Suspended

Cemiplimab and Fianlimab Safety and Pharmacokinetics in Lung Cancer Patients

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Study Aim

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.

What is being tested

Cemiplimab

+ Ipilimumab

+ Platinum-doublet chemotherapy

Drug
Who is being recruted

Over 20 Years
See all eligibility criteria
How is the trial designed

Treatment Study

Phase 1
Interventional
Study Start: June 2017
See protocol details

Summary

Principal SponsorRegeneron Pharmaceuticals
Last updated: February 13, 2026
Sourced from a government-validated database.Claim as a partner

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.

Official TitleA Phase 1 Study to Investigate the Safety and Pharmacokinetics of Cemiplimab (Anti-PD-1) and Other Agents in Japanese Patients With Advanced Malignancies
NCT03233139
Principal SponsorRegeneron Pharmaceuticals
Last updated: February 13, 2026
Sourced from a government-validated database.Claim as a partner

Protocol

This section provides details of the study plan, including how the study is designed and what the study is measuring.
Design Details

146 patients to be enrolled

Total number of participants that the clinical trial aims to recruit.

Treatment Study

These studies test new ways to treat a disease, condition, or health issue. The goal is to see if a new drug, therapy, or approach works better or has fewer side effects than existing options.



Eligibility

Researchers look for people who fit a certain description, called eligibility criteria: person's general health condition or prior treatments.
Criteria

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.
Treatment Groups
Study Objectives

6 intervention groups are designated in this study

This study does not include a placebo group 

Treatment Groups

Group I

Experimental
Part 1

Group II

Experimental
Part 2

Group III

Experimental
Part 2

Group IV

Experimental
Part 2

Group 5

Experimental
Part 2

Group 6

Experimental
Part 2

Study 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

Suspended

Kurume University Hospital

Kurume, JapanOpen Kurume University Hospital in Google Maps
Suspended

National Hospital Organization Nagoya Medical Center

Nagoya, Japan
Suspended

Gunma Prefectural Cancer Center

Ōta, Japan
Suspended

Kobe City Medical Center General Hospital

Kobe, Japan
Suspended20 Study Centers