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Cemiplimab

Phase 3

Cutaneous Squamous Cell Carcinoma | Small molecule | Oncology |Regeneron Pharmaceuticals, Inc.|Last Updated: Jul 8, 2026

Success Probability
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Trial Design
RandomizedDouble-BlindPLACEBO_CONTROLLEDDMCBiomarker
Total Trials4
Total Enrollment603
FDA Designations
No designations recorded
Clinical trial landscape

Cemiplimab · 27 trials · 37 indications

Phase 3 4Phase 2 13Phase 1 10
NCT06585410Study of Intralesional Cemiplimab in Adult Patients With Early Stage Cutaneous Squamous Cell CarcinomaCutaneous Squamous Cell Carcinoma (CSCC)
RECRUITING369 Analytics
NCT03969004Study of Adjuvant Cemiplimab Versus Placebo After Surgery and Radiation Therapy in Patients With High Risk Cutaneous Squamous Cell CarcinomaCutaneous Squamous Cell Carcinoma
ACTIVE NOT_RECRUITING415 Analytics
NCT03257267Study of Cemiplimab in Adults With Cervical CancerSquamous Cell Carcinoma (SCC)
COMPLETED608 Analytics
NCT03088540Study of REGN 2810 Compared to Platinum-Based Chemotherapies in Participants With Metastatic Non-Small Cell Lung Cancer (NSCLC)Carcinoma,Non-Small-Cell Lung
COMPLETED712 Analytics
PHASE3RECRUITING
Study of Intralesional Cemiplimab in Adult Patients With Early Stage Cutaneous Squamous Cell Carcinoma
Cutaneous Squamous Cell Carcinoma (CSCC)Unlock trial analytics
PHASE3ACTIVE NOT_RECRUITING
Study of Adjuvant Cemiplimab Versus Placebo After Surgery and Radiation Therapy in Patients With High Risk Cutaneous Squamous Cell Carcinoma
Cutaneous Squamous Cell CarcinomaUnlock trial analytics
PHASE3COMPLETED
Study of Cemiplimab in Adults With Cervical Cancer
Squamous Cell Carcinoma (SCC)Unlock trial analytics
PHASE3COMPLETED
Study of REGN 2810 Compared to Platinum-Based Chemotherapies in Participants With Metastatic Non-Small Cell Lung Cancer (NSCLC)
Carcinoma,Non-Small-Cell LungUnlock trial analytics
Study Endpoints
Primary Endpoints
Event-Free Survival (EFS) as assessed by the investigator
Up to 1 year
EFS as assessed by the investigator
Up to 3 years
DFS defined as time from randomization to the first documented disease recurrence (local, regional and/or distant); or death due to any cause.
Up to 54 months

For patients who do not have a tumor recurrence or death, DFS will be censored on the date of last disease assessment.

Overall Survival (OS)
From first dose up to 90 following last dose (~42 months)

Overall survival was defined as the time from randomization to the date of death due to any cause. A participant who had not died was censored at the last known date of contact.

Overall Survival (OS) in the SCC Population
From first dose up to 90 following last dose (~42 months)

Overall survival was defined as the time from randomization to the date of death due to any cause. A participant who had not died was censored at the last known date of contact.

Progression-free Survival (PFS) Per Blinded IRC
Up to 94 months

PFS as assessed by blinded IRC per RECIST 1.1 was defined as the time from randomization to the date of the first documented tumor progression, or death due to any cause, whichever occurred earlier.

Rate of conversion to resectable disease and subsequent surgical resection
6 months from start of study treatment

Successful conversion to resectable disease must meet all of the following criteria: * Absence of extra-regional lymph node metastases, including retropancreatic or paraceliac lymph node involvement * Absence of invasion of the portal vein or main hepatic artery * Absence of extrahepatic organ tumor invasion, except for contiguous involvement of the diaphragm * Absence of bilobar liver involvement, including bilateral bile duct involvement to the secondary radicles * If right or left hepatic lobe atrophy, absence of contralateral secondary biliary radicle involvement * Absence of disseminated metastatic disease * Adequate estimated liver remnant after surgery (This may be achieved with portal vein embolization.) * Tumor resected.

To evaluate the activity of the combination of double immunotherapy anti-LAG3+ anti-PD-1 and pemetrexed+platinum chemotherapy
6 months after randomisation.

The primary endpoint is 6-month disease control rate (DCR). The analysis will be conducted in the FAS population. DCR is defined as the proportion of patients who have achieved at 6 months an overall response of CR, PR or stable disease (SD), as assessed by an independant review committee (IRC) per RECIST v1.1 modified for mesothelioma.

Proportion of patients with progression-free survival of oligo-metastatic clear cell renal cell carcinoma (ccRCC) patients following stereotactic body radiation therapy (SBRT) and up to one-year of treatment with cemiplimab or cemiplimab plus fianlimab.
1 year

Comparison of the 1-year progression-free survival between patients with oligo-metastatic ccRCC treated with cemiplimab alone versus those treated with both cemiplimab and fianlimab following SBRT.

Clinical Complete Response
16 weeks

Rate of clinical complete response after 4 cycles of neoadjuvant chemoimmunotherapy. Complete clinical response will be defined as: * No high-grade malignancy on repeat TURBT * No malignant cells on urine cytology * No definitive evidence of invasive local or metastatic disease on cross-sectional imaging (CT chest, abdomen, and pelvis with contrast or, if renal dysfunction, MRI with contrast) Cytoscopy and imaging should occur within 4 weeks of end of neoadjuvant therapy.

Objective response rate (ORR)
Up to 6 months post surgery (up to Day 309 +/- 3 days)

Defined by responders at surgery using clinical assessment and RECIST v1.1. Results will be summarized with frequency counts, percentages, and exact Clopper-Pearson 95% CIs. Tumor response will follow RECIST v1.1: up to five target lesions (max two per organ) measured by longest diameter (non-nodal) or short axis (nodal). Complete Response is disappearance of all target lesions and lymph nodes \<10 mm. Partial Response is ≥30% decrease from baseline. Progressive Disease is ≥20% increase (and ≥5 mm growth) from the smallest on-study sum or the appearance of new lesions. Stable Disease applies when changes do not meet PR or PD. Reasons for unevaluable cases will be documented.

Disease control rate (DCR)
Up to 6 months post surgery (up to Day 309 +/- 3 days)

Defined responders plus stable disease using clinical assessment and RECIST v1.1. Results will be summarized by frequency counts, percentages, and exact Clopper-Pearson 95% CIs. Tumor response will follow RECIST v1.1: up to five target lesions (no more than two per organ) measured by longest diameter (non-nodal) or short axis (nodal). Complete Response is disappearance of all target lesions and lymph nodes \<10 mm. Partial Response is ≥30% decrease from baseline. Progressive Disease is ≥20% increase (and ≥5 mm growth) from the smallest on-study sum or new lesions. Stable Disease applies when changes do not meet PR or PD. Reasons for unevaluable cases will be documented.

Progression-free survival (PFS) at Month 6 (PFS6)
Start of treatment through 6 months after start of treatment (month 6)

PFS6 as defined from the time of treatment start to the time of progression (based on clinical assessment and imaging per Immunotherapy Response Assessment in Neuro-Oncology (iRANO)) or death, whichever is earlier, or last follow-up if neither progression nor death event is observed. PFS6 will be estimated as the empirical PFS probability at Month 6 using the Kaplan-Meier method.

Overall survival (OS) at Month 18 (OS18)
Start of treatment through 18 months after start of treatment (month 18)

OS as defined from the time of treatment start to the time of death or last follow up if surviving; OS-18 is further estimated as the empirical OS probability at Month 18 using the Kaplan-Meier method.

Major pathologic response (MPR) rate as determined by central blinded independent pathology review (BIPR)
Up to 12 weeks
Pathological complete response (pCR) rate as assessed by Blinded Independent Pathological Review (BIPR)
Up to 1 year
Number of Participants With Pathologic Complete Response (pCR) as Assessed by Independent Central Pathology Review
Up to 12 weeks
Major pathologic response (MPR) at time of surgery for the NSCLC cohorts
At time of surgery

Cohorts A1, A2, A3

Significant tumor necrosis (STN) at time of surgery is the primary endpoint for the HCC cohorts
At time of surgery

Cohort B, B2, B3

Major treatment effect (MTE) at time of surgery is the primary endpoint for the HNSCC cohort
At time of surgery

Cohort C

Objective Response Rate (ORR) as Assessed by Independent Central Review (ICR)
Up to 1422 days (approximately 46 months)

ORR was defined as percentage of participants with best overall response of complete response (CR) or partial response (PR) according to RECIST v1.1 assessed as per ICR assessment. CR: Disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to less than (\<) 10 millimeter (mm) (\< 1 centimeter \[cm\]). PR: At least a 30 percent (%) decrease in the sum of the diameters of target lesions, taking as reference the baseline sum diameters. ORR was determined by Clopper-Pearson method.

Overall Response Rate (ORR) by Independent Central Review
Up to 108 weeks

ORR was defined as percentage of participants with best overall response (BOR) of complete response (CR) or partial response (PR). For participants with metastatic disease, Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1 was used to determine BOR. For participants with unresectable locally advanced disease, clinical response criteria were used. RECIST v1.1 Criteria: -CR: Disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to \<10 millimeter (mm) \<1 (centimeter (cm). -PR: At least a 30% decrease in the sum of the diameters of target lesions, taking as reference the baseline sum diameters. Clinical Response Criteria: -CR: All target and nontarget lesion(s) no longer visible, maintained for at least 4 weeks and no new lesions. -PR: Decrease of at least 50% in the sum the products of perpendicular longest dimensions of target lesion(s), maintained for at least 4 weeks and no new lesions.

Incidence adverse events (AE) and treatment-related AEs (TRAEs) assessed by NCI CTCAE v5.0
During DLT evaluation period, the first 3 weeks of treatment for each patient

The incidence of DLTs evaluated in Phase Ib: considered as the rate of patients who experience adverse events (AE) and treatment-related AEs (TRAEs) assessed by NCI CTCAE v5.0 which may be considered DLTs.

Relapse-Free Survival (RFS) rate at 3 years.
Throughout the study period, at 3 years from the start of treatment

Relapse-Free Survival (RFS) rate at 3 years evaluated in Phase II study. 3-years RFS rate is defined as the percentage of patients free of locoregional progression or recurrence or new basocellular tumors, distant metastasis (RECIST v 1.1) or death due to any cause after 3 years from the date of study treatment. Patients not presenting any of the previous events will be censored at the date of last assessment. RFS will be summarized using the Kaplan-Meier method and displayed graphically where appropriate. The Cox proportional hazards model will be fitted to compute the hazard ratios on potential stratified groups if applicable. RFS will be calculated as median / mean (95% CI) for each cohort and RFS rate for different timepoints as applicable.The primary endpoint will be assessed locally and centrally. Central assessment will be prioritized for the primary endpoint.

Dose-limiting toxicity (DLT)
During first cycle of cemiplimab (day 14)

The dose-limiting toxicity (DLT) will be the basis for safety and toxicity of Cemiplimab -TP that will be measured and reported only during the first cycle of Cemiplimab -TP for the first 6 study objects in each cohort A and B since the majority of the DLT occurs after the first treatment cycle in multiple phase I oncology clinical trials. DLTs must be related to a study drug, cemiplimab. Known and expected chemotherapy (TP, standard of care) adverse events not related to cemiplimab will not be defined as DLTs.

Rate of Renal Transplant Rejection (Cohort 2) or GVHD (Cohort 1).
First dose of study treatment up to 100 days

The proportions of patients who have observed GVHD in Cohort 1 or renal transplant rejection in Cohort 2. Participants will be evaluable for from the time of their first treatment.

Occurrence of Treatment Emergent Adverse Events (TEAEs)
Up to 26 months
Severity of TEAEs
Up to 26 months
Progression Free Survival (PFS)
12 months
Incidence of treatment emergent adverse events (TEAEs)
Up to 18 months

Part 1a

Incidence of adverse events of special interest (AESIs)
Up to 18 months

Part 1a

Incidence of adverse events of dose limiting toxicities (DLTs)
Up to 18 months

Part 1a

Manufacturing feasibility of 27T51
Up to 3 years

Phase 1a/1b Determination of the feasibility of manufacturing 27T51 is measured by the percent of leukapheresis products collected that are able to be manufactured and released for infusion.

Overall response rate (ORR) as assessed by the investigator
Up to 48 months

Phase 1b

Incidence and severity of treatment-emergent adverse events (TEAEs)
Up to day 8, after the infusion of 89Zr˗DFO˗REGN5054

Part A

Incidence and severity of TEAEs
Up to approximately week 115

Part A and B

Incidence, nature, and severity of dose limiting toxicities (DLTs) (if any) graded according to the National Cancer Institute-Common Terminology Criteria for Adverse Events (NCI CTCAE) v5
From the first dose through day 28

Dose levels 1-3

Incidence, nature, and severity of treatment-emergent adverse events (TEAEs) graded according to the National Cancer Institute-Common Terminology Criteria for Adverse Events (NCI CTCAE) v5
From the first dose to 90 days after the last dose

Dose levels 1-3

Incidence and severity of TEAEs graded according to the NCI CTCAE v5
From the first dose up to 90 days after the last dose
The incidence and severity of injection site reactions (ISRs)
From the first dose to 90 days after the last dose
Incidence and severity of treatment-emergent adverse events (TEAEs) in patients treated with cemiplimab as monotherapy
Up to 136 weeks
Incidence and severity of TEAEs in patients treated with cemiplimab in combination with other agents
Up to 136 weeks
Incidence and severity of TEAEs in patients treated with fianlimab in combination with cemiplimab without chemotherapy
Up to 136 weeks
Incidence and severity of TEAEs in patients treated with fianlimab in combination with cemiplimab with chemotherapy
Up to 136 weeks
PK of cemiplimab: Cmax
Up to 136 weeks

Peak serum concentration

PK of cemiplimab: tmax
Up to 136 weeks

Time to Cmax

PK of cemiplimab: Ctrough
Up to 136 weeks

Drug concentration in serum at the end of a dosing interval

PK of cemiplimab: Area under the drug concentration-time curve in serum (AUC3w)
Up to 136 weeks

AUC over a 3-week dosing interval

PK of cemiplimab: t½ estimated over a 3-week dosing interval
Up to 136 weeks

Observed terminal half-life

Incidence of dose limiting toxicities (DLTs) of cemiplimab in combination with odronextamab
Up to 28 days
Incidence of treatment emergent adverse events (TEAEs) of cemiplimab in combination with odronextamab
Up to 18 months
Severity of TEAEs of cemiplimab in combination with odronextamab
Up to 18 months
Incidence of adverse events of special interest (AESIs) of cemiplimab in combination with odronextamab
Up to 18 months
Severity of AESIs of cemiplimab in combination with odronextamab
Up to 18 months
Incidence of abnormal laboratory findings
Change from baseline to week 48
Number of participants with dose limiting toxicities (DLTs)
Change from baseline to 28 days after first dose of cemiplimab
Secondary Endpoints
Composite Complete Response (CCR) for Target Lesion (TL)
At week 13
Non-Target Lesions (NTLs) in the Region of the Target Lesion (ROTL)
Baseline and at week 13
Occurrence of Treatment Emergent Adverse Events (TEAEs)
Up to 3 years
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Study Design & Arms
AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Experimental ArmEXPERIMENTAL -
Control ArmOTHER -
CemiplimabEXPERIMENTAL -
PlaceboPLACEBO_COMPARATOR -
Experimental TherapyEXPERIMENTALCemiplimab
Control TherapyACTIVE_COMPARATORInvestigator choice (IC) chemotherapy
Standard-of-care chemotherapyACTIVE_COMPARATORStandard-of-care chemotherapy will administered from these options: Doses of Paclitaxel + cisplatin OR Doses Paclitaxel + carboplatin OR Doses Gemcitabine + cisplatin or Doses Gemcitabine + carboplatin OR Doses Pemetrexed + cisplatin followed by optional pemetrexed maintenance OR Doses Pemetrexed + carboplatin followed by optional pemetrexed maintenance
Arm A: cemplimab + chemotherapyOTHERcemplimab 350mg administered every 3 weeks for up to 24 months, with pemetrexed 500 mg/m² + platinum salt (cisplatin 75 mg/m² or carboplatin AUC 5) for 6 cycles of 21 days.
Arm B: cemplimab + fianlimab + chemotherapyEXPERIMENTALcemplimab 350mg and fianlimab 1600mg administered every 3 weeks for up to 24 months, with pemetrexed 500 mg/m² + platinum salt (cisplatin 75 mg/m² or carboplatin AUC 5) for 6 cycles of 21 days.
Cemiplimab + FianlimabEXPERIMENTALCemiplimab, 350 mg, IV, and Fianlimab 1600 mg, IV, q3w for 1 year. Patients will undergo treatment with the study drug(s) every 3 weeks for a maximum of 17 cycles (approximately 12 months) or until disease recurrence, unacceptable toxic effects, or intercurrent illness preventing further administration.
Group 1: Gemcitabine/Cisplatin/CemiplimabEXPERIMENTAL* Gemcitabine 1000 mg/m\^2 IV (days 1 and 8 of 21 day for 4 cycles) * Cisplatin 70 mg/m\^2 IV (day 1 of 21 day cycle for 4 cycles) or renally-dosed split-dose -cisplatin 35 m/m\^2 IV (day 1 and 8 of 21 day cycle for 4 cycles) * Cemiplimab (REGN 2810) 350 mg IV every 3 weeks (17 cycles)
Group 2: Gemcitabine/Cisplatin/Cemiplimab/FianlimabEXPERIMENTAL* Gemcitabine 1000 mg/m2 IV (days 1 and 8 of 21 day cycle for 4 cycles) * Cisplatin 70 mg/m2 IV (day 1 of 21 day cycle for 4 cycles) or renally-dosed split-dose cisplatin 35 m/m2 IV (day 1 and 8 of 21 day cycle for 4 cycles ) * Cemiplimab (REGN 2810) 350mg IV every 3 weeks (4 cycles) * Fianlimab (REGN3767) 1600mg IV every 3 weeks (4 cycles)
Cohort 1: CemiplimabEXPERIMENTALPatients will undergo 2 infusions of Cemiplimab (Cemi), 350 mg every 3 weeks. Patients undergo CT or MRI scans and collection of blood samples throughout the trial. Patients also undergo biopsies during screening and on study. The recommended dose of Cemiplimab is 350 mg as an intravenous infusion over 30 minutes every 3 weeks (constituting one cycle). Dosing will occur in this manner for a single dose of 350mg Cemiplimab every 3 weeks constituting 1 cycle of therapy. Patients will undergo at least 2 cycles of Cemiplimab and at most, 4 additional cycles dependent upon treatment response.
Cohort 2: Fianlimab + CemiplimabEXPERIMENTALPatients will undergo infusions of Cemiplimab (C) and Fianlimab (F), 350 mg Cemiplimab + 1600 mg Fianlimab every 3 weeks. Fianlimab in combination with cemiplimab can be administered to patients in a sequential order through co-administration, or concurrently via a fixed-dose combination (FDC). When the FDC is used, the drug product containing co-formulated drugs in a vial is injected into the IV bag and delivered intravenously to the patient. FDC of fianlimab 1600 mg + cemiplimab 350 mg will be administered as a single infusion over 30 to 40 minutes every 3 weeks (constituting one cycle). Patients will undergo at least 2 cycles of the FDC and at most, 4 additional cycles dependent upon treatment response.
Experimental Arm: LiTT + CemiplimabEXPERIMENTALPatients in the Experimental Arm will receive adjuvant cemiplimab (at a dose of 350 mg intravenously (IV)) every 3 weeks after LiTT for a maximum total of 36 months (or until disease progression or intolerable adverse event). The first adjuvant dose of cemiplimab must be given within 14 days post-LiTT.
Control Arm: LiTT + adjuvant chemotherapyACTIVE_COMPARATORPatients in the Control Arm will undergo LiTT, then will receive adjuvant chemotherapy (chosen by their treating physician) for up to 12 months as per standard of care (SOC), starting within 14 days post-LiTT.
Chemotherapy+CemiplimabACTIVE_COMPARATORControl treatment
Arm 1: Chemotherapy+Cemiplimab+REGN7075EXPERIMENTALInvestigational Treatment
Arm AACTIVE_COMPARATORAs described in the protocol
Arm BEXPERIMENTALAs described in the protocol
Arm CEXPERIMENTALAs described in the protocol
Cemiplimab+ISA101bEXPERIMENTAL -
Cohort A1EXPERIMENTALCemiplimab prior to surgery; cemiplimab and platinum doublet post surgery (NSCLC) Not open for accrual
Cohort A2EXPERIMENTALCemiplimab and platinum doublet prior to surgery; cemiplimab and platinum doublet post surgery (NSCLC) Not open for accrual
Cohort A3EXPERIMENTALPlatinum doublet prior to surgery; cemiplimab and platinum doublet post surgery (NSCLC) Not open for accrual
Cohort BEXPERIMENTALCemiplimab prior to surgery; cemiplimab post surgery (HCC)
Cohort CEXPERIMENTALCemiplimab prior to surgery; standard of care radiation and/or chemotherapy followed by cemiplimab post surgery (HNSCC) Not open for accrual
Cohort B2EXPERIMENTALSBRT 8 Gy X 3 fractions followed by cemiplimab prior to surgery; cemiplimab post surgery (HCC)
Cohort B3EXPERIMENTALCemiplimab and fianlimab before and after surgery (HCC)
Group 1- metastatic BCCEXPERIMENTALAdministration of cemiplimab in accordance with protocol dosing regimen
Group 2 - unresectable locally advanced BCCEXPERIMENTALAdministration of cemiplimab in accordance with protocol dosing regimen
Group 1 (Participants With mCSCC): Cemiplimab 3 mg/kg Q2WEXPERIMENTALParticipants received cemiplimab 3 milligrams (mg)/kilogram (kg) intravenously (IV) every 2 weeks (Q2W) during each 8-week treatment cycle, for up to 96 weeks (12 cycles).
Group 2 (Participants With laCSCC): Cemiplimab 3 mg/kg Q2WEXPERIMENTALParticipants received cemiplimab 3 mg/kg IV Q2W during each 8-week treatment cycle, for up to 96 weeks (12 cycles).
Group 3 (Participants With mCSCC): Cemiplimab 350 mg Q3WEXPERIMENTALParticipants received cemiplimab 350 mg IV every 3 weeks (Q3W) during each 9-week treatment cycle, for up to 54 weeks (6 cycles).
Group 4 (Participants With mCSCC and laCSCC): Cemiplimab 600 mg Q4WEXPERIMENTALParticipants received cemiplimab 600 mg IV every 4 weeks (Q4W) during each 8-week treatment cycle, for up to 48 weeks (6 cycles).
Group 5 (Participants With mCSCC and laCSCC): Cemiplimab SC + 350 mg Q3WEXPERIMENTALParticipants received a single subcutaneous (SC) dose of cemiplimab followed by cemiplimab 350 mg IV Q3W during each 9-week treatment cycle, for up to 54 weeks (6 cycles).
Group 6 (Participants With mCSCC and laCSCC): Cemiplimab 350 mg Q3WEXPERIMENTALParticipants received cemiplimab 350 mg IV Q3W during each 9-week treatment cycle, for up to 108 weeks (12 cycles).
Cohort 1: cemiplimab neoadjuvant treatmentACTIVE_COMPARATORPatients will be treated with single agent intravenous cemiplimab 350 mg every 3 weeks for a total of 4 neoadjuvant cycles (12 weeks).
Cohort 2: cemiplimab plus topical imiquimod (plus fractional laser therapy) as neoadjuvantEXPERIMENTALPatients will be treated with intravenous cemiplimab 350 mg every 3 weeks in combination with topical imiquimod 5% cream self-applied once daily 5 days per week (plus low-intensity laser therapy at 1- or 3-week interval), for a total of 4 neoadjuvant cycles (12 weeks).
Cohort AEXPERIMENTAL* 3 cycles of Cemiplimab-TP induction chemotherapy will be delivered in cohort A. * Cemiplimab-TP chemotherapy will be given every 21 days starting on days 1, 22 and 43, etc. (+ 2 days) with TP given on days 1, 22, and 43 (+/- 2 days) and Cemiplimab given on days 14, 35, 56 (+/- 2 days). * Patients in cohort A will get 3 doses of Cemiplimab during induction therapy.
Cohort 1 CemiplimabEXPERIMENTALParticipants who received allogeneic hematopoietic stem cell transplant \-- Cemiplimab: via IV, flat predetermined dosage every 21 days
Cohort 2 Cemiplimab + Everolimus/Sirolimus + PrednisoneEXPERIMENTALParticipants who received a kidney transplant will receive * Cemiplimab via IV, flat predetermined dosage every 21 days * Everolimus or Sirolimus-least 7-10 days prior to receiving the first dose of cemiplimab (Cycle 1, Day 1) and then daily while receiving Cemiplimab * Prednisone 40 mg orally the day prior to the start of cemiplimab dosing (Cycle 1, Day 1) and then daily at tapering doses while receiving Cemiplimab
Phase 1 Arm AEXPERIMENTALNeoadjuvant Period: cemiplimab Adjuvant Period: fianlimab+cemiplimab
Phase 1 Arm BEXPERIMENTALNeoadjuvant Period: fianlimab+cemiplimab Adjuvant Period: fianlimab+cemiplimab
Phase 2EXPERIMENTALNeoadjuvant Period: fianlimab+cemiplimab Adjuvant Period: fianlimab+cemiplimab
Dose EscalationEXPERIMENTAL27T51 monotherapy
Dose Expansion - Arm AEXPERIMENTAL27T51 monotherapy
Dose Expansion - Arm BEXPERIMENTAL27T51+Cemiplimab
Dose Expansion - Arm CEXPERIMENTAL27T51+Cemiplimab+Bevacizumab
Single ascending dose of 89Zr˗DFO˗REGN5054 followed by fixed dose of cemiplimabEXPERIMENTALPart A: Doses of 89Zr˗DFO˗REGN5054 may be reduced based upon assessment.
Defined dose of 89Zr˗DFO˗REGN5054 followed by fixed dose of cemiplimabEXPERIMENTALPart B: Defined dose of 89Zr˗DFO˗REGN5054 determined in Part A.
Cohort DEXPERIMENTALPart 2
Cohort EEXPERIMENTALPart 2
Dose escalation phaseEXPERIMENTALSafety assessment of odronextamab in combination with cemiplimab and selection of recommended phase 2 dose (RP2D) regimen(s) for the combination of odronextamab and cemiplimab.
Dose expansion phaseEXPERIMENTALRP2D administration of the combination treatment.
Monotherapy CohortEXPERIMENTALCemiplimab will be administered alone
Dual Combination CohortsEXPERIMENTALDoses of cemiplimab will be administered in combination with hypofractionated radiotherapy Doses of cemiplimab will be administered in combination with Cyclophosphamide Doses of cemiplimab will be administered in combination with Docetaxel
Triple Combination CohortsEXPERIMENTALDoses of cemiplimab will be administered in combination with hypofractionated radiotherapy plus Cyclophosphamide Doses of cemiplimab will be administered in combination with hypofractionated radiotherapy plus GM-CSF Doses of cemiplimab will be administered in combination with Carboplatin plus Paclitaxel Doses of cemiplimab will be administered in combination with Carboplatin plus Pemetrexed Doses of cemiplimab will be administered in combination with Carboplatin plus Docetaxel
Quadruple Combination CohortsEXPERIMENTALDoses of cemiplimab will be administered in combination with hypofractionated radiotherapy plus GM-CSF plus Cyclophosphamide
Interventions
NameTypeDescription
CemiplimabDRUGAdministered per protocol
Standard of carePROCEDUREPrimary surgery
PlaceboDRUGIntravenous (IV) infusion over 30 minutes
Investigator Choice (IC) ChemotherapyDRUGIC chemotherapy options include: 1. Antifolate: Pemetrexed 2. Topoisomerase 1 inhibitor: Topotecan or Irinotecan 3. Nucleoside analogue: Gemcitabine 4. Vinca alkaloid: Vinorelbine The only chemotherapy treatments allowed in the control arm are any of the 5 drugs that are listed as IC options above.
PemetrexedDRUGPatients will be administered pemetrexed chemotherapy as per protocol with either cisplatin or carboplatin
PaclitaxelDRUGPatients will be administered paclitaxel chemotherapy as per protocol with either cisplatin or carboplatin
GemcitabineDRUGPatients will be administered gemcitabine chemotherapy as per protocol with either cisplatin or carboplatin
CisplatinDRUGAdministered with either Pemetrexed, Paclitaxel or gemcitabine.
CarboplatinDRUGAdministered with either Pemetrexed, Paclitaxel or gemcitabine.
FianlimabDRUG1600mg every 3 weeks for up to 24 months.
Pemetrexed (Alimta)DRUG500 mg/m² every 3 weeks for 6 cycles.
Carboplatin (AUC 5)DRUGAUC 5 (recommended maximum dose of 800 mg) every 3 weeks for 6 cycles.
Cemiplimab 350 MG Intravenous SolutionDRUGCemiplimab is a fully human monoclonal antibody targeting the immune checkpoint receptor PD-1 on T cells and was invented using Regeneron's proprietary Veloc Immune® technology. By binding to PD-1, cemiplimab (Libtayo) has been shown to block cancer cells from using the PD-1 pathway to suppress T-cell activation.
Fianlimab 1600 MG Intravenous SolutionDRUGFianlimab is a recombinant fully human monoclonal antibody (based on IgG4 isotype) targeting the immune checkpoint receptor LAG-3 on T cells and was invented using Regeneron's proprietary Veloc Immune® technology.
Computed TomographyPROCEDUREUndergo CT scan
Biospecimen CollectionPROCEDUREUndergo collection of blood samples
Quality-of-Life AssessmentOTHERAncillary studies
Magnetic Resonance ImagingPROCEDUREUndergo MRI
BiopsyPROCEDUREUndergo biopsy
NeuroBlate® Laser Ablation Laser Interstitial Thermal TherapyDEVICELiTT, or magnetic resource imaging (MRI)-guided laser ablation, is a minimally invasive surgery approved for cytoreductive treatment of brain tumors. It employs a small incision in the scalp and skull, through which a thin laser probe is inserted and guided by MRI imaging to the core of a tumor mass where it delivers hyperthermic ablation from the core to the rim.
ChemotherapyDRUGAdjuvant chemotherapy will be decided by the physician's choice of best fit by patient, including the agent(s), dosing, and schedule.
Platinum-based chemotherapyDRUGIV infusion
REGN7075DRUGIV infusion
Fixed Dose Combination (FDC) cemiplimab+fianlimabDRUGOr coadministration, depending on availability.
ISA101bBIOLOGICALAdministered by subcutaneous (SC) injection on day 1, day 29, and day 50
Platinum DoubletDRUGAdministered intravenous (IV)
Topical imiquimodDRUGTopical imiquimod 5% cream self-applied once daily 5 days per week (plus low-intensity laser therapy at 1- or 3-week interval),
DocetaxelDRUG75 mg/2 intravenous infusion over 60 minutes, mixed as described in Schedule: Day 1, every 21days (+ 2 days)
EverolimusDRUGEverolimus at least 7-10 days prior to receiving the first dose of cemiplimab (Cycle 1, Day 1) and then daily while receiving Cemiplimab
SirolimusDRUGSirolimus at least 7-10 days prior to receiving the first dose of cemiplimab (Cycle 1, Day 1) and then daily while receiving Cemiplimab
PrednisoneDRUG40 mg orally the day prior to the start of cemiplimab dosing (Cycle 1, Day 1) and then daily at tapered dosing while receiving Cemiplimab
Cemiplimab+Fianlimab Fixed Dose Combination (FDC)DRUGAdministered per the protocol
27T51OTHERIntravenous (IV) infusion
BevacizumabDRUGIV Infusion
89Zr˗DFO˗REGN5054DRUGAdministered by intravenous (IV) infusion during Part A and B.
IpilimumabDRUGTo be administered per protocol
Platinum-doublet chemotherapyDRUGTo be administered per protocol
odronextamabDRUGAdministration IV infusion. The dose(s) received will be according to DL cohort assignment, as described in the protocol.
Hypofractionated radiotherapyRADIATION -
CyclophosphamideDRUG -
GM-CSFDRUG -
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Eligibility Criteria
Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites52

Key Inclusion Criteria: 1. Participants who have a histologically confirmed invasive CSCC TL, as described in the protocol 2. Participants who have CSCC TL ≥1 cm and ≤2.0 cm (longest diameter) located in either the Head or Neck (HN), hand, or pre-tibial surface, as described in the protocol 3. Part...

Countries:United StatesAustraliaBelgiumBrazilCanadaFranceGermanyGreeceIrelandItalyJapanNew ZealandPolandRussiaSpainUnited KingdomSouth KoreaTaiwanBelarusBulgariaChileChinaColombiaCzechiaGeorgiaHungaryJordanLebanonMalaysiaMexicoPhilippinesRomaniaThailandTurkey (Türkiye)UkraineAustriaNetherlandsSwitzerlandIsrael
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Recent Changes (Last 90 Days)
LOWJul 8, 2026NCT06465329lastUpdatePostDate: changed
LOWJul 8, 2026NCT06585410lastUpdatePostDate: changed
LOWJul 8, 2026NCT06465329lastUpdatePostDate: changed
LOWJul 8, 2026NCT06585410lastUpdatePostDate: changed
MEDIUMJul 3, 2026NCT02651662TRIAL_REMOVED: changed
MEDIUMJul 3, 2026NCT02651662TRIAL_REMOVED: changed
MEDIUMJul 3, 2026NCT02651662TRIAL_REMOVED: changed
LOWJun 30, 2026NCT06585410lastUpdatePostDate: changed
LOWJun 30, 2026NCT06585410lastUpdatePostDate: changed
LOWJun 30, 2026NCT06585410lastUpdatePostDate: changed
LOWJun 8, 2026NCT06585410lastUpdatePostDate: changed
LOWJun 8, 2026NCT06585410lastUpdatePostDate: changed
LOWJun 8, 2026NCT06585410lastUpdatePostDate: changed