REGN7075 + Cemiplimab for Advanced Cancer
(COMBINE-EGFR-1 Trial)
What You Need to Know Before You Apply
What is the purpose of this trial?
This trial tests a new drug, REGN7075 (an EGFRxCD28 costimulatory bispecific antibody), both alone and with cemiplimab (also known as Libtayo), to determine their effectiveness in treating certain advanced solid tumors. Researchers aim to identify the safest and most effective dose of REGN7075, either alone or with cemiplimab, and to understand its mechanism in the body and its side effects. Individuals with certain advanced cancers, such as specific lung or breast cancers, who have not previously received PD-1/PD-L1 drugs, may qualify. As a Phase 1 trial, this research focuses on understanding the treatment's effects in people, offering participants the opportunity to be among the first to receive this new therapy.
Will I have to stop taking my current medications?
The trial requires that you stop taking certain medications before starting, such as any approved systemic therapy, recent anti-EGFR antibody therapy, or previous systemic non-immunomodulatory biologic therapy within 4 weeks of the study drug. If you're on corticosteroids, you may need to stop or reduce them 1-2 weeks before starting the trial.
Is there any evidence suggesting that this trial's treatments are likely to be safe?
Research has shown that REGN7075, when combined with cemiplimab, demonstrates promising safety results. In earlier studies, no patients experienced serious side effects that limited the dose, indicating the treatment was well-tolerated at the tested amounts. Cemiplimab, already approved for some cancers, has a known safety record. Serious side effects occurred in about 25% of patients, similar to other cancer treatments. Overall, these findings suggest that both REGN7075 and cemiplimab are generally well-tolerated, with manageable side effects.12345
Why are researchers excited about this trial's treatments?
Researchers are excited about Cemiplimab and REGN7075 for advanced cancer because they work in a unique way compared to standard treatments. Cemiplimab is an immune checkpoint inhibitor that unleashes the body's T-cells to attack cancer by blocking the PD-1 pathway, a mechanism not used by traditional chemotherapy. REGN7075 is an innovative bispecific antibody that connects T-cells directly to cancer cells, potentially enhancing the immune attack. This combination could offer a more targeted and robust approach to fighting various types of cancer, including those that are resistant to current therapies.
What evidence suggests that this trial's treatments could be effective for advanced solid tumors?
Research has shown that REGN7075, a new type of antibody, may help treat tumors that typically resist the immune system. Participants in this trial may receive REGN7075, which has shown promise in treating a challenging type of colorectal cancer, even when it has metastasized to the liver. Another treatment option in this trial is cemiplimab, which past studies have found to shrink tumors. Specifically, cemiplimab completely eliminated tumors in 20% of patients and reduced them in 27% of patients with advanced cancers. This trial will explore combining REGN7075 with cemiplimab to enhance the immune system's response to advanced solid tumors, offering hope for improved treatment outcomes.678910
Who Is on the Research Team?
Clinical Trial Management
Principal Investigator
Regeneron Pharmaceuticals
Are You a Good Fit for This Trial?
Adults with advanced solid tumors who have never been treated with PD-1/PD-L1 inhibitors, have a measurable lesion, are in good physical condition (ECOG 0 or 1), and can provide a new tumor tissue sample. They must not be on other clinical trials, haven't had certain treatments recently, don't have brain tumors or CNS issues, no significant autoimmune disease requiring immunosuppressants, and no second active cancer.Inclusion Criteria
Exclusion Criteria
Timeline for a Trial Participant
Screening
Participants are screened for eligibility to participate in the trial
Dose Escalation
Participants receive escalating doses of REGN7075 to determine the maximum tolerated dose
Dose Expansion
Participants receive the determined dose of REGN7075 in combination with cemiplimab, with or without chemotherapy, to evaluate safety and efficacy
Follow-up
Participants are monitored for safety and effectiveness after treatment
What Are the Treatments Tested in This Trial?
Interventions
- Cemiplimab
- REGN7075
Cemiplimab is already approved in European Union, United States, Canada, Brazil for the following indications:
- Cutaneous squamous cell carcinoma (CSCC)
- Non-small cell lung cancer (NSCLC)
- Cutaneous squamous cell carcinoma (CSCC)
- Basal cell carcinoma (BCC)
- Non-small cell lung cancer (NSCLC)
- Cutaneous squamous cell carcinoma (CSCC)
- Non-small cell lung cancer (NSCLC)
- Cutaneous squamous cell carcinoma (CSCC)
Find a Clinic Near You
Who Is Running the Clinical Trial?
Regeneron Pharmaceuticals
Lead Sponsor
Leonard Schleifer
Regeneron Pharmaceuticals
Chief Executive Officer since 1988
MD and PhD in Medicine
George Yancopoulos
Regeneron Pharmaceuticals
Chief Medical Officer since 1997
MD from Harvard Medical School