Squamous Cell Carcinoma (SCC)Phase 3NCT03257267
Study of Cemiplimab in Adults With Cervical Cancer
A Phase 3 study testing Cemiplimab and Investigator Choice (IC) Chemotherapy in people with Squamous Cell Carcinoma (SCC) and Recurrent or Metastatic, Platinum-refractory Cervical Cancer, run by Regeneron Pharmaceuticals at 105 sites in 14 countries.
Trial summary
The primary objective is to compare overall survival (OS) for patients with recurrent or metastatic cervical cancer who have histology of squamous cell carcinoma (SCC) and who have any eligible histology treated with either cemiplimab or investigator's choice (IC) chemotherapy. Read more about this study
- Who is it for?
- Ages 18 years and older, women only
- Conditions the study is for
- Squamous Cell Carcinoma (SCC), Recurrent or Metastatic, Platinum-refractory Cervical Cancer
- What is being tested?
- Cemiplimab and Investigator Choice (IC) Chemotherapy
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 608 participants
- Where
- 105 sitesin 14 countries
- Study dates
- 5 Sep 2017to 20 Apr 2023
- Phase
- Phase 3
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
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
- Women only
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Recurrent, persistent, and/or metastatic cervical cancer with squamous cell histology, for which there is not a curative-intent option (surgery or radiation therapy with or without chemotherapy).
- Acceptable histologies (squamous carcinoma, adenocarcinoma, and adenosquamous carcinoma) as defined in the protocol
- Tumor progression or recurrence after treatment with platinum therapy (must have been used to treat metastatic, persistent, or recurrent cervical cancer)
- Patient must have measurable disease as defined by RECIST 1.1.
- Eastern Cooperative Oncology Group (ECOG) performance status ≤1
- ≥18 years old
Show all 9Show fewer
- Adequate organ or bone marrow function
- Received prior bevacizumab therapy or had clinically documented reason why not administered
- Received prior paclitaxel therapy or had clinically documented reason why not administered
Who cannot join
- Ongoing or recent (within 5 years) evidence of significant autoimmune disease that required treatment with systemic immunosuppressive treatments
- Prior treatment with an agent that blocks the PD-1/PD-L1 pathway
- Prior treatment with other systemic immune-modulating agents that was
- within fewer than 4 weeks (28 days) of the enrollment date, or
- associated with irAEs of any grade within 90 days prior to enrollment, or
- associated with toxicity that resulted in discontinuation of the immune modulating agent
Show all 13Show fewer
- Active or untreated brain metastases
- Immunosuppressive corticosteroid doses (>10 mg prednisone daily or equivalent) within 4 weeks prior to the first dose of study drug cemiplimab or IC chemo)
- Active infection requiring therapy
- History of pneumonitis within the last 5 years
- History of documented allergic reactions or acute hypersensitivity reaction attributed to antibody treatments
- Concurrent malignancy other than cervical cancer and/or history of malignancy other than cervical cancer within 3 years of date of first planned dose of study drug cemiplimab or IC chemo), except for tumors with negligible risk of metastasis or death, such as adequately treated cutaneous squamous cell carcinoma or basal cell carcinoma of the skin or ductal carcinoma in situ of the breast. Patients with hematologic malignancies (eg, chronic lymphocytic leukemia) are excluded.
- Note: Other protocol defined Inclusion/Exclusion apply
Trial locations and contacts
105 sites in 14 countries.
105 sites in 14 countries
Japan14 sites
National Cancer Center Hospital
Chuo-ku, Tokyo, 104-0046
National Kyushu Cancer Center
Fukuoka, 811-1395
Kagoshima City Hospital
Kagoshima, 890-8761
St. Marianna University School of Medicine Hospital
Kawasaki, Kanagawa, 216-8512
The Cancer Institute Hospital of JFCR
Koto-Ku, Tokyo, 135-8551
Kurume University Hospital
Kurume, Fukuoka, 830-0012
Shikoku Cancer Center
Matsuyama, Ehime, 791-0281
Kyorin University Hospital
Mitaka, Tokyo, 181-8612
University of the Ryukyus Hospital
Nakagami-gun, Okinawa, 903-0216
Saitama Medical University
Saitama, Saitama, 350-0495
Saitama Cancer Center
Saitama, Tokyo, 362-0806
Hokkaido University Hospital
Sapporo, Hokkaido, 060-8649
Ehime University Hospital
Tōon, Ehime, 791-0296
Fukui University Hospital
Yoshida-gun, Fukui, 910-1194
United States11 sites
Texas Oncology, P.A.
Austin, Texas, 78745
New York Presbyterian Queens
Flushing, New York, 11355
Northwell Health
Lake Success, New York, 11042
Ochsner Clinic Foundation
New Orleans, Louisiana, 70121
Laura and Issac Perlmutter Cancer Center at NYU Langone
New York, New York, 10016
University of California Irvine
Orange, California, 92868
Thomas Jefferson University Hospital
Philadelphia, Pennsylvania, 19107
Arizona Oncology Associates
Phoenix, Arizona, 85016
First Health of the Carolinas Outpatient Cancer Center
Pinehurst, North Carolina, 28374
Cancer Research for the Ozarks
Springfield, Missouri, 65804
Arizona Oncology Associates
Tucson, Arizona, 85711
Spain10 sites
Vall d´Hebron University Hospital
Barcelona, 08035
Hospital Reina Sofia
Córdoba, 14004
Instituto Catalan de Oncologia de Gerona
Girona, 17007
Hospital Ramon y Cajal
Madrid, 28034
Hospital Universitario HM Sanchinarro CIOCC
Madrid, 28050
Hospital Virgen de la Victoria
Málaga, 29010
Hospital Universitario Son Espases
Palma de Mallorca, Balearic Islands, 07120
Fundacion Instituto Valenciano de Oncologia
Valencia, 46009
Hospital Universitario La Fe
Valencia, 46026
Hospital Clinico Universitario Lozano Blesa
Zaragoza, 50009
Russia9 sites
Regional Budgetary Institution of Healthcare Ivanovo Regional Oncology Dispensary
Ivanovo, Ivanovo Oblast, 153040
State Autonomous Healthcare Institution ,Republican Clinical Oncological Dispensary of the Ministry of Healthcare of the Tatarstan Republic
Kazan', Tatarstan Republic, 420029
State Budgetary Institution of Healthcare, Clinical Oncology Dispensary #1 of Ministry of Health of Krasnodar Region
Krasnodar, Krasnodar Territory, 350040
State Budgetary Healthcare Institution "Oncology Dispensary" of Ministry of Healthcare of the Kabardino-Balkarian Republic
Nal'chik, Kabardino-Balkarian, 360000
A. Tsyb Medical Radiological Research Center
Obninsk, Kaluga Oblast, 249036
Budgetary Institution of Healthcare of Omsk region Clinical Oncology Dispensary
Omsk, 644013
State Budgetary Institution of Healthcare "Orenburg Regional Clinical Oncology Dispensary"
Orenburg, 460021
Saint- Petersburg State Budgetary institution of Healthcare "City Clinical Oncological Dispensary"
Saint Petersburg, 197022
State Budgetary Healthcare Institution Leningrad Regional Oncological Dispensary (SBHI "LROD")
Vsevolozhsk, Leningradskaya Oblast', 188663
Brazil8 sites
Fundação Pio XII - Hospital de Câncer de Barretos
Barretos, São Paulo, 14784-400
Instituto de Pesquisas Clinicas para Estudos Multicentricos - IPCEM
Caxias do Sul, 95070-560
Centro de Novos Tratamentos Itajai
Itajaí, Santa Catarina, 88301-220
Liga Norte Riograndense Contra o Câncer
Natal, Rio Grande do Norte, 59075-740
Hosptial Sao Lucas da PUC de Porto Alegre
Porto Alegre, Rio Grande do Sul, 09619-900
Irmandade da Santa Casa de Misericórdia de Porto Alegre
Porto Alegre, Rio Grande do Sul, 90035-072
Instituto Nacional de Cancer - INCA
Rio de Janeiro, 20220-410
Instituto COI de Pesquisa
Rio de Janeiro, 22793-080
Italy8 sites
Azienda Ospedaliero Universitaria di Bologna
Bologna, 40138
U.O Oncologia Medica P.O Vito Fazzi
Lecce, 73100
Asst Lecco
Lecco, 23900
Irst Irccs
Meldola, 47014
Istituto Europeo di Oncologia
Milan, 20141
AUSL, IRCCS di Reggio Emilia
Reggio Emilia, 42122
Fondazione Policlinico Agostino Gemelli IRCCS di Roma
Roma, 00168
Regina Elena National Cancer Institute
Rome, 00144
Belgium7 sites
OLV ziekenhuis Aalst, Medische oncologie- Radiotherapie
Aalst, 9300
Institut Bordet
Brussels, 1000
Cliniques universitaires Saint-Luc
Brussels, 1200
UZLeuven Gynaelologic Oncology
Leuven, 3000
CHC Saint Joseph
Liège, 4000
CHU Liège
Liège, 4000
CHU UCL Namur site Sainte Elisabeth
Namur, 5000
Canada7 sites
Tom Baker Cancer Center
Calgary, Alberta, T2N4N2
London Health Sciences Centre
London, Ontario, N6A 4L6
Hospital Maisonneuve-Rosemont
Montreal, Quebec, H1T 2M4
Hopital Notre-Dame du Centre Hospitalier de l'Universite de Montreal
Montreal, Quebec, H2L 4M1
Jewish General Hospital
Montreal, Quebec, H3T 1E2
Princess Margaret Cancer Centre
Toronto, Ontario, M5G 1Z5
British Columbia Cancer Agency
Vancouver, British Columbia, V5Z 4E6
Australia6 sites
Royal Brisbane & Women's Hospital
Herston, Queensland, 4011
St. George Hospital
Kogarah, New South Wales, 2217
Peter MacCallum Cancer Centre
Melbourne, Victoria, 03000
Sir Charles Gairdner Hospital
Nedlands, Western Australia, 6009
St. John of God Subiaco Hospital
Subiaco, Western Australia, 6008
Northern NSW Health District, The Tweed Hospital
Tweed Heads, New South Wales, 2485
South Korea6 sites
Keimyung University Dongsan Medical Center
Daegu, 41931
National Cancer Center
Goyang-si, Gyeonggi-do, 10408
Seoul National University Hospital
Seoul, 03080
Asan Medical Center
Seoul, 05505
Gangnam Severance Hospital
Seoul, 06273
Korea University Guro Hospital
Seoul, 08308
United Kingdom6 sites
Velindre Cancer Centre
Cardiff, CF14 2TL
NHS Greater Glasgow and Clyde Beatson, West of Scotland Cancer care
Glasgow, G12 0YN
University College Hospital
London, NW1 2BU
Royal Marsden NHS Foundation Trust, Chelsea
London, SW3 6JJ
Nottingham University Hospitals NHS Trust
Nottingham, NG5 1PB
Royal Marsden NHS Foundation Trust, Sutton
Sutton, SM2 5PT
Poland5 sites
Bialostockie Centrum Onkologii
Bialystok, 15-027
Szpitale Pomorskie
Gdynia, 81-519
Center and Institute of Oncology Gliwice
Gliwice, 44-101
Centrum Onkologii Ziemi Lubelskiej im sw. Jana z Dukli
Lublin, 20-090
Greater Poland Cancer Center
Poznan, 61-866
Greece4 sites
General Hospital of Athens Alexandra
Athens, 11528
University Hospital of Ioannina
Ioannina, 45110
General Hospital of Patras
Pátrai, 26335
Euromedica General Clinic, B'Oncology Clinic
Thessaloniki, 54645
Taiwan4 sites
Taichung Veterans General Hospital
Taichung, 40705
MacKay Memorial Hospital
Taipei, 10449
Koo-Foundation Sun Yat-Sen Cancer Center
Taipei, 112
Taipei Veterans General Hospital
Taipei, 112
About this study
Official title: An Open-Label, Randomized, Phase 3 Clinical Trial of REGN2810 Versus Investigator's Choice of Chemotherapy in Recurrent or Metastatic Cervical Carcinoma
The primary objective is to compare overall survival (OS) for patients with recurrent or metastatic cervical cancer who have histology of squamous cell carcinoma (SCC) and who have any eligible histology treated with either cemiplimab or investigator's choice (IC) chemotherapy.
The secondary objectives performed among SCC patients and among all eligible histologies (SCC and adenocarcinoma/adenosquamous carcinoma (AC) are:
- To compare progression-free survival (PFS) of cemiplimab versus IC chemotherapy
- To compare objective response rate (ORR) (partial response [PR] + complete response [CR]) of cemiplimab versus IC chemotherapy per Response Evaluation Criteria in Solid Tumors (RECIST) 1.1
- To compare the duration of response (DOR) of cemiplimab versus IC chemotherapy
- To compare the safety profiles of cemiplimab versus IC chemotherapy by describing adverse events (AE)
- To compare quality of life (QOL) for patients treated with cemiplimab versus IC chemotherapy using the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire-Core 30 (EORTC QLQ-C30)
- Conditions
- Squamous Cell Carcinoma (SCC), Recurrent or Metastatic, Platinum-refractory Cervical Cancer
- Being tested
- Cemiplimab, Investigator Choice (IC) Chemotherapy
- Medical subject headings
- Carcinoma, Squamous Cell, Recurrence, Neoplasm Metastasis
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
CemiplimabDrug
Also called REGN2810, Libtayo
Intravenous (IV) administration every 3 weeks (Q3W)
Investigator Choice (IC) ChemotherapyDrug
IC chemotherapy options include:
- Antifolate: Pemetrexed
- Topoisomerase 1 inhibitor: Topotecan or Irinotecan
- Nucleoside analogue: Gemcitabine
- Vinca alkaloid: Vinorelbine
The only chemotherapy treatments allowed in the control arm are any of the 5 drugs that are listed as IC options above.
| Study group | Role | What they receive |
|---|---|---|
| Experimental Therapy | Experimental | Cemiplimab Receives: Drug: Cemiplimab |
| Control Therapy | Active comparator | Investigator choice (IC) chemotherapy Receives: Drug: Investigator Choice (IC) Chemotherapy |
What is being measured
The primary outcome is the main question the study is designed to answer.
Overall Survival (OS)
Overall survival was defined as the time from randomization to the date of death due to any cause. A participant who had not died was censored at the last known date of contact.
Measured: From first dose up to 90 following last dose (~42 months)
Overall Survival (OS) in the SCC Population
Overall survival was defined as the time from randomization to the date of death due to any cause. A participant who had not died was censored at the last known date of contact.
Measured: From first dose up to 90 following last dose (~42 months)
Secondary outcomes (6)
Progression-free Survival (PFS) Assessed by Investigator Using Response Evaluation Criteria in Solid Tumors (RECIST 1.1)
PFS was defined as the time from randomization to the date of the first documented tumor progression (radiographic) or death due to any cause. Participants who did not have a documented tumor progression or death were censored on the date of their last evaluable tumor assessment.
Measured: Time from randomization to the date of the first documented tumor progression or death due to any cause (assessed up to 40 months)
Objective Response Rate (ORR) Assessed by Investigator Using RECIST 1.1
ORR was defined as the number of participants who achieved complete response (CR) or partial response (PR) as per RECIST 1.1. CR: Disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to less than (<) 10 millimeters (mm) (<1 centimeter [cm]). PR: At least a 30% decrease in the sum of the diameters of target lesions, taking as reference the baseline sum diameters.
Measured: From date of randomization up to 40 months
Duration of Response (DOR) Assessed Per RECIST 1.1
DOR was defined as the time from the date of first response (CR or PR) to the date of the first documented progressive disease (per RECIST 1.1) or death due to any cause. CR: Disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to <10 mm (<1 cm). PR: At least a 30% decrease in the sum of the diameters of target lesions, taking as reference the baseline sum diameters. Participants who never progressed while being followed was censored at the last valid tumor measurement. DOR was determined by Kaplan-Meier estimate.
Measured: Time from the date of first response to the date of the first documented progressive disease or death due to any cause (up to 40 months)
Quality of Life (QoL): Change From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire Core 30 (EORTC QLQ-C30) of Global Health Status /Quality of Life (GHS/QoL) and Physical Functioning Scales
EORTC QLQ-C30 is a 30-question tool used to assess the overall QoL in cancer participants. It consisted of 15 domains: 1 GHS/QoL scale, 5 functional scales (Physical, role, cognitive, emotional, social), and 9 symptom scales/items (Fatigue, nausea and vomiting, pain, dyspnea, sleep disturbance, appetite loss, constipation, diarrhea, financial impact). Most items are scored 1 ("not at all") to 4 ("very much") except for the items contributing to the GHS/QoL, which are scored 1 ("very poor") to 7 ("excellent"). A linear transformation was applied to the raw scores so that all transformed scores lie between 0 to 100. For the GHS/QoL and 5 functional scales a high score indicates better global health status/functioning and a negative change from baseline indicated less improvement. For the symptom scales, a high score indicates a higher level of symptoms, and a negative change from baseline indicated an improvement in symptoms.
Measured: From Cycle 1 Day 1 up to 40 months (Each cycle = 42 days)
Number of Participants With Treatment Emergent Adverse Events (TEAEs), Serious TEAEs, and TEAEs Leading to Death
An adverse event (AE) was defined as any untoward medical occurrence in a participant or clinical investigation participant administered a pharmaceutical product and which does not necessarily have to have a causal relationship with this treatment. A Treatment-emergent adverse event (TEAE) was defined as those that are not present at baseline or represent the exacerbation of a pre-existing condition during the on-treatment period. A serious adverse event (SAE) was defined as any untoward medical occurrence that resulted in any of the following outcomes: death, life- threatening, required initial or prolonged in-patient hospitalization, persistent or significant disability/incapacity, congenital anomaly/birth defect, or considered as medically important event. Any TEAE included participants with both serious and non-serious TEAEs. Number of participants with TEAEs, serious TEAEs, and TEAEs leading to death were reported.
Measured: From first dose up to 90 following last dose (~36 months)
Number of Participants With New or Worsened Laboratory Results by National Cancer Institute Common Terminology Criteria for Adverse Event (NCI-CTCAE) Grade
Laboratory parameters included hematology, electrolytes, chemistry (other), and liver function. Clinically significant abnormalities were determined by the investigator based on NCI-CTCAE Grade where Grade 1 = Mild, Grade 2 = moderate, Grade 3 = severe; Grade 4 = life threatening or disabling; Grade 5 = death. Participants with at least 1 lab abnormality Graded 3/4 in hematology, electrolytes, chemistry (other), or liver function reported.
Measured: From first dose up to 90 following last dose (~36 months)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted22 Aug 2017
- Study start5 Sep 2017
- Primary completion15 Mar 2021
- Study completion20 Apr 2023
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (2)Papers the sponsor has linked to this study.
- Other trials for Squamous Cell Carcinoma (SCC)Studies 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 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 608 participants (actual)
Sponsor and investigators
- Lead sponsor
- Regeneron Pharmaceuticals
- Sponsor type
- Industry (pharma, biotech, devices)
- Collaborators
- Sanofi
- Responsible party
- Sponsor
- Investigators
- Clinical Trial Management, Study director, Regeneron Pharmaceuticals
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT03257267
- Sponsor's protocol ID
- R2810-ONC-1676
- Other IDs
- 2017-000350-19, 2017
- Status last verified
- Apr 2025
- First submitted
- 26 Jul 2017
- Last updated
- 8 Apr 2025
- Results posted
- Yes, on ClinicalTrials.gov
- 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
Publications
Oaknin A, Monk BJ, Vergote I, Cristina de Melo A, Kim YM, Lisyanskaya AS, Samouelian V, Kim HS, Gotovkin EA, Damian F, Chang CL, Takahashi S, Li J, Mathias M, Fury MG, Ivanescu C, Reaney M, LaFontaine PR, Lowy I, Harnett J, Chen CI, Tewari KS. EMPOWER CERVICAL-1: Effects of cemiplimab versus chemotherapy on patient-reported quality of life, functioning and symptoms among women with recurrent cervical cancer. Eur J Cancer. 2022 Oct;174:299-309. doi: 10.1016/j.ejca.2022.03.016. Epub 2022 Jul 31.
PubMed 35922251Tewari KS, Monk BJ, Vergote I, Miller A, de Melo AC, Kim HS, Kim YM, Lisyanskaya A, Samouelian V, Lorusso D, Damian F, Chang CL, Gotovkin EA, Takahashi S, Ramone D, Pikiel J, Mackowiak-Matejczyk B, Guerra Alia EM, Colombo N, Makarova Y, Rischin D, Lheureux S, Hasegawa K, Fujiwara K, Li J, Jamil S, Jankovic V, Chen CI, Seebach F, Weinreich DM, Yancopoulos GD, Lowy I, Mathias M, Fury MG, Oaknin A; Investigators for GOG Protocol 3016 and ENGOT Protocol En-Cx9. Survival with Cemiplimab in Recurrent Cervical Cancer. N Engl J Med. 2022 Feb 10;386(6):544-555. doi: 10.1056/NEJMoa2112187.
PubMed 35139273
Study at a glance
From the registry record, last updated by the sponsor on 8 Apr 2025. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- An Open-Label, Randomized, Phase 3 Clinical Trial of REGN2810 Versus Investigator's Choice of Chemotherapy in Recurrent or Metastatic Cervical Carcinoma
- ClinicalTrials.gov ID
- NCT03257267
- Acronym / sponsor ID
- R2810-ONC-1676
- Conditions
- Squamous Cell Carcinoma (SCC), Recurrent or Metastatic, Platinum-refractory Cervical Cancer
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 608 participants (actual)
- Lead sponsor
- Regeneron PharmaceuticalsIndustry (pharma, biotech, devices)
- Collaborators
- Sanofi
- Study start
- 5 Sep 2017 (actual)
- Primary completion
- 15 Mar 2021 (actual)
- Study completion
- 20 Apr 2023 (actual)
- First posted
- 22 Aug 2017 (actual)
- Results
- Posted 6 Apr 2022
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The primary objective is to compare overall survival (OS) for patients with recurrent or metastatic cervical cancer who have histology of squamous cell carcinoma (SCC) and who have any eligible histology treated with either cemiplimab or investigator's choice (IC) chemotherapy.
The secondary objectives performed among SCC patients and among all eligible histologies (SCC and adenocarcinoma/adenosquamous carcinoma (AC) are:
- To compare progression-free survival (PFS) of cemiplimab versus IC chemotherapy
- To compare objective response rate (ORR) (partial response [PR] + complete response [CR]) of cemiplimab versus IC chemotherapy per Response Evaluation Criteria in Solid Tumors (RECIST) 1.1
- To compare the duration of response (DOR) of cemiplimab versus IC chemotherapy
- To compare the safety profiles of cemiplimab versus IC chemotherapy by describing adverse events (AE)
- To compare quality of life (QOL) for patients treated with cemiplimab versus IC chemotherapy using the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire-Core 30 (EORTC QLQ-C30)
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Experimental Therapy | Experimental | Drug: CemiplimabCemiplimab |
| Control Therapy | Active comparator | Drug: Investigator Choice (IC) ChemotherapyInvestigator choice (IC) chemotherapy |
Who may qualify
- Ages
- 18 years and older
- Sex
- Female only
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (9 listed)
- Recurrent, persistent, and/or metastatic cervical cancer with squamous cell histology, for which there is not a curative-intent option (surgery or radiation therapy with or without chemotherapy).
- Tumor progression or recurrence after treatment with platinum therapy (must have been used to treat metastatic, persistent, or recurrent cervical cancer)
- Patient must have measurable disease as defined by RECIST 1.1.
- Eastern Cooperative Oncology Group (ECOG) performance status ≤1
- ≥18 years old
Key exclusion criteria (13 listed)
- Ongoing or recent (within 5 years) evidence of significant autoimmune disease that required treatment with systemic immunosuppressive treatments
- Prior treatment with an agent that blocks the PD-1/PD-L1 pathway
- Prior treatment with other systemic immune-modulating agents that was
- Active or untreated brain metastases
- Immunosuppressive corticosteroid doses (>10 mg prednisone daily or equivalent) within 4 weeks prior to the first dose of study drug cemiplimab or IC chemo)
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, LibtayoIntravenous (IV) administration every 3 weeks (Q3W) | Drug | Experimental Therapy |
| Investigator Choice (IC) ChemotherapyIC chemotherapy options include: 1. Antifolate: Pemetrexed 2. Topoisomerase 1 inhibitor: Topotecan or Irinotecan 3. Nucleoside analogue: Gemcitabine 4. Vinca alkaloid: Vinorelbine The only chemotherapy treatments allowed in the control arm are any of the 5 drugs that are listed as IC options above. | Drug | Control Therapy |
Primary outcome
Overall Survival (OS)
Time frame: From first dose up to 90 following last dose (~42 months)
Overall survival was defined as the time from randomization to the date of death due to any cause. A participant who had not died was censored at the last known date of contact.
Overall Survival (OS) in the SCC Population
Time frame: From first dose up to 90 following last dose (~42 months)
Overall survival was defined as the time from randomization to the date of death due to any cause. A participant who had not died was censored at the last known date of contact.
6 secondary outcomes
Progression-free Survival (PFS) Assessed by Investigator Using Response Evaluation Criteria in Solid Tumors (RECIST 1.1)
Time frame: Time from randomization to the date of the first documented tumor progression or death due to any cause (assessed up to 40 months)
Objective Response Rate (ORR) Assessed by Investigator Using RECIST 1.1
Time frame: From date of randomization up to 40 months
Duration of Response (DOR) Assessed Per RECIST 1.1
Time frame: Time from the date of first response to the date of the first documented progressive disease or death due to any cause (up to 40 months)
Quality of Life (QoL): Change From Baseline in European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire Core 30 (EORTC QLQ-C30) of Global Health Status /Quality of Life (GHS/QoL) and Physical Functioning Scales
Time frame: From Cycle 1 Day 1 up to 40 months (Each cycle = 42 days)
Number of Participants With Treatment Emergent Adverse Events (TEAEs), Serious TEAEs, and TEAEs Leading to Death
Time frame: From first dose up to 90 following last dose (~36 months)
Number of Participants With New or Worsened Laboratory Results by National Cancer Institute Common Terminology Criteria for Adverse Event (NCI-CTCAE) Grade
Time frame: From first dose up to 90 following last dose (~36 months)
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 8 Apr 2025.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 35922251Oaknin A, Monk BJ, Vergote I, Cristina de Melo A, Kim YM, Lisyanskaya AS, Samouelian V, Kim HS, Gotovkin EA, Damian F, Chang CL, Takahashi S, Li J, Mathias M, Fury MG, Ivanescu C, Reaney M, LaFontaine PR, Lowy I, Harnett J, Chen CI, Tewari KS. EMPOWER CERVICAL-1: Effects of cemiplimab versus chemotherapy on patient-reported quality of life, functioning and symptoms among women with recurrent cervical cancer. Eur J Cancer. 2022 Oct;174:299-309. doi: 10.1016/j.ejca.2022.03.016. Epub 2022 Jul 31.
- Derived from this study: PubMed 35139273Tewari KS, Monk BJ, Vergote I, Miller A, de Melo AC, Kim HS, Kim YM, Lisyanskaya A, Samouelian V, Lorusso D, Damian F, Chang CL, Gotovkin EA, Takahashi S, Ramone D, Pikiel J, Mackowiak-Matejczyk B, Guerra Alia EM, Colombo N, Makarova Y, Rischin D, Lheureux S, Hasegawa K, Fujiwara K, Li J, Jamil S, Jankovic V, Chen CI, Seebach F, Weinreich DM, Yancopoulos GD, Lowy I, Mathias M, Fury MG, Oaknin A; Investigators for GOG Protocol 3016 and ENGOT Protocol En-Cx9. Survival with Cemiplimab in Recurrent Cervical Cancer. N Engl J Med. 2022 Feb 10;386(6):544-555. doi: 10.1056/NEJMoa2112187.
- A Plain Language Summary is available on TrialSummaries.comLink provided by the sponsor.
- 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
105 sites in 14 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Cemiplimab and Investigator Choice (IC) Chemotherapy in people with Squamous Cell Carcinoma (SCC) and Recurrent or Metastatic, Platinum-refractory Cervical Cancer, run by Regeneron Pharmaceuticals at 105 sites in 14 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 9 inclusion and 13 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 8 Apr 2025. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 105 sites in Japan, United States, Spain, Russia, Brazil and 9 more countries. 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 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Yes. Results are posted in the registry (first posted 6 Apr 2022). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
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?
Overall Survival (OS) (time frame: From first dose up to 90 following last dose (~42 months)). The study lists 2 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 NCT03257267, 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 8 Apr 2025.