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NCT Number: NCT06585410

Study of Intralesional Cemiplimab in Adult Patients With Early Stage Cutaneous Squamous Cell Carcinoma

This study will test a study drug called cemiplimab to see if it can help treat early-stage Cutaneous Squamous Cell Carcinoma (CSCC), a type of skin cancer. Cemiplimab works by helping the immune system to kill cancer cells. It binds to a protein called Programmed cell Death-1 (PD-1) on the surface of certain immune cells.

The main purpose of this study is to compare how well cemiplimab works compared to surgery, when injected into the lesion.

The study is looking at:

* The side effects cemiplimab might cause * How well cemiplimab works compared to surgery

Recruiting

Interested in participating?

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Key information

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 3

Primary location

The Skin Hospital, Darlinghurst, New South Wales, Australia

Loading trial locations.

Who can participate

Healthy volunteers accepted: No

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

Key Inclusion Criteria:

  • Participants who have a histologically confirmed invasive CSCC TL, as described in the protocol
  • Participants who have CSCC TL ≥1 cm and ≤2.0 cm (longest diameter) located in either the Head or Neck (HN), hand, or pre-tibial surface, as described in the protocol
  • Participants who are judged to be eligible for surgical resection of their CSCC TL and the method of planned surgical resection would be Micrographically oriented histographic surgery (Mohs) or other surgical method of Complete Margin Assessment (CMA). Participants for whom the planned surgery is surgical excision without margin control are not eligible
  • Eastern Cooperative Oncology Group (ECOG) performance status (PS) ≤1
  • Adequate hepatic, renal and bone marrow functions, as described in the protocol

Key Exclusion Criteria:

  • Participant in which the TL is a keratoacanthoma (KA), adenosquamous carcinoma, desmoplastic carcinoma, sarcomatoid carcinoma, basal cell carcinoma, basosquamous carcinoma, Bowen's disease, or CSCC in situ without an invasive component. (Note: For participants with invasive CSCC with a minor basaloid component, the patient may be eligible after discussion with the sponsor medical director.)
  • Ongoing or recent (within 5 years) evidence of significant autoimmune disease that required treatment with systemic immunosuppressive treatments, which may suggest risk for immune-mediated Adverse Events (imAEs), as described in the protocol
  • History of non-infectious pneumonitis within the last 5 years
  • TL (lesion planned for intralesional therapy) or other non-target CSCC lesion in dry red lip (vermillion), oral cavity, or nasal mucosa

NOTE: Other protocol defined inclusion / exclusion criteria apply.

Treatment and study plan

cemiplimab

Drug

Administered per protocol

Other names: Libtayo

Standard of care

Procedure

Primary surgery

Primary outcomes

  1. Event-Free Survival (EFS) as assessed by the investigator

    Time frame: Up to 1 year

  2. EFS as assessed by the investigator

    Time frame: Up to 3 years

Secondary outcomes

  1. Composite Complete Response (CCR) for Target Lesion (TL)

    Time frame: At week 13

    Experimental Arm

  2. Non-Target Lesions (NTLs) in the Region of the Target Lesion (ROTL)

    Time frame: Baseline and at week 13

    Experimental Arm

  3. Occurrence of Treatment Emergent Adverse Events (TEAEs)

    Time frame: Up to 3 years

  4. Severity of TEAEs

    Time frame: Up to 3 years

  5. Size of surgical defect

    Time frame: At week 13

  6. Size of biopsy defect

    Time frame: At week 13

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 3 Randomized Study of Intralesional Cemiplimab Versus Primary Surgery in Participants With Early Stage Cutaneous Squamous Cell Carcinoma (CSCC)

Important dates

Study start
2025
Primary completion
2030
Study completion
2030
First posted
Sep 5, 2024
Registry last updated
Jul 8, 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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