Treatment for recurrent ovarian and other MUC16+ cancers using REGN4018 and cemiplimab
A Phase 1/2 Study of REGN4018 (Ubamatamab), a MUC16×CD3 Bispecific Antibody, Administered Alone or in Combination With Cemiplimab in Patients With Recurrent Ovarian Cancer or Other Recurrent MUC16+ Cancers
This study is testing if a new treatment combining REGN4018 and cemiplimab can help adults with recurrent ovarian and other MUC16+ cancers feel better when other options have run out.
Quick facts
| Phase | Phase1; Phase2 |
|---|---|
| Study type | Interventional |
| Enrollment | 890 (estimated) |
| Ages | 18 Years and up |
| Sex | Female |
| Sponsor | Regeneron Pharmaceuticals Industry-sponsored |
| Drugs / interventions | chemotherapy, ubamatamab, cemiplimab |
| Locations | 52 sites (Birmingham, Alabama and 51 other locations) |
| Trial ID | NCT03564340 on ClinicalTrials.gov |
What this trial studies
This study aims to evaluate the safety and efficacy of REGN4018, both alone and in combination with cemiplimab, in adult patients with recurrent ovarian cancer and other MUC16+ cancers. It will assess the pharmacokinetics of the drugs, determining how they are processed in the body, and monitor any therapeutic effects on the targeted cancers. The study includes patients who have experienced relapse after previous treatments and have limited standard therapy options available. The research will also investigate the tolerability of sarilumab when used in conjunction with the primary treatments.
Who should consider this trial
Good fit: Ideal candidates include adults with recurrent ovarian cancer or other MUC16+ cancers who have limited treatment options and have previously received platinum-based therapies.
Not a fit: Patients with carcinosarcoma or those who have not received prior platinum-based therapy may not benefit from this study.
Why it matters
Potential benefit: If successful, this study could provide a new treatment option for patients with recurrent ovarian and other MUC16+ cancers.
How similar studies have performed: Other studies have shown promise with similar immunotherapy approaches, suggesting potential for success in this novel combination.
Eligibility criteria
Show full inclusion / exclusion criteria
Key Inclusion Criteria: 1. Ovarian Cancer Cohorts Only: Patients with histologically or cytologically confirmed diagnosis of advanced, epithelial ovarian cancer (except carcinosarcoma), primary peritoneal, or fallopian tube cancer who have all of the following: 1. serum CA-125 level ≥2 x upper limit of normal (ULN) (in screening, not required for low-grade serous carcinoma) 2. has received at least 1 line of platinum-containing therapy or must be platinum-intolerant (applicable for dose escalation and non-randomized dose expansion cohorts) 3. documented relapse or progression on or after the most recent line of therapy 4. no standard therapy options likely to convey clinical benefit 2. Adequate organ and bone marrow function as defined in the protocol 3. Life expectancy of at least 3 months 4. Randomized phase 2 expansion cohort (Ovarian Cancer only): Platinum-resistant ovarian cancer patients who have had 2 to 4 lines of platinum-based therapy as defined in the protocol. 5. Endometrial Cancer Cohorts Only: histologically confirmed endometrial cancer that has progressed or recurrent after prior anti-Programmed Cell Death Ligand 1 (PD-1) therapy and platinum-based chemotherapy: 1. MUC16 positivity of tumor cells ≥25% by immunohistochemistry (IHC), as defined in the protocol 2. 1-4 prior lines of systemic therapy, as described in the protocol Key Exclusion Criteria: 1. Prior treatment with anti-Programmed Cell Death (PD-1)/PD-L1 therapy, as described in the protocol 2. Ovarian Cancer Expansion cohorts only: More than 4 prior lines of cytotoxic chemotherapy (does not apply to low-grade serous ovarian cancer cohort) 3. Prior treatment with a MUC16 - targeted therapy 4. Untreated or active primary brain tumor, central nervous system (CNS) metastases, or spinal cord compression, as described in the protocol 5. History and/or current cardiovascular disease, as defined in the protocol 6. Severe and/or uncontrolled hypertension at screening. Patients taking anti-hypertensive medication must be on a stable anti-hypertensive regimen Note: Other protocol-defined Inclusion/Exclusion Criteria apply
Where this trial is running
Birmingham, Alabama and 51 other locations
- University of Alabama_6th Ave — Birmingham, Alabama, United States (Recruiting)
- Massachusetts General Hospital — Boston, Massachusetts, United States (Recruiting)
- Dana Farber / Harvard Cancer Center — Boston, Massachusetts, United States (Recruiting)
- Mayo Clinic - Rochester — Rochester, Minnesota, United States (Recruiting)
- Roswell Park Cancer Institute — Buffalo, New York, United States (Withdrawn)
- Columbia University Medical Center — New York, New York, United States (Recruiting)
- Memorial Sloan Kettering Cancer Center — New York, New York, United States (Recruiting)
- The Ohio State University Wexner Medical Center James Comprehensive Cancer Center — Hilliard, Ohio, United States (Recruiting)
- Stephenson Cancer Center — Oklahoma City, Oklahoma, United States (Recruiting)
- Sarah Cannon Research Institute — Nashville, Tennessee, United States (Recruiting)
- Virginia Commonwealth University — Richmond, Virginia, United States (Recruiting)
- Prince of Wales Hospital — Randwick, New South Wales, Australia (Completed)
- Peter MacCallum Cancer Center — Melbourne, Australia (Completed)
- Universitair Ziekenhuis Antwerpen — Edegem, Antwerp, Belgium (Recruiting)
- Grand Hopital de Charleroi — Charleroi, Hainaut, Belgium (Recruiting)
- UZLeuven — Leuven, Vlaams-Brabant, Belgium (Recruiting)
- Hopital Lyon Sud — Pierre-Bénite, Auvergne-Rhône, France (Recruiting)
- Centre Georges Francois Leclerc — Dijon, Bourgogne-Franche-Comté, France (Recruiting)
- Institut Bergonie — Bordeaux, New Aquitaine, France (Recruiting)
- Centre Francois Baclesse (CFB) — Caen, Normandy, France (Recruiting)
- Centre Antoine Lacassagne — Nice, Provence Alpes Cote dAzur, France (Recruiting)
- Institut Gustave Roussy — Villejuif, Île-de-France Region, France (Recruiting)
- Rambam Health Care Campus — Haifa, Israel (Recruiting)
- Sharet Institute of Oncology — Jerusalem, Israel (Recruiting)
- Sheba Medical Center — Tel Litwinsky, Israel (Recruiting)
- Fondazione Policlinico Universitario Agostino Gemelli IRCCS — Rome, Lazio, Italy (Recruiting)
- Humanitas S. Pio X — Milan, Italy (Recruiting)
- Istituto Europeo di Oncologia — Milan, Italy (Recruiting)
- Instituto Nazionale Tumori- Fondazione Pascale — Naples, Italy (Recruiting)
- Radboudumc — Nijmegen, Gelderland, Netherlands (Recruiting)
- Erasmus MC — Rotterdam, South Holland, Netherlands (Recruiting)
- University Medical Center Groningen — Groningen, Netherlands (Recruiting)
- Yonsei University Health System — Seoul, South Korea (Recruiting)
- Asan Medical Center, Univ. of Ulsan — Seoul, South Korea (Recruiting)
- Samsung Medical Center — Seoul, South Korea (Recruiting)
- Korea University Guro Hospital — Seoul, South Korea (Recruiting)
- Seoul National University Hospital — Seoul, South Korea (Recruiting)
- Clinica Universidad de Navarra — Pamplona, Navarre, Spain (Recruiting)
- Institut Catala dOncologia Badalona — Badalona, Spain (Recruiting)
- Hospital Universitari Vall d'Hebron — Barcelona, Spain (Recruiting)
- Institut Catala d'Oncologia — Barcelona, Spain (Recruiting)
- Clinica Universidad Navarra (CUN) Madrid — Madrid, Spain (Recruiting)
- Fundacion Jimenez Diaz — Madrid, Spain (Recruiting)
- Hospital Universitario San Carlos — Madrid, Spain (Recruiting)
- Hospital Clinico Universitatio Santiago de Compostela — Santiago de Compostela, Spain (Recruiting)
- University of Oxford — Oxford, Oxfordshire, United Kingdom (Recruiting)
- Royal Marsden Hospital - Sutton — Sutton, Surrey, United Kingdom (Withdrawn)
- The Royal Marsden NHS Foundation Trust — Sutton, Surrey, United Kingdom (Recruiting)
- University College London Hospitals — London, United Kingdom (Recruiting)
- Guys Hospital — London, United Kingdom (Recruiting)
+2 more sites — see ClinicalTrials.gov for the full list.
Study contacts
- Study coordinator: Clinical Trials Administrator
- Email: clinicaltrials@regeneron.com
- Phone: 844-734-6643
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.