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OpenTrials
Completed

NCT Number: NCT05493826

Real World Study on the Use of Cemiplimab in Adult Patients in UK

The primary objective is to describe the real-world clinical effectiveness of cemiplimab in patients with locally advanced cutaneous squamous cell carcinoma (laCSCC) or metastatic cutaneous squamous cell carcinoma (mCSCC) treated in routine clinical practice.

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Key information

Age range

18 year and older

Sex eligibility

All sexes

Study type

Observational

Primary location

Sanofi-Aventis UK

Reading, Berkshire, RG6 1PT, United Kingdom

About this study

Patients initiating treatment with cemiplimab in the UK between 2nd July 2019 and 30th November 2020, will be followed for a minimum of 12 and a maximum of 36 months from initiation of cemiplimab.

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • Patients aged >=18 years at initiation of cemiplimab.
  • Patients treated with >=1 dose of cemiplimab for laCSCC or mCSCC who were not suitable for curative surgery or curative radiation according to routine practice.
  • Patients initiating treatment with cemiplimab in the UK between 2nd July 2019 and 30th November 2020.

Exclusion criteria

  • Patients who are known to have opted out of participation in any research (as required for compliance with GDPR).
  • Patients participating in any form of investigative study (e.g., clinical trials) during the post-index observation period.

Treatment and study plan

No intervention

Other

Non-interventional study based on secondary use of hospital medical record

Primary outcomes

  1. Overall response rate (ORR) within 12 months post initiation of cemiplimab

    Time frame: 12 months

    ORR, defined as the proportion of patients who have a partial or complete response to cemiplimab based on an assessment according to routine practice, as documented in medical records

Secondary outcomes

  1. ORR within 6 months post initiation of cemiplimab

    Time frame: 6 months

  2. Real-world best response within 6- and 12-months post initiation of cemiplimab

    Time frame: 6 months, 12 months

    Real-world best response, defined as the best response to cemiplimab observed during the observation period.

  3. Time to best response

    Time frame: From initiation of cemiplimab until data collection or death, whichever is earliest, up to 36 months

    The best response to cemiplimab observed during the observation period

  4. Time to partial response

    Time frame: From initiation of cemiplimab until data collection or death, whichever is earliest, up to 36 months

    Time to partial response, defined as time from cemiplimab initiation until the first documentation of a partial response based on assessment according to routine practice, as documented in medical records.

  5. Time to complete response

    Time frame: From initiation of cemiplimab until data collection or death, whichever is earliest, up to 36 months

    Time to complete response, defined as time from cemiplimab initiation until the first documentation of a complete response based on assessment according to routine practice, as documented in medical records.

  6. Disease control rate (DCR) within 6 and 12 months post initiation of cemiplimab

    Time frame: 6 months, 12 months

    DCR, defined as the proportion of patients who have a complete response, partial response or stable disease based on an assessment according to routine practice, as documented in medical records

  7. Duration of response (DoR)

    Time frame: From initiation of cemiplimab until data collection or death, whichever is earliest, up to 36 months

    DoR, defined as the time from the first documentation of a complete or partial response to cemiplimab in medical records until first documentation of disease progression or death

  8. Duration of treatment (DoT)

    Time frame: From initiation of cemiplimab until data collection or death, whichever is earliest, up to 36 months

    DoT, defined as the time from cemiplimab initiation to the documented date of treatment discontinuation.

  9. Real-world progression-free survival (rwPFS)

    Time frame: From initiation of cemiplimab until data collection or death, whichever is earliest, up to 36 months

    rwPFS, defined as the time from cemiplimab initiation to date of disease progression or death as recorded in the medical records

  10. Overall survival (OS)

    Time frame: From initiation of cemiplimab until data collection or death, whichever is earliest, up to 36 months

    OS, defined as the time from cemiplimab initiation to date of death from any cause.

  11. Demographics

    Time frame: Baseline

    Age, Sex, Ethnicity

  12. Medical history

    Time frame: Baseline

    Co-morbidities, Eastern Cooperative Oncology Group performance status, Stage of disease, Primary CSCC lesion disease site and date diagnosed (where available), Time from diagnosis of primary disease to diagnosis of laCSCC or mCSCC not suitable for curative surgery or curative radiotherapy (where available)

  13. Previous treatments

    Time frame: Baseline

    Previous treatments for cemiplimab index CSCC lesion(s) during the pre-index observation period, Previous treatments for cemiplimab non-index CSCC lesion(s) during the pre-index observation period, Previous treatments for any prior skin malignancies during the pre-index observation period

  14. Clinical characteristics outcome

    Time frame: Baseline

    Proportion of patients treated with antibiotics in the 6 wks prior to or 6 wks post-initiation of cemiplimab, Proportion of patients with immunocompromised status and treatment history incl. any concomitant therapy, Proportion of patients with a history of organ transplantation, Frequency and distribution of prior organ transplantations by type, Frequency and distribution of prior malignancies overall and by type, Type of Multidisciplinary team review and referral prior to laCSCC/mCSCC diagnosis

  15. Number of cemiplimab infusions

    Time frame: From initiation of cemiplimab until data collection or death, whichever is earliest, up to 36 months

  16. Proportion of patients where cemiplimab treatment was interrupted, overall and by reason for interruption

    Time frame: From initiation of cemiplimab until data collection or death, whichever is earliest, up to 36 months

  17. Proportion of patients permanently discontinuing treatment, overall and by reason for discontinuation

    Time frame: From initiation of cemiplimab until data collection or death, whichever is earliest, up to 36 months

  18. Distribution of cemiplimab dose administered at initiation

    Time frame: From initiation of cemiplimab until data collection or death, whichever is earliest, up to 36 months

  19. Proportion of patients experiencing immune-related adverse reactions (irARs) of any grade (where reported in notes)

    Time frame: From initiation of cemiplimab until data collection or death, whichever is earliest, up to 36 months

    irAR, defined as treatment-related, immune-related adverse events (as defined by local investigator)

  20. Proportion of patients with cemiplimab treatment interruptions due to experiencing irARs

    Time frame: From initiation of cemiplimab until data collection or death, whichever is earliest, up to 36 months

  21. Duration of treatment interruption for patients experiencing irARs

    Time frame: From initiation of cemiplimab until data collection or death, whichever is earliest, up to 36 months

  22. Proportion of patients treated with anti-inflammatory drugs (e.g., steroids) for irARs, overall and by type of irAR

    Time frame: From initiation of cemiplimab until data collection or death, whichever is earliest, up to 36 months

  23. Initial dose of anti-inflammatory drug (e.g., steroids) used to treat irARs at onset of irARs and for the duration of irARs by steroid type

    Time frame: From initiation of cemiplimab until data collection or death, whichever is earliest, up to 36 months

Sponsors and collaborators

Lead sponsor

Sanofi

Industry

Registry information

Official study title

Real-world Evidence Study on the Early Use of Cemiplimab in the UK: REACT-CEMI (Real World Evidence of Advanced CSCC Treatment - With CEMIplimab)

Acronym: REACT-CEMI

Important dates

Study start
2022
Primary completion
2022
Study completion
2022
First posted
Aug 9, 2022
Registry last updated
Jul 14, 2023

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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