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NCT Number: NCT03972657

A Trial to Find Out if REGN5678 (Nezastomig) is Safe and How Well it Works Alone or in Combination With Cemiplimab for Adult Participants With Metastatic Castration-Resistant Prostate Cancer and Other Tumors

The main purpose of this study is to determine the safety, tolerability (how the body reacts to the drug[s]) and effectiveness (ability to treat the cancer) of REGN5678 (Nezastomig) alone, or in combination with cemiplimab.

The study has 2 parts. The goal of Part 1 (dose escalation) is to determine a safe dose(s) of REGN5678 when it is given alone or in combination with cemiplimab. The goal of Part 2 (dose expansion) is to use the REGN5678 drug dose(s) found in Part 1 to see how well REGN5678 alone or in combination with cemiplimab works to shrink tumors.

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

1. Side effects that may be experienced by taking REGN5678 alone or in combination with cemiplimab 2. How REGN5678 alone or in combination with cemiplimab works in the body 3. How much REGN5678 and/or cemiplimab are present in the blood 4. To see if REGN5678 alone or in combination with cemiplimab works to reduce the size of the tumor by helping the immune system destroy the tumor

Recruiting

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Key information

Who can participate

Healthy volunteers accepted: No

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

Key Inclusion Criteria:

mCRPC cohorts (men):

  • Men with histologically or cytologically confirmed adenocarcinoma of the prostate without pure small cell carcinoma.
  • PSA value at screening ≥4 ng/mL that has progressed within 6 months prior to screening as defined in the protocol.
  • Has received ≥2 lines prior systemic therapy approved in the metastatic and/or castration-resistant setting (in addition to Androgen Deprivation Therapy [ADT]) including at least:
  • one second-generation anti-androgen therapy (eg, abiraterone, enzalutamide, apalutamide, or darolutamide)
  • 177Lu-PSMA-617 radiotherapy, or another lutetium-based PSMA targeted radioligand, as described in the protocol

ccRCC cohorts (men and women):

  • Histologically or cytologically confirmed RCC with a clear-cell component.
  • Diagnosis of metastatic ccRCC with at least one measurable lesion via RECIST 1.1 criteria
  • Has progressed on or after ≥1 line prior systemic therapy approved in the metastatic setting. Prior treatment must include an anti-Programmed Death-1 (receptor) [PD-1]/Programmed Death-Ligand 1 (PD-L1) therapy and either ipilimumab and/or a tyrosine kinase inhibitor

Key Exclusion Criteria:

  • Has received treatment with an approved systemic therapy within 3 weeks of dosing or has not yet recovered (ie, grade ≤1 or baseline) from any acute toxicities, as described in the protocol
  • Has received any previous systemic biologic therapy within 5 half-lives of first dose of study therapy, as described in the protocol
  • Has received prior PSMA-targeting therapy with the exception of a PSMA targeting radioligand (eg. 177Lu-PSMA-617) in mCRPC
  • Dose Escalation: Has had prior anti-cancer immunotherapy (other than sipuleucel-T) within 5 half-lives prior to study therapy.
  • Dose Expansion (mCRPC only): Has had prior anti-cancer immunotherapy, as described in the protocol
  • Any condition that requires ongoing/continuous corticosteroid therapy (>10 mg prednisone/day or anti-inflammatory equivalent) within 1 week prior to the first dose of study therapy
  • Ongoing or recent (within 5 years) evidence of significant autoimmune disease that required treatment with systemic immunosuppressive treatments, as described in the protocol
  • Encephalitis, meningitis, neurodegenerative disease (with the exception of mild dementia that does not interfere with Activities of Daily Living [ADLs]) or uncontrolled seizures in the year prior to first dose of study therapy
  • Uncontrolled infection with Human Immunodeficiency Virus (HIV), hepatitis B or hepatitis C infection; or diagnosis of immunodeficiency

NOTE: Other protocol defined Inclusion/Exclusion Criteria apply

Treatment and study plan

REGN5678

Drug

Administered as per the protocol

Other names: Nezastomig

cemiplimab

Drug

Administered as per the protocol

Other names: REGN2810, LIBTAYO

Primary outcomes

  1. Incidence and severity of Treatment-Emergent Adverse Events (TEAEs)

    Time frame: Through study completion, up to 5 years

    Dose Escalation Phase

  2. Incidence and severity of Adverse Event of Special Interests (AESIs)

    Time frame: Through study completion, up to 5 years

    Dose Escalation Phase

  3. Incidence and severity of Serious Adverse Events (SAEs)

    Time frame: Through study completion, up to 5 years

    Dose Escalation Phase

  4. Number of participants with Grade ≥3 laboratory abnormalities

    Time frame: Through study completion, up to 5 years

    Dose Escalation Phase

  5. Incidence of Dose-Limiting Toxicities (DLTs)

    Time frame: First dose through day 42 of last participant in each dose level

    Dose Escalation Phase

  6. Concentration of REGN5678 in serum over time

    Time frame: Through study completion, up to 5 years

    Dose Escalation Phase

  7. Concentration of REGN5678 in combination with cemiplimab in serum over time

    Time frame: Through study completion, up to 5 years

    Dose Escalation Phase

  8. Composite Response Rate (CRR) of 50% decline of Prostate Specific Antigen (PSA) and/or confirmed radiographic response of complete (CR) or partial response (PR)

    Time frame: Through study completion, up to 5 years

    Dose Expansion Phase - mCRPC cohort

  9. Objective Response Rate (ORR) per Response Evaluation Criteria in Solid Tumors (RECIST) 1.1 criteria

    Time frame: Through study completion, up to 5 years

    Dose Expansion Phase - ccRCC cohort

Secondary outcomes

  1. CRR of 50% decline of PSA and/or confirmed radiographic of CR or PR

    Time frame: Through study completion, up to 5 years

    Dose Escalation Phase - mCRPC cohort

  2. ORR per RECIST 1.1 criteria

    Time frame: Through study completion, up to 5 years

    Dose Escalation Phase - ccRCC cohort

  3. Incidence and severity of TEAEs

    Time frame: Through study completion, up to 5 years

    Dose Expansion Phase

  4. Incidence and severity of AESIs

    Time frame: Through study completion, up to 5 years

    Dose Expansion Phase

  5. Incidence and severity of SAEs

    Time frame: Through study completion, up to 5 years

    Dose Expansion Phase

  6. Number of participants with grade ≥3 laboratory abnormalities

    Time frame: Through study completion, up to 5 years

    Dose Expansion Phase

  7. Concentration of REGN5678 in serum over time

    Time frame: Through study completion, up to 5 years

    Dose Expansion Phase

  8. Concentration of REGN5678 in combination with cemiplimab in serum over time

    Time frame: Through study completion, up to 5 years

    Dose Expansion Phase

  9. Percentage of participants with ≥50% decline of PSA

    Time frame: Through study completion, up to 5 years

    Dose Escalation and Dose Expansion Phases - mCRPC cohorts

  10. Percentage of participants with ≥90% decline of PSA

    Time frame: Through study completion, up to 5 years

    Dose Escalation and Dose Expansion Phases- mCRPC cohorts

  11. Presence or absence of antibodies against REGN5678

    Time frame: Through study completion, up to 5 years

    Dose Escalation and Dose Expansion Phases

  12. Presence or absence of antibodies against cemiplimab

    Time frame: Through study completion, up to 5 years

    Dose Escalation and Dose Expansion Phases

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 Study of REGN5678 (Anti-PSMAxCD28) With or Without Cemiplimab (Anti-PD-1) in Patients With Metastatic Castration-Resistant Prostate Cancer and Other Tumors Associated With PSMA Expression

Important dates

Study start
2019
Primary completion
2027
Study completion
2027
First posted
Jun 3, 2019
Registry last updated
Jul 9, 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.

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