Isatuximab in Combination With REGN2810 (Cemiplimab) in Patients With Advanced Malignancies

NCT ID: NCT03367819

Last Updated: 2022-05-16

Study Results

Results available

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Basic Information

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Recruitment Status

TERMINATED

Clinical Phase

PHASE1/PHASE2

Total Enrollment

44 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-01-04

Study Completion Date

2021-03-10

Brief Summary

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Primary Objectives:

* To characterize the safety and tolerability of isatuximab in combination with REGN2810 in participants with metastatic, castration-resistant prostate cancer (mCRPC) who were naïve to anti-programmed cell death-1 (PD-1)/programmed cell death-ligand 1 (PD-L1)-containing therapy, or non-small cell lung cancer (NSCLC) who progressed on anti-PD-1/PD-L1-containing therapy, and to confirm the recommended Phase 2 dose (RP2D).
* To assess the response rate of isatuximab in combination with REGN2810 in participants with either mCRPC who were anti-PD-1/PD-L1 therapy naive, or NSCLC who progressed on anti-PD-1/PD-L1 therapy, or of isatuximab as single agent in participants with mCRPC.

Secondary Objectives:

* To evaluate the safety of the combination of isatuximab with REGN2810 or isatuximab monotherapy.
* To evaluate the immunogenicity of isatuximab and REGN2810.
* To characterize the pharmacokinetic (PK) profile of isatuximab single agent or in combination with REGN2810, and to characterize the PK of REGN2810 in combination with isatuximab.
* To assess overall efficacy of isatuximab in combination with REGN2810 or as a single agent.

Detailed Description

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The total study duration per participant was up to 28 months including an up to 28 days screening period, an up to 24 months treatment period, and a 3 months safety follow up period.

Conditions

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Prostate Cancer Non-small Cell Lung Cancer

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Random assignment used only for allocation to Cohort A-1 or A-2
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Phase 1: mCRPC/NSCLC

Isatuximab dose 1 and REGN2810 predefined dose

Group Type EXPERIMENTAL

Isatuximab SAR650984

Intervention Type DRUG

Pharmaceutical form: solution for infusion

Route of administration: intravenous

Cemiplimab REGN2810

Intervention Type DRUG

Pharmaceutical form: solution for infusion

Route of administration: intravenous

Cohort A-1: mCRPC, isatuximab and REGN2810 combination

Participants with mCRPC will be given isatuximab dose determined in Phase 1 arm of study and REGN2810 predefined dose

Group Type EXPERIMENTAL

Isatuximab SAR650984

Intervention Type DRUG

Pharmaceutical form: solution for infusion

Route of administration: intravenous

Cemiplimab REGN2810

Intervention Type DRUG

Pharmaceutical form: solution for infusion

Route of administration: intravenous

Cohort A-2: mCRPC, isatuximab monotherapy

Participants with mCRPC will be given isatuximab dose 2

Group Type EXPERIMENTAL

Isatuximab SAR650984

Intervention Type DRUG

Pharmaceutical form: solution for infusion

Route of administration: intravenous

Phase 2 Cohort B: NSCLC

Participants with NSCLC will be given isatuximab dose determined in Phase 1 arm of study and REGN2810 predefined dose

Group Type EXPERIMENTAL

Isatuximab SAR650984

Intervention Type DRUG

Pharmaceutical form: solution for infusion

Route of administration: intravenous

Cemiplimab REGN2810

Intervention Type DRUG

Pharmaceutical form: solution for infusion

Route of administration: intravenous

Possibly Phase 2 Cohort C: mCRPC

Isatuximab dose 3 will be given in combination with REGN2810 predefined dose or isatuximab dose 3 will be given as monotherapy in participants with mCRPC

Group Type EXPERIMENTAL

Isatuximab SAR650984

Intervention Type DRUG

Pharmaceutical form: solution for infusion

Route of administration: intravenous

Cemiplimab REGN2810

Intervention Type DRUG

Pharmaceutical form: solution for infusion

Route of administration: intravenous

Possibly Phase 2 Cohort D: NSCLC

Isatuximab dose 3 will be given in combination with REGN2810 predefined dose

Group Type EXPERIMENTAL

Isatuximab SAR650984

Intervention Type DRUG

Pharmaceutical form: solution for infusion

Route of administration: intravenous

Cemiplimab REGN2810

Intervention Type DRUG

Pharmaceutical form: solution for infusion

Route of administration: intravenous

Interventions

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Isatuximab SAR650984

Pharmaceutical form: solution for infusion

Route of administration: intravenous

Intervention Type DRUG

Cemiplimab REGN2810

Pharmaceutical form: solution for infusion

Route of administration: intravenous

Intervention Type DRUG

Other Intervention Names

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Sarclisa

Eligibility Criteria

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Inclusion Criteria

* Participants must had a known diagnosis of either metastatic castration-resistant prostate cancer (mCRPC) or non-small cell lung cancer (NSCLC) with evidence of measurable disease.
* Failure of, inability to, or refusal to receive standard of care.
* Greater than or equal to (\>=) 18 years of age.

Exclusion Criteria

* Prior exposure to isatuximab or participation in clinical studies with isatuximab.
* For participants with mCRPC, prior exposure to any agent (approved or investigational) that blocks the PD-1/PD-L1 pathway.
* Evidence of other immune related disease /conditions.
* History of non-infectious pneumonitis requiring steroids or current pneumonitis; history of the thoracic radiation.
* Had received a live-virus vaccination within 28 days of planned treatment start. Seasonal flu vaccines that do not contain live virus were permitted.
* Prior solid organ or hematologic transplant.
* Eastern Cooperative Oncology Group performance status (PS) \>=2.
* Poor bone marrow reserve.
* Poor organ function.

The above information was not intended to contain all considerations relevant to a participant's potential participation in a clinical trial.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Sanofi

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Clinical Sciences & Operations

Role: STUDY_DIRECTOR

Sanofi

Locations

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Investigational Site Number 8400003

Birmingham, Alabama, United States

Site Status

Investigational Site Number 8400007

Atlanta, Georgia, United States

Site Status

Investigational Site Number 8400002

Hackensack, New Jersey, United States

Site Status

Investigational Site Number 8400005

Nashville, Tennessee, United States

Site Status

Investigational Site Number 8400004

Houston, Texas, United States

Site Status

Investigational Site Number 2500002

Bordeaux, , France

Site Status

Investigational Site Number 2500001

Villejuif, , France

Site Status

Investigational Site Number 3800003

Rozzano, Milano, Italy

Site Status

Investigational Site Number 3800001

Orbassano, Torino, Italy

Site Status

Investigational Site Number 3800006

Napoli, , Italy

Site Status

Investigational Site Number 3800004

Padua, , Italy

Site Status

Investigational Site Number 3800005

Verona, , Italy

Site Status

Investigational Site Number 1580002

Tainan City, , Taiwan

Site Status

Investigational Site Number 1580001

Taipei, , Taiwan

Site Status

Investigational Site Number 8260001

Sutton, Surrey, United Kingdom

Site Status

Investigational Site Number 8260002

Newcastle upon Tyne, , United Kingdom

Site Status

Countries

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United States France Italy Taiwan United Kingdom

References

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Zucali PA, Lin CC, Carthon BC, Bauer TM, Tucci M, Italiano A, Iacovelli R, Su WC, Massard C, Saleh M, Daniele G, Greystoke A, Gutierrez M, Pant S, Shen YC, Perrino M, Meng R, Abbadessa G, Lee H, Dong Y, Chiron M, Wang R, Loumagne L, Lepine L, de Bono J. Targeting CD38 and PD-1 with isatuximab plus cemiplimab in patients with advanced solid malignancies: results from a phase I/II open-label, multicenter study. J Immunother Cancer. 2022 Jan;10(1):e003697. doi: 10.1136/jitc-2021-003697.

Reference Type DERIVED
PMID: 35058326 (View on PubMed)

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Other Identifiers

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2017-002846-61

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

U1111-1197-7792

Identifier Type: REGISTRY

Identifier Source: secondary_id

ACT15319

Identifier Type: -

Identifier Source: org_study_id

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