A Trial to Find Out if REGN5678 is Safe and How Well it Works Alone or in Combination With Cemiplimab for Adult Participants With Metastatic Castration-Resistant Prostate Cancer and Other Tumors
Conditions
Metastatic Castration-resistant Prostate Cancer (mCRPC), Clear Cell Renal Cell Carcinoma (ccRCC)Drugs
REGN5678, CemiplimabSummary
The main purpose of this study is to determine the safety, tolerability (how your body reacts to the drug) and effectiveness (ability to treat your cancer) of REGN5678 alone, or in combination with cemiplimab.The study has 2 parts. The goal of Part 1 (dose escalation) is to determine a safe dose(s) of REGN5678 when it is given alone or in combination with cemiplimab. The goal of Part 2 (dose expansion) is to use the REGN5678 drug dose(s) found in Part 1 to see how well REGN5678 alone or in combination with cemiplimab works to shrink tumors.This study is looking at several other research questions, including:1. Side effects that may be experienced by taking REGN5678 alone or in combination with cemiplimab 2. How REGN5678 alone or in combination with cemiplimab works in the body 3. How much REGN5678 and/or cemiplimab are present in the blood 4. To see if REGN5678 alone or in combination with cemiplimab works to reduce the size of the tumor by helping the immune system destroy the tumor
Locations
15 locations Found with status Recruiting
Status
- RECRUITING
Central Contacts
- Clinical Trials Administrator
- 844-734-6643
- [email protected]
Study Director
- Clinical Trials Management
Status
- RECRUITING
Central Contacts
- Clinical Trials Administrator
- 844-734-6643
- [email protected]
Study Director
- Clinical Trials Management
Status
- RECRUITING
Central Contacts
- Clinical Trials Administrator
- 844-734-6643
- [email protected]
Study Director
- Clinical Trials Management
Status
- RECRUITING
Central Contacts
- Clinical Trials Administrator
- 844-734-6643
- [email protected]
Study Director
- Clinical Trials Management
Status
- RECRUITING
Central Contacts
- Clinical Trials Administrator
- 844-734-6643
- [email protected]
Study Director
- Clinical Trials Management
Status
- RECRUITING
Central Contacts
- Clinical Trials Administrator
- 844-734-6643
- [email protected]
Study Director
- Clinical Trials Management
Status
- RECRUITING
Central Contacts
- Clinical Trials Administrator
- 844-734-6643
- [email protected]
Study Director
- Clinical Trials Management
Status
- RECRUITING
Central Contacts
- Clinical Trials Administrator
- 844-734-6643
- [email protected]
Study Director
- Clinical Trials Management
Status
- RECRUITING
Central Contacts
- Clinical Trials Administrator
- 844-734-6643
- [email protected]
Study Director
- Clinical Trials Management
Status
- RECRUITING
Central Contacts
- Clinical Trials Administrator
- 844-734-6643
- [email protected]
Study Director
- Clinical Trials Management
Status
- RECRUITING
Central Contacts
- Clinical Trials Administrator
- 844-734-6643
- [email protected]
Study Director
- Clinical Trials Management
Status
- RECRUITING
Central Contacts
- Clinical Trials Administrator
- 844-734-6643
- [email protected]
Study Director
- Clinical Trials Management
Status
- RECRUITING
Central Contacts
- Clinical Trials Administrator
- 844-734-6643
- [email protected]
Study Director
- Clinical Trials Management
Status
- RECRUITING
Central Contacts
- Clinical Trials Administrator
- 844-734-6643
- [email protected]
Study Director
- Clinical Trials Management
Status
- RECRUITING
Central Contacts
- Clinical Trials Administrator
- 844-734-6643
- [email protected]
Study Director
- Clinical Trials Management
Eligibility Criteria
Key Inclusion Criteria:
mCRPC cohorts:
1. Men with histologically or cytologically confirmed adenocarcinoma of the prostate without pure small cell carcinoma.
2. Prostate specific antigen (PSA) value at screening ≥4 ng/mL that has progressed within 6 months prior to screening as defined in the protocol.
3. Has received ≥2 lines prior systemic therapy approved in the metastatic and/or castration-resistant setting (in addition to androgen deprivation therapy [ADT]) including at least:
1. one second-generation anti-androgen therapy (eg, abiraterone, enzalutamide, apalutamide, or darolutamide)
2. post-177Lu-PSMA-617 radiotherapy expansion cohort only. Must have received at least 2 doses of 177Lu-PSMA-617.
ccRCC cohorts:
1. Men and women with histologically or cytologically confirmed RCC with a clear-cell component.
2. Diagnosis of metastatic ccRCC with at least one measurable lesion via RECIST 1.1 criteria
3. Has progressed on or after ≥1 line prior systemic therapy approved in the metastatic setting. Prior treatment must include an anti-programmed death-1 (receptor) [PD-1]/programmed death-ligand 1 (PD-L1) therapy and either ipilimumab and/or a tyrosine kinase inhibitor
Key Exclusion Criteria:
1. Has received treatment with an approved systemic therapy within 3 weeks of dosing or has not yet recovered (ie, grade ≤1 or baseline) from any acute toxicities, as described in the protocol
2. Has received any previous systemic biologic therapy within 5 half-lives of first dose of study therapy, as described in the protocol
3. Has received prior PSMA-targeting therapy with the exception of approved radiopharmaceutical therapy (eg. 177Lu-PSMA-617) in mCRPC patients
4. Dose Escalation: Has had prior anti-cancer immunotherapy (other than sipuleucel-T) within 5 half-lives prior to study therapy.
5. Dose Expansion (mCRPC only): Has had prior anti-cancer immunotherapy, as describe in the protocol
6. Any condition that requires ongoing/continuous corticosteroid therapy (>10 mg prednisone/day or anti-inflammatory equivalent) within 1 week prior to the first dose of study therapy
7. Ongoing or recent (within 5 years) evidence of significant autoimmune disease that required treatment with systemic immunosuppressive treatments
8. Encephalitis, meningitis, neurodegenerative disease (with the exception of mild dementia that does not interfere with activities of daily living [ADLs]) or uncontrolled seizures in the year prior to first dose of study therapy
9. Uncontrolled infection with human immunodeficiency virus (HIV), hepatitis B or hepatitis C infection; or diagnosis of immunodeficiency
NOTE: Other protocol defined Inclusion/Exclusion Criteria apply
Study Plan
mCRPC - dose escalation cohort
EXPERIMENTAL
Participants will receive REGN5678 monotherapy for presumptive recommended phase 2 dose(s) (presumptive RP2D) identificationnnNote: Dose escalation on monotherapy lead-in of REGN5678 followed by combination therapy of REGN5678 with full dose cemiplimab is no longer actively enrolling new participants. The prophylactic use of sarilumab is no longer in use.
DRUG:
REGN5678Description:
Administered at the assigned dose level (DL) by intravenous (IV) infusion or subcutaneous (SC) administrationDRUG:
CemiplimabDescription:
Administered at the assigned DL by IV
mCRPC - dose expansion cohort
EXPERIMENTAL
Participants will receive the REGN5678 presumptive RP2D(s)
DRUG:
REGN5678Description:
Administered at the assigned dose level (DL) by intravenous (IV) infusion or subcutaneous (SC) administration
ccRCC - dose escalation cohort
EXPERIMENTAL
Participants will receive REGN5678 monotherapy for presumptive RP2D identificationnnNote: Dose escalation on monotherapy lead-in of REGN5678 followed by combination therapy of REGN5678 with full dose cemiplimab is no longer actively enrolling new participants. The prophylactic use of sarilumab is no longer in use.
DRUG:
REGN5678Description:
Administered at the assigned dose level (DL) by intravenous (IV) infusion or subcutaneous (SC) administrationDRUG:
CemiplimabDescription:
Administered at the assigned DL by IV
ccRCC - dose expansion cohort
EXPERIMENTAL
Participants will receive the REGN5678 presumptive RP2D(s)
DRUG:
REGN5678Description:
Administered at the assigned dose level (DL) by intravenous (IV) infusion or subcutaneous (SC) administration
Outcome Measures
Primary Outcome Measures
Incidence and severity of treatment-emergent adverse events (TEAEs)
Incidence and severity of adverse event of special interests (AESIs)
Incidence and severity of serious adverse events (SAEs)
Number of participants with Grade u22653 laboratory abnormalities
Incidence of dose-limiting toxicities (DLTs)
Concentration of REGN5678 in serum over time
Concentration of REGN5678 in combination with cemiplimab in serum over time
Objective response rate (ORR) per modified Prostate Cancer Working Group 3 (PCWG3) criteria
ORR per Response Evaluation Criteria in Solid Tumors (RECIST) 1.1 criteria
Secondary Outcome Measures
ORR per modified PCWG3 criteria
ORR per RECIST 1.1 criteria
Incidence and severity of TEAEs
Incidence and severity of AESIs
Incidence and severity of SAEs
Number of participants with grade u22653 laboratory abnormalities
Concentration of REGN5678 in serum over time
Concentration of REGN5678 in combination with cemiplimab in serum over time
ORR based upon prostate specific antigen (PSA) response
Percentage of participants with u226590% decline of PSA
Presence or absence of antibodies against REGN5678
Presence or absence of antibodies against cemiplimab
Timeline
Last Updated
October 30, 2024Start Date
June 3, 2019Today
February 5, 2025Completion Date ( Estimated )
July 3, 2026
Sponsors of this trial
Lead Sponsor
Regeneron Pharmaceuticals