Phase 1/2 Study of REGN4336 (a PSMAxCD3 Bispecific Antibody) Administered Alone or in Combination with Cemiplimab in Patients with Metastatic Castration-Resistant Prostate Cancer.
The primary objective of the study is:
Dose Escalation:
To assess the safety, tolerability, and PK and to determine RP2DR of REGN4336 separately as monotherapy or in combination with cemiplimab
Dose Expansion:
To assess preliminary anti-tumor activity of REGN4336 as monotherapy or in combination with cemiplimab as measured by objective response rate (ORR) per modified Prostate Cancer Working Group (PCWG3) criteria.
The secondary objectives of the study are:
Dose Escalation:
To assess preliminary anti-tumor activity of REGN4336 as monotherapy or in combination with cemiplimab as measured by ORR per modified PCWG3 criteria
Dose Expansion:
1. To characterize the safety profile in each expansion cohort
2. To characterize the PK of REGN4336 as monotherapy or in combination with cemiplimab
In both Dose Escalation and Dose Expansion:
1. To assess preliminary anti-tumor activity of REGN4336 as monotherapy or in combination with cemiplimab as measured by PSA decline.
2. To evaluate immunogenicity of REGN4336 in Module 1 and immunogenicity of REGN4336 and cemiplimab in Module 2.
Cemiplimab (REGN2810)
Chemotherapy single agent systemic
- Rutgers Cancer Institute of New Jersey
Key Inclusion Criteria
1. Histologically or cytologically confirmed adenocarcinoma of the prostate without pure
small cell carcinoma
2. Metastatic, castration-resistant prostate cancer (mCRPC) with PSA value at screening
≥4 ng/mL that has progressed within 6 months prior to screening, according to 1 of the
following:
1. PSA progression as defined by a rising PSA level confirmed with an interval of ≥1
week between each assessment
2. Radiographic disease progression in soft tissue based on Response Evaluation
Criteria in Solid Tumors (RECIST) version 1.1 criteria with or without PSA
progression
3. Radiographic disease progression in bone defined as the appearance of 2 or more
new bone lesions on bone scan with or without PSA progression NOTE: Measurable
disease per RECIST version 1.1 per local reading at screening is not an
eligibility criterion for enrollment
3. Has progressed upon or intolerant to ≥2 lines prior systemic therapy approved in the
metastatic and/or castration-resistant setting (in addition to androgen deprivation
therapy [ADT]) including at least one second-generation anti-androgen therapy (e.g.
abiraterone, enzalutamide, apalutamide, or darolutamide)
Key Exclusion Criteria
1. Has received treatment with an approved systemic therapy within 3 weeks of dosing or
has not yet recovered (ie, grade ≤1 or baseline) from any acute toxicities
2. Has received any previous systemic biologic or immune-modulating therapy (except for
Sipuleucel-T) within 5 half-lives of first dose of study therapy, as described in the
protocol
3. Has received prior PSMA-targeting therapy. Exception: Prior therapy with approved
PSMA-targeted radioligand(s) is permitted
4. Any condition that requires ongoing/continuous corticosteroid therapy (>10 mg
prednisone/day or anti-inflammatory equivalent) within 1 week prior to the first dose
of study therapy
5. Ongoing or recent (within 5 years) evidence of significant autoimmune disease that
required treatment with systemic immunosuppressive treatments
6. Encephalitis, meningitis, neurodegenerative disease (with the exception of mild
dementia that does not interfere with activities of daily living [ADLs]) or
uncontrolled seizures in the year prior to first dose of study therapy
7. Uncontrolled infection with human immunodeficiency virus (HIV), hepatitis B or
hepatitis C infection; or diagnosis of immunodeficiency, as described in the protocol.
NOTE: Other protocol defined Inclusion/Exclusion Criteria apply
Please note that we have obtained the inclusion and exclusion criteria information from the National Institutes of Health’s clinical trials web site ClinicalTrials.gov. The listed criteria may not necessarily reflect recent amendments to the protocol and the current criteria.
For further information about clinical trials, please contact us at 732-235-7356.