Cutaneous Squamous Cell CarcinomaPhase 3NCT03969004
Study of Adjuvant Cemiplimab Versus Placebo After Surgery and Radiation Therapy in Patients With High Risk Cutaneous Squamous Cell Carcinoma
A Phase 3 study testing Cemiplimab in people with Cutaneous Squamous Cell Carcinoma, run by Regeneron Pharmaceuticals at 166 sites in 16 countries.
Trial summary
The primary objective of the study is to compare disease-free survival (DFS) of patients with high-risk cutaneous squamous cell carcinoma (CSCC) treated with adjuvant cemiplimab, versus those treated with placebo, after surgery and radiation therapy (RT). Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Cutaneous Squamous Cell Carcinoma
- What is being tested?
- Cemiplimab
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 415 participants
- Where
- 166 sitesin 16 countries
- Study dates
- 4 Jun 2019to 7 Jan 2028
- Phase
- Phase 3
- Are there results?
- Not yet: the study is under way
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
- For Japan only, men and women ≥21 years old
- Patient with resection of pathologically confirmed CSCC (primary CSCC lesion only, or primary CSCC with nodal involvement, or CSCC nodal metastasis with known primary CSCC lesion previously treated within the draining lymph node echelon), with macroscopic gross resection of all disease
- High risk CSCC, as defined in the protocol
- Completion of curative intent post-operative radiation therapy (RT) within 2 to 10 weeks of randomization
- Eastern Cooperative Oncology Group performance status (ECOG PS) ≤1
- Adequate hepatic, renal, and bone marrow function as defined in the protocol
Who cannot join
- Squamous cell carcinomas (SCCs) arising in non-cutaneous sites as defined in the protocol
- Concurrent malignancy other than localized CSCC and/or history of malignancy other than localized CSCC within 3 years of date of randomization as defined in the protocol
- Patients with hematologic malignancies (note: patients with chronic lymphocytic leukemia (CLL) are not excluded if they have not required systemic therapy for CLL within 6 months of enrollment)
- Patients with history of distantly metastatic CSCC (visceral or distant nodal), unless the disease-free interval is at least 3 years (regional nodal involvement of disease in draining lymph node basin that was resected and radiated prior to enrollment will not be exclusionary)
- Ongoing or recent (within 5 years of randomization date) evidence of significant autoimmune disease that required treatment with systemic immunosuppressive treatments, which may suggest risk for immune-related adverse events (irAEs). The following are not exclusionary: vitiligo, childhood asthma that has resolved, type 1 diabetes, residual hypothyroidism that required only hormone replacement, or psoriasis that does not require systemic treatment.
- Has had prior systemic anti-cancer immunotherapy for CSCC
- Note: Other protocol defined Inclusion/Exclusion criteria apply
Trial locations and contacts
166 sites in 16 countries.
166 sites in 16 countries
United States40 sites
Michigan Medicine- University of Michigan
Ann Arbor, Michigan, 48109
Regeneron Study Site
Atlanta, Georgia, 30342
Regeneron Study Site
Baltimore, Maryland, 21287
Memorial Sloan Kettering
Basking Ridge, New Jersey, 07920
Massachusetts General Cancer Center
Boston, Massachusetts, 02114
Dana Farber/Harvard Cancer Center
Boston, Massachusetts, 02215
University Of Virginia Health System
Charlottesville, Virginia, 22908
Regeneron Study Site
Chicago, Illinois, 60611
Regeneron Research Site
Cincinnati, Ohio, 45267
University of Missouri Health Care - University Physicians - Medicine Specialty Clinic
Columbia, Missouri, 65212
Memorial Sloan Kettering
Commack, New York, 11725
Texas Oncology - Baylor Charles A. Simmons Cancer Center
Dallas, Texas, 75246
UT Southwestern Medical Center
Dallas, Texas, 75390
The Ohio State University
Gahanna, Ohio, 43230
University of Florida Health
Gainesville, Florida, 032608
Banner MD Anderson Cancer Center
Gilbert, Arizona, 85234
Memorial Sloan Kettering
Harrison, New York, 10604
Penn State Hershey Children's Hospital
Hershey, Pennsylvania, 17025
The Angeles Clinic
Los Angeles, California, 90025
University of Southern California (USC)
Los Angeles, California, 90033
Regeneron Study Site
Louisville, Kentucky, 40202
Sylvester Comprehensive Cancer Center
Miami, Florida, 33136
Miami Cancer Institute at Baptist Health, Inc.
Miami, Florida, 33176
Memorial Sloan Kettering
Middletown, New Jersey, 07748
Memorial Sloan Kettering
Montvale, New Jersey, 07645
Sarah Cannon Research Institute - Tennessee Oncology
Nashville, Tennessee, 37203
Memorial Sloan Kettering
New Brunswick, New Jersey, 08903
NYU Langone Health
New York, New York, 10016
Columbia University
New York, New York, 10032
Memorial Sloan Kettering Cancer Center
New York, New York, 10065
Nebraska Methodist Hospital
Omaha, Nebraska, 68114
Stanford Cancer Institute, Stanford Medicine at Stanford University
Palo Alto, California, 94304
University of Pennsylvania
Philadelphia, Pennsylvania, 19104
Mayo Clinic Hospital
Phoenix, Arizona, 85054
University Of California San Francisco (UCSF) - Helen Diller Family Comprehensive Cancer Center
San Francisco, California, 94143-0981
Washington University in Saint Louis
St Louis, Missouri, 63110
University of South Florida (USF) - H. Lee Moffitt Cancer Center and Research Institute
Tampa, Florida, 33612
Regeneron Study Site
Tucson, Arizona, 85724-5024
Memorial Sloan Kettering
Uniondale, New York, 11553
George Washington University School of Medicine and Health Sciences
Washington D.C., District of Columbia, 20037
Australia30 sites
Royal Adelaide Hospital
Adelaide, 5000
The Border Cancer Hospital Dispensary - Albury Wodonga Regional Cancer Centre
Albury, New South Wales, 2640
Bendigo Health
Bendigo, Victoria, 3550
Wide Bay Hospital and Health Service - Cancer Care Services
Bundaberg, Queensland, 4670
Cairns Hospital
Cairns, Queensland, 4870
Coffs Harbour Health Campus
Coffs Harbour, New South Wales, 2450
St. Vincent's Hospital
Fitzroy, Victoria, 3065
Central Coast Cancer Centre-Gosford and Wyong Hospitals
Gosford, New South Wales, 2250
Olivia Newton -John Cancer Wellness & Research Centre
Heidelberg, Victoria, 3084
The Royal Brisbane and Women's Hospital
Herston, Queensland, 4029
Royal Hobart Hospital-Hobart Hospital
Hobart, Tasmania, 7000
Royal Hobart Hospital
Hobart, Tasmania, 7000
St George Hospital
Kogarah, New South Wales, 2217
Ashford Cancer Centre Research-Adelaide Cancer Centre
Kurralta Park, South Australia, 5037
Liverpool Cancer Therapy Center
Liverpool, 2170
University of New South Wales (UNSW) - Liverpool Hospital - Liverpool Cancer Therapy Centre
Liverpool, 2170
Peter Maccallum Cancer Centre (PMCC)
Melbourne, Victoria, 3000
Sir Charles Gairdner Hospital
Nedlands, Western Australia, 6009
ICON Cancer Care
Southport, Queensland, 4215
North Shore Private Hospital
St Leonards, New South Wales, 2065
Melanoma Institute
Sydney, North South Wales, 2060
Toowoomba Hospital
Toowoomba, Queensland, 4350
The Townsville Hospital and Health Service
Townsville, 4814
Genesis Care Tugun - John Flynn Private Hospital
Tugun, Queensland, 4224
Wide Bay Hospital and Health Service - Cancer Care Services - Hervey Bay
Urraween, Queensland, 4655
Cancer Care Associates (CCA) Riverina Cancer Care Centre (RCCC)
Wagga Wagga, New South Wales, 2650
Calvary Mater Newcastle
Waratah, New South Wales, 2298
Westmead Hospital
Westmead, New South Wales, 2145
Illawarra Cancer Care Centre (ICCC)
Wollongong, New South Wales, 2500
Princess Alexandra Hospital
Woolloongabba, Queensland, 4102
Spain14 sites
Hospital Universitario Fundacion Alcorcon
Alcorcón, Madrid, 28922
Catalan institute of Oncology Badalona
Badalona, 8916
Hospital Universitari Vall d'Hebron
Barcelona, Catalonia, 08035
Hospital Clinic de Barcelona - Institut Clinic de Malalties Hematologiques i Oncologiques (ICMHO)
Barcelona, 08036
Genesis Care hospital San Francisco de Asis
Madrid, 28002
Hospital General Universitario Gregorio Maranon (HGUGM)
Madrid, 28007
Clinica Universidad de Navarra
Madrid, 28027
Hospital Universitario 12 de Octubre-Centro de Actividades Ambulatorias
Madrid, 28041
Hospital Universitario Puerta de Hierro de Majadahonda
Majadahonda, 28222
Hospital Clinico Universitario de Salamanca
Salamanca, 37007
Hospital Universitario Virgen Macarena-merge
Seville, 41009
Hospital Universitario de Torrejon
Torrejón de Ardoz, Madrid, 28850
Instituto Valenciano de Oncología
Valencia, 46009
Hospital Universitario y Politecnico La Fe-merge
Valencia, 46026
France13 sites
Hopital Saint Andre - CHU de Bordeaux
Bordeaux, 33604
Hopital Ambroise Pare
Boulogne-Billancourt, 92100
Centre Hospitalier Universitaire (CHU) de Dijon - Hopital du Bocage
Dijon, Dijon Cedex, 21079
Centre Hospitalier Universitaire De Grenoble- Hopital Albert Michallon
La Tronche, 38700
Centre Hospitalier Regional Universitaire de Lille - Hopital Claude Huriez
Lille, 59037
Centre Leon-Berard (CLB) - Centre de Recherche en Cancerologie Lyon-Est (CRCL)
Lyon, 69008
Centre Hospitalier Universitaire de Nantes (CHU de Nantes) - Hopital Hotel Dieu
Nantes, 44093
Centre Hospitalier Universitaire de Nice,Hopital l Archet
Nice, 06202
CIC Cochin Pasteur, Hopital Cochin
Paris, 7504
Hospital Saint-Louis - APHP
Paris, 75475
Centre Hospitalier Lyon Sud
Pierre-Bénite, 69495
Centre Hospitalier Universitaire de Rouen-Hopital Charles Nicolle
Rouen, 76031
Institut Gustave Roussy-Gustave Roussy Cancer Center -DITEP
Villejuif, 94805
Germany12 sites
Charite- Universitaetsmedizin Berlin
Berlin, 10117
Universitaetsklinikum der Ruhr Universitaet Bochum (UKRUB), St. Josef Hospital
Bochum, 44791
Elbekliniken Buxtehude
Buxtehude, 21614
Klinikum der Universitaet zu Koeln
Cologne, 50937
University Hospital Dresden
Dresden, 01307
Universitaetsklinikum Essen (AoR)
Essen, 45147
NCT Dermatoonkologie -Hautklinik Heidelberg
Heidelberg, Baden-Wurttemberg, 69120
SLK-Kliniken Heilbronn GmbH
Heilbronn, 74078
Universitaetsklinikum Schleswig-Holstein, Campus Kiel
Kiel, 24105
Universitaetsmedizin der Johannes Gutenberg Universitaet Mainz KoeR
Mainz, Rhineland-Palatinate, 55131
LMU Munchen
München, 80337
University Hospital Tuebingen
Tübingen, 72076
Italy12 sites
ASST Papa Giovanni XXIII
Bergamo, 24128
Policlinico S.Orsola-Malpighi U.O. Dermatologia - University of Bologna
Bologna, 40138
ASST Spedali Civili Brescia
Brescia, 089263
University of Brescia
Brescia, 25121
Universita di Firenze - Azienda Sanitaria Firenze
Florence, 50125
University L'Aquila
L’Aquila, 67100
IRCCS-Istituto Europeo di Oncologia
Milan, 20141
U.O.S.C Di Oncologia Medica E Terapie Innovative
Naples, 43100
UOC Oncoematologia AOU Luigi Vanvitelli
Naples, 80131
A. Gemelli University Hospital, Catholic University of the Sacred Heart
Rome, 00168
IRCCS Istituto Clinico Humanitas
Rozzano, 20089
AOU Citta della Salute e della Scienza di Torino
Torino, 10126
Brazil11 sites
Fundacao Pio XII - Hospital de Cancer de Barretos
Barretos, Porte Alegre, 90610-000
Ynova pesquisa clinica
Florianópolis, 88020-210
Fundacao Sao Francisco Xavier - Hospital Marcio Cunha (HMC) - Unidade I
Ipatinga, Minas Gerais, 35160-158
Centro De Novos Tratamentos Itajai
Itajaí, Santa Catarina, 88301-220
ANIMI
Lages, Santa Catarina, 88501-001
Centro Oncologico Mogi das Cruzes
Mogi das Cruzes, São Paulo, 08730-500
Hospital Sao Vicente de Paulo (HSVP)
Passo Fundo, Rio Grande do Sul, 99010-080
Centro de Pesquisa em Oncologia - Uniao Brasileira de Educacao e Assistencia Hospital Sao Lucas da PUCRS
Porto Alegre, Rio Grande do Sul, 90610-000
Hospital das Clinicas da Faculdade de Medician de Ribeirao Preto FMRP USP
Ribeirão Preto, São Paulo, 14049-900
Instituto Nacional de Cancer Jose Alencar Gomes da Silva ¿ INCA
Santo Cristo, Rio de Janiero, 20220-410
Instituto do Cancer do Estado de Sao Paulo - ICESP
São Paulo, 05403-000
Russia7 sites
Regeneron Study Site
Magnitogorsk, 455001
N.N.Blokhin Cancer Research Center
Moscow, 33756
Regeneron Research Site
Omsk, 644013
SBHI of Stavropol Region Pyatigorsk Interdistrict Oncology Dispensary
Pyatigorsk, Stavropol Kray, 357502
Federal State Budgetary Institution Rostov Research Institute of Oncology of the Ministry of Healthcare of the Russian Federation
Rostov-on-Don, 344037
Regeneron Study Site
Saint Petersburg, 198255
State Healthcare Institution Oncology Dispensary 2 Ministry of Healthcare of Krasnodar Region
Sochi, Krasnodarskiy Kray, 354057
United Kingdom7 sites
University Hospitals Bristol NHS Foundation Trust - Bristol Haematology And Oncology Centre (BHOC) - Bristol Cancer Institute
Bristol, Somerset, BS2 8ED
Velindre NHS Trust, Velindre Cancer Centre
Cardiff, CF14 2TL
The Lothian University Hospitals NHS Lothian - Western General Hospital (WGH)
Edinburgh, EH4 2XU
Beatson West of Scotland Cancer Centre - Greater Glasgow Health Board
Glasgow, G12 0YN
St George's Hospital - St George's University Hospitals NHS Foundation Trust
London, SW17 0QT
The Christie - The Christie NHS Foundation Trust
Manchester, M20 4QL
Derriford Hospital
Plymouth, Devon, PL6 8DH
Japan5 sites
National Cancer Center Hospital - Gastrointestinal Oncology
Chuo-ku, Tokyo, 104-0045
Shizuoka Cancer Center - Oncology
Nagaizumi-Cho, Shizuoka, 411-8777
Niigata Cancer Center Hospital
Niigata, 951-8566
Osaka International Cancer Institute - Clinical Oncology
Osaka, 541-8567
Sapporo Medical University Hospital
Sapporo, Hokkaido, 060-8543
Poland5 sites
Narodowy Instytut Onkologii im. Marii Sk¿odowskiej-Curie - Panstwowy Instytut Badawczy, Oddzial w Gliwicach
Gliwice, 44-102
Regeneron Study Site
Krakow, 30-820
Regeneron Study Site
Poznan, 61-306
Regeneron Study Site
Warsaw, 04-141
Narodowy Instytut Onkologii im. Marii Sklodowskiej-Curie Panstwowy Instytut Badawczy
Warsaw, 20-090
Ireland3 sites
University College Cork-Cork University Maternity Hospital
Cork
St. Vincent's University Hospital
Dublin, Leinster, DO4 YN63
University Hospital Galway
Galway, H91 YR71
Belgium2 sites
Cliniques Universitaires Saint-Luc
Brussels, 1200
Universitair Ziekenhuis Leuven Gasthuisberg Campus
Leuven, Vlaams-Brabant, 3000
Greece2 sites
University of Athens - Hospital of Venereology Dermatology Diseases Andreas Syggros
Athens, Attica, 16121
Office of Dr. Aimilios Lallas MD
Thessaloniki, 546 23
New Zealand2 sites
Regeneron Study Site
Auckland, 1023
Palmerston North Hospital
Palmerston North, 4410
Canada1 site
University Health Network- Princess Margaret Cancer Center
Toronto, Ontario, M5G 2M9
About this study
Official title: A Randomized, Placebo-Controlled, Double-Blind Study of Adjuvant Cemiplimab Versus Placebo After Surgery and Radiation Therapy in Patients With High Risk Cutaneous Squamous Cell Carcinoma
The primary objective of the study is to compare disease-free survival (DFS) of patients with high-risk cutaneous squamous cell carcinoma (CSCC) treated with adjuvant cemiplimab, versus those treated with placebo, after surgery and radiation therapy (RT).
The secondary objectives of the study are:
- To compare the overall survival (OS) of high-risk CSCC patients treated with adjuvant cemiplimab, versus those treated with placebo, after surgery and RT
- To compare the effect of adjuvant cemiplimab with that of placebo on patients' freedom from locoregional recurrence (FFLRR) after surgery and RT
- To compare the effect of adjuvant cemiplimab with that of placebo on patients' freedom from distant recurrence (FFDR) after surgery and RT
- To compare the effect of adjuvant cemiplimab with that of placebo on the cumulative incidence of second primary CSCC tumors (SPTs) after surgery and RT
- To evaluate the safety of adjuvant cemiplimab and that of placebo in high-risk CSCC patients after surgery and RT
- To assess cemiplimab pharmacokinetics and immunogenicity in human serum
Read the detailed description
Cemiplimab is a monoclonal antibody. Antibodies are proteins naturally found in the blood. A monoclonal antibody is a special antibody that is manufactured as a medication to target specific proteins in the body that may be involved in cancer. Cemiplimab works by blocking programmed death-1 (PD-1), a cell receptor on immune cells. By blocking PD-1, it is expected that the immune cells will attack cancer cells.
The study is being conducted in participants that have had surgery and radiation therapy for a type of skin cancer called cutaneous squamous cell cancer, and who have a risk that this cancer may come back.
The main purpose of the study is to determine if cemiplimab will prevent cutaneous squamous cell cancer (CSCC) from returning after surgery and radiation. Currently, we know that certain types of CSCC have a high chance of coming back after surgery and radiation. At this time, there is no approved treatment to give patients after surgery and radiation to prevent high-risk CSCC from coming back. We are investigating if the addition of cemiplimab will decrease the chance of these high-risk cancers coming back.
The study will also investigate if cemiplimab may help participants live for longer.
The study has two parts. Part 1: participants will receive every 3 weeks via intravenous infusion (drip into a vein) either cemiplimab (study drug) or placebo (similar to the study drug but without active medicine). After 12 weeks of treatment, cemiplimab or placebo will be given every 6 weeks. Part 1 of the study includes a screening period (up to 28 days), a treatment period (approximately 48 weeks), an end of treatment visit (approximately 30 days after completion of study drug treatment period) and a post-treatment follow-up period (approximately up to 5 years or until skin cancer returns or the study ends).
Part 2 of the study is optional and provides the participant with the option to receive cemiplimab if the cancer comes back if the participant was initially receiving placebo. There is no placebo in Part 2 of the study. If the cancer comes back, the study doctor will discuss with participants if they are eligible to participate in the optional part 2 of the study.
Part 2 of the study includes a brief screening period, a treatment period (approximately 96 weeks) and an end of treatment visit (approximately 30 days after the completion of the study drug treatment period).
- Conditions
- Cutaneous Squamous Cell Carcinoma
- Being tested
- Cemiplimab, Placebo
- Keywords
- High risk
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) infusion over 30 minutes
PlaceboDrug
Intravenous (IV) infusion over 30 minutes
| Study group | Role | What they receive |
|---|---|---|
| Cemiplimab | Experimental | Not described Receives: Drug: Cemiplimab |
| Placebo | Placebo comparator | Not described Receives: Drug: Placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
DFS defined as time from randomization to the first documented disease recurrence (local, regional and/or distant); or death due to any cause.
For patients who do not have a tumor recurrence or death, DFS will be censored on the date of last disease assessment.
Measured: Up to 54 months
Secondary outcomes (9)
Overall survival (OS), defined as time from randomization to the date of death. A patient who has not died will be censored on the last known date as alive.
Measured: Up to 78 months
FFLRR defined as time from randomization to the date of first locoregional recurrence (LRR). Patients who died without a preceding LRR will be censored on the date of death.
For patients who do not have a LRR or death, FFLRR will be censored on the date of last disease assessment.
Measured: Up to 54 months
Freedom from distant recurrence (FFDR), defined as time from randomization to the date of first distant recurrence (DR). Patients who died without a preceding DR will be censored on the date of death.
For patients who do not have a DR or death, FFDR will be censored on the date of last disease assessment.
Measured: Up to 54 months
Cumulative occurrence of second primary cutaneous squamous cell carcinoma tumor (SPTs) for each patient from randomization to occurrence of first primary endpoint event or end of study.
Measured: Up to 54 months
Incidence and severity of treatment-emergent adverse events (TEAE)
Measured: Up to 78 months
Incidence of deaths
Measured: Up to 78 months
Incidence of laboratory abnormalities
Measured: Up to 78 months
Cemiplimab concentrations in serum
Measured: Up to 78 months
Anti-drug antibodies (ADA) in serum
Measured: Up to 78 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted31 May 2019
- Study start4 Jun 2019
- Primary completion7 Jan 2028 (estimated)
- Study completion7 Jan 2028 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Cutaneous Squamous Cell CarcinomaStudies 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
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 415 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
- NCT03969004
- Sponsor's protocol ID
- R2810-ONC-1788
- Other IDs
- 2019-000566-38, 2024-511653-22-00, 2019
- Status last verified
- Mar 2026
- First submitted
- 6 May 2019
- Last updated
- 27 Mar 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
Publications
Rischin D, Porceddu S, Day F, Brungs DP, Christie H, Jackson JE, Stein BN, Su YB, Ladwa R, Adams G, Bowyer SE, Otty Z, Yamazaki N, Bossi P, Challapalli A, Hauschild A, Lim AM, Patel VA, Walker JL, De Liz Vassen Schurmann M, Queirolo P, Canueto J, Ferreira da Silva FA, Stratigos A, Guminski A, Lin C, Damian F, Flatz L, Taylor AE, Carr DR, Harris S, Kirtbaya D, Quereux G, Rutkowski P, Basset-Seguin N, Khushalani NI, Robert C, Ju H, Joseph C, Bansal S, Chen CI, Seebach F, Yoo SY, Lowy I, Goncalves P, Fury MG; C-POST Trial Investigators. Adjuvant Cemiplimab or Placebo in High-Risk Cutaneous Squamous-Cell Carcinoma. N Engl J Med. 2025 Aug 21;393(8):774-785. doi: 10.1056/NEJMoa2502449. Epub 2025 May 31.
PubMed 40454639
Study at a glance
From the registry record, last updated by the sponsor on 27 Mar 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Randomized, Placebo-Controlled, Double-Blind Study of Adjuvant Cemiplimab Versus Placebo After Surgery and Radiation Therapy in Patients With High Risk Cutaneous Squamous Cell Carcinoma
- ClinicalTrials.gov ID
- NCT03969004
- Acronym / sponsor ID
- R2810-ONC-1788
- Conditions
- Cutaneous Squamous Cell Carcinoma
- Keywords
- High risk
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Active, not recruiting
- Enrolment
- 415 participants (actual)
- Lead sponsor
- Regeneron PharmaceuticalsIndustry (pharma, biotech, devices)
- Study start
- 4 Jun 2019 (actual)
- Primary completion
- 7 Jan 2028 (estimated)
- Study completion
- 7 Jan 2028 (estimated)
- First posted
- 31 May 2019 (actual)
- 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.
The primary objective of the study is to compare disease-free survival (DFS) of patients with high-risk cutaneous squamous cell carcinoma (CSCC) treated with adjuvant cemiplimab, versus those treated with placebo, after surgery and radiation therapy (RT).
The secondary objectives of the study are:
- To compare the overall survival (OS) of high-risk CSCC patients treated with adjuvant cemiplimab, versus those treated with placebo, after surgery and RT
- To compare the effect of adjuvant cemiplimab with that of placebo on patients' freedom from locoregional recurrence (FFLRR) after surgery and RT
- To compare the effect of adjuvant cemiplimab with that of placebo on patients' freedom from distant recurrence (FFDR) after surgery and RT
- To compare the effect of adjuvant cemiplimab with that of placebo on the cumulative incidence of second primary CSCC tumors (SPTs) after surgery and RT
- To evaluate the safety of adjuvant cemiplimab and that of placebo in high-risk CSCC patients after surgery and RT
- To assess cemiplimab pharmacokinetics and immunogenicity in human serum
Detailed description
Cemiplimab is a monoclonal antibody. Antibodies are proteins naturally found in the blood. A monoclonal antibody is a special antibody that is manufactured as a medication to target specific proteins in the body that may be involved in cancer. Cemiplimab works by blocking programmed death-1 (PD-1), a cell receptor on immune cells. By blocking PD-1, it is expected that the immune cells will attack cancer cells.
The study is being conducted in participants that have had surgery and radiation therapy for a type of skin cancer called cutaneous squamous cell cancer, and who have a risk that this cancer may come back.
The main purpose of the study is to determine if cemiplimab will prevent cutaneous squamous cell cancer (CSCC) from returning after surgery and radiation. Currently, we know that certain types of CSCC have a high chance of coming back after surgery and radiation. At this time, there is no approved treatment to give patients after surgery and radiation to prevent high-risk CSCC from coming back. We are investigating if the addition of cemiplimab will decrease the chance of these high-risk cancers coming back.
The study will also investigate if cemiplimab may help participants live for longer.
The study has two parts. Part 1: participants will receive every 3 weeks via intravenous infusion (drip into a vein) either cemiplimab (study drug) or placebo (similar to the study drug but without active medicine). After 12 weeks of treatment, cemiplimab or placebo will be given every 6 weeks. Part 1 of the study includes a screening period (up to 28 days), a treatment period (approximately 48 weeks), an end of treatment visit (approximately 30 days after completion of study drug treatment period) and a post-treatment follow-up period (approximately up to 5 years or until skin cancer returns or the study ends).
Part 2 of the study is optional and provides the participant with the option to receive cemiplimab if the cancer comes back if the participant was initially receiving placebo. There is no placebo in Part 2 of the study. If the cancer comes back, the study doctor will discuss with participants if they are eligible to participate in the optional part 2 of the study.
Part 2 of the study includes a brief screening period, a treatment period (approximately 96 weeks) and an end of treatment visit (approximately 30 days after the completion of the study drug treatment period).
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Cemiplimab | Experimental | Drug: Cemiplimab |
| Placebo | Placebo comparator | Drug: Placebo |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (6 listed)
- For Japan only, men and women ≥21 years old
- Patient with resection of pathologically confirmed CSCC (primary CSCC lesion only, or primary CSCC with nodal involvement, or CSCC nodal metastasis with known primary CSCC lesion previously treated within the draining lymph node echelon), with macroscopic gross resection of all disease
- High risk CSCC, as defined in the protocol
- Completion of curative intent post-operative radiation therapy (RT) within 2 to 10 weeks of randomization
- Eastern Cooperative Oncology Group performance status (ECOG PS) ≤1
Key exclusion criteria (7 listed)
- Squamous cell carcinomas (SCCs) arising in non-cutaneous sites as defined in the protocol
- Concurrent malignancy other than localized CSCC and/or history of malignancy other than localized CSCC within 3 years of date of randomization as defined in the protocol
- Patients with hematologic malignancies (note: patients with chronic lymphocytic leukemia (CLL) are not excluded if they have not required systemic therapy for CLL within 6 months of enrollment)
- Patients with history of distantly metastatic CSCC (visceral or distant nodal), unless the disease-free interval is at least 3 years (regional nodal involvement of disease in draining lymph node basin that was resected and radiated prior to enrollment will not be exclusionary)
- Ongoing or recent (within 5 years of randomization date) evidence of significant autoimmune disease that required treatment with systemic immunosuppressive treatments, which may suggest risk for immune-related adverse events (irAEs). The following are not exclusionary: vitiligo, childhood asthma that has resolved, type 1 diabetes, residual hypothyroidism that required only hormone replacement, or psoriasis that does not require systemic treatment.
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) infusion over 30 minutes | Drug | Cemiplimab |
| PlaceboIntravenous (IV) infusion over 30 minutes | Drug | Placebo |
Primary outcome
DFS defined as time from randomization to the first documented disease recurrence (local, regional and/or distant); or death due to any cause.
Time frame: Up to 54 months
For patients who do not have a tumor recurrence or death, DFS will be censored on the date of last disease assessment.
9 secondary outcomes
Overall survival (OS), defined as time from randomization to the date of death. A patient who has not died will be censored on the last known date as alive.
Time frame: Up to 78 months
FFLRR defined as time from randomization to the date of first locoregional recurrence (LRR). Patients who died without a preceding LRR will be censored on the date of death.
Time frame: Up to 54 months
Freedom from distant recurrence (FFDR), defined as time from randomization to the date of first distant recurrence (DR). Patients who died without a preceding DR will be censored on the date of death.
Time frame: Up to 54 months
Cumulative occurrence of second primary cutaneous squamous cell carcinoma tumor (SPTs) for each patient from randomization to occurrence of first primary endpoint event or end of study.
Time frame: Up to 54 months
Incidence and severity of treatment-emergent adverse events (TEAE)
Time frame: Up to 78 months
Incidence of deaths
Time frame: Up to 78 months
Incidence of laboratory abnormalities
Time frame: Up to 78 months
Cemiplimab concentrations in serum
Time frame: Up to 78 months
Anti-drug antibodies (ADA) in serum
Time frame: Up to 78 months
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 27 Mar 2026.
- Derived from this study: PubMed 40454639Rischin D, Porceddu S, Day F, Brungs DP, Christie H, Jackson JE, Stein BN, Su YB, Ladwa R, Adams G, Bowyer SE, Otty Z, Yamazaki N, Bossi P, Challapalli A, Hauschild A, Lim AM, Patel VA, Walker JL, De Liz Vassen Schurmann M, Queirolo P, Canueto J, Ferreira da Silva FA, Stratigos A, Guminski A, Lin C, Damian F, Flatz L, Taylor AE, Carr DR, Harris S, Kirtbaya D, Quereux G, Rutkowski P, Basset-Seguin N, Khushalani NI, Robert C, Ju H, Joseph C, Bansal S, Chen CI, Seebach F, Yoo SY, Lowy I, Goncalves P, Fury MG; C-POST Trial Investigators. Adjuvant Cemiplimab or Placebo in High-Risk Cutaneous Squamous-Cell Carcinoma. N Engl J Med. 2025 Aug 21;393(8):774-785. doi: 10.1056/NEJMoa2502449. Epub 2025 May 31.
- Related InfoLink provided by the sponsor.
- Individual participant dataSharing planned: Yes. All Individual Patient Data (IPD) that underlie publicly available results will be considered for sharing
Related trials for Cutaneous Squamous Cell Carcinoma
RecruitingPhase 2
At-Home Cancer Directed Therapy Versus in Clinic for the Treatment of Patients With Advanced Cancer
Advanced Anal Carcinoma, Advanced Biliary Tract Carcinoma
RecruitingPhase 3
Testing the Addition of Anti-Cancer Drug, Cetuximab, to Standard of Care Treatment (Pembrolizumab) for Returning or Spreading Head and Neck Cancer After Previous Treatment
Metastatic Head and Neck Squamous Cell Carcinoma, Metastatic Hypopharyngeal Squamous Cell Carcinoma
RecruitingPhase 2
Treatment With Amivantamab and Hyaluronidase or Cetuximab for Advanced Skin Cancer in People With a Weakened Immune System
Locally Recurrent Skin Squamous Cell Carcinoma, Metastatic Skin Squamous Cell Carcinoma
RecruitingPhase 3
High-dose Prophylactic Gabapentin (HOPE) vs. Placebo to Prevent Opioid Use for Oral Mucositis Pain During Concurrent Chemoradiation for Head and Neck Cancer
Head and Neck Squamous Cell Carcinoma, Stage I Head and Neck Cutaneous Squamous Cell Carcinoma AJCC v8
Active, not recruitingPhase 2/3
Testing the Use of Investigational Drugs Atezolizumab and/or Bevacizumab With or Without Standard Chemotherapy in the Second-Line Treatment of Advanced-Stage Head and Neck Cancers
Clinical Stage IV HPV-Mediated (p16-Positive) Oropharyngeal Carcinoma AJCC v8, Metastatic Head and Neck Squamous Cell Carcinoma
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
166 sites in 16 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Cemiplimab in people with Cutaneous Squamous Cell Carcinoma, run by Regeneron Pharmaceuticals at 166 sites in 16 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 7 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: under way, not looking for participants, as of the sponsor's last update on 27 Mar 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 166 sites in United States, Australia, Spain, France, Germany and 11 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. Some participants in this study may receive a placebo. 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?
This study is still under way. Results are not available in the source record yet.
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?
DFS defined as time from randomization to the first documented disease recurrence (local, regional and/or distant); or death due to any cause. (time frame: Up to 54 months). 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 NCT03969004, which also lists 1 linked publication.
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 27 Mar 2026.