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Malignant MelanomaPhase 1/2NCT04913220

A Study of SAR444245 Combined With Cemiplimab for the Treatment of Participants With Various Advanced Skin Cancers (Pegathor Skin 201)

A Phase 1/2 study testing THOR-707 and Cemiplimab in people with Malignant Melanoma and Squamous Cell Carcinoma of Skin, run by Sanofi at 24 sites in 7 countries.

Terminated

Stopped early. The study ended before it was planned to and will not resume.

Official record
Search all trials

Trial summary

Primary Objective: -To determine the antitumor activity of SAR444245 in combination with cemiplimab. Secondary Objectives: To determine the recommended phase 2 dose and to assess the safety profile of SAR444245 when combined with cemiplimab To assess other indicators of antitumor activity To assess the concentrations… Read more about this study

Who is it for?
Ages 18 years and older
What is being tested?
THOR-707 and Cemiplimab
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
46 participants
Where
24 sitesin 7 countries
Study dates
15 Jul 2021to 18 Feb 2025
Phase
Phase 1/2
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
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Participant must be ≥18 years of age (or country's legal age of majority if >18 years), at the time of signing the informed consent.
  • Participants with:
  • Cohort A: Histologically confirmed unresectable locally advanced or metastatic melanoma that are not amenable to local therapy
  • Cohort B: Histologically confirmed metastatic CSCC or locally advanced
  • CSCC that are not candidates for curative surgery or radiation. Special considerations for the following categories:
  • Participants with tumors arising on the cutaneous hair (non-glabrous) bearing lip with extension onto dry red lip (vermillion) may be eligible after communication with and approval from the Sponsor
Show all 17Show fewer
  • Participants with the primary site is nose are only eligible if the primary site was skin, not nasal mucosa with outward extension to skin (the Investigator confirmed)
  • Participants with mixed histology in which the predominant histology is invasive CSCC may be eligible after communication with and approval from the Sponsor
  • Participants in both cohorts must have at least one measurable lesion
  • Provision of tumor tissue:
  • For participants in the dose escalation:
  • 16 µg/kg: at screening, biopsy is optional but highly recommended; and on-treatment not required
  • 24 µg/kg: at screening, biopsy is mandatory and on-treatment, optional but highly recommended
  • For the other participants : Mandatory baseline biopsy for the participants to enroll in cohort A with skin metastasis and in cohort B. Mandatory on-treatment biopsy for participants in Cohort A with skin metastasis and participants in Cohort B.
  • Females are eligible to participate if they are not pregnant or breastfeeding, not a woman of childbearing potential (WOCBP) or are a WOCBP that agrees: to use approved contraception method and submit to regular pregnancy testing prior to treatment and for at least 180 days after discontinuing study treatment and to refrain from donating or cryopreserving eggs for 180 days after discontinuing study treatment.
  • Males are eligible to participate if they agree to refrain from donating or cryopreserving sperm, and either abstain from heterosexual intercourse OR use approved contraception during study treatment and for at least 210 days after discontinuing study treatment.
  • Capable of giving signed informed consent

Who cannot join

  • Participants are excluded from the study if any of the following criteria apply:
  • Eastern Cooperative Oncology Group (ECOG) performance status of ≥2
  • Poor organ function
  • Participants with baseline SpO2 ≤92%
  • Active brain metastases or leptomeningeal disease.
  • History of allogenic tissue/solid organ transplant.
Show all 21Show fewer
  • Last administration of prior antitumor therapy or any investigational treatment within 28 days or less than 5 times the half-life, whichever is shorter; major surgery or local intervention within 28 days.
  • History of lung disease
  • Comorbidity requiring corticosteroid therapy
  • Antibiotic use (excluding topical antibiotics) ≤14 days prior to first dose of IMP
  • Severe or unstable cardiac condition within 6 months prior to starting study treatment
  • Active, known, or suspected autoimmune disease that has required systemic treatment in the past 2 years
  • Known second malignancy either progressing or requiring active treatment within the last 3 years
  • For both cohorts:
  • Prior immune checkpoint inhibitors except in the context of adjuvant or neoadjuvant; Participants who were on control arm of a study with an investigational anti-PD-1/PD-L1 are eligible.
  • Received adjuvant or neoadjuvant therapy during the 6 months prior to development of metastatic disease.
  • For Cohort A: any prior systemic treatment for advanced/metastatic disease
  • For Cohort B: >2 prior lines of any systemic treatment for advanced/metastatic disease
  • Inability to undergo any contrast-enhanced radiologic response assessment
  • Receipt of a live-virus vaccination within 28 days of planned treatment start. Seasonal flu vaccines that do not contain live virus are permitted
  • The above information is not intended to contain all considerations relevant to a patient's potential participation in a clinical trial.

Trial locations and contacts

24 sites in 7 countries.

24 sites in 7 countries

Chile6 sites
  • Investigational Site Number : 1520006

    Antofagasta, 1420000

  • Investigational Site Number : 1520005

    Santaigo, Reg Metropolitana de Santiago, 8241470

  • Investigational Site Number : 1520002

    Santiago, Reg Metropolitana de Santiago, 7500921

  • Investigational Site Number : 1520001

    Santiago, Reg Metropolitana de Santiago, 8420383

  • Investigational Site Number : 1520004

    Santiago, Reg Metropolitana de Santiago

  • Investigational Site Number : 1520003

    Temuco, 4800827

Other trials in Chile

France5 sites
  • Investigational Site Number : 2500003

    Bobigny, 93009

  • Investigational Site Number : 2500002

    Dijon, 21079

  • Investigational Site Number : 2500005

    Lille, 59037

  • Investigational Site Number : 2500001

    Nantes, 44093

  • Investigational Site Number : 2500006

    Pierre-Bénite, 69495

Other trials in France

Germany5 sites
  • Investigational Site Number : 2760004

    Berlin, 10117

  • Investigational Site Number : 2760001

    Hamburg, 20246

  • Investigational Site Number : 2760003

    Mannheim, 68167

  • Investigational Site Number : 2760006

    Minden, 32429

  • Investigational Site Number : 2760005

    München, 80337

Other trials in Germany

Spain4 sites
  • Investigational Site Number : 7240001

    Barcelona, Barcelona [Barcelona], 08035

  • Investigational Site Number : 7240004

    Barcelona, Barcelona [Barcelona], 08036

  • Investigational Site Number : 7240003

    L'Hospitalet de Llobregat, Barcelona [Barcelona], 08908

  • Investigational Site Number : 7240002

    Santander, Cantabria, 39008

Other trials in Spain

Italy2 sites
  • Investigational Site Number : 3800001

    Naples, 80131

  • Investigational Site Number : 3800004

    Perugia, 06126

Other trials in Italy

United States1 site
  • Beverly Hills Cancer Center & Optima Diagnostic Imaging Site Number : 8400007

    Beverly Hills, California, 90211

Other trials in United States

Australia1 site
  • Investigational Site Number : 0360001

    Macquarie University, New South Wales, 2109

Other trials in Australia

About this study

Official title: A Phase 1/2 Non-randomized, Open-label, Multi-cohort, Multi-center Study Assessing the Clinical Benefit of SAR444245 (THOR- 707) Combined With Cemiplimab for the Treatment of Participants With Advanced Unresectable or Metastatic Skin Cancers

Primary Objective:

-To determine the antitumor activity of SAR444245 in combination with cemiplimab.

Secondary Objectives:

  • To determine the recommended phase 2 dose and to assess the safety profile of SAR444245 when combined with cemiplimab
  • To assess other indicators of antitumor activity
  • To assess the concentrations of SAR444245 when given in combination with cemiplimab
  • To assess the immunogenicity of SAR444245
  • To assess active concentrations of cemiplimab when given in combination with SAR444245
Read the detailed description

The duration of the study for an individual patient will start from the signature of the main informed consent and include a screening period of up to 28 days, a treatment period [max 35 cycles or until PD], an end-of-treatment visit 30 days + 7 days following the last administration of study drug (or until the patient receives another anticancer therapy, whichever is earlier), and a follow-up visit 3 months after treatment discontinuation and every 3 months following, until disease progression, or initiation of another antitumor treatment, or final cohort cut-off, whichever is earlier

Being tested
THOR-707, Cemiplimab
Medical subject headings
Melanoma

What participants receive

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

  • THOR-707Drug

    Solution for infusion: intravenous infusion

  • CemiplimabDrug

    Also called Libtayo® or generic

    Solution for infusion: intravenous infusion

Study groups in NCT04913220
Study groupRoleWhat they receive
Cohort A: MelanomaExperimentalSAR444245 and cemiplimab administered every 3 weeks on Day 1 of each cycle (21 days per cycle) for up to 35 cycles.
Receives: Drug: THOR-707; Drug: Cemiplimab
Cohort B: cutaneous squamous cell carcinoma (CSCC)ExperimentalSAR444245 and cemiplimab administered every 3 weeks on Day 1 of each cycle (21 days per cycle) for up to 35 cycles.
Receives: Drug: THOR-707; Drug: Cemiplimab

What is being measured

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

  1. All Cohorts: Objective Response Rate (ORR)

    The ORR was defined as the percentage of participants who had best overall response (BOR) as confirmed complete response (CR) or partial response (PR) as per Response Evaluation Criteria in Solid Tumors (RECIST) version (v) 1.1 or modified world health organization (WHO) response criteria. CR was defined as the disappearance of all target lesions, any pathological lymph nodes (whether target or non-target) with reduction in short axis to <10 millimeter (mm) (<1 centimeter [cm]). PR was defined as at least a 30% decrease in the sum of the diameters of target lesions, taking as reference the baseline sum diameters.

    Measured: From first dose of study treatment administration (Day 1) up to approximately 25 months (Cohorts A and B)

Secondary outcomes (12)
  1. All Cohorts: Number of Participants With Treatment-Emergent Adverse Events (TEAEs) and Treatment-Emergent Serious Adverse Events (TESAEs)

    An AE was any untoward medical occurrence in a participant or clinical study participant, temporally associated with the use of study treatment, whether or not considered related to the study treatment. An SAE was any AE that at any dose: resulted in death, was life-threatening, required inpatient hospitalization or prolongation of existing hospitalization, resulted in persistent or significant disability/incapacity, was a congenital anomaly/birth defect or was an important medical event. TEAEs were defined as AEs that developed, worsened (according to the investigator's opinion) or became serious during the TE period.

    Measured: From first dose of study treatment (Day 1) up to 30 days after the last dose of study treatment; approximately 27 months (Cohorts A and B)

  2. All Cohorts: Number of Participants With Dose Limiting Toxicities (DLTs)

    Selected events that occurred during the DLT observation period were considered as DLT unless due to PD or to a cause obviously unrelated to pegenzileukin. Selected events included: any grade 4 neutropenia irrespective of duration; any febrile neutropenia; grade 3 thrombocytopenia associated with transfusion in addition to bleeding and any grade 4 thrombocytopenia; grade 3 or above: alanine aminotransferase or aspartate aminotransferase, vascular leak syndrome, hypotension, cytokine release syndrome, and AE that did not resolve to grade <=2 within 7 days of starting accepted standard of care medical management; and grade 4 laboratory abnormalities.

    Measured: From Day 1 to Day 21 of Cycle 1 (each cycle is 21 days: Cohorts A and B)

  3. All Cohorts: Complete Response (CR) Rate

    The CR rate was defined as the percentage of participants who had a confirmed CR as per RECIST v 1.1 or modified WHO response criteria. CR was defined as the disappearance of all target lesions, any pathological lymph nodes (whether target or non-target) with reduction in short axis to <10 mm (<1 cm).

    Measured: From first dose of study treatment administration (Day 1) up to maximum exposure of study treatment, approximately 26 months (Cohorts A and B)

  4. All Cohorts: Time to Complete Response

    The time to CR was defined as the time from the first administration of study treatment to the first tumor assessment at which the overall response was recorded as CR that was subsequently confirmed as per RECIST v 1.1 or modified WHO response criteria. CR was defined as the disappearance of all target lesions, any pathological lymph nodes (whether target or non-target) with reduction in short axis to <10 mm (<1 cm).

    Measured: From first dose of study treatment administration (Day 1) up to maximum exposure of study treatment, approximately 26 months (Cohorts A and B)

  5. All Cohorts: Time to Response (TTR)

    The TTR was defined as the time from the first study treatment administration to the first tumor assessment at which the overall response was recorded as PR or CR that was subsequently confirmed as per RECIST v 1.1 or modified WHO response criteria. CR was defined as the disappearance of all target lesions, any pathological lymph nodes (whether target or non-target) with reduction in short axis to <10 mm (<1 cm). PR was defined as at least a 30% decrease in the sum of the diameters of target lesions, taking as reference the baseline sum diameters.

    Measured: From first dose of study treatment administration (Day 1) up to maximum exposure of study treatment, approximately 26 months (Cohorts A and B)

  6. All Cohorts: Duration of Response (DOR)

    The DOR was defined as the time from the first tumor assessment at which the overall response was recorded as CR or PR that was subsequently confirmed until documented PD before the initiation of any subsequent anti-cancer therapy or death due to any cause, whichever occurred first, as per RECIST v 1.1 or modified WHO response criteria. CR was defined as the disappearance of all target lesions, any pathological lymph nodes (whether target or non-target) with reduction in short axis to <10 mm (<1 cm). PR was defined as at least a 30% decrease in the sum of the diameters of target lesions, taking as reference the baseline sum diameters. PD was defined as at least a 20% increase in the sum of the diameters of target lesions, taking as reference the smallest sum on study (this included the baseline sum if that was the smallest on study), in addition to the relative increase of 20%, the sum must have also demonstrated an absolute increase of at least 5 mm (0.5 cm).

    Measured: From first dose of study treatment administration (Day 1) up to maximum exposure of study treatment, approximately 26 months (Cohorts A and B)

  7. All Cohorts: Clinical Benefit Rate (CBR)

    The CBR was defined as the percentage of participants with clinical benefit: confirmed CR or PR as BOR, or stable disease (SD) lasting at least 6 months, as per RECIST v 1.1 or modified WHO response criteria. CR was defined as the disappearance of all target lesions, any pathological lymph nodes (whether target or non-target) with reduction in short axis to <10 mm (<1 cm). PR was defined as at least a 30% decrease in the sum of the diameters of target lesions, taking as reference the baseline sum diameters. BOR was defined as the best response observed from the start of the study treatment until PD, death, cut-off date or initiation of post-treatment anti-cancer therapy, whichever occurred first. SD was defined as neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD, taking as reference the smallest sum diameters while on study.

    Measured: From first dose of study treatment administration (Day 1) up to maximum exposure of study treatment, approximately 26 months (Cohorts A and B)

  8. All Cohorts: Progression Free Survival (PFS)

    The PFS was defined as the time from the date of first study treatment administration to the date of the first documentation of objective PD, or death due to any cause, whichever occurred first, as per RECIST v 1.1 or modified WHO response criteria. PD was defined as at least a 20% increase in the sum of the diameters of target lesions, taking as reference the smallest sum on study (this included the baseline sum if that was the smallest on study), in addition to the relative increase of 20%, the sum must have also demonstrated an absolute increase of at least 5 mm (0.5 cm).

    Measured: From first dose of study treatment administration (Day 1) up to maximum exposure of study treatment, approximately 26 months (Cohorts A and B)

  9. All Cohorts: Plasma Concentrations of Pegenzileukin

    Blood samples were collected at specified timepoints for the assessment of plasma concentrations of pegenzileukin.

    Measured: Cycle 1 Days 2 and 3 (each cycle is 21 days)

  10. All Cohorts: Number of Participants With Anti-Drug Antibodies (ADAs) Against Pegenzileukin

    Blood samples were collected at specified timepoints to assess the presence of ADAs against pegenzileukin. Treatment-emergent ADA was defined as at least one treatment-induced or treatment-boosted ADA. Treatment-induced ADA was defined as ADA that developed during the TE period and without pre-existing ADA (including participants without pre-treatment samples). Treatment-boosted ADA was defined as pre-existing ADA that was boosted during the TE period to a significant higher titer than the baseline. Number of participants with treatment-emergent ADA is presented.

    Measured: From first dose of study treatment (Day 1) up to 30 days after the last dose of study treatment; approximately 27 months (Cohorts A and B)

  11. All Cohorts: Concentration Observed Just Before Study Treatment Administration During Repeated Dosing (Ctrough) of Cemiplimab

    Blood samples were collected at specified timepoints for the assessment of Ctrough of cemiplimab. The PK population consisted of all participants from exposed population with at least one PK concentration available after the first dose of study treatment. Only participants with data collected at specified timepoints are reported.

    Measured: Cycles 1, 2, 4, 7, 10, and 15 (each cycle is 21 days)

  12. All Cohorts: Concentration at End of Infusion (Ceoi) of Cemiplimab

    Blood samples were collected at specified timepoints for the assessment of Ceoi of cemiplimab. The PK population consisted of all participants from exposed population with at least one PK concentration available after the first dose of study treatment. Only participants with data collected at specified timepoints are reported.

    Measured: Cycles 1, 2, 4, 7, 10, and 15 (each cycle is 21 days)

Timeline

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

  1. First posted4 Jun 2021
  2. Study start15 Jul 2021
  3. Primary completion22 Aug 2023
  4. Study completion18 Feb 2025

Why it stopped: Early discontinuation based on strategic sponsor decision not driven by any safety concerns

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 1/2
Primary purpose
Treatment
Allocation
Non-randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
46 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04913220
Sponsor's protocol ID
ACT16845
Other IDs
U1111-1254-0189, 2020-005332-30
Status last verified
Dec 2025
First submitted
28 May 2021
Last updated
4 Feb 2026
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Yes: Qualified researchers may request access to patient level data and related study documents including the clinical study report, study protocol with any amendments, blank case report form, statistical analysis plan, and dataset specifications. Patient level data will be anonymized and study documents will be redacted to protect the privacy of trial participants. Further details on Sanofi's data sharing criteria, eligible studies, and process for requesting access can be found at: https://vivli.org

Publications

  • Rojas C, Mortier L, Park JJ, Matamala L, Baakili A, Rao S, Xu J, Andrieu L, Wang R, Wang H, Paehler T, Abbadessa G, Ascierto PA. Phase 1/2 study of pegenzileukin, a pegylated recombinant non-alpha IL-2, with cemiplimab for the treatment of advanced unresectable or metastatic skin cancers. J Immunother Cancer. 2026 May 22;14(5):e014347. doi: 10.1136/jitc-2025-014347.

    PubMed 42173654

Questions about this trial

What is this clinical trial studying?

A Phase 1/2 study testing THOR-707 and Cemiplimab in people with Malignant Melanoma and Squamous Cell Carcinoma of Skin, run by Sanofi at 24 sites in 7 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 17 inclusion and 21 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: stopped early, as of the sponsor's last update on 4 Feb 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 24 sites in Chile, France, Germany, Spain, Italy and 2 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 combined 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.

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

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 4 Feb 2026). 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?

All Cohorts: Objective Response Rate (ORR) (time frame: From first dose of study treatment administration (Day 1) up to approximately 25 months (Cohorts A and B)). 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 NCT04913220, 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 4 Feb 2026; AzTrials last refreshed its copy on 8 Nov 2026.

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