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NCT Number: NCT03233139

Safety and Pharmacokinetics of Cemiplimab Anti-programmed Death-ligand 1 (Anti-PD-1) and Other Agents in Japanese Adult Patients With Advanced Malignancies

Part 2 Cohorts A and C This study is being conducted to test the safety and pharmacokinetics of cemiplimab in patients with lung cancer. The study is also being conducted to test if cemiplimab, alone or in combination, can reduce the size of your tumor by helping the immune system destroy the tumor.

Part 2 Cohorts D and E This study is being conducted to test the safety and pharmacokinetics of fianlimab and cemiplimab in patients with lung cancer. The study is also being conducted to test if fianlimab and cemiplimab, with or without chemotherapy, can reduce the size of your tumor by helping the immune system destroy the tumor.

Active, Not Recruiting

This study is active but is not currently recruiting participants.

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Key information

Age range

20 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 1

Primary location

National Hospital Organization Nagoya Medical Center, Nagoya, Aichi-ken, Japan

Loading trial locations.

Who can participate

Healthy volunteers accepted: No

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

Key Inclusion Criteria:

  • Disease types under study:
  • Part 1: Histologically or cytologically confirmed diagnosis of malignancy with no alternative standard-of-care therapeutic option
  • Part 2: Patients with histologically or cytologically documented squamous or non-squamous NSCLC with stage IIIB or IIIC or stage IV disease who received no prior systemic treatment for recurrent or metastatic NSCLC.
  • Patients in Part 2 NSCLC cohorts must have available archival or newly obtained formalin-fixed tumor tissue from a metastatic/recurrent site, which has not previously been irradiated.
  • ECOG (Eastern Cooperative Oncology Group) PS (Performance status) ≤1 (Restricted in physically strenuous activity but ambulatory and able to carry out work of a light or sedentary nature [eg, light housework or office work]). Note: Patients with ECOG PS >1 are ineligible.
  • Patients must have been born in Japan, and their biological parents and grandparents must all have been of Japanese origin
  • Willing and able to comply with clinic visits and study-related procedures
  • For Part 2, Cohorts D and E: Available tissue for retrospective testing using assay performed by a central laboratory, as specified in the study manual.

Key Exclusion Criteria:

  • Ongoing or recent (within 5 years) evidence of significant autoimmune disease that requires treatment with systemic immunosuppressive treatments, which may suggest risk for Immune-mediated adverse event (imAE)s. The following are not exclusionary: vitiligo, childhood asthma that has resolved, residual hypothyroidism that requires only hormone replacement or psoriasis that does not require systemic treatment.
  • Untreated brain metastasis (es) that may be considered active. Patients with previously treated brain metastases may participate provided they are stable, there is no evidence of new or enlarging brain metastases, and the patient does not require any systemic corticosteroids for management of brain metastases within 4 weeks prior to the first dose of cemiplimab.
  • Immunosuppressive corticosteroid doses (>10 mg prednisone daily or equivalent) within 4 weeks prior to the first dose of cemiplimab.
  • Any positive test (ribonucleic acid (RNA) or Deoxyribonucleic acid (DNA) by polymerase chain reaction) for hepatitis B, hepatitis C, or human immunodeficiency virus indicating uncontrolled active or chronic infection.
  • History of pneumonitis or interstitial lung disease
  • Surgery within 1 month of first dose and radiation therapy within 2 weeks of first dose
  • Completed palliative radiation therapy within the prior 2 weeks or has not recovered from any medically significant radiation-related Adverse Event (AE)
  • Patients that have never smoked, defined as smoking ≤100 cigarettes in a lifetime (Part 2)
  • Patients with tumors tested positive for epidermal growth factor receptor (EGFR) gene mutations, anaplastic lymphoma kinase (ALK) gene translocations, or ROS1 fusions (Part 2)

Note: Other protocol defined inclusion/exclusion criteria apply.

Treatment and study plan

cemiplimab

Drug

Patients will be administered cemiplimab as per protocol. For Cohort A Only, patients with confirmed progressive disease may opt to receive up to 4 cycles of platinum doublet chemotherapy in addition to cemiplimab per investigator's judgement.

Other names: REGN2810, Libtayo

Ipilimumab

Drug

To be administered per protocol

Platinum-doublet chemotherapy

Drug

To be administered per protocol

Gemcitabine

Drug

To be administered per protocol

Other names: Gemzar

Pemetrexed

Drug

To be administered per protocol

Other names: Alimta

paclitaxel

Drug

To be administered per protocol

Other names: Taxol

Fianlimab

Drug

To be administered per protocol

Primary outcomes

  1. Incidence and severity of treatment-emergent adverse events (TEAEs) in patients treated with cemiplimab as monotherapy

    Time frame: Up to 136 weeks

  2. Incidence and severity of TEAEs in patients treated with cemiplimab in combination with other agents

    Time frame: Up to 136 weeks

  3. Incidence and severity of TEAEs in patients treated with fianlimab in combination with cemiplimab without chemotherapy

    Time frame: Up to 136 weeks

  4. Incidence and severity of TEAEs in patients treated with fianlimab in combination with cemiplimab with chemotherapy

    Time frame: Up to 136 weeks

  5. PK of cemiplimab: Cmax

    Time frame: Up to 136 weeks

    Peak serum concentration

  6. PK of cemiplimab: tmax

    Time frame: Up to 136 weeks

    Time to Cmax

  7. PK of cemiplimab: Ctrough

    Time frame: Up to 136 weeks

    Drug concentration in serum at the end of a dosing interval

  8. PK of cemiplimab: Area under the drug concentration-time curve in serum (AUC3w)

    Time frame: Up to 136 weeks

    AUC over a 3-week dosing interval

  9. PK of cemiplimab: t½ estimated over a 3-week dosing interval

    Time frame: Up to 136 weeks

    Observed terminal half-life

Secondary outcomes

  1. Immunogenicity against cemiplimab and fianlimab

    Time frame: Up to 136 weeks

    Evaluate the immunogenicity of cemiplimab and fianlimab after single-dose administration

  2. Objective Response Rate (ORR)

    Time frame: Up to 135 weeks

    As assessed by an Independent Review Committee (IRC) using RECIST 1.1 (Eisenhauer 2009) in Part 2, Cohorts A and C

  3. Duration of Response (DOR)

    Time frame: Up to 136 weeks

    As assessed by an IRC (per RECIST1.1) in Part 2, Cohorts A and C

Sponsors and collaborators

Lead sponsor

Regeneron Pharmaceuticals

Industry

Registry information

Official study title

A Phase 1 Study to Investigate the Safety and Pharmacokinetics of Cemiplimab (Anti-PD-1) and Other Agents in Japanese Patients With Advanced Malignancies

Important dates

Study start
2017
Primary completion
2027
Study completion
2027
First posted
Jul 28, 2017
Registry last updated
Feb 12, 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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