RECRUITING

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

Study Overview

This clinical trial focuses on testing the efficacy of different digital interventions to promote re-engagement in cancer-related long-term follow-up care for adolescent and young adult (AYA) survivors of childhood cancer.

Description

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

Official Title

A Phase 1/2 Study of REGN5678 (Anti-PSMAxCD28) With or Without Cemiplimab (Anti-PD-1) in Patients With Metastatic Castration-Resistant Prostate Cancer and Other Tumors Associated With PSMA Expression

Quick Facts

Study Start:2019-08-12
Study Completion:2027-11-15
Study Type:Not specified
Phase:Not Applicable
Enrollment:Not specified
Status:RECRUITING

Study ID

NCT03972657

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Ages Eligible for Study:18 Years
Sexes Eligible for Study:ALL
Accepts Healthy Volunteers:No
Standard Ages:ADULT, OLDER_ADULT
Inclusion CriteriaExclusion Criteria
  1. 1. Men with histologically or cytologically confirmed adenocarcinoma of the prostate without pure small cell carcinoma.
  2. 2. PSA value at screening ≥4 ng/mL that has progressed within 6 months prior to screening as defined in the protocol.
  3. 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:
  4. 1. one second-generation anti-androgen therapy (eg, abiraterone, enzalutamide, apalutamide, or darolutamide)
  5. 2. 177Lu-PSMA-617 radiotherapy, or another lutetium-based PSMA targeted radioligand, as described in the protocol
  6. 1. Histologically or cytologically confirmed RCC with a clear-cell component.
  7. 2. Diagnosis of metastatic ccRCC with at least one measurable lesion via RECIST 1.1 criteria
  8. 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
  1. 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. 2. Has received any previous systemic biologic therapy within 5 half-lives of first dose of study therapy, as described in the protocol
  3. 3. Has received prior PSMA-targeting therapy with the exception of a PSMA targeting radioligand (eg. 177Lu-PSMA-617) in mCRPC
  4. 4. Dose Escalation: Has had prior anti-cancer immunotherapy (other than sipuleucel-T) within 5 half-lives prior to study therapy.
  5. 5. Dose Expansion (mCRPC only): Has had prior anti-cancer immunotherapy, as described in the protocol
  6. 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. 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. 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. 9. Uncontrolled infection with Human Immunodeficiency Virus (HIV), hepatitis B or hepatitis C infection; or diagnosis of immunodeficiency

Contacts and Locations

Study Contact

Clinical Trials Administrator
CONTACT
844-734-6643
clinicaltrials@regeneron.com

Principal Investigator

Clinical Trials Management
STUDY_DIRECTOR
Regeneron Pharmaceuticals

Study Locations (Sites)

Banner MD Anderson Cancer Center
Gilbert, Arizona, 85234
United States
University of Arizona
Tucson, Arizona, 85724
United States
John Wayne Cancer Institute (JWCI)
Santa Monica, California, 90404
United States
Sarah Cannon Research Institute (SCRI)
Denver, Colorado, 80218
United States
Yale University Hospital
New Haven, Connecticut, 06520
United States
Moffitt Cancer Center - McKinley Drive
Tampa, Florida, 33612
United States
Massachusetts General Hospital
Boston, Massachusetts, 02114
United States
NYU Langone Health Perlmutter Cancer Center
New York, New York, 10016-4744
United States
Icahn School of Medicine at Mount Sinai
New York, New York, 10029
United States
Columbia University - The Trustees of Columbia University in the City of New York
New York, New York, 10032
United States
Montefiore Medical Center
New York, New York, 10461
United States
Providence Portland Medical Center
Portland, Oregon, 97213
United States
Oregon Health & Science University (3485 S. Bond)
Portland, Oregon, 97239
United States
Thomas Jefferson University Hospital
Philadelphia, Pennsylvania, 19107
United States
Lifespan Cancer Institute
Providence, Rhode Island, 02903
United States
MD Anderson Cancer Center
Houston, Texas, 77030
United States
Emily Couric Clinical Cancer Center
Charlottesville, Virginia, 22908
United States

Collaborators and Investigators

Sponsor: Regeneron Pharmaceuticals

  • Clinical Trials Management, STUDY_DIRECTOR, Regeneron Pharmaceuticals

Study Record Dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Registration Dates

Study Start Date2019-08-12
Study Completion Date2027-11-15

Study Record Updates

Study Start Date2019-08-12
Study Completion Date2027-11-15

Terms related to this study

Additional Relevant MeSH Terms

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