Relapsed/Refractory Aggressive B-Cell LymphomaPhase 1CLIO-1NCT02651662
A Study to Learn How Safe and Tolerable Odronextamab and Cemiplimab Are in Adult Patients With B-cell Malignancies
A Phase 1 study testing cemiplimab and odronextamab in people with Relapsed/Refractory Aggressive B-Cell Lymphoma, run by Regeneron Pharmaceuticals at 30 sites in 6 countries.
Trial summary
This study is researching a combination of 2 experimental drugs, referred to as "study drugs", called odronextamab (also known as REGN1979) and cemiplimab (also known as REGN2810). The study is focused on patients who have relapse/refractory aggressive B-cell lymphoma. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Relapsed/Refractory Aggressive B-Cell Lymphoma
- What is being tested?
- cemiplimab and odronextamab
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 105 participants
- Where
- 30 sitesin 6 countries
- Study dates
- 11 Jan 2016to 29 Apr 2026
- Phase
- Phase 1
- Are there results?
- None posted in the registry
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
- Have documented CD20+ aggressive B-cell NHL that is either not responsive to or relapsed after at least 2 prior lines of systemic therapy, for whom treatment with an anti-CD20 antibody may be appropriate. In addition, prior treatments should at least contain an anti-CD20 antibody and an alkylating agent.
- Must have at least 1 nodal lesion (≥1.5 cm), or at least one extranodal lesion with longest transverse diameter (LDi) greater than 1.0 cm, documented by diagnostic imaging (computed tomography [CT] or magnetic resonance imaging [MRI]).
- Eastern Cooperative Oncology Group (ECOG) performance status ≤1
- Adequate bone marrow and hepatic function, as defined in the protocol
- Willing and able to comply with clinic visits and study-related procedures
- Provide signed informed consent
Who cannot join
- Primary central nervous system (CNS) lymphoma, or known or suspected CNS involvement by non-primary CNS NHL
- History of or current relevant CNS pathology, as described in the protocol
- Ongoing or recent (within 2 years) evidence of significant autoimmune disease that required treatment with systemic immunosuppressive treatments, which may suggest risk for immune-mediated adverse events (iAEs)
- Prior therapies, as described in the protocol
- Uncontrolled infection with human immunodeficiency virus (HIV), hepatitis B or hepatitis C infection or other uncontrolled infection
- Cytomegalovirus infection as noted by detectable levels on peripheral blood polymerase chain reaction (PCR) assay until the infection is well controlled.
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- Known hypersensitivity to both allopurinol and rasburicase
- Pregnant or breastfeeding women
- Women of childbearing potential, or men who are unwilling to practice highly effective contraception prior to the initial dose/start of the first treatment, during the study, and for at least 6 months after the last dose, as defined in the protocol
- Patients prior diagnosis of hemophagocytic lymphohistiocytosis (HLH) or macrophage activation syndrome (MAS)
- Note: Other protocol-defined Inclusion/Exclusion criteria apply
Trial locations and contacts
30 sites in 6 countries.
30 sites in 6 countries
Spain11 sites
Hospital Universitario Vall d'Hebron
Barcelona, 08035
Hospital Clinic de Barcelona
Barcelona, 08036
Hospital de la Santa Creu i Sant Pau
Barcelona, 08041
Institut Catala dOncologia (ICO Hospitalet)
Barcelona, 08908
MD Anderson Cancer Center- Madrid
Madrid, 28033
Hospital Universitario Fundacion Jimenez Diaz
Madrid, 28040
Hospital Universitario 12 de Octubre
Madrid, 28041
Hospital Universitario Puerta de Hierro - Majadahonda
Majadahonda, Madrid, 28222
Hospital Universitario Quironsalud Madrid
Pozuelo de Alarcón, Madrid, 28223
Hospital Clinico Universitario de Salamanca
Salamanca, 37007
Hospital Universitario Marques de Valdecilla
Santander, Cantabria, 39008.0
United States5 sites
Johns Hopkins University
Baltimore, Maryland, 21205
Dana Farber/Harvard Cancer Center - PO box 849168
Boston, Massachusetts, 02215
Harvard Medical School - Beth Israel Deaconess Medical Center
Boston, Massachusetts, 02215
University Hospitals Cleveland Medical Center
Cleveland, Ohio, 44106
Cancer & Hematology Centers of Western Michigan
Grand Rapids, Michigan, 49546
Poland5 sites
Uniwersyteckie Centrum Kliniczne
Gdansk, Pomeranian Voivodeship, 80-952
Pratia Onkologia Katowice
Katowice, 40-519
Pratia MCM Krakow
Krakow, Malopolska, 30-510
Copernicus Memorial Hospital
Lodz, 93-513
Narodowy Instytut Onkologii im Marii Sklodowskiej Curie Panstwowy Instytut Badawczy Warszawa
Warsaw, 02781
Israel4 sites
Soroka
Beersheba, 84101
Hadassah Medical Center
Jerusalem, 91200
Chaim Sheba Medical Center
Ramat Gan, 5265601
Tel Aviv Sourasky Medical Center
Tel Aviv, 64239
Germany3 sites
University Hospital Frankfurt
Frankfurt am Main, 60590
Universitatsklinikum Jena
Jena, 7747
Universitatsklinikum Schleswig-Holstein, Campus Kiel
Kiel, 24105
Austria2 sites
Uniklinikum Salzburg (LKH) Universitatsklinik fur Innere Medizin III
Salzburg, 5020
Medical University Vienna
Vienna, 1190
About this study
Official title: A Phase 1 Study to Assess Safety and Tolerability of Odronextamab (REGN1979) an Anti-CD20 x Anti-CD3 Bispecific Monoclonal Antibody, and Cemiplimab (REGN2810), an Anti-Programmed Death-1 Monoclonal Antibody in Patients With B-Cell Malignancies (CLIO-1)
This study is researching a combination of 2 experimental drugs, referred to as "study drugs", called odronextamab (also known as REGN1979) and cemiplimab (also known as REGN2810). The study is focused on patients who have relapse/refractory aggressive B-cell lymphoma. The aim of the study is to see how safe and tolerable the study drugs are, and to define the recommended dose regimen for the combination with odronextamab.
This study is also looking at several other research questions, including:
- What side effects may happen from taking the study drugs
- How effective the study drugs are against the disease
- How much study drug is in the blood at different times
- Whether the body makes substances or protein called antibodies against the study drugs (that could make the drugs less effective or could lead to side effects)
- Being tested
- cemiplimab, odronextamab
- Keywords
- B-Cell Non-Hodgkin Lymphoma (B-NHL)
- Medical subject headings
- Recurrence, Lymphoma, B-Cell
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
cemiplimabDrug
Also called REGN2810, Libtayo
Administration via intravenous (IV) infusion. The dose(s) received will be according to dose level (DL) cohort assignment, as described in the protocol.
odronextamabDrug
Also called REGN1979
Administration IV infusion. The dose(s) received will be according to DL cohort assignment, as described in the protocol.
| Study group | Role | What they receive |
|---|---|---|
| Dose escalation phase | Experimental | Safety assessment of odronextamab in combination with cemiplimab and selection of recommended phase 2 dose (RP2D) regimen(s) for the combination of odronextamab and cemiplimab. Receives: Drug: cemiplimab; Drug: odronextamab |
| Dose expansion phase | Experimental | RP2D administration of the combination treatment. Receives: Drug: cemiplimab; Drug: odronextamab |
What is being measured
The primary outcome is the main question the study is designed to answer.
Incidence of dose limiting toxicities (DLTs) of cemiplimab in combination with odronextamab
Measured: Up to 28 days
Incidence of treatment emergent adverse events (TEAEs) of cemiplimab in combination with odronextamab
Measured: Up to 18 months
Severity of TEAEs of cemiplimab in combination with odronextamab
Measured: Up to 18 months
Incidence of adverse events of special interest (AESIs) of cemiplimab in combination with odronextamab
Measured: Up to 18 months
Severity of AESIs of cemiplimab in combination with odronextamab
Measured: Up to 18 months
Secondary outcomes (8)
Odronextamab and cemiplimab concentrations in serum
Measured: Up to 18 months
Incidence of anti-drug antibodies (ADAs) to odronextamab and cemiplimab over time
Measured: Up to 18 months
Titer of ADAs to odronextamab and cemiplimab over time
Measured: Up to 18 months
Incidence of neutralizing antibodies (Nabs) to odronextamab and cemiplimab over time
Measured: Up to 18 months
Titer of Nabs to odronextamab and cemiplimab over time
Measured: Up to 18 months
Overall response rate as assessed by investigator
Measured: Up to 18 months
Complete response (CR) rate as assessed by investigator
Measured: Up to 18 months
Duration of response as assessed by investigator
Measured: Up to 18 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted11 Jan 2016 (estimated)
- Study start11 Jan 2016
- Primary completion29 Apr 2026
- Study completion29 Apr 2026
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Relapsed/Refractory Aggressive B-Cell LymphomaStudies 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 1
- Primary purpose
- Treatment
- Allocation
- Non-randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 105 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
- NCT02651662
- Sponsor's protocol ID
- R1979-ONC-1504
- Other IDs
- 2015-001697-17, 2023-508209-25-00, 2023, 2015
- Acronym
- CLIO-1
- Status last verified
- May 2026
- First submitted
- 5 Jan 2016
- Last updated
- 2 Jun 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 Jun 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 1 Study to Assess Safety and Tolerability of Odronextamab (REGN1979) an Anti-CD20 x Anti-CD3 Bispecific Monoclonal Antibody, and Cemiplimab (REGN2810), an Anti-Programmed Death-1 Monoclonal Antibody in Patients With B-Cell Malignancies (CLIO-1)
- ClinicalTrials.gov ID
- NCT02651662
- Acronym / sponsor ID
- CLIO-1 / R1979-ONC-1504
- Keywords
- B-Cell Non-Hodgkin Lymphoma (B-NHL)
- Phase
- Phase 1
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 105 participants (actual)
- Lead sponsor
- Regeneron PharmaceuticalsIndustry (pharma, biotech, devices)
- Study start
- 11 Jan 2016 (actual)
- Primary completion
- 29 Apr 2026 (actual)
- Study completion
- 29 Apr 2026 (actual)
- First posted
- 11 Jan 2016 (estimated)
- 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 a combination of 2 experimental drugs, referred to as "study drugs", called odronextamab (also known as REGN1979) and cemiplimab (also known as REGN2810). The study is focused on patients who have relapse/refractory aggressive B-cell lymphoma. The aim of the study is to see how safe and tolerable the study drugs are, and to define the recommended dose regimen for the combination with odronextamab.
This study is also looking at several other research questions, including:
- What side effects may happen from taking the study drugs
- How effective the study drugs are against the disease
- How much study drug is in the blood at different times
- Whether the body makes substances or protein called antibodies against the study drugs (that could make the drugs less effective or could lead to side effects)
Study design
- Primary purpose
- Treatment
- Allocation
- Non-randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Dose escalation phase | Experimental | Drug: cemiplimab, Drug: odronextamabSafety assessment of odronextamab in combination with cemiplimab and selection of recommended phase 2 dose (RP2D) regimen(s) for the combination of odronextamab and cemiplimab. |
| Dose expansion phase | Experimental | Drug: cemiplimab, Drug: odronextamabRP2D administration of the combination treatment. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (6 listed)
- Have documented CD20+ aggressive B-cell NHL that is either not responsive to or relapsed after at least 2 prior lines of systemic therapy, for whom treatment with an anti-CD20 antibody may be appropriate. In addition, prior treatments should at least contain an anti-CD20 antibody and an alkylating agent.
- Must have at least 1 nodal lesion (≥1.5 cm), or at least one extranodal lesion with longest transverse diameter (LDi) greater than 1.0 cm, documented by diagnostic imaging (computed tomography [CT] or magnetic resonance imaging [MRI]).
- Eastern Cooperative Oncology Group (ECOG) performance status ≤1
- Adequate bone marrow and hepatic function, as defined in the protocol
- Willing and able to comply with clinic visits and study-related procedures
Key exclusion criteria (11 listed)
- Primary central nervous system (CNS) lymphoma, or known or suspected CNS involvement by non-primary CNS NHL
- History of or current relevant CNS pathology, as described in the protocol
- Ongoing or recent (within 2 years) evidence of significant autoimmune disease that required treatment with systemic immunosuppressive treatments, which may suggest risk for immune-mediated adverse events (iAEs)
- Prior therapies, as described in the protocol
- Uncontrolled infection with human immunodeficiency virus (HIV), hepatitis B or hepatitis C infection or other uncontrolled infection
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 |
|---|---|---|
| cemiplimabAlso: REGN2810, LibtayoAdministration via intravenous (IV) infusion. The dose(s) received will be according to dose level (DL) cohort assignment, as described in the protocol. | Drug | Dose escalation phase, Dose expansion phase |
| odronextamabAlso: REGN1979Administration IV infusion. The dose(s) received will be according to DL cohort assignment, as described in the protocol. | Drug | Dose escalation phase, Dose expansion phase |
Primary outcome
Incidence of dose limiting toxicities (DLTs) of cemiplimab in combination with odronextamab
Time frame: Up to 28 days
Incidence of treatment emergent adverse events (TEAEs) of cemiplimab in combination with odronextamab
Time frame: Up to 18 months
Severity of TEAEs of cemiplimab in combination with odronextamab
Time frame: Up to 18 months
Incidence of adverse events of special interest (AESIs) of cemiplimab in combination with odronextamab
Time frame: Up to 18 months
Severity of AESIs of cemiplimab in combination with odronextamab
Time frame: Up to 18 months
8 secondary outcomes
Odronextamab and cemiplimab concentrations in serum
Time frame: Up to 18 months
Incidence of anti-drug antibodies (ADAs) to odronextamab and cemiplimab over time
Time frame: Up to 18 months
Titer of ADAs to odronextamab and cemiplimab over time
Time frame: Up to 18 months
Incidence of neutralizing antibodies (Nabs) to odronextamab and cemiplimab over time
Time frame: Up to 18 months
Titer of Nabs to odronextamab and cemiplimab over time
Time frame: Up to 18 months
Overall response rate as assessed by investigator
Time frame: Up to 18 months
Complete response (CR) rate as assessed by investigator
Time frame: Up to 18 months
Duration of response as assessed by investigator
Time frame: Up to 18 months
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 2 Jun 2026.
- 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
30 sites in 6 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 1 study testing cemiplimab and odronextamab in people with Relapsed/Refractory Aggressive B-Cell Lymphoma, run by Regeneron Pharmaceuticals at 30 sites in 6 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 11 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: finished, as of the sponsor's last update on 2 Jun 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 30 sites in Spain, United States, Poland, Israel, Germany and 1 more country. 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 phase mean?
Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
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?
Incidence of dose limiting toxicities (DLTs) of cemiplimab in combination with odronextamab (time frame: Up to 28 days). The study lists 5 primary outcomes in all. 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 Jun 2026.