A Phase 1 Study of REGN6569, an Anti-GITR mAB, with Cemiplimab in Patients with Advanced Solid Tumor Malignancies
Summary
There are two main goals of this study. The first is to find the highest safe dose of REGN6569 when given alone and with cemiplimab. The second is to get some initial information about how well the REGN6569 and cemiplimab combination may help to shrink tumors in certain types of cancer.
Objective
For dose escalation cohorts, the primary objective is to evaluate the safety and
tolerability of REGN6569 as monotherapy lead-in and in combination with
cemiplimab.
For dose expansion cohorts, the co-primary objectives are:
To assess the preliminary efficacy of REGN6569 in combination with
cemiplimab, as measured by objective response rate (ORR)
To assess the preliminary pharmacodynamic activity of REGN6569 as
lead-in monotherapy, as measured by intratumoral GITR+ Treg depletion
For dose escalation cohorts, the secondary objectives are:
To assess preliminary efficacy of REGN6569 in combination with
cemiplimab, as measured by ORR, disease control rate (DCR), duration
of response (DOR), progression-free survival (PFS), and overall survival
(OS)
To characterize the pharmacokinetics (PK) of REGN6569 alone and in
combination with cemiplimab
To assess the immunogenicity of REGN6569 and cemiplimab
For expansion cohorts, the secondary objectives are:
To characterize the safety profile in each expansion cohort
To assess preliminary efficacy of REGN6569 in combination with
cemiplimab, as measured by DCR, DOR, PFS, and OS
To characterize the PK of REGN6569 alone and in combination with
cemiplimab
To assess the immunogenicity of REGN6569 and cemiplimab
Dose escalation cohorts: Advanced stage (unresectable or metastatic) solid tumor malignancy, confirmed histologically or cytologically as defined in the protocol
Dose expansion cohorts: Advanced stage (unresectable or metastatic) head and neck squamous cell carcinoma, confirmed histologically or cytologically as defined in the protocol
Mandatory biopsies: Able and willing to provide tumor tissue at baseline and while on treatment, with at least 1 soft tissue lesion amenable to biopsy by ultrasound or computed tomography (CT)-guided biopsy
All Cohorts:
Has no prior history of immune checkpoint blockade (ICB) therapy
Has exhausted all approved available treatment options for their disease, with no standard therapy likely to convey clinical benefit as defined in the protocol
Has received any previous systemic biologic therapy within 5 half-lives of first dose of study therapy as defined in the protocol
Has any condition that requires ongoing/continuous corticosteroid therapy (>10 mg prednisone/day or anti-inflammatory equivalent) within 14 days prior to the first dose of study therapy
Has ongoing or recent (within 5 years) evidence of significant autoimmune disease that required treatment with systemic immunosuppressive treatments as defined in the protocol
Has a known history of, or any evidence of, interstitial lung disease, or active, non-infectious pneumonitis in the past 5 years. A history of radiation pneumonitis in the radiation field is permitted as long as pneumonitis resolved > 6 months prior to first dose of study therapy
Has uncontrolled infection with human immunodeficiency virus, hepatitis B or hepatitis C infection, or diagnosis of immunodeficiency
Has received a live vaccine within 4 weeks of planned start of study medication. For dose escalation only: Has received a COVID-19 vaccination within 1 week of planned start of study medication or for which the planned COVID-19 vaccinations would not be completed 1 week prior to start of study.
Has had prior allogeneic stem cell transplantation or received organ transplants at any time, or autologous stem cell transplantation
Note: Other protocol-defined Inclusion/ Exclusion criteria apply
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