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Study of REGN5668 Administered in Combination With Cemiplimab or REGN4018 in Adult Women With Recurrent Ovarian Cancer

Primary Purpose

Ovarian Cancer, Fallopian Tube Cancer, Primary Peritoneal Cancer

Status
Recruiting
Phase
Phase 1
Locations
International
Study Type
Interventional
Intervention
REGN5668
Cemiplimab
REGN4018
Sponsored by
Regeneron Pharmaceuticals
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Ovarian Cancer focused on measuring Progressive, Recurrent, Refractory, Serum CA-125 levels >= 2x ULN

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)FemaleDoes not accept healthy volunteers

Key Inclusion Criteria:

  1. Has histologically or cytologically confirmed diagnosis of advanced epithelial ovarian cancer (except carcinosarcoma), primary peritoneal, or fallopian tube cancer that has received at least 1 line of platinum-based systemic therapy as defined in the protocol
  2. In dose escalation, patients will provide either newly obtained biopsy (newly obtained biopsies at screening are required unless medically inappropriate and discussed with medical monitor. If fresh biopsies are not appropriate, and after sponsor approval, archival tumor tissue in dose escalation is acceptable. In dose expansion, patients will provide a fresh tumor biopsy in screening and on treatment. Hence, in expansion cohorts, only patients who (in the opinion of the investigator) have accessible lesions that can be biopsied without significant risk to the patient are eligible.
  3. Expansion cohorts only: Has at least 1 lesion that is measurable by RECIST 1.1. Tumor lesions in a previously irradiated area are considered measurable if progression has been demonstrated in such lesions after radiation.
  4. Has a serum CA-125 level ≥2x ULN (in screening)
  5. Has adequate organ and bone marrow function as defined in the protocol
  6. Has a life expectancy of at least 3 months

Key Exclusion Criteria:

  1. Has participated in a study of an investigational agent (except biologics and/or immunotherapy) or an investigational device within 4 weeks of first dose of study drug
  2. Has received treatment with an approved systemic therapy (except biologics and/or immunotherapy) within 3 weeks or has not yet recovered as defined in the protocol
  3. Prior anti-cancer immunotherapy as defined in the protocol
  4. Has received radiation therapy or major surgery within 14 days of first administration of study drug as defined in the protocol
  5. Has had another malignancy within the last 5 years that is progressing, requires active treatment, or has a high likelihood of recurrence as defined in the protocol
  6. Prior treatment with a MUC16-targeted therapy
  7. Expansion cohorts only: More than 3 prior lines of cytotoxic chemotherapy for platinum-experienced and/or intolerant disease
  8. Has any condition that requires ongoing/continuous corticosteroid therapy as defined in the protocol within 1 week prior to the first dose of study drug
  9. Has ongoing or recent (within 5 years) evidence of significant autoimmune disease that required treatment with systemic immunosuppressive treatments as defined in the protocol
  10. Has untreated or active primary brain tumor, CNS metastases, leptomeningeal disease, or spinal cord compression as defined in the protocol
  11. Has encephalitis, meningitis, organic brain disease (eg, Parkinson's disease) or uncontrolled seizures in the year prior to first dose of study drug
  12. Has history of clinically significant cardiovascular disease as defined in the protocol

Note: Other protocol-defined Inclusion/Exclusion criteria apply

Sites / Locations

  • City of HopeRecruiting
  • H. Lee Moffitt Cancer CenterRecruiting
  • Northwestern Memorial HospitalRecruiting
  • Massachusetts General Hospital Cancer CenterRecruiting
  • Dana Farber Cancer InstituteRecruiting
  • Karmanos Cancer InstituteRecruiting
  • Memorial Sloan Kettering Cancer CenterRecruiting
  • The Ohio State University Wexner Medical CenterRecruiting
  • Seattle Cancer Care AllianceRecruiting
  • Universitair Ziekenhuis LeuvenRecruiting

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Experimental

Arm Label

Module 1

Module 2

Arm Description

REGN5668 and cemiplimab

REGN5668 and REGN4018

Outcomes

Primary Outcome Measures

Incidence of dose limiting toxicities (DLT)
Dose escalation phase, Module 1
Incidence of DLTs
Dose escalation phase, Module 2
Incidence of treatment-emergent adverse events (TEAEs)
Primary: Dose escalation phase Secondary: Dose expansion phase
Incidence of serious adverse events (SAEs)
Primary: Dose escalation phase Secondary: Dose expansion phase
Incidence of deaths
Primary: Dose escalation phase Secondary: Dose expansion phase
Incidence of laboratory abnormalities (Grade 3 or higher per National Cancer Institute Common Terminology Criteria for Adverse Events [NCI-CTCAE] version 5.0 [v5.0])
Primary: Dose escalation phase Secondary: Dose expansion phase
Concentrations of REGN5668 in serum when dosed alone and in combination with cemiplimab or REGN4018
Primary: Dose escalation phase Secondary: Dose expansion phase
ORR defined by RECIST 1.1 (Eisenhauer, 2009) in combination with cemiplimab or REGN4018 (separately by cohort and combination)
Primary: Dose expansion phase Secondary: Dose escalation phase

Secondary Outcome Measures

Concentration of REGN4018 in serum over time
Dose expansion phase
Concentration of cemiplimab in serum over time
Dose expansion phase
ORR based on iRECIST
Dose escalation and expansion phases
BOR based on RECIST 1.1 and iRECIST
Dose escalation and expansion phases
DOR based on RECIST 1.1 and iRECIST
Dose escalation and expansion phases
DCR based on RECIST 1.1 and iRECIST
Dose escalation and expansion phases
PFS based on RECIST 1.1 and iRECIST
Dose escalation and expansion phases
CA-125 change from baseline after treatment with REGN5668 in combinations with cemiplimab or REGN4018 (separately by cohort and combination)
Dose escalation and expansion phases
Presence or absence of anti-drug antibodies against REGN5668
Dose escalation and expansion phases
Presence or absence of anti-drug antibodies against REGN4018
Dose escalation and expansion phases
Presence or absence of anti-drug antibodies against cemiplimab
Dose escalation and expansion phases

Full Information

First Posted
October 9, 2020
Last Updated
October 3, 2023
Sponsor
Regeneron Pharmaceuticals
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1. Study Identification

Unique Protocol Identification Number
NCT04590326
Brief Title
Study of REGN5668 Administered in Combination With Cemiplimab or REGN4018 in Adult Women With Recurrent Ovarian Cancer
Official Title
Phase 1/2 Study of REGN5668 (MUC16xCD28, a Costimulatory Bispecific) Administered in Combination With Cemiplimab or REGN4018 (MUC16xCD3)
Study Type
Interventional

2. Study Status

Record Verification Date
February 2023
Overall Recruitment Status
Recruiting
Study Start Date
December 9, 2020 (Actual)
Primary Completion Date
January 18, 2027 (Anticipated)
Study Completion Date
July 19, 2027 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Regeneron Pharmaceuticals

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
The primary objectives of the study are: In the Dose Escalation Phase: To assess the safety, tolerability, and pharmacokinetics (PK) of REGN5668 alone and in separate combinations with cemiplimab or REGN4018, in order to determine a maximally tolerated dose(s) (MTD) or recommended phase 2 dose(s) (RP2D) of these combinations In the Dose Expansion Phase: To assess the preliminary efficacy of REGN5668 in combination with cemiplimab or REGN4018, (separately by cohort and combination) as determined by the objective response rate (ORR) by Response Evaluation Criteria in Solid Tumors (RECIST) 1.1 The secondary objectives of the study are: In the Dose Escalation Phase: To assess the preliminary efficacy of REGN5668 in combination with cemiplimab or REGN4018 (separately by cohort and combination) as determined by ORR by RECIST 1.1 In the Dose Expansion Phase: To characterize the safety profile in each expansion cohort To characterize the PK of REGN5668 in combination with cemiplimab or REGN4018 (separately by cohort and combination) In both the Dose Escalation and Dose Expansion Phases: To assess preliminary efficacy of REGN5668 in combination with cemiplimab or REGN4018 (separately by cohort and combination) as measured by ORR based on immune based therapy RECIST (iRECIST), best overall response (BOR), duration of response (DOR), disease control rate (DCR), and progression-free survival (PFS) based on RECIST 1.1 and iRECIST To assess changes in CA-125 levels from baseline after treatment with REGN5668 in combinations with cemiplimab or REGN4018 (separately by cohort and combination) Immunogenicity of REGN5668, alone and in combinations with cemiplimab or REGN4018

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Ovarian Cancer, Fallopian Tube Cancer, Primary Peritoneal Cancer
Keywords
Progressive, Recurrent, Refractory, Serum CA-125 levels >= 2x ULN

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1, Phase 2
Interventional Study Model
Sequential Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
326 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Module 1
Arm Type
Experimental
Arm Description
REGN5668 and cemiplimab
Arm Title
Module 2
Arm Type
Experimental
Arm Description
REGN5668 and REGN4018
Intervention Type
Drug
Intervention Name(s)
REGN5668
Intervention Description
REGN5668 will be administered by once weekly intravenous (IV) infusion.
Intervention Type
Drug
Intervention Name(s)
Cemiplimab
Other Intervention Name(s)
REGN2810, Libtayo
Intervention Description
For Module 1, after a minimum of a 3-week monotherapy lead-in of REGN5668, cemiplimab will be administered concomitantly every 3 weeks (Q3W) by IV infusion.
Intervention Type
Drug
Intervention Name(s)
REGN4018
Intervention Description
For Module 2, a 4-week monotherapy lead-in of REGN4018 will be administered by once weekly IV infusion. After lead-in, REGN5668 and REGN4018 will be administered concomitantly.
Primary Outcome Measure Information:
Title
Incidence of dose limiting toxicities (DLT)
Description
Dose escalation phase, Module 1
Time Frame
42 days
Title
Incidence of DLTs
Description
Dose escalation phase, Module 2
Time Frame
21 days post combination administration
Title
Incidence of treatment-emergent adverse events (TEAEs)
Description
Primary: Dose escalation phase Secondary: Dose expansion phase
Time Frame
Through study completion, up to 5 years
Title
Incidence of serious adverse events (SAEs)
Description
Primary: Dose escalation phase Secondary: Dose expansion phase
Time Frame
Through study completion, up to 5 years
Title
Incidence of deaths
Description
Primary: Dose escalation phase Secondary: Dose expansion phase
Time Frame
Through study completion, up to 5 years
Title
Incidence of laboratory abnormalities (Grade 3 or higher per National Cancer Institute Common Terminology Criteria for Adverse Events [NCI-CTCAE] version 5.0 [v5.0])
Description
Primary: Dose escalation phase Secondary: Dose expansion phase
Time Frame
Through study completion, up to 5 years
Title
Concentrations of REGN5668 in serum when dosed alone and in combination with cemiplimab or REGN4018
Description
Primary: Dose escalation phase Secondary: Dose expansion phase
Time Frame
Up to 62 weeks
Title
ORR defined by RECIST 1.1 (Eisenhauer, 2009) in combination with cemiplimab or REGN4018 (separately by cohort and combination)
Description
Primary: Dose expansion phase Secondary: Dose escalation phase
Time Frame
Up to 62 weeks
Secondary Outcome Measure Information:
Title
Concentration of REGN4018 in serum over time
Description
Dose expansion phase
Time Frame
Up to 62 weeks
Title
Concentration of cemiplimab in serum over time
Description
Dose expansion phase
Time Frame
Up to 62 weeks
Title
ORR based on iRECIST
Description
Dose escalation and expansion phases
Time Frame
Up to 62 weeks
Title
BOR based on RECIST 1.1 and iRECIST
Description
Dose escalation and expansion phases
Time Frame
Up to 62 weeks
Title
DOR based on RECIST 1.1 and iRECIST
Description
Dose escalation and expansion phases
Time Frame
Up to 62 weeks
Title
DCR based on RECIST 1.1 and iRECIST
Description
Dose escalation and expansion phases
Time Frame
Up to 62 weeks
Title
PFS based on RECIST 1.1 and iRECIST
Description
Dose escalation and expansion phases
Time Frame
Up to 62 weeks
Title
CA-125 change from baseline after treatment with REGN5668 in combinations with cemiplimab or REGN4018 (separately by cohort and combination)
Description
Dose escalation and expansion phases
Time Frame
Up to 62 weeks
Title
Presence or absence of anti-drug antibodies against REGN5668
Description
Dose escalation and expansion phases
Time Frame
Up to 62 weeks
Title
Presence or absence of anti-drug antibodies against REGN4018
Description
Dose escalation and expansion phases
Time Frame
Up to 62 weeks
Title
Presence or absence of anti-drug antibodies against cemiplimab
Description
Dose escalation and expansion phases
Time Frame
Up to 62 weeks

10. Eligibility

Sex
Female
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Key Inclusion Criteria: Has histologically or cytologically confirmed diagnosis of advanced epithelial ovarian cancer (except carcinosarcoma), primary peritoneal, or fallopian tube cancer that has received at least 1 line of platinum-based systemic therapy as defined in the protocol Has a serum CA-125 level ≥2x ULN (in screening) Has adequate organ and bone marrow function as defined in the protocol Has an Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1. Has a life expectancy of at least 3 months Key Exclusion Criteria: Prior anti-cancer immunotherapy as defined in the protocol Recent treatment with anti-Programmed Cell Death (PD-1)/PDL-1 therapy Has had another malignancy within the last 5 years that is progressing, requires active treatment, or has a high likelihood of recurrence as defined in the protocol Prior treatment with a MUC16-targeted therapy Expansion cohorts only: More than 3 prior lines of cytotoxic chemotherapy for platinum-experienced and/or intolerant disease Has any condition that requires ongoing/continuous corticosteroid therapy as defined in the protocol within 1 week prior to the first dose of study drug Has ongoing or recent (within 5 years) evidence of significant autoimmune disease that required treatment with systemic immunosuppressive treatments as defined in the protocol Has untreated or active primary brain tumor, CNS metastases, leptomeningeal disease, or spinal cord compression as defined in the protocol Has history of clinically significant cardiovascular disease as defined in the protocol Note: Other protocol-defined Inclusion/Exclusion criteria apply
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Clinical Trials Administrator
Phone
844-734-6643
Email
clinicaltrials@regeneron.com
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
City of Hope
City
Duarte
State/Province
California
ZIP/Postal Code
91010
Country
United States
Individual Site Status
Recruiting
Facility Name
H. Lee Moffitt Cancer Center
City
Tampa
State/Province
Florida
ZIP/Postal Code
33612
Country
United States
Individual Site Status
Recruiting
Facility Name
Northwestern Memorial Hospital
City
Chicago
State/Province
Illinois
ZIP/Postal Code
60611
Country
United States
Individual Site Status
Recruiting
Facility Name
Massachusetts General Hospital Cancer Center
City
Boston
State/Province
Massachusetts
ZIP/Postal Code
02114
Country
United States
Individual Site Status
Recruiting
Facility Name
Dana Farber Cancer Institute
City
Boston
State/Province
Massachusetts
ZIP/Postal Code
02215
Country
United States
Individual Site Status
Recruiting
Facility Name
Karmanos Cancer Institute
City
Detroit
State/Province
Michigan
ZIP/Postal Code
48201
Country
United States
Individual Site Status
Recruiting
Facility Name
Memorial Sloan Kettering Cancer Center
City
New York
State/Province
New York
ZIP/Postal Code
10065
Country
United States
Individual Site Status
Recruiting
Facility Name
The Ohio State University Wexner Medical Center
City
Columbus
State/Province
Ohio
ZIP/Postal Code
43210
Country
United States
Individual Site Status
Recruiting
Facility Name
Seattle Cancer Care Alliance
City
Seattle
State/Province
Washington
ZIP/Postal Code
98109
Country
United States
Individual Site Status
Recruiting
Facility Name
Universitair Ziekenhuis Leuven
City
Leuven
State/Province
Vlaams-Brabant
ZIP/Postal Code
3000
Country
Belgium
Individual Site Status
Recruiting

12. IPD Sharing Statement

Plan to Share IPD
Yes
IPD Sharing Plan Description
All Individual Patient Data (IPD) that underlie publicly available results will be considered for sharing
IPD Sharing Time Frame
When Regeneron has received marketing authorization from major health authorities (e.g., FDA, European Medicines Agency (EMA), Pharmaceuticals and Medical Devices Agency (PMDA), etc.) for the product and indication, has made the study results publicly available (e.g., scientific publication, scientific conference, clinical trial registry), has the legal authority to share the data, and has ensured the ability to protect participant privacy.
IPD Sharing Access Criteria
Qualified researchers can submit a proposal for access to individual patient or aggregate level data from a Regeneron-sponsored clinical trial through Vivli. Regeneron's Independent Research Request Evaluation Criteria can be found at: https://www.regeneron.com/sites/default/files/Regeneron-External-Data-Sharing-Policy-and-Independent-Research-Request-Evaluation-Criteria.pdf
IPD Sharing URL
https://vivli.org/

Learn more about this trial

Study of REGN5668 Administered in Combination With Cemiplimab or REGN4018 in Adult Women With Recurrent Ovarian Cancer

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