Cemiplimab and Fianlimab Safety and Pharmacokinetics in Lung Cancer Patients
This study aims to evaluate the safety and pharmacokinetics of Cemiplimab and Fianlimab, either as monotherapy or in combination with other agents, in patients with lung cancer, by observing the incidence and severity of treatment-emergent adverse events.
Cemiplimab
+ Ipilimumab
+ Platinum-doublet chemotherapy
Treatment Study
Summary
Study start date: June 21, 2017
Actual date on which the first participant was enrolled.This study focuses on the safety and effectiveness of a drug called cemiplimab, either used alone or combined with other treatments, for Japanese patients battling advanced lung cancer. The main goal is to evaluate if cemiplimab can help shrink tumors by boosting the immune system's ability to fight cancer cells. Additionally, the study explores the combination of fianlimab and cemiplimab, with or without chemotherapy, for the same purpose. This research is crucial as it aims to find new treatment options for advanced lung cancer, potentially improving patient care and outcomes. During the study, participants receive the specified treatments, and the researchers monitor any side effects or adverse events that may occur. They measure the concentration of the drug in the blood at different times, known as pharmacokinetics, to understand how the body processes the drug. The study also evaluates how well the treatments work by assessing changes in tumor size. It's important to note that participants may experience certain risks, but these are carefully monitored and managed throughout the study.
Protocol
This section provides details of the study plan, including how the study is designed and what the study is measuring.146 patients to be enrolled
Total number of participants that the clinical trial aims to recruit.Treatment Study
Eligibility
Researchers look for people who fit a certain description, called eligibility criteria: person's general health condition or prior treatments.Any sex
Biological sex of participants that are eligible to enroll.Over 20 Years
Range of ages for which participants are eligible to join.Healthy volunteers not allowed
If individuals who are healthy and do not have the condition being studied can participate.Criteria
Key Inclusion Criteria: 1. Disease types under study: * Part 1: Histologically or cytologically confirmed diagnosis of malignancy with no alternative standard-of-care therapeutic option * Part 2: Patients with histologically or cytologically documented squamous or non-squamous NSCLC with stage IIIB or IIIC or stage IV disease who received no prior systemic treatment for recurrent or metastatic NSCLC. * Patients in Part 2 NSCLC cohorts must have available archival or newly obtained formalin-fixed tumor tissue from a metastatic/recurrent site, which has not previously been irradiated. 2. ECOG (Eastern Cooperative Oncology Group) PS (Performance status) ≤1 (Restricted in physically strenuous activity but ambulatory and able to carry out work of a light or sedentary nature \[eg, light housework or office work\]). Note: Patients with ECOG PS \>1 are ineligible. 3. Patients must have been born in Japan, and their biological parents and grandparents must all have been of Japanese origin 4. Willing and able to comply with clinic visits and study-related procedures 5. For Part 2, Cohorts D and E: Available tissue for retrospective testing using assay performed by a central laboratory, as specified in the study manual. Key Exclusion Criteria: 1. Ongoing or recent (within 5 years) evidence of significant autoimmune disease that requires treatment with systemic immunosuppressive treatments, which may suggest risk for Immune-mediated adverse event (imAE)s. The following are not exclusionary: vitiligo, childhood asthma that has resolved, residual hypothyroidism that requires only hormone replacement or psoriasis that does not require systemic treatment. 2. Untreated brain metastasis (es) that may be considered active. Patients with previously treated brain metastases may participate provided they are stable, there is no evidence of new or enlarging brain metastases, and the patient does not require any systemic corticosteroids for management of brain metastases within 4 weeks prior to the first dose of cemiplimab. 3. Immunosuppressive corticosteroid doses (\>10 mg prednisone daily or equivalent) within 4 weeks prior to the first dose of cemiplimab. 4. Any positive test (ribonucleic acid (RNA) or Deoxyribonucleic acid (DNA) by polymerase chain reaction) for hepatitis B, hepatitis C, or human immunodeficiency virus indicating uncontrolled active or chronic infection. 5. History of pneumonitis or interstitial lung disease 6. Surgery within 1 month of first dose and radiation therapy within 2 weeks of first dose 7. Completed palliative radiation therapy within the prior 2 weeks or has not recovered from any medically significant radiation-related Adverse Event (AE) 8. Patients that have never smoked, defined as smoking ≤100 cigarettes in a lifetime (Part 2) 9. Patients with tumors tested positive for epidermal growth factor receptor (EGFR) gene mutations, anaplastic lymphoma kinase (ALK) gene translocations, or ROS1 fusions (Part 2) Note: Other protocol defined inclusion/exclusion criteria apply.
Study Plan
Find out more about all the medication administered in this study, their detailed description and what they involve.6 intervention groups are designated in this study
This study does not include a placebo group
Treatment Groups
Group I
ExperimentalGroup II
ExperimentalGroup III
ExperimentalGroup IV
ExperimentalGroup 5
ExperimentalGroup 6
ExperimentalStudy Objectives
Primary Objectives
Secondary Objectives
Study Centers
These are the hospitals, clinics, or research facilities where the trial is being conducted. You can find the location closest to you and its status.This study has 20 locations
National Hospital Organization Nagoya Medical Center
Nagoya, JapanGunma Prefectural Cancer Center
Ōta, JapanKobe City Medical Center General Hospital
Kobe, Japan