An Exploratory Tumor Biopsy-driven Study to Understand the Relationship Between Biomarkers and Clinical Response in Patients With Head and Neck Cancer Receiving REGN2810 (Anti-PD-1)
Primary Purpose
Recurrent Squamous Cell Carcinoma of Head, Recurrent Squamous Cell Carcinoma of Neck, Metastatic Squamous Cell Carcinoma of Head
Status
Completed
Phase
Phase 1
Locations
International
Study Type
Interventional
Intervention
REGN2810
Sponsored by

About this trial
This is an interventional treatment trial for Recurrent Squamous Cell Carcinoma of Head
Eligibility Criteria
Key Inclusion Criteria:
- Histologically confirmed diagnosis of recurrent and/or metastatic SCCHN (squamous cell carcinoma of the head and neck) with no curative options with at least 1 lesion that is measurable by Response Evaluation Criteria in Solid Tumors (RECIST) 1.1 criteria and accessible for biopsies. Primary tumor sites of oral cavity, oropharynx, larynx, or hypopharynx are included.
- Have failed/are refractory to at least first line chemotherapy OR deemed unsuitable candidate for first line chemotherapy due to medical co-morbidities or patient preference
- Eastern Cooperative Oncology Group (ECOG) performance status (PS) of 0 or 1
- Adequate hepatic function
- Adequate renal function
- Adequate bone marrow function
- Provide signed informed consent
- Willing and able to comply with clinic visits and study-related procedures
Key Exclusion Criteria:
- Ongoing or recent (within 5 years) evidence of significant autoimmune disease that required treatment with systemic immunosuppressive treatments, which may suggest risk for immune-related adverse event (irAEs)
- Prior treatment with an agent that blocks the programmed death-1/programmed death-ligand 1 (PD-1/PD-L1) pathway
- Prior treatment with other immune modulating anti-cancer agents
- Untreated or active brain metastases or spinal cord compression
- Immunosuppressive corticosteroid doses within 4 weeks prior to the first dose of REGN2810
- Prior treatment with idelalisib
Other protocol-defined inclusion/exclusion criteria will apply
Sites / Locations
- Seoul National University
- Yonsei University College of Medicine, Severence Hospital
- Samsung Medical Center
- University Birmingham
- Guy's and St. Thomas' NHS Foundation Trust
- Royal Cancer Hospital
Arms of the Study
Arm 1
Arm Type
Experimental
Arm Label
REGN2810
Arm Description
REGN2810 administered IV over a 30 minute infusion
Outcomes
Primary Outcome Measures
Correlation between changes in the tumor microenvironment and the change in tumor volume following REGN2810 treatment versus baseline.
Secondary Outcome Measures
Correlation between baseline tumor characteristics and the change in tumor volume following REGN2810 treatment
Number of participants with treatment-related adverse events
Concentrations of REGN2810 in serum
Anti-REGN2810 antibody levels
The overall response rate (ORR) in patients treated with REGN2810
The progression-free survival (PFS) in patients treated with REGN2810
Full Information
NCT ID
NCT03198130
First Posted
June 19, 2017
Last Updated
March 17, 2020
Sponsor
Regeneron Pharmaceuticals
Collaborators
Sanofi
1. Study Identification
Unique Protocol Identification Number
NCT03198130
Brief Title
An Exploratory Tumor Biopsy-driven Study to Understand the Relationship Between Biomarkers and Clinical Response in Patients With Head and Neck Cancer Receiving REGN2810 (Anti-PD-1)
Official Title
An Exploratory Tumor Biopsy-Driven Study to Understand the Relationship Between Biomarkers and Clinical Response in Immunomodulatory Treatment-Naïve Patients With Recurrent and/or Metastatic Squamous Cell Carcinoma of Head and Neck Receiving REGN2810 (Anti-PD-1)
Study Type
Interventional
2. Study Status
Record Verification Date
March 2020
Overall Recruitment Status
Completed
Study Start Date
July 3, 2017 (Actual)
Primary Completion Date
June 27, 2019 (Actual)
Study Completion Date
February 21, 2020 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Regeneron Pharmaceuticals
Collaborators
Sanofi
4. Oversight
Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Product Manufactured in and Exported from the U.S.
Yes
Data Monitoring Committee
Yes
5. Study Description
Brief Summary
This study is being conducted to compare the relationship of patient response to treatment to changes in tumor microenvironment.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Recurrent Squamous Cell Carcinoma of Head, Recurrent Squamous Cell Carcinoma of Neck, Metastatic Squamous Cell Carcinoma of Head, Metastatic Squamous Cell Carcinoma Neck
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
33 (Actual)
8. Arms, Groups, and Interventions
Arm Title
REGN2810
Arm Type
Experimental
Arm Description
REGN2810 administered IV over a 30 minute infusion
Intervention Type
Drug
Intervention Name(s)
REGN2810
Other Intervention Name(s)
cemiplimab, Libtayo
Intervention Description
Intravenous (IV) use
Primary Outcome Measure Information:
Title
Correlation between changes in the tumor microenvironment and the change in tumor volume following REGN2810 treatment versus baseline.
Time Frame
At baseline and during REGN2810 treatment up to week 24
Secondary Outcome Measure Information:
Title
Correlation between baseline tumor characteristics and the change in tumor volume following REGN2810 treatment
Time Frame
At baseline and during REGN2810 treatment up to week 24
Title
Number of participants with treatment-related adverse events
Time Frame
Up to 54 weeks
Title
Concentrations of REGN2810 in serum
Time Frame
Up to 54 weeks
Title
Anti-REGN2810 antibody levels
Time Frame
Up to 54 weeks
Title
The overall response rate (ORR) in patients treated with REGN2810
Time Frame
Up to 54 weeks
Title
The progression-free survival (PFS) in patients treated with REGN2810
Time Frame
Up to 54 weeks
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Key Inclusion Criteria:
Histologically confirmed diagnosis of recurrent and/or metastatic SCCHN (squamous cell carcinoma of the head and neck) with no curative options with at least 1 lesion that is measurable by Response Evaluation Criteria in Solid Tumors (RECIST) 1.1 criteria and accessible for biopsies. Primary tumor sites of oral cavity, oropharynx, larynx, or hypopharynx are included.
Have failed/are refractory to at least first line chemotherapy OR deemed unsuitable candidate for first line chemotherapy due to medical co-morbidities or patient preference
Eastern Cooperative Oncology Group (ECOG) performance status (PS) of 0 or 1
Adequate hepatic function
Adequate renal function
Adequate bone marrow function
Provide signed informed consent
Willing and able to comply with clinic visits and study-related procedures
Key Exclusion Criteria:
Ongoing or recent (within 5 years) evidence of significant autoimmune disease that required treatment with systemic immunosuppressive treatments, which may suggest risk for immune-related adverse event (irAEs)
Prior treatment with an agent that blocks the programmed death-1/programmed death-ligand 1 (PD-1/PD-L1) pathway
Prior treatment with other immune modulating anti-cancer agents
Untreated or active brain metastases or spinal cord compression
Immunosuppressive corticosteroid doses within 4 weeks prior to the first dose of REGN2810
Prior treatment with idelalisib
Other protocol-defined inclusion/exclusion criteria will apply
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Clinical Trial Management
Organizational Affiliation
Regeneron Pharmaceuticals
Official's Role
Study Director
Facility Information:
Facility Name
Seoul National University
City
Seoul
ZIP/Postal Code
03080
Country
Korea, Republic of
Facility Name
Yonsei University College of Medicine, Severence Hospital
City
Seoul
ZIP/Postal Code
03722
Country
Korea, Republic of
Facility Name
Samsung Medical Center
City
Seoul
ZIP/Postal Code
06351
Country
Korea, Republic of
Facility Name
University Birmingham
City
Birmingham
Country
United Kingdom
Facility Name
Guy's and St. Thomas' NHS Foundation Trust
City
London
Country
United Kingdom
Facility Name
Royal Cancer Hospital
City
London
Country
United Kingdom
12. IPD Sharing Statement
Learn more about this trial
An Exploratory Tumor Biopsy-driven Study to Understand the Relationship Between Biomarkers and Clinical Response in Patients With Head and Neck Cancer Receiving REGN2810 (Anti-PD-1)
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