A Safety and Efficacy Study of Combined Fianlimab + Cemiplimab in Children and Young Adults With Recurrent or Progressive High-Grade Glioma or Posterior Fossa-A Ependymoma
A Phase 1/2 Open-Label, Safety and Efficacy Study of Neoadjuvant Fianlimab (Anti-LAG-3 Antibody) in Combination With Cemiplimab (Anti-PD-1 Antibody) and Cemiplimab Alone Followed by Adjuvant Fianlimab in Combination With Cemiplimab in Pediatric and Young Adult Participants With Recurrent or Progressive High-Grade Glioma or Pediatric and Adult Participants With Recurrent or Progressive Posterior Fossa-A Ependymoma
This study is researching an experimental drug called cemiplimab (called "study drug") and the combination of experimental drugs of fianlimab and cemiplimab (called "study drugs"). The study is focused on children and young adults with recurrent or progressive High-Grade Glioma (HGG) or ependymoma. "Recurrent" means that the cancer came back after treatment. "Progressive" means that the tumor has grown or spread.
The aim of the study is to see how safe, tolerable, and effective cemiplimab and the combination of fianlimab and cemiplimab are.
The study is looking at several other research questions, including:
- What side effects may happen from receiving the study drug(s)
- Do the study drug(s) help study participants live longer without their tumors growing or spreading
- How much of the study drug(s) is in the blood at different times
- Whether the body makes antibodies against the study drug(s) (which could make the study drug[s] less effective or lead to side effects)
研究概览
地位
研究类型
注册 (估计的)
阶段
- 阶段2
- 阶段1
联系人和位置
学习联系方式
- 姓名:Clinical Trials Administrator
- 电话号码:844-734-6643
- 邮箱:clinicaltrials@regeneron.com
参与标准
资格标准
适合学习的年龄
- 孩子
- 成人
接受健康志愿者
描述
Key Inclusion Criteria:
- Participant must be diagnosed with recurrent/progressive HGG or PF-A ependymoma with unequivocal progression on Magnetic Resonance Imaging (MRI) as described in the protocol
- Participant must have histologically confirmed (at initial diagnosis or relapse) HGG or PF-A ependymoma
- Participant must be an adequate medical candidate for surgical resection as described in the protocol
- Karnofsky Performance Status (KPS) score ≥50 (in participants ≥16 years) or Lansky Performance Status (LPS) score ≥50 (in participants <16 years) as described in the protocol
- Adequate organ function as described in the protocol
Key Exclusion Criteria:
- Active autoimmune disease requiring systemic immunosuppressive therapy in the past 2 years
- Active, serious medical illness, infection or other systemic illness which would limit participation in the trial
- Has not yet recovered from any acute toxicities resulting from prior therapy
- History of myocarditis
- Prior treatment with antibodies to Programmed Cell Death Protein -1 (PD-1), Programmed Cell Death Protein Ligand -1 (PD-L1), Lymphocyte Activation Gene 3 (LAG3), or Cytotoxic T-Lymphocyte Associated protein 4 (CTLA-4)
- Treatment with high dose systemic corticosteroids as described in the protocol
- History of interstitial lung disease (eg, idiopathic pulmonary fibrosis, organizing pneumonia) or active, noninfectious pneumonitis that required immune-suppressive doses of glucocorticoids to assist with management
Note: Other protocol defined Inclusion/ Exclusion Criteria apply
学习计划
研究是如何设计的?
设计细节
- 主要用途:治疗
- 分配:随机化
- 介入模型:并行分配
- 屏蔽:无(打开标签)
武器和干预
参与者组/臂 |
干预/治疗 |
|---|---|
|
实验性的:Phase 1 Arm A
Neoadjuvant Period: cemiplimab Adjuvant Period: fianlimab+cemiplimab
|
根据协议进行管理
其他名称:
Administered per the protocol
其他名称:
|
|
实验性的:Phase 1 Arm B
Neoadjuvant Period: fianlimab+cemiplimab Adjuvant Period: fianlimab+cemiplimab
|
Administered per the protocol
其他名称:
|
|
实验性的:Phase 2
Neoadjuvant Period: fianlimab+cemiplimab Adjuvant Period: fianlimab+cemiplimab
|
Administered per the protocol
其他名称:
|
研究衡量的是什么?
主要结果指标
结果测量 |
大体时间 |
|---|---|
|
总生存期(OS)
大体时间:12个月
|
12个月
|
|
无进展生存期 (PFS)
大体时间:12个月
|
12个月
|
|
Occurrence of Treatment Emergent Adverse Events (TEAEs)
大体时间:Up to 26 months
|
Up to 26 months
|
|
Severity of TEAEs
大体时间:Up to 26 months
|
Up to 26 months
|
次要结果测量
结果测量 |
大体时间 |
|---|---|
|
总生存期
大体时间:长达 5 年
|
长达 5 年
|
|
无进展生存期 (PFS)
大体时间:长达 5 年
|
长达 5 年
|
|
茶的严重程度
大体时间:长达5年
|
长达5年
|
|
Concentrations of fianlimab in serum
大体时间:Up to 5 years
|
Up to 5 years
|
|
Concentrations of cemiplimab in serum
大体时间:Up to 5 years
|
Up to 5 years
|
|
Occurrence of Anti-Drug Antibody (ADA) to fianlimab
大体时间:Up to 5 years
|
Up to 5 years
|
|
Occurrence of ADA to cemiplimab
大体时间:Up to 5 years
|
Up to 5 years
|
|
Magnitude of ADA to fianlimab
大体时间:Up to 5 years
|
Up to 5 years
|
|
Magnitude of ADA to cemiplimab
大体时间:Up to 5 years
|
Up to 5 years
|
|
Death due to any cause
大体时间:Up to 5 years
|
Up to 5 years
|
|
Occurrence of TEAEs
大体时间:Up to 5 years
|
Up to 5 years
|
合作者和调查者
调查人员
- 研究主任:Clinical Trial Management、Regeneron Pharmaceuticals
研究记录日期
研究主要日期
学习开始 (估计的)
初级完成 (估计的)
研究完成 (估计的)
研究注册日期
首次提交
首先提交符合 QC 标准的
首次发布 (实际的)
研究记录更新
最后更新发布 (实际的)
上次提交的符合 QC 标准的更新
最后验证
更多信息
与本研究相关的术语
其他相关的 MeSH 术语
其他研究编号
- R3767-ONC-2320
- 2025-521485-96-00 (克蒂斯)
计划个人参与者数据 (IPD)
计划共享个人参与者数据 (IPD)?
IPD 计划说明
IPD 共享时间框架
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
IPD 共享访问标准
IPD 共享支持信息类型
- 研究方案
- 树液
- 国际碳纤维联合会
- 分析代码
- 企业社会责任
药物和器械信息、研究文件
研究美国 FDA 监管的药品
研究美国 FDA 监管的设备产品
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