Status:

ACTIVE_NOT_RECRUITING

Study Evaluating Cemiplimab Alone and Combined With RP1 in Treating Advanced Squamous Skin Cancer

Lead Sponsor:

Replimune Inc.

Collaborating Sponsors:

Regeneron Pharmaceuticals

Conditions:

Cutaneous Squamous Cell Carcinoma

Advanced Cutaneous Squamous Cell Carcinoma

Eligibility:

All Genders

18+ years

Phase:

PHASE2

Brief Summary

To estimate the clinical benefit of cemiplimab monotherapy versus cemiplimab in combination with RP1 for patients with locally advanced or metastatic CSCC, as assessed by overall response rate (ORR) a...

Detailed Description

RP1 is a selectively replication competent herpes simplex virus type 1(HSV-1). This is a Phase 1/2, open-label, multicenter repeat-dosing study of RP1 alone and in combination with nivolumab in patien...

Eligibility Criteria

Inclusion

  • Key
  • Histologically confirmed locally advanced or metastatic cutaneous squamous cell carcinoma
  • Patients with locally advanced disease who are not suitable candidates for surgical or radiological treatment of lesions or have refused those treatments
  • At least 1 lesion that is measurable and injectable by study criteria
  • Eastern Cooperative Oncology Group (ECOG) performance status ≤1. Patients with ECOG PS 2 at baseline may be allowed to enroll if PS 2 status is only related to the CSCC disease under study
  • Anticipated life expectancy \>12 weeks
  • All patients must consent to provide archived or newly obtained tumor material for central pathology review for confirmation of diagnosis of CSCC.
  • Key

Exclusion

  • Prior treatment with an oncolytic therapy
  • Patients with active significant herpetic infections or prior complications of HSV-1 infection (e.g. herpetic keratitis or encephalitis)
  • Patients who require intermittent or chronic use of systemic (oral or intravenous) anti-virals with known anti-herpetic activity (e.g. acyclovir)
  • Ongoing or recent (within 5 years) evidence of significant autoimmune disease that required treatment with systemic immunosuppressive treatments
  • Prior treatment with an agent that blocks the PD-1/PD-L1 pathway.
  • Prior treatment with other immune modulating agents other than as adjuvant or neoadjuvant therapy within 3 years.
  • Untreated brain metastasis(es) that may be considered active.
  • Acute or chronic active hepatitis B or known history of hepatitis B or hepatitis C or human immunodeficiency virus (HIV) infection
  • History of ILD/pneumonitis within the last 5 years or a history of ILD/pneumonitis requiring treatment with systemic steroids.
  • Any major or surgical procedure ≤ 28 days before randomization
  • Administration of live vaccines ≤ 28 days before randomization
  • Note: Other protocol defined Inclusion/Exclusion criteria apply.

Key Trial Info

Start Date :

October 8 2019

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

September 1 2025

Estimated Enrollment :

231 Patients enrolled

Trial Details

Trial ID

NCT04050436

Start Date

October 8 2019

End Date

September 1 2025

Last Update

January 27 2025

Active Locations (56)

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Page 1 of 14 (56 locations)

1

University of California San Diego

La Jolla, California, United States, 92093

2

University of California Los Angeles

Los Angeles, California, United States, 90024

3

Stanford University

Stanford, California, United States, 94305

4

University of Colorado Cancer Center

Aurora, Colorado, United States, 80045