Dose Escalation and Dose Expansion Phases |
Measure: | Presence or absence of antibodies against cemiplimab |
Time Frame: | Through study completion, Up to 5 years |
Safety Issue: | |
Description: | Dose Escalation and Dose Expansion Phases |
Details
Phase: | Phase 1/Phase 2 |
Primary Purpose: | Interventional |
Overall Status: | Recruiting |
Lead Sponsor: | Regeneron Pharmaceuticals |
Last Updated
July 12, 2021