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Fianlimab

Phase 3

Melanoma | Small molecule | Oncology |Regeneron Pharmaceuticals, Inc.|Last Updated: Jul 15, 2026

Success Probability
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Trial Design
RandomizedDouble-BlindACTIVE_CONTROLLEDDMC
Total Trials4
Total Enrollment3,718
FDA Designations
No designations recorded
Clinical trial landscape

Fianlimab · 8 trials · 7 indications

Phase 3 3Phase 2 5
NCT06246916A Study With Combinations of Anti-LAG-3 and Anti-PD-1 Antibodies in Adult Participants With Advanced or Metastatic Melanoma (Harmony Head-to-Head)Melanoma
RECRUITING560 Analytics
NCT05608291A Trial to See if the Combination of Fianlimab With Cemiplimab Works Better Than Pembrolizumab for Preventing or Delaying Melanoma From Coming Back After it Has Been Removed With SurgeryMelanoma
ACTIVE NOT_RECRUITING1,564 Analytics
NCT05352672Clinical Study of Fianlimab in Combination With Cemiplimab Versus Pembrolizumab in Adolescent and Adult Patients With Previously Untreated Unresectable Locally Advanced or Metastatic MelanomaMelanoma
ACTIVE NOT_RECRUITING1,546 Analytics
PHASE3RECRUITING
A Study With Combinations of Anti-LAG-3 and Anti-PD-1 Antibodies in Adult Participants With Advanced or Metastatic Melanoma (Harmony Head-to-Head)
MelanomaUnlock trial analytics
PHASE3ACTIVE NOT_RECRUITING
A Trial to See if the Combination of Fianlimab With Cemiplimab Works Better Than Pembrolizumab for Preventing or Delaying Melanoma From Coming Back After it Has Been Removed With Surgery
MelanomaUnlock trial analytics
PHASE3ACTIVE NOT_RECRUITING
Clinical Study of Fianlimab in Combination With Cemiplimab Versus Pembrolizumab in Adolescent and Adult Patients With Previously Untreated Unresectable Locally Advanced or Metastatic Melanoma
MelanomaUnlock trial analytics
Study Endpoints
Primary Endpoints
Objective response rate (ORR) per Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1 based on blinded independent central review (BICR)
Up to 72 months
Relapse free survival (RSF)
Up to 5 Years

Time from randomization to the first documented recurrence of disease at any site (excluding new primary melanomas) or death from any cause, whichever occurs first.

Progression-free survival (PFS)
Approximately 27 months

Per Response Evaluation Criteria in Solid Tumors (RECIST) 1.1 based on Blinded Independent Central Review (BICR)

Objective Response Rate (ORR)
2 years

ORR is defined as confirmed complete response (CR) + confirmed partial response (PR) and will be determined as per RECIST 1.1.

Death from any cause starting at time of initial treatment with fianlimab and cemiplimab in study R3767-ONC-1613
Up to 4 years
Pathological complete response (pCR) as evaluated by blinded independent pathological review (BIPR) in post-treatment resected tumor samples
Up to 24 months
Objective response rate (ORR) as assessed by blinded independent review committee (BICR) using RECIST 1.1
Up to 136 Weeks

Phase 2 ORR is defined as proportion of patients with a best overall response of confirmed complete response (CR) or partial response (PR).

Overall Survival (OS)
Up to 5 years

Phase 3 Defined as the time from randomization to the date of death due to any cause

Objective response rate (ORR) as assessed by blinded independent central review (BICR), using Response Evaluation Criteria in Solid Tumors version 1.1 (RECIST 1.1)
Up to 136 weeks

Proportion of patients with a best overall response of confirmed complete response (CR) or partial response (PR)

Secondary Endpoints
Progression free survival (PFS) RECIST version 1.1 based on BICR
Up to 72 months
Death from any cause
Up to 72 months
Overall survival (OS)
Up to 72 months
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Study Design & Arms
AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
fianlimab+cemiplimabEXPERIMENTALRandomized 1:1
relatlimab+nivolumabACTIVE_COMPARATORRandomized 1:1
Fianlimab HD + CemiplimabEXPERIMENTALPatients will be administered one combination dose of fianlimab high dose (HD) and cemiplimab
Fianlimab LD + CemiplimabEXPERIMENTALPatients will be administered one combination dose of fianlimab low dose (LD) and cemiplimab
PembrolizumabACTIVE_COMPARATORPatients will be administered one dose of pembrolizumab co-infused with saline/dextrose placebo
A: fianlimab+cemiplimab dose 1EXPERIMENTALAs defined in Protocol Amendment 5
A1: fianlimab+cemiplimab dose 2EXPERIMENTALAs defined in Protocol Amendment 5
B: pembrolizumab+placeboEXPERIMENTALAs defined in Protocol Amendment 5
C: cemiplimab+placeboEXPERIMENTALAs defined in Protocol Amendment 5
Arm A: Cemiplimab, Fianlimab, and IpilimumabEXPERIMENTALCemiplimab and fianlimab will be co-administered by IV. Ipilimumab will be administered by IV.
Arm B: Cemiplimab and FianlimabEXPERIMENTALCemiplimab and fianlimab will be co-administered by IV.
Arm C: Nivolumab and IpilimumabACTIVE_COMPARATORNivolumab and ipilimumab will be by IV. Nivolumab will be administered by IV after the combination.
With Disease Progression at EnrollmentOTHER -
No Progressive Disease at EnrollmentOTHER -
Arm AEXPERIMENTALRandomized 1:1:1 Neoadjuvant period: placebo + cemiplimab + platinum doublet chemotherapy Adjuvant period: placebo + cemiplimab
Arm BEXPERIMENTALRandomized 1:1:1 Neoadjuvant period: fianlimab high dose + cemiplimab + platinum doublet chemotherapy Adjuvant period: fianlimab high dose + cemiplimab
Arm CEXPERIMENTALRandomized 1:1:1 Neoadjuvant period: fianlimab low dose + cemiplimab + platinum doublet chemotherapy Adjuvant Period: fianlimab low dose + cemiplimab
Phase 2 - Arm AEXPERIMENTALRandomized 1:1:1 fianlimab (higher dose) + cemiplimab + platinum-doublet chemotherapy
Phase 2 - Arm BEXPERIMENTALRandomized 1:1:1 fianlimab (lower dose) + cemiplimab + platinum-doublet chemotherapy
Phase 2 - Arm CEXPERIMENTALRandomized 1:1:1 cemiplimab + platinum-doublet chemotherapy + placebo
Phase 3 - Arm A or BEXPERIMENTALRandomized 1:1 fianlimab (chosen dose) + cemiplimab + platinum-doublet chemotherapy
Phase 3 - Arm CEXPERIMENTALRandomized 1:1 cemiplimab + platinum-doublet chemotherapy + placebo
A: fianlimab+cemiplimabEXPERIMENTALPhase 2: fianlimab (HD)
B: fianlimab+cemiplimabEXPERIMENTALPhase 2: fianlimab (LD)
C: cemiplimab monotherapy+placeboEXPERIMENTALPhase 2
Interventions
NameTypeDescription
fianlimabDRUGIntravenous (IV) administration every 3 weeks (Q3W) in combination with cemiplimab
cemiplimabDRUGIV administration Q3W in combination with fianlimab
relatlimab+nivolumabDRUGIV administration every 4 weeks (Q4W)
PembrolizumabDRUGPembrolizumab will be administered by IV infusion Q 3 weeks
PlaceboDRUGMatching placebo co-infused with pembrolizumab IV, will be administered by IV infusion Q 3 weeks
IpilimumabDRUGIpilimumab will be administered by IV.
NivolumabDRUGNivolumab will be administered by IV. Maintenance nivolumab will then be administered by IV.
Fianlimab+cemiplimabDRUGNo study drug administered in this observational study.
PemetrexedDRUGAdministered IV Q3W
PaclitaxelDRUGAdministered IV Q3W
CarboplatinDRUGAdministered IV Q3W
CisplatinDRUGAdministered IV Q3W
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Eligibility Criteria
Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites110

Key Inclusion Criteria: 1. Participants with histologically confirmed unresectable stage III and stage IV (metastatic) melanoma per American Joint Committee on Cancer (AJCC), eighth revised edition. 2. Participants must not have received prior systemic therapy for unresectable or metastatic melanom...

Countries:United StatesCanadaArgentinaAustraliaBelgiumBrazilChileCzechiaFranceGeorgiaGermanyGreeceIrelandIsraelItalyMexicoPolandRomaniaSouth AfricaSpainTurkey (Türkiye)United KingdomAustriaHungaryNetherlandsPeruMalaysiaSouth KoreaTaiwanThailand
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Recent Changes (Last 90 Days)
HIGHJul 15, 2026NCT05800015Enrollment: 950 → 160
HIGHJul 15, 2026NCT05800015Enrollment: 950 → 160
LOWJul 13, 2026NCT06848088lastUpdatePostDate: changed
LOWJul 13, 2026NCT06848088lastUpdatePostDate: changed
LOWJul 10, 2026NCT06246916lastUpdatePostDate: changed
LOWJul 10, 2026NCT06246916lastUpdatePostDate: changed
LOWJul 6, 2026NCT05608291primaryCompletionDate: changed
LOWJul 6, 2026NCT05608291primaryCompletionDate: changed
HIGHJul 2, 2026NCT05785767Enrollment: 850 → 149
HIGHJul 2, 2026NCT05785767Enrollment: 850 → 149
HIGHJul 2, 2026NCT05785767Enrollment: 850 → 149
LOWJun 22, 2026NCT06246916lastUpdatePostDate: changed
LOWJun 22, 2026NCT06246916lastUpdatePostDate: changed
LOWJun 18, 2026NCT06848088lastUpdatePostDate: changed
LOWJun 18, 2026NCT06848088lastUpdatePostDate: changed
LOWJun 18, 2026NCT06848088lastUpdatePostDate: changed
LOWJun 18, 2026NCT06848088lastUpdatePostDate: changed
LOWMay 29, 2026NCT06161441primaryCompletionDate: changed
LOWMay 29, 2026NCT06161441primaryCompletionDate: changed
LOWMay 29, 2026NCT06161441primaryCompletionDate: changed