A Trial to Find Out if REGN5678 (Nezastomig) 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

Clinicaltrials.gov ID: NCT03972657
db-list-check Status RECRUITING
b-loader Phase PHASE1, PHASE2
b-people Age ≥ 18 Years
b-bullseye-arrow Enrollments 345

Conditions

Metastatic Castration-Resistant Prostate Cancer (mCRPC), Clear Cell Renal Cell Carcinoma (ccRCC)

Drugs

REGN5678, Cemiplimab

Summary

The main purpose of this study is to determine the safety, tolerability (how the body reacts to the drug[s]) and effectiveness (ability to treat the cancer) of REGN5678 (Nezastomig) 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

20 locations Found with status Recruiting

Status

  • RECRUITING

Central Contacts

Study Director

  • Clinical Trials Management

Status

  • RECRUITING

Central Contacts

Study Director

  • Clinical Trials Management

Status

  • RECRUITING

Central Contacts

Study Director

  • Clinical Trials Management

Status

  • RECRUITING

Central Contacts

Study Director

  • Clinical Trials Management

Status

  • RECRUITING

Central Contacts

Study Director

  • Clinical Trials Management

Status

  • RECRUITING

Central Contacts

Study Director

  • Clinical Trials Management

Status

  • RECRUITING

Central Contacts

Study Director

  • Clinical Trials Management

Status

  • RECRUITING

Central Contacts

Study Director

  • Clinical Trials Management

Status

  • RECRUITING

Central Contacts

Study Director

  • Clinical Trials Management

Status

  • RECRUITING

Central Contacts

Study Director

  • Clinical Trials Management

Status

  • RECRUITING

Central Contacts

Study Director

  • Clinical Trials Management

Status

  • RECRUITING

Central Contacts

Study Director

  • Clinical Trials Management

Status

  • RECRUITING

Central Contacts

Study Director

  • Clinical Trials Management

Status

  • RECRUITING

Central Contacts

Study Director

  • Clinical Trials Management

Status

  • RECRUITING

Central Contacts

Study Director

  • Clinical Trials Management

Status

  • RECRUITING

Central Contacts

Study Director

  • Clinical Trials Management

Status

  • RECRUITING

Central Contacts

Study Director

  • Clinical Trials Management

Status

  • RECRUITING

Central Contacts

Study Director

  • Clinical Trials Management

Status

  • RECRUITING

Central Contacts

Study Director

  • Clinical Trials Management

Status

  • RECRUITING

Central Contacts

Study Director

  • Clinical Trials Management

Eligibility Criteria

Key Inclusion Criteria:

mCRPC cohorts (men):

1. Men with histologically or cytologically confirmed adenocarcinoma of the prostate without pure small cell carcinoma.
2. 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. 177Lu-PSMA-617 radiotherapy, or another lutetium-based PSMA targeted radioligand, as described in the protocol

ccRCC cohorts (men and women):

1. 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 a PSMA targeting radioligand (eg. 177Lu-PSMA-617) in mCRPC
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 described 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, as described in the protocol
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

REGN5678 with or without cemiplimab

  • DRUG:

    REGN5678

    Description:

    Administered as per the protocol
  • DRUG:

    Cemiplimab

    Description:

    Administered as per the protocol

mCRPC - dose expansion cohort

EXPERIMENTAL

REGN5678 with or without cemiplimab

  • DRUG:

    REGN5678

    Description:

    Administered as per the protocol

ccRCC - dose escalation cohort

EXPERIMENTAL

REGN5678 with or without cemiplimab

  • DRUG:

    REGN5678

    Description:

    Administered as per the protocol
  • DRUG:

    Cemiplimab

    Description:

    Administered as per the protocol

ccRCC - dose expansion cohort

EXPERIMENTAL

REGN5678 with or without cemiplimab

  • DRUG:

    REGN5678

    Description:

    Administered as per the protocol

Outcome Measures

Primary Outcome Measures

Incidence and severity of Treatment-Emergent Adverse Events (TEAEs)

Time Frame: Through study completion, up to 5 years

Incidence and severity of Adverse Event of Special Interests (AESIs)

Time Frame: Through study completion, up to 5 years

Incidence and severity of Serious Adverse Events (SAEs)

Time Frame: Through study completion, up to 5 years

Number of participants with Grade u22653 laboratory abnormalities

Time Frame: Through study completion, up to 5 years

Incidence of Dose-Limiting Toxicities (DLTs)

Time Frame: First dose through day 42 of last participant in each dose level

Concentration of REGN5678 in serum over time

Time Frame: Through study completion, up to 5 years

Concentration of REGN5678 in combination with cemiplimab in serum over time

Time Frame: Through study completion, up to 5 years

Composite Response Rate (CRR) of 50% decline of Prostate Specific Antigen (PSA) and/or confirmed radiographic response of complete (CR) or partial response (PR)

Time Frame: Through study completion, up to 5 years

Objective Response Rate (ORR) per Response Evaluation Criteria in Solid Tumors (RECIST) 1.1 criteria

Time Frame: Through study completion, up to 5 years

Secondary Outcome Measures

CRR of 50% decline of PSA and/or confirmed radiographic of CR or PR

Time Frame: Through study completion, up to 5 years

ORR per RECIST 1.1 criteria

Time Frame: Through study completion, up to 5 years

Incidence and severity of TEAEs

Time Frame: Through study completion, up to 5 years

Incidence and severity of AESIs

Time Frame: Through study completion, up to 5 years

Incidence and severity of SAEs

Time Frame: Through study completion, up to 5 years

Number of participants with grade u22653 laboratory abnormalities

Time Frame: Through study completion, up to 5 years

Concentration of REGN5678 in serum over time

Time Frame: Through study completion, up to 5 years

Concentration of REGN5678 in combination with cemiplimab in serum over time

Time Frame: Through study completion, up to 5 years

Percentage of participants with u226550% decline of PSA

Time Frame: Through study completion, up to 5 years

Percentage of participants with u226590% decline of PSA

Time Frame: Through study completion, up to 5 years

Presence or absence of antibodies against REGN5678

Time Frame: Through study completion, up to 5 years

Presence or absence of antibodies against cemiplimab

Time Frame: Through study completion, up to 5 years

Timeline

  • Last Updated
    November 6, 2025
  • Start Date
    June 3, 2019
  • Today
    January 7, 2026
  • Completion Date ( Estimated )
    November 15, 2027

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