En studie av Cemiplimab Plus kemoterapi kontra Cemiplimab Plus kemoterapi plus andra cancerbehandlingar för vuxna patienter med operabel icke-småcellig lungcancer (NSCLC)
En randomiserad fas 2-plattformsstudie för att utvärdera Cemiplimab Plus-kemoterapi kontra Cemiplimab Plus-kemoterapi Plus Andra cancerbehandlingar för perioperativ behandling av patienter med resektabel icke-småcellig lungcancer
This study will enroll adult participants with early-stage (stage II-IIIB) non-small cell lung cancer (NSCLC) for whom surgery is planned, in the resectable NSCLC portion.
The aim of the resectable NSCLC portion is to find out whether an investigational treatment (consisting of the immunotherapy drug cemiplimab plus chemotherapy plus a third drug) works better than cemiplimab plus chemotherapy without the additional drug.
For each investigational arm, the available data will be reviewed to decide whether safety testing with chemotherapy is needed before moving the treatment combination to the main resectable NSCLC portion of the study. If safety testing with chemotherapy is required, adult participants whose tumour has spread to other organs or cannot be removed by surgery, will be enrolled in the unresectable/metastatic NSCLC portion of the study called the "safety lead-in."
The aim of the unresectable/metastatic NSCLC safety lead-in portion is to evaluate the safety of the combination of Cemiplimab, chemotherapy, and an additional drug in participants with unresectable or metastatic NSCLC.
For the resectable NSCLC portion, the study is also looking at several other research questions, including:
- What are the side effects associated with the investigational treatments in comparison to the control treatment
- Do the investigational treatments or the control treatment have an effect on the type of surgery that is performed
- How much of the study drug(s) are in the blood at a given time
- Does the body make antibodies against the study drug(s) (which could make the drug(s) less effective or could lead to side effects)
For the unresectable/metastatic NSCLC portion, the study is also looking at several other research questions, including:
- What are the side effects associated with the additional drug in combination with cemiplimab and chemotherapy
- How does the additional drug work in combination with cemiplimab and chemotherapy
Studieöversikt
Status
Betingelser
Intervention / Behandling
Studietyp
Inskrivning (Beräknad)
Fas
- Fas 2
Kontakter och platser
Studieorter
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São Paulo, Brasilien, 01323-903
- Hospital Alemao Oswaldo Cruz
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Espírito Santo
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Cachoeiro de Itapemirim, Espírito Santo, Brasilien, 29306014
- Oncology Clinical Research Center
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Minas Gerais
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Belo Horizonte, Minas Gerais, Brasilien, 30380-472
- Instituto Mario Penna
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Pouso Alegre, Minas Gerais, Brasilien, 37554-238
- Instituto Sul Mineiro De Oncologia LTDA
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Pernambuco
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Recife, Pernambuco, Brasilien, 50070-902
- Instituto de Medicina Integral Professor Fernando Figueira
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Rio Grande do Norte
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Natal, Rio Grande do Norte, Brasilien, 59060-195
- Liga Norte Riograndense Contra o Cancer
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Rio Grande do Sul
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Porto Alegre, Rio Grande do Sul, Brasilien, 90610-000
- Hospital Sao Lucas da PUCRS
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Porto Alegre, Rio Grande do Sul, Brasilien, 90110-270
- Hospital Mae de Deus Integrated Oncology Center
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Santa Catarina
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Florianópolis, Santa Catarina, Brasilien, 88020-210
- Ynova Pesquisa Clinica
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São Paulo
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Sorocaba, São Paulo, Brasilien, 18065-100
- Unimed Sorocaba
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São José do Rio Preto, São Paulo, Brasilien, 15090-000
- Fundacao Faculdade Regional de Medicina de Sao Jose do Rio Preto
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Bayonne, Frankrike, 64100
- Clinique Belharra
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Bayonne, Frankrike, 64100
- Centre Hospitalier de la Cote Basque
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Grenoble, Frankrike, 38330
- CHU Grenoble Alpes
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Montpellier, Frankrike, 34295
- Montpellier Academic Hospital
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Brittany Region
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Rennes, Brittany Region, Frankrike, 35033
- CHU Rennes
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Var
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Toulon, Var, Frankrike, 83055
- Centre Hospitalier Intercommunal Toulon - CHITS
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Île-de-France Region
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Paris, Île-de-France Region, Frankrike, 75005
- Institut Curie
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California
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Orange, California, Förenta staterna, 92868
- University of California Irvine
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Illinois
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Skokie, Illinois, Förenta staterna, 60077
- Orchard Healthcare Research Inc.
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Michigan
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Detroit, Michigan, Förenta staterna, 48201
- Karmanos Cancer Institute
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Farmington Hills, Michigan, Förenta staterna, 48334
- Detroit Clinical Research Center
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Ohio
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Cincinnati, Ohio, Förenta staterna, 45245
- Oncology Hematology Care Clinical Trials LLC
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Oregon
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Portland, Oregon, Förenta staterna, 97213
- Providence Portland Medical Center
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Portland, Oregon, Förenta staterna, 97213
- University Of Nebraska Medical Center
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Rhode Island
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Providence, Rhode Island, Förenta staterna, 02903
- Lifespan Cancer Institute
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South Dakota
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Watertown, South Dakota, Förenta staterna, 57201
- Prairie Lakes Healthcare System
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Tennessee
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Knoxville, Tennessee, Förenta staterna, 37920
- University of Tennessee Medical Center
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Nashville, Tennessee, Förenta staterna, 37203
- Sarah Cannon Research Institute (SCRI) Oncology Partners
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Virginia
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Blacksburg, Virginia, Förenta staterna, 24060
- BRCC/Oncology & Hematology Associates of SW Virginia
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Madrid, Spanien, 28046
- Hospital Universitario La Paz
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Madrid, Spanien, 28040
- Hospital Universitario Clinico San Carlos
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Madrid, Spanien, 28033
- MD Anderson Cancer Center
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Madrid, Spanien, 28050
- Hospital Universitario HM Sanchinarro
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Seville, Spanien, 41013
- Hospital Virgen del Rocio
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Valencia, Spanien, 46014
- Consorci Hospital General Universitario de Valencia
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Valencia, Spanien, 46010
- Hospital Clinico Universitario Valencia
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Zaragoza, Spanien, 50009
- Hospital Clinico Lozano Blesa
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Barcelona
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Badalona, Barcelona, Spanien, 08916
- Catalan Instituye of Oncology Badalona
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Cantabria
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Santander, Cantabria, Spanien, 39008
- Hospital Valdecilla
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Las Palmas
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Las Palmas de Gran Canaria, Las Palmas, Spanien, 35016
- Hospital Universitario Insular de Gran Canaria
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Navarre
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Pamplona, Navarre, Spanien, 31008
- Clinica Universidad de Navarra
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Istanbul, Turkiet (Türkiye), 34295
- Florya Medical Park Hospital
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Aachen, Tyskland, 52074
- University Hospital RWTH Aachen
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Hesse
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Kassel, Hesse, Tyskland, 34125
- Klinikum Kassel GmbH, Hauttumorzentrum
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Lower Saxony
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Göttingen, Lower Saxony, Tyskland, 37083
- University Medicine Gottingen
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Saxony
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Leipzig, Saxony, Tyskland, 04103
- University of Leipzig
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Deltagandekriterier
Urvalskriterier
Åldrar som är berättigade till studier
Tar emot friska volontärer
Kön som är behöriga för studier
Beskrivning
Neoadjuvant Resectable NSCLC General Key Inclusion Criteria:
- Histologically confirmed stage II through IIIB (N2) NSCLC, that is considered resectable with curative intent, as described in the protocol
- Measurable disease per Response Evaluation Criteria In Solid Tumors (RECIST) criteria version 1.1
- Available formalin-fixed paraffin-embedded (FFPE) tumor sample blocks for submission, as described in the protocol
- Eastern Cooperative Oncology Group Performance Status scale (ECOG PS) of 0 to 1
- Adequate organ and bone marrow function, as described in the protocol
Arm Specific Inclusion Criteria:
Unresectable/Metastatic NSCLC Safety Lead-in - Arm 2:
- Non-squamous or squamous histology NSCLC with stage IIIB or stage IIIC disease who are not candidates for surgical resection or definitive chemoradiation per investigator assessment or stage IV (metastatic disease), who received no prior systemic treatment for recurrent or metastatic NSCLC
- Availability of an archival or on-trial FFPE tumor tissue sample
- ECOG performance status of 0 or 1
- Per investigator judgment, life expectancy of at least 3 months
Neoadjuvant Resectable NSCLC General Key Exclusion Criteria:
- Any systemic anti-cancer therapy or radiotherapy for the current tumor, as described in the protocol
- Presence of actionable oncogenic alterations in the tumor for which an approved targeted therapy is available or for which perioperative chemoimmunotherapy is not considered an appropriate standard of care treatment, as described in the protocol
- Presence of grade≥ 2 peripheral neuropathy
- Another malignancy that is progressing or requires active treatment, as described in the protocol
Arm Specific Exclusion Criteria:
Neoadjuvant Resectable NSCLC - Arm 1:
- Grade ≥3 hypercalcemia, as defined in the protocol
- Any central nervous system (CNS) pathology that could increase the risk of immune effector cell-associated neurotoxicity syndrome (ICANS), as described in the protocol
- Has marked baseline prolongation of the time from the start of the Q wave to the end of the T wave in electrocardiogram (QT)/corrected QT interval (QTc) interval or risk factors for prolonged QTc, as described in the protocol
Unresectable/Metastatic NSCLC Safety Lead-in - Arm 2:
- Untreated or active primary brain tumor, CNS metastases, leptomeningeal disease, or spinal cord compression, as described in the protocol
- Presence of actionable oncogenic alterations in the tumor for which a chemotherapy plus programmed cell death protein 1 (PD1) inhibitor backbone is not the appropriate initial therapy as standard of care
- Known allergy or hypersensitivity to any components of trial interventions
- Any condition requiring ongoing/continuous corticosteroid therapy, as described in the protocol
Neoadjuvant Resectable NSCLC - Arm 2:
1. History of encephalitis, meningitis, organic brain disease, or uncontrolled seizures within 1 year prior to the first dose of trial interventions.
Note: Other protocol-defined Inclusion/Exclusion criteria apply.
Studieplan
Hur är studien utformad?
Designdetaljer
- Primärt syfte: Behandling
- Tilldelning: Randomiserad
- Interventionsmodell: Parallellt uppdrag
- Maskning: Ingen (Open Label)
Vapen och interventioner
Deltagargrupp / Arm |
Intervention / Behandling |
|---|---|
|
Aktiv komparator: Neoadjuvant Resectable NSCLC - Control Arm
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Administered per the protocol
Andra namn:
Administered per the protocol |
|
Experimentell: Neoadjuvant Resectable NSCLC - Arm 1
|
Administered per the protocol
Andra namn:
Administered per the protocol
Andra namn:
Administered per the protocol |
|
Experimentell: Unresectable/Metastatic NSCLC Safety Lead-in - Arm 2
|
Administered per the protocol
Andra namn:
Administered per the protocol Administered per the protocol
Andra namn:
|
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Experimentell: Neoadjuvant Resectable NSCLC - Arm 2
|
Administered per the protocol
Andra namn:
Administered per the protocol Administered per the protocol
Andra namn:
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Vad mäter studien?
Primära resultatmått
Resultatmått |
Åtgärdsbeskrivning |
Tidsram |
|---|---|---|
|
Major Pathologic Response (MPR) rate as determined by central Blinded Independent Pathology Review (BIPR)
Tidsram: Up to 12 weeks
|
Up to 12 weeks
|
|
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Occurrence of Treatment-Emergent Adverse Events (TEAEs)
Tidsram: Up to 9 weeks
|
Unresectable/Metastatic NSCLC Safety Lead-in - Arm 2 |
Up to 9 weeks
|
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Occurrence of TEAEs leading to death
Tidsram: Up to 9 weeks
|
Unresectable/Metastatic NSCLC Safety Lead-in - Arm 2 |
Up to 9 weeks
|
|
Occurrence of TEAEs leading to treatment discontinuation
Tidsram: Up to 9 weeks
|
Unresectable/Metastatic NSCLC Safety Lead-in - Arm 2 |
Up to 9 weeks
|
|
Occurrence of Serious Adverse Events (SAEs)
Tidsram: Up to 9 weeks
|
Unresectable/Metastatic NSCLC Safety Lead-in - Arm 2 |
Up to 9 weeks
|
|
Occurrence of grade ≥3 laboratory abnormalities
Tidsram: Up to 9 weeks
|
Unresectable/Metastatic NSCLC Safety Lead-in - Arm 2 As assessed by the Common Terminology Criteria for Adverse Events (CTCAE) grading system version 5.0 (for all grades) |
Up to 9 weeks
|
|
Number of participants unable to receive cemiplimab and chemotherapy for 2 consecutive cycles due to REGN10597-related toxicities during the first 3 cycles
Tidsram: Up to 9 weeks
|
Unresectable/Metastatic NSCLC Safety Lead-in - Arm 2 |
Up to 9 weeks
|
Sekundära resultatmått
Resultatmått |
Åtgärdsbeskrivning |
Tidsram |
|---|---|---|
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Total överlevnad (OS)
Tidsram: Upp till 5 år
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Upp till 5 år
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Svårighetsgraden av TEAE
Tidsram: Upp till 76 veckor
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Upp till 76 veckor
|
|
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Andel försenade operationer på grund av TEAE
Tidsram: Upp till 76 veckor
|
Upp till 76 veckor
|
|
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Andel inställda operationer på grund av TEAE
Tidsram: Upp till 76 veckor
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Upp till 76 veckor
|
|
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Pathologic Complete Response (pCR) rate as determined by central BIPR
Tidsram: Up to 12 weeks
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Up to 12 weeks
|
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Residual Viable Tumor (RVT) as determined by central BIPR
Tidsram: Up to 12 weeks
|
Up to 12 weeks
|
|
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Event-Free Survival (EFS)
Tidsram: Up to 5 years
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Up to 5 years
|
|
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Objective Response by investigator assessment
Tidsram: Up to 9 weeks
|
Up to 9 weeks
|
|
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Duration of Response (DoR) by investigator assessment
Tidsram: Up to 2 years
|
Unresectable/Metastatic NSCLC Safety Lead-in - Arm 2 |
Up to 2 years
|
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Occurrence of TEAEs
Tidsram: Up to 76 weeks
|
Up to 76 weeks
|
|
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Occurrence of TEAEs leading to death
Tidsram: Up to 76 weeks
|
Up to 76 weeks
|
|
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Occurrence of TEAEs leading to treatment discontinuation
Tidsram: Up to 76 weeks
|
Up to 76 weeks
|
|
|
Occurrence of SAEs
Tidsram: Up to 76 weeks
|
Up to 76 weeks
|
|
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Severity of SAEs
Tidsram: Up to 76 weeks
|
Up to 76 weeks
|
|
|
Occurrence of Adverse Events of Special Interest (AESIs)
Tidsram: Up to 76 weeks
|
Up to 76 weeks
|
|
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Severity of AESIs
Tidsram: Up to 76 weeks
|
Up to 76 weeks
|
|
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Occurrence of immune-mediated Adverse Events (imAEs)
Tidsram: Up to 76 weeks
|
Up to 76 weeks
|
|
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Severity of imAEs
Tidsram: Up to 76 weeks
|
Up to 76 weeks
|
|
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Occurrence of Infusion-Related Reactions (IRRs)
Tidsram: Up to 76 weeks
|
Up to 76 weeks
|
|
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Severity of IRRs
Tidsram: Up to 76 weeks
|
Up to 76 weeks
|
|
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Occurrence of grade ≥3 laboratory abnormalities
Tidsram: Up to 76 weeks
|
As assessed by the Common Terminology Criteria for Adverse Events (CTCAE) grading system version 5.0 (for all grades) |
Up to 76 weeks
|
|
Occurrence of Anti-Drug Antibodies (ADAs) to cemiplimab
Tidsram: Up to 67 weeks
|
Up to 67 weeks
|
|
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Magnitude of ADAs to cemiplimab
Tidsram: Up to 67 weeks
|
Up to 67 weeks
|
|
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Occurrence of ADAs to marlotamig
Tidsram: Up to 67 weeks
|
Up to 67 weeks
|
|
|
Magnitude of ADAs to marlotamig
Tidsram: Up to 67 weeks
|
Up to 67 weeks
|
|
|
Occurrence of ADAs to REGN10597
Tidsram: Up to 67 weeks
|
Up to 67 weeks
|
|
|
Magnitude of ADAs to REGN10597
Tidsram: Up to 67 weeks
|
Up to 67 weeks
|
Samarbetspartners och utredare
Sponsor
Utredare
- Studierektor: Clinical Trial Management, Regeneron Pharmaceuticals
Studieavstämningsdatum
Studera stora datum
Studiestart (Faktisk)
Primärt slutförande (Beräknad)
Avslutad studie (Beräknad)
Studieregistreringsdatum
Först inskickad
Först inskickad som uppfyllde QC-kriterierna
Första postat (Faktisk)
Uppdateringar av studier
Senaste uppdatering publicerad (Faktisk)
Senaste inskickade uppdateringen som uppfyllde QC-kriterierna
Senast verifierad
Mer information
Termer relaterade till denna studie
Nyckelord
Ytterligare relevanta MeSH-villkor
Andra studie-ID-nummer
- R2810-ONC-2268
- 2023 (U.S.S. NIH-anslag/kontrakt)
- 2023-509806-31-00 (Ctis)
Plan för individuella deltagardata (IPD)
Planerar du att dela individuella deltagardata (IPD)?
IPD-planbeskrivning
All Individual Patient Data (IPD) that underlie publicly available results will be considered for sharing.
Tidsram för IPD-delning
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 or has globally discontinued development of the product for all indications on or after April 2020 and has no plans for future development
- made the study results publicly available (e.g., scientific publication, scientific conference, clinical trial registry)
- the legal authority to share the data, and
- ensured the ability to protect participant privacy
Kriterier för IPD Sharing Access
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-delning som stöder informationstyp
- STUDY_PROTOCOL
- SAV
- ICF
- ANALYTIC_CODE
- CSR
Läkemedels- och apparatinformation, studiedokument
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