933 Participants Needed

REGN7075 + Cemiplimab for Advanced Cancer

(COMBINE-EGFR-1 Trial)

Recruiting at 81 trial locations
CT
Overseen ByClinical Trials Administrator
Age: 18+
Sex: Any
Trial Phase: Phase 1 & 2
Sponsor: Regeneron Pharmaceuticals
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial tests a new drug, REGN7075 (an EGFRxCD28 costimulatory bispecific antibody), both alone and with cemiplimab (also known as Libtayo), to determine their effectiveness in treating certain advanced solid tumors. Researchers aim to identify the safest and most effective dose of REGN7075, either alone or with cemiplimab, and to understand its mechanism in the body and its side effects. Individuals with certain advanced cancers, such as specific lung or breast cancers, who have not previously received PD-1/PD-L1 drugs, may qualify. As a Phase 1 trial, this research focuses on understanding the treatment's effects in people, offering participants the opportunity to be among the first to receive this new therapy.

Will I have to stop taking my current medications?

The trial requires that you stop taking certain medications before starting, such as any approved systemic therapy, recent anti-EGFR antibody therapy, or previous systemic non-immunomodulatory biologic therapy within 4 weeks of the study drug. If you're on corticosteroids, you may need to stop or reduce them 1-2 weeks before starting the trial.

Is there any evidence suggesting that this trial's treatments are likely to be safe?

Research has shown that REGN7075, when combined with cemiplimab, demonstrates promising safety results. In earlier studies, no patients experienced serious side effects that limited the dose, indicating the treatment was well-tolerated at the tested amounts. Cemiplimab, already approved for some cancers, has a known safety record. Serious side effects occurred in about 25% of patients, similar to other cancer treatments. Overall, these findings suggest that both REGN7075 and cemiplimab are generally well-tolerated, with manageable side effects.12345

Why are researchers excited about this trial's treatments?

Researchers are excited about Cemiplimab and REGN7075 for advanced cancer because they work in a unique way compared to standard treatments. Cemiplimab is an immune checkpoint inhibitor that unleashes the body's T-cells to attack cancer by blocking the PD-1 pathway, a mechanism not used by traditional chemotherapy. REGN7075 is an innovative bispecific antibody that connects T-cells directly to cancer cells, potentially enhancing the immune attack. This combination could offer a more targeted and robust approach to fighting various types of cancer, including those that are resistant to current therapies.

What evidence suggests that this trial's treatments could be effective for advanced solid tumors?

Research has shown that REGN7075, a new type of antibody, may help treat tumors that typically resist the immune system. Participants in this trial may receive REGN7075, which has shown promise in treating a challenging type of colorectal cancer, even when it has metastasized to the liver. Another treatment option in this trial is cemiplimab, which past studies have found to shrink tumors. Specifically, cemiplimab completely eliminated tumors in 20% of patients and reduced them in 27% of patients with advanced cancers. This trial will explore combining REGN7075 with cemiplimab to enhance the immune system's response to advanced solid tumors, offering hope for improved treatment outcomes.678910

Who Is on the Research Team?

CT

Clinical Trial Management

Principal Investigator

Regeneron Pharmaceuticals

Are You a Good Fit for This Trial?

Adults with advanced solid tumors who have never been treated with PD-1/PD-L1 inhibitors, have a measurable lesion, are in good physical condition (ECOG 0 or 1), and can provide a new tumor tissue sample. They must not be on other clinical trials, haven't had certain treatments recently, don't have brain tumors or CNS issues, no significant autoimmune disease requiring immunosuppressants, and no second active cancer.

Inclusion Criteria

I am willing to provide a new biopsy sample from a tumor that hasn't been treated with radiation.
In the judgement of the investigator, has a life expectancy of at least 3 months
I have never been treated with drugs targeting PD-1/PD-L1.
See 5 more

Exclusion Criteria

I have a current skin condition that causes inflammation.
Has participated in any study of an investigational agent or an investigational device within 4 weeks of the first administration of study drug as defined in the protocol
I haven't had any non-immunomodulatory biologic therapy in the last 4 weeks.
See 10 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Dose Escalation

Participants receive escalating doses of REGN7075 to determine the maximum tolerated dose

Up to 6 weeks

Dose Expansion

Participants receive the determined dose of REGN7075 in combination with cemiplimab, with or without chemotherapy, to evaluate safety and efficacy

Up to 5 years

Follow-up

Participants are monitored for safety and effectiveness after treatment

Approximately 90 days from last dose

What Are the Treatments Tested in This Trial?

Interventions

  • Cemiplimab
  • REGN7075
Trial Overview The trial is testing REGN7075 alone and combined with cemiplimab plus/minus chemotherapy to determine safety, tolerability, optimal dosing levels for advanced solid tumors treatment effectiveness by observing the control of tumor cell growth and shrinkage.
How Is the Trial Designed?
11Treatment groups
Experimental Treatment
Group I: Dose Expansion JExperimental Treatment4 Interventions
Group II: Dose Expansion IExperimental Treatment4 Interventions
Group III: Dose Expansion HExperimental Treatment2 Interventions
Group IV: Dose Expansion GExperimental Treatment3 Interventions
Group V: Dose Expansion FExperimental Treatment2 Interventions
Group VI: Dose Expansion EExperimental Treatment2 Interventions
Group VII: Dose Expansion DExperimental Treatment2 Interventions
Group VIII: Dose Expansion CExperimental Treatment3 Interventions
Group IX: Dose Expansion BExperimental Treatment2 Interventions
Group X: Dose Expansion AExperimental Treatment2 Interventions
Group XI: Dose EscalationExperimental Treatment2 Interventions

Cemiplimab is already approved in European Union, United States, Canada, Brazil for the following indications:

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Approved in European Union as Libtayo for:
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Approved in United States as Libtayo for:
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Approved in Canada as Libtayo for:
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Approved in Brazil as Libtayo for:

Find a Clinic Near You

Who Is Running the Clinical Trial?

Regeneron Pharmaceuticals

Lead Sponsor

Trials
690
Recruited
948,000+
Founded
1988
Headquarters
Tarrytown, USA
Known For
Precision medicine
Top Products
Dupixent, EYLEA, Libtayo, Praluent
Leonard Schleifer profile image

Leonard Schleifer

Regeneron Pharmaceuticals

Chief Executive Officer since 1988

MD and PhD in Medicine

George Yancopoulos profile image

George Yancopoulos

Regeneron Pharmaceuticals

Chief Medical Officer since 1997

MD from Harvard Medical School

Published Research Related to This Trial

Cemiplimab is the first FDA-approved treatment for patients with advanced cutaneous squamous cell carcinoma (CSCC) who cannot undergo curative surgery or radiation, demonstrating rapid and substantial antitumor efficacy in phase II clinical trials.
The treatment has an acceptable safety profile, with low rates of treatment discontinuation (7%) and death (3%), although current recommendations are based mainly on phase II data due to the lack of an approved comparator agent.
Cemiplimab in advanced cutaneous squamous cell carcinoma.Naik, PP.[2022]
Cemiplimab is a PD-1 monoclonal antibody that blocks the interaction between PD-1 and its ligands, PD-L1 and PD-L2, which is crucial for enhancing the immune response against cancer cells.
In September 2018, cemiplimab received FDA approval for treating patients with metastatic or locally advanced cutaneous squamous cell carcinoma who cannot undergo curative surgery or radiation, marking a significant advancement in cancer treatment options.
Cemiplimab: First Global Approval.Markham, A., Duggan, S.[2023]
Cemiplimab, an anti-PD-1 monoclonal antibody, demonstrated a favorable safety profile in a study of 60 patients with advanced solid tumors, with no dose-limiting toxicities and manageable treatment-emergent adverse events like fatigue and nausea.
The treatment showed promising antitumor activity, with 2 complete responses and 7 partial responses, and responses lasting at least 12 months in some patients, indicating its potential effectiveness when combined with hypofractionated radiotherapy and/or cyclophosphamide.
First-In-Human Study of Cemiplimab Alone or In Combination with Radiotherapy and/or Low-dose Cyclophosphamide in Patients with Advanced Malignancies.Papadopoulos, KP., Johnson, ML., Lockhart, AC., et al.[2021]

Citations

Libtayo® (cemiplimab) Plus Chemotherapy Results at Five ...Late-breaking data from exploratory analyses at WCLC show Libtayo plus chemotherapy demonstrates a more than double five-year overall ...
2.pubmed.ncbi.nlm.nih.govpubmed.ncbi.nlm.nih.gov/40075670/
Effectiveness and Toxicity of Cemiplimab Therapy for ...Results: Of the 36 patients treated, 22 (61.1%) achieved complete remission, 10 (27.8%) experienced a partial response, 3 (8.3%) had stable ...
CemiplimAb-rwlc survivorship and epidemiology (CASE)Median PFS was 14.7 (95% CI: 12.5, 21.1) months, with survival at 12 months estimated at 59.5% (95% CI: 51.4, 66.7). Treatment-related irAEs ...
Taking LIBTAYO® (cemiplimab-rwlc) | Advanced CSCCLIBTAYO study results · 15 out of 56 patients (27%) saw tumors shrink (partial response) · 11 out of 56 patients (20%) saw tumors disappear completely (complete ...
Real-world data on tolerability and clinical response of ...Cemiplimab demonstrated to be well-tolerated, even in elderly patients with severe comorbidities, achieving an objective response in 52% of patients.
6.libtayohcp.comlibtayohcp.com/nsclc
LIBTAYO® (cemiplimab-rwlc) in Advanced NSCLCSafety Data 1,2. Serious adverse reactions occurred in 25% of patients. The ... advanced non-small cell lung cancer (NSCLC). Ann Oncol. 2021;32(suppl 5): ...
LIBTAYO® (cemiplimab-rwlc) injection, for intravenous useStudy 1423. In 26 patients with advanced CSCC treated with LIBTAYO in Study 1423 [see Clinical Studies. (14.1)], safety data were consistent with those ...
Libtayo | European Medicines Agency (EMA)Libtayo is a cancer medicine used in adults to treat: a type of skin cancer called cutaneous squamous cell carcinoma when the cancer is locally advanced (has ...
9.libtayohcp.comlibtayohcp.com/
LIBTAYO® (cemiplimab-rwlc) | Official HCP WebsiteLIBTAYO as a single agent is indicated for the first-line treatment of adult patients with NSCLC whose tumors have high PD-L1 expression (tumor proportion score ...
High response rate with extended dosing of cemiplimab in ...11 Herein, we report the final analysis of the efficacy and safety data with the extended dosing regimen of intravenous cemiplimab 600 mg Q4W ( ...
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