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MalignanciesPhase 1NCT03005782

Study of REGN3767 (Anti-LAG-3) With or Without REGN2810 (Anti-PD1) in Advanced Cancers

A Phase 1 study testing REGN3767 and cemiplimab in people with Malignancies, run by Regeneron Pharmaceuticals at 43 sites in 5 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

The primary objectives in the dose escalation phase are to evaluate safety and pharmacokinetics (PK) in order to determine the selected dose level(s) for expansion of REGN3767 as monotherapy and in combination with cemiplimab in patients with advanced malignancies, including lymphoma. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Malignancies
What is being tested?
REGN3767 and cemiplimab
Could I receive a placebo?
No, everyone receives an active treatment
How many people
333 participants
Where
43 sitesin 5 countries
Study dates
7 Nov 2016to 2 Apr 2024
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

  • Dose escalation cohorts: Patients with histologically or cytologically confirmed diagnosis of malignancy (including lymphoma) with demonstrated progression of a tumor for whom there is no available therapy likely to convey clinical benefit AND who have not been previously treated with a PD-1/PD-L1 inhibitor. These patients do not require measurable disease
  • Dose expansion cohorts: Patients with histologically or cytologically confirmed diagnosis of 1 of specified tumors with measurable disease per RECIST 1.1 or Lugano criteria. Some patients may have been previously treated with a PD-1 or PD-L1 inhibitor
  • Eastern Cooperative Oncology Group performance status of 0 or 1
  • Adequate organ and bone marrow function

Who cannot join

  • Prior treatment with any LAG-3 targeting biologic or small molecule
  • Radiation therapy within 2 weeks prior to randomization and not recovered to baseline from any AE due to radiation
  • Untreated or active central nervous system metastases - Ongoing or recent (within 5 years) evidence of significant autoimmune disease
  • Corticosteroid therapy (>10 mg prednisone/day or equivalent) within 1 week prior to the first dose of study drug
  • Myocardial infarction within 6 months
  • Note: Other protocol defined Inclusion / Exclusion criteria apply

Trial locations and contacts

43 sites in 5 countries.

43 sites in 5 countries

United States33 sites
  • New Mexico Cancer Care Alliance-UNM Cancer Center

    Albuquerque, New Mexico, 87131

  • Winship Cancer Institute at Emory University

    Atlanta, Georgia, 30322

  • University of Colorado Cancer Center

    Aurora, Colorado, 80045

  • Roswell Park Cancer Institute

    Buffalo, New York, 14263

  • Hollings Cancer Center - Medical University of South Carolina

    Charleston, South Carolina, 29425

  • Levine Cancer Institute

    Charlotte, North Carolina, 28204

  • University Hospitals Seidman Cancer Center and Case Western Reserve University

    Cleveland, Ohio, 44087

  • Henry Ford Health Hospital

    Detroit, Michigan, 48202

  • California Cancer Associates for Research and Excellence

    Encinitas, California, 92024

  • Virginia Cancer Care Specialist, PC

    Fairfax, Virginia, 22031

  • University of Kansas Clinical Research Center

    Fairway, Kansas, 66205

  • California Cancer Associates For Research And Excellence

    Fresno, California, 93720

  • Cancer and Hematology Centers of Western Michigan

    Grand Rapids, Michigan, 49503

  • John Theurer Cancer Center, Hackensack University Medical Center

    Hackensack, New Jersey, 07601

  • The University of Texas MD Anderson Cancer Center

    Houston, Texas, 77030

  • Dana Farber Cancer Institute

    Jamaica Plain, Massachusetts, 02130

  • University of California San Diego (UCSD)

    La Jolla, California, 92093-0698

  • Northwell Health-Monter Cancer Center

    Lake Success, New York, 11042

  • The Angeles Clinic

    Los Angeles, California, 90025

  • Miami Cancer Institute

    Miami, Florida, 33176

  • Sarah Cannon Research Institute

    Nashville, Tennessee, 37203

  • Rutgers Cancer Institute of New Jersey

    New Brunswick, New Jersey, 08903

  • Laura & Isaac Perlmutter Cancer Center

    New York, New York, 10016

  • Columbia University

    New York, New York, 10032

  • Memorial Sloan-Kettering Cancer Center

    New York, New York, 10065

  • Stephenson Cancer Center

    Oklahoma City, Oklahoma, 73104

  • Orlando Health, Inc

    Orlando, Florida, 32806

  • Rhode Island Hospital

    Providence, Rhode Island, 02903

  • University of California Davis Health Systems

    Sacramento, California, 95817

  • South Texas Oncology and Hematology

    San Antonio, Texas, 78229

  • California Pacific Medical Center (CPMC)

    San Francisco, California, 94115

  • Washington University in Saint Louis

    St Louis, Missouri, 63110

  • Lombardi Comprehensive Cancer Center - MedStar Georgetown University Hospital

    Washington D.C., District of Columbia, 20007

Other trials in United States

South Korea4 sites
  • Seoul National University Hospital

    Seoul, 03080

  • Severance Hospital, Yonsei University Health System

    Seoul, 03722

  • Asan Medical Center

    Seoul, 05505

  • Samsung Medical Center

    Seoul, 06351

Other trials in South Korea

Australia3 sites
  • Royal Brisbane and Women's Hospital

    Brisbane, 4029

  • Peter Maccallum Cancer Centre (PMCC)

    Melbourne, 3000

  • The University of Western Australia - The Queen Elizabeth II Medical Centre (QEIIMC) - Sir Charles Gairdner Hospital (SCGH)

    Perth, Western Australia, 06009

Other trials in Australia

United Kingdom2 sites
  • University Of Oxford - Churchill Hospital

    Headington, Oxford, OX37LJ

  • Guy's Hospital

    London, Europe, SE19RT

Other trials in United Kingdom

Ireland1 site
  • St. Vincents University Hospital

    Dublin, D04 T6F4

Other trials in Ireland

About this study

Official title: A Phase 1, Open-Label, Dose-Escalation and Cohort Expansion First-in-Human Study of the Safety, Tolerability, Activity and Pharmacokinetics of REGN3767 (Anti-LAG-3 mAb) Administered Alone or in Combination With REGN2810 (Anti-PD-1 mAb) in Patients With Advanced Malignancies

The primary objectives in the dose escalation phase are to evaluate safety and pharmacokinetics (PK) in order to determine the selected dose level(s) for expansion of REGN3767 as monotherapy and in combination with cemiplimab in patients with advanced malignancies, including lymphoma.

The primary objectives in the dose expansion phase are to assess preliminary anti-tumor activity of REGN3767 alone and in combination with cemiplimab (separately by cohort) as measured by objective response rate (ORR).

Conditions
Malignancies
Being tested
REGN3767, cemiplimab
Medical subject headings
Neoplasms

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • REGN3767Drug

    Also called fianlimab

  • cemiplimabDrug

    Also called REGN2810

Study groups in NCT03005782
Study groupRoleWhat they receive
Monotherapy (REGN3767)ExperimentalGroup A will consist of up to 4 sequential dose cohorts. Each cohort will receive 1 of 3 ascending dose levels of study drug during dose escalation. In addition 1 tumor-specific cohort will be treated at the recommended phase 2 dose (RP2D) during dose expansion.
Receives: Drug: REGN3767
Combination Therapy (REGN3767+cemiplimab)ExperimentalGroup B will consist of up to 4 sequential dose cohorts. Each cohort will receive 1 of 3 ascending dose levels of study drug during dose escalation. In addition, 9 tumor-specific cohorts will be treated at the RP2D during dose expansion
Receives: Drug: REGN3767; Drug: cemiplimab

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Rate of dose limiting toxicities (Dose Escalation Phase)

    Measured: Baseline to 28 days

  2. Rate of adverse events (Dose Escalation Phase)

    Measured: Baseline to 51 weeks

  3. Rate of serious adverse events (Dose Escalation Phase)

    Measured: Baseline to 51 weeks

  4. Occurrence of death (Dose Escalation Phase)

    Measured: Baseline to 51 weeks

  5. Number of patients with laboratory abnormalities (grade 3 or higher per Common Terminology Criteria for Adverse Events [CTCAE]) (Dose Escalation Phase)

    Measured: Baseline to 51 weeks

  6. Area under the curve (AUC) computed from time zero to the time of the last concentration [AUCall] (Primary: Dose Escalation Phase; Secondary: Dose Expansion Phase)

    Measured: Baseline to 51 weeks

  7. AUCall-to-dose ratio [AUCall/Dose] (Primary: Dose Escalation Phase; Secondary: Dose Expansion Phase)

    Measured: Baseline to 51 weeks

  8. AUC from time zero extrapolated to infinity [AUCinf] (Primary: Dose Escalation Phase; Secondary: Dose Expansion Phase)

    Measured: Baseline to 51 weeks

  9. AUCinf-to-dose ratio [AUCinf/dose] (Primary: Dose Escalation Phase; Secondary: Dose Expansion Phase)

    Measured: Baseline to 51 weeks

  10. AUC computed from time zero to the time of the last positive concentration [AUClast] (Primary: Dose Escalation Phase; Secondary: Dose Expansion Phase)

    Measured: Baseline to 51 weeks

  11. AUClast-to-dose ratio [AUClast/dose] (Primary: Dose Escalation Phase; Secondary: Dose Expansion Phase)

    Measured: Baseline to 51 weeks

  12. Clearance [CL] (Primary: Dose Escalation Phase; Secondary: Dose Expansion Phase)

    Measured: Baseline to 51 weeks

  13. Maximum Plasma Concentration [Cmax] (Primary: Dose Escalation Phase; Secondary: Dose Expansion Phase)

    Measured: Baseline to week 51

  14. Cmax-to-dose ratio [Cmax/dose] (Primary: Dose Escalation Phase; Secondary: Dose Expansion Phase)

    Measured: Baseline to 51 weeks

  15. Last positive (quantifiable) concentration [Clast] (Primary: Dose Escalation Phase; Secondary: Dose Expansion Phase)

    Measured: Baseline to 51 weeks

  16. Mean residence time extrapolated to infinity [MRTinf] (Dose Escalation Phase)

    Measured: Baseline to 51 weeks

  17. Mean residence time when the drug concentration profile is based on values up to and including the last positive concentration [MRTlast] (Primary: Dose Escalation Phase; Secondary: Dose Expansion Phase)

    Measured: Baseline to 51 weeks

  18. Observed terminal half-life [t1/2] (Primary: Dose Escalation Phase; Secondary: Dose Expansion Phase)

    Measured: Baseline to 51 weeks

  19. t1/2 beta (Primary: Dose Escalation Phase; Secondary: Dose Expansion Phase)

    Measured: Baseline to 51 weeks

  20. Time of the last positive (quantifiable) concentration [tlast] (Primary: Dose Escalation Phase; Secondary: Dose Expansion Phase)

    Measured: Baseline to 51 weeks

  21. Time to Cmax [tmax] (Primary: Dose Escalation Phase; Secondary: Dose Expansion Phase)

    Measured: Baseline to 51 weeks

  22. Volume of distribution at steady state [Vss] (Primary: Dose Escalation Phase; Secondary: Dose Expansion Phase)

    Measured: Baseline to 51 weeks

  23. Volume of distribution of the terminal phase [Vz] (Primary: Dose Escalation Phase; Secondary: Dose Expansion Phase)

    Measured: Baseline to 51 weeks

  24. Objective response rate based on RECIST 1.1 for Solid Tumors (Dose Expansion phase)

    Measured: Baseline to 51 weeks

  25. Objective response rate by Lugano criteria for Lymphoma (Dose Expansion Phase)

    Measured: Baseline to 51 weeks

Secondary outcomes (19)
  1. Objective response rate per Response Evaluation Criteria in Solid Tumors (RECIST) 1.1 (solid tumors) (Dose Escalation Phase)

    Measured: Baseline to week 51

  2. Objective response rate per Lugano criteria (lymphomas) (Dose Escalation Phase)

    Measured: Baseline to week 51

  3. Best overall response based on RECIST 1.1 criteria (Dose Escalation Phase)

    Measured: Baseline to 51 weeks

  4. Best overall response based on irRECIST criteria (Dose Escalation Phase)

    Measured: Baseline to 51 weeks

  5. Best overall response based on Lugano criteria (Dose Escalation Phase)

    Measured: Baseline to 51 weeks

  6. Duration of response based on RECIST criteria (Dose Escalation Phase)

    Measured: Baseline to week 51

  7. Duration of response based on irRECIST criteria (Dose Escalation Phase)

    Measured: Baseline to week 51

  8. Duration of response based on Lugano criteria (Dose Escalation Phase)

    Measured: Baseline to week 51

  9. Disease control rate based on RECIST criteria (Dose Escalation Phase)

    Measured: Baseline to 51 weeks

  10. Disease control rate based on irRECIST criteria (Dose Escalation Phase)

    Measured: Baseline to 51 weeks

  11. Disease control rate based on Lugano criteria (Dose Escalation Phase)

    Measured: Baseline to 51 weeks

  12. Progression free survival based on RECIST (Dose Escalation Phase)

    Measured: Baseline to 51 weeks

  13. Progression free survival based on irRECIST (Dose Escalation Phase)

    Measured: Baseline to 51 weeks

  14. Progression free survival based on Lugano criteria (Dose Escalation Phase)

    Measured: Baseline to 51 weeks

  15. Incidence of adverse events (Dose Expansion Phase)

    Measured: Baseline to 51 weeks

  16. Incidence of serious adverse events (Dose Expansion Phase)

    Measured: Baseline to 51 weeks

  17. Incidence of death (Dose Expansion Phase)

    Measured: From Baseline to the date of first documented progression or date of death from any cause, whichever comes first, assessed up to 42 months

  18. Number of patients with laboratory abnormalities (grade 3 or higher per Common Terminology Criteria for Adverse Events [CTCAE]) (Dose Expansion Phase)

    Measured: Baseline to 51 weeks

  19. Incidence of anti-drug antibodies (Dose Escalation Phase and Dose Expansion Phase)

    Measured: Baseline to 51 weeks

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted29 Dec 2016 (estimated)
  2. Study start7 Nov 2016
  3. Primary completion2 Apr 2024
  4. Study completion2 Apr 2024

Resources

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
333 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03005782
Sponsor's protocol ID
R3767-ONC-1613
Other IDs
2016-002789-30, 2016
Status last verified
Apr 2024
First submitted
18 Nov 2016
Last updated
1 May 2024
Results posted
No
Data monitoring committee
Yes

Publications

  • Lakhani NJ, Papadopoulos KP, Johnson ML, Park H, Wang D, Yap TA, Dowlati A, Maki RG, Ulahannan S, Lynce F, Kelly K, Williamson S, Malhotra J, Chen S, Gonzalez Ortiz A, Jankovic V, Paccaly A, Masinde S, Mani J, Lowy I, Gullo G, Sims T, Kroog G. First-in-Human Dose-Escalation Study of Fianlimab, an Antilymphocyte Activation Gene-3 Antibody, with Cemiplimab in Patients with Advanced Malignancies. Clin Cancer Res. 2024 Dec 16;30(24):5601-5611. doi: 10.1158/1078-0432.CCR-23-3883.

    PubMed 39422598
  • Hamid O, Lewis KD, Weise A, McKean M, Papadopoulos KP, Crown J, Kim TM, Lee DH, Thomas SS, Mehnert J, Kaczmar J, Lakhani NJ, Kim KB, Middleton MR, Rabinowits G, Spira AI, Yushak M, Mehmi I, Fang F, Chen S, Mani J, Jankovic V, Wang F, Fiaschi N, Brennan L, Paccaly A, Masinde S, Salvati M, Fury MG, Kroog G, Lowy I, Gullo G. Phase I Study of Fianlimab, a Human Lymphocyte Activation Gene-3 (LAG-3) Monoclonal Antibody, in Combination With Cemiplimab in Advanced Melanoma. J Clin Oncol. 2024 Aug 20;42(24):2928-2938. doi: 10.1200/JCO.23.02172. Epub 2024 Jun 20.

    PubMed 38900987

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing REGN3767 and cemiplimab in people with Malignancies, run by Regeneron Pharmaceuticals at 43 sites in 5 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 4 inclusion and 6 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 1 May 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 43 sites in United States, South Korea, Australia, United Kingdom, Ireland. 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?

Rate of dose limiting toxicities (Dose Escalation Phase) (time frame: Baseline to 28 days). The study lists 25 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT03005782, which also lists 2 linked publications.

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 1 May 2024.

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