Skip to main content
OpenTrials
Not Yet Recruiting

NCT Number: NCT07567469

A Safety and Efficacy Study of Combined Fianlimab + Cemiplimab in Children and Young Adults With Recurrent or Progressive High-Grade Glioma or Posterior Fossa-A Ependymoma

This study is researching an experimental drug called cemiplimab (called "study drug") and the combination of experimental drugs of fianlimab and cemiplimab (called "study drugs"). The study is focused on children and young adults with recurrent or progressive High-Grade Glioma (HGG) or ependymoma. "Recurrent" means that the cancer came back after treatment. "Progressive" means that the tumor has grown or spread.

The aim of the study is to see how safe, tolerable, and effective cemiplimab and the combination of fianlimab and cemiplimab are.

The study is looking at several other research questions, including:

* What side effects may happen from receiving the study drug(s) * Do the study drug(s) help study participants live longer without their tumors growing or spreading * How much of the study drug(s) is in the blood at different times * Whether the body makes antibodies against the study drug(s) (which could make the study drug[s] less effective or lead to side effects)

Not Yet Recruiting

Trial opening soon.

Get Notified

Key information

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Key Inclusion Criteria:

  • Participant must be diagnosed with recurrent/progressive HGG or PF-A ependymoma with unequivocal progression on Magnetic Resonance Imaging (MRI) as described in the protocol
  • Participant must have histologically confirmed (at initial diagnosis or relapse) HGG or PF-A ependymoma
  • Participant must be an adequate medical candidate for surgical resection as described in the protocol
  • Karnofsky Performance Status (KPS) score ≥50 (in participants ≥16 years) or Lansky Performance Status (LPS) score ≥50 (in participants <16 years) as described in the protocol
  • Adequate organ function as described in the protocol

Key Exclusion Criteria:

  • Active autoimmune disease requiring systemic immunosuppressive therapy in the past 2 years
  • Active, serious medical illness, infection or other systemic illness which would limit participation in the trial
  • Has not yet recovered from any acute toxicities resulting from prior therapy
  • History of myocarditis
  • Prior treatment with antibodies to Programmed Cell Death Protein -1 (PD-1), Programmed Cell Death Protein Ligand -1 (PD-L1), Lymphocyte Activation Gene 3 (LAG3), or Cytotoxic T-Lymphocyte Associated protein 4 (CTLA-4)
  • Treatment with high dose systemic corticosteroids as described in the protocol
  • History of interstitial lung disease (eg, idiopathic pulmonary fibrosis, organizing pneumonia) or active, noninfectious pneumonitis that required immune-suppressive doses of glucocorticoids to assist with management

Note: Other protocol defined Inclusion/ Exclusion Criteria apply

Treatment and study plan

cemiplimab

Drug

Administered per the protocol

Other names: REGN2810, Libtayo®

Cemiplimab+Fianlimab Fixed Dose Combination (FDC)

Drug

Administered per the protocol

Other names: REGN 2810, Libtayo®, REGN3767

Primary outcomes

  1. Occurrence of Treatment Emergent Adverse Events (TEAEs)

    Time frame: Up to 26 months

  2. Severity of TEAEs

    Time frame: Up to 26 months

  3. Overall Survival (OS)

    Time frame: 12 months

  4. Progression Free Survival (PFS)

    Time frame: 12 months

Secondary outcomes

  1. Concentrations of fianlimab in serum

    Time frame: Up to 5 years

  2. Concentrations of cemiplimab in serum

    Time frame: Up to 5 years

  3. Occurrence of Anti-Drug Antibody (ADA) to fianlimab

    Time frame: Up to 5 years

  4. Occurrence of ADA to cemiplimab

    Time frame: Up to 5 years

  5. Magnitude of ADA to fianlimab

    Time frame: Up to 5 years

  6. Magnitude of ADA to cemiplimab

    Time frame: Up to 5 years

  7. Progression Free Survival (PFS)

    Time frame: Up to 5 years

  8. Death due to any cause

    Time frame: Up to 5 years

  9. Overall Survival

    Time frame: Up to 5 years

  10. Occurrence of TEAEs

    Time frame: Up to 5 years

  11. Severity of TEAEs

    Time frame: Up to 5 years

Study contacts

Contact information is provided by the study sponsor or research team.

Clinical Trials Administrator

CONTACT

[email protected]

844-734-6643

Sponsors and collaborators

Lead sponsor

Regeneron Pharmaceuticals

Industry

Registry information

Official study title

A Phase 1/2 Open-Label, Safety and Efficacy Study of Neoadjuvant Fianlimab (Anti-LAG-3 Antibody) in Combination With Cemiplimab (Anti-PD-1 Antibody) and Cemiplimab Alone Followed by Adjuvant Fianlimab in Combination With Cemiplimab in Pediatric and Young Adult Participants With Recurrent or Progressive High-Grade Glioma or Pediatric and Adult Participants With Recurrent or Progressive Posterior Fossa-A Ependymoma

Important dates

Study start
2026
Primary completion
2032
Study completion
2034
First posted
May 5, 2026
Registry last updated
May 5, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

Published trials that share one or more normalized conditions with this study.