Combinations of Cemiplimab (Anti-PD-1 Antibody) and Platinum-based Doublet Chemotherapy in Patients With Lung Cancer
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ClinicalTrials.gov Identifier: NCT03409614 |
Recruitment Status :
Active, not recruiting
First Posted : January 24, 2018
Last Update Posted : May 6, 2022
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The primary objectives of this study are:
Part 1: To compare the overall survival (OS) of cemiplimab/chemo-f and cemiplimab/chemo-l/ipi versus platinum-based doublet chemotherapy in the first-line treatment of patients with advanced squamous or nonsquamous non-small cell lung cancer (NSCLC) with tumors expressing PD-L1 in <50% of tumor cells.
Part 2: To compare the OS of cemiplimab/chemo-f with placebo/chemo-f in the first-line treatment of patients with advanced squamous or non-squamous NSCLC irrespective of PD-L1 expression.
The key secondary objectives are:
Part 1: To compare the progression-free survival (PFS) and objective response rate (ORR) of cemiplimab/chemo-f and cemiplimab/chemo-l/ipi versus chemo-f in the first-line treatment of patients with advanced squamous or non-squamous NSCLC and tumors expressing PD-L1 in <50% of tumor cells.
Part 2: To compare the PFS and ORR of cemiplimab/chemo-f versus placebo/chemo-f in the first-line treatment of patients with advanced squamous or non-squamous NSCLC irrespective of PD-L1 expression.
Condition or disease | Intervention/treatment | Phase |
---|---|---|
Non-small Cell Lung Cancer | Drug: REGN2810 Drug: REGN2810/chemo/ipi Other: Chemotherapy Drug: Placebo | Phase 3 |
Study Type : | Interventional (Clinical Trial) |
Actual Enrollment : | 790 participants |
Allocation: | Randomized |
Intervention Model: | Parallel Assignment |
Masking: | Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor) |
Masking Description: | Part 1: Open label Part 2: Double blind |
Primary Purpose: | Treatment |
Official Title: | A Two-Part Randomized, Phase 3 Study of Combinations of Cemiplimab (Anti-PD-1 Antibody) and Platinum-based Doublet Chemotherapy in First-line Treatment of Patients With Advanced or Metastatic Non-Small Cell Lung Cancer |
Actual Study Start Date : | March 6, 2018 |
Estimated Primary Completion Date : | July 28, 2023 |
Estimated Study Completion Date : | July 28, 2023 |

Arm | Intervention/treatment |
---|---|
Chemo
Part 1: Chemotherapy
|
Other: Chemotherapy
Platinum-based doublet chemotherapy Part 1 Drug: Placebo Matching placebo Part 2 |
Experimental: REGN2810+Chemo Part 1
Part 1: REGN2810+chemo
|
Drug: REGN2810
REGN2810 plus Platinum-based doublet chemotherapy Part 1 and Part 2
Other Name: cemiplimab |
Experimental: REGN2810+AbbrevChemo+ipi
Part 1: REGN2810+abbrev chemo+ipi
|
Drug: REGN2810/chemo/ipi
REGN2810 plus abbreviated chemotherapy plus Ipilimumab Part 1
Other Name: cemiplimab |
Experimental: Placebo+Chemo
Part 2: Placebo plus chemo
|
Drug: Placebo
Matching placebo Part 2 |
Experimental: REGN2810+Chemo Part 2
Part 2: REGN2810+chemo
|
Drug: REGN2810
REGN2810 plus Platinum-based doublet chemotherapy Part 1 and Part 2
Other Name: cemiplimab |
- Overall survival [ Time Frame: Up to 32 months ]
- Progression-free survival [ Time Frame: Up to 32 months ]
- Objective response rate [ Time Frame: Up to 32 months ]
- Duration of Response (DOR) [ Time Frame: Up to 32 months ]
- Best overall response (BOR) [ Time Frame: Up to 32 months ]
- Incidence of Treatment-emergent adverse events (TEAEs) [ Time Frame: Up to 32 months ]
- Incidence of Dose-limiting toxicities (DLTs) [ Time Frame: Up to 32 months ]Part 1 only
- Incidence of serious adverse events (SAEs) [ Time Frame: Up to 32 months ]
- Incidence of deaths [ Time Frame: Up to 32 months ]
- Incidence of laboratory abnormalities [ Time Frame: Up to 32 months ]
- Overall survival rate [ Time Frame: 12 months ]
- Overall survival rate [ Time Frame: 18 months ]
- Overall survival rate [ Time Frame: 24 months ]
- Quality of life as measured by EORTC QLQ-C30 [ Time Frame: Up to 32 months ]European Organization for Research and Treatment of Cancer Quality of Life Questionnaire Core 30 (EORTC QLQ-C30)
- Quality of life as measured by EORTC QLQ-LC13 [ Time Frame: Up to 32 months ]Quality of Life Questionnaire Lung Cancer 13 (EORTC QLQ-LC13)

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Ages Eligible for Study: | 18 Years and older (Adult, Older Adult) |
Sexes Eligible for Study: | All |
Accepts Healthy Volunteers: | No |
Key Inclusion Criteria:
- Men and women ≥20 years of age for Japanese patients
- Patients with histologically or cytologically documented squamous or non-squamous NSCLC with stage IIIB or IIIC disease who are not candidates for treatment with definitive concurrent chemoradiation or patients with stage IV disease if they have not received prior systemic treatment for recurrent or metastatic NSCLC
- Availability of an archival (≤5 months) or on-study obtained formalin-fixed, paraffin-embedded tumor tissue sample from a metastatic or recurrent site, which has not previously been irradiated
- Part 1 only: Expression of PD-L1 in <50% of tumor cells determined by a commercially available assay performed by the central laboratory
- At least 1 radiographically measurable lesion by computed tomography (CT) or magnetic resonance imaging (MRI) per RECIST 1.1 criteria. Target lesions may be located in a previously irradiated field if there is documented (radiographic) disease progression in that site
- Eastern Cooperative Oncology Group (ECOG) performance status of ≤1
- Anticipated life expectancy of at least 3 months
Key Exclusion Criteria:
- Part 1 only: Patients who have never smoked, defined as smoking ≤100 cigarettes in a lifetime
- Active or untreated brain metastases or spinal cord compression
- Patients with tumors tested positive for Epidermal growth factor receptor (EGFR) gene mutations, Anaplastic lymphoma kinase (ALK) gene translocations, or C-ros oncogene receptor tyrosine kinase(ROS1) fusions
- Encephalitis, meningitis, or uncontrolled seizures in the year prior to enrollment
- History of interstitial lung disease (eg, idiopathic pulmonary fibrosis or organizing pneumonia), of active, noninfectious pneumonitis that required immune-suppressive doses of glucocorticoids to assist with management, or of pneumonitis within the last 5 years
- Ongoing or recent evidence of significant autoimmune disease that required treatment with systemic immunosuppressive treatments, which may suggest risk of immune-related treatment-emergent adverse events (irTEAEs)
- Patients with a condition requiring corticosteroid therapy (>10 mg prednisone/day or equivalent) within 14 days of randomization
Note: Other protocol defined Inclusion/Exclusion criteria may apply

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT03409614

Study Director: | Clinical Trial Management | Regeneron Pharmaceuticals |
Responsible Party: | Regeneron Pharmaceuticals |
ClinicalTrials.gov Identifier: | NCT03409614 |
Other Study ID Numbers: |
R2810-ONC-16113 2017-001311-36 ( EudraCT Number ) |
First Posted: | January 24, 2018 Key Record Dates |
Last Update Posted: | May 6, 2022 |
Last Verified: | May 2022 |
Studies a U.S. FDA-regulated Drug Product: | Yes |
Studies a U.S. FDA-regulated Device Product: | No |
Stage IIIB Stage IIIC Stage IV Non-squamous NSCLC Squamous NSCLC |
Lung Neoplasms Carcinoma, Non-Small-Cell Lung Respiratory Tract Neoplasms Thoracic Neoplasms Neoplasms by Site Neoplasms Lung Diseases |
Respiratory Tract Diseases Carcinoma, Bronchogenic Bronchial Neoplasms Cemiplimab Antineoplastic Agents, Immunological Antineoplastic Agents |