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Trial Title: A Study With Combinations of Anti-LAG-3 and Anti-PD-1 Antibodies in Adult Participants With Advanced or Metastatic Melanoma

NCT ID: NCT06246916

Condition: Melanoma

Conditions: Official terms:
Melanoma
Nivolumab
Cemiplimab
Relatlimab

Conditions: Keywords:
Unresectable Melanoma
Metastatic Melanoma
Advanced Melanoma
Stage III
Stage IV

Study type: Interventional

Study phase: Phase 3

Overall status: Recruiting

Study design:

Allocation: Randomized

Intervention model: Parallel Assignment

Primary purpose: Treatment

Masking: None (Open Label)

Intervention:

Intervention type: Drug
Intervention name: fianlimab
Description: Intravenous (IV) administration every 3 weeks (Q3W) in combination with cemiplimab
Arm group label: fianlimab+cemiplimab

Other name: REGN3767

Intervention type: Drug
Intervention name: cemiplimab
Description: IV administration Q3W in combination with fianlimab
Arm group label: fianlimab+cemiplimab

Other name: REGN2810

Other name: LIBTAYO®

Intervention type: Drug
Intervention name: relatlimab+nivolumab
Description: IV administration every 4 weeks (Q4W)
Arm group label: relatlimab+nivolumab

Other name: Opdualag™

Summary: This study is researching an experimental drug called fianlimab (also known as REGN3767), combined with another medication called cemiplimab (also known as REGN2810), called "study drugs". The study is focused on patients with a type of skin cancer known as melanoma. The aim of the study is to see how safe and effective the combination of fianlimab and cemiplimab is in treating melanoma, in comparison with the combination of two medications, relatlimab and nivolumab, commercialized under the brand name Opdualag™ and approved for the treatment of melanoma in adults and children. The study is looking at several other research questions, including: - What side effects may happen from taking the study drugs. - How much study drug is in the blood at different times. - Whether the body makes antibodies against the study drugs (which could make the drug less effective or could lead to side effects)

Criteria for eligibility:
Criteria:
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 melanoma as described in the protocol. 3. Measurable disease per RECIST version 1.1. 4. Eastern Cooperative Oncology Group (ECOG) performance status (PS) ≤1. 5. Adequate bone marrow, hepatic, and kidney function. Key Exclusion Criteria: Medical Conditions: 1. Uveal, acral or mucosal melanoma. 2. Ongoing or recent (within 2 years) evidence of an autoimmune disease that required systemic treatment with immunosuppressive agents as described in the protocol. 3. Uncontrolled infection with human immunodeficiency virus (HIV), hepatitis B (HBV), or hepatitis C virus (HCV) infection; or diagnosis of immunodeficiency that is related to, or results in chronic infection. Mild cancer-related immunodeficiency (such as immunodeficiency treated with gamma globulin and without chronic or recurrent infection) is allowed. 4. Unknown v-Raf murine sarcoma viral oncogene homolog B1 (BRAF) V600 mutation status as described in the protocol. Prior/Concomitant Therapy: 5. Prior immune checkpoint inhibitor therapy other than anti-PD1/PD-L1 as described in the protocol 6. Systemic immune suppression as described in the protocol. Other Comorbidities: 7. Participants with a history of myocarditis. 8. Troponin T (TnT) or troponin I (TnI) >2x institutional upper limit of normal (ULN). 9. Active or untreated brain metastases or spinal cord compression as described in the protocol. Note: Other protocol-defined Inclusion/ Exclusion Criteria apply.

Gender: All

Minimum age: 18 Years

Maximum age: N/A

Healthy volunteers: No

Locations:

Facility:
Name: UCHealth

Address:
City: Fort Collins
Zip: 80528
Country: United States

Status: Recruiting

Facility:
Name: Clermont Oncology Center

Address:
City: Clermont
Zip: 34711
Country: United States

Status: Recruiting

Facility:
Name: Boca Raton Clinical Research (BRCR) Global

Address:
City: Plantation
Zip: 33322
Country: United States

Status: Recruiting

Facility:
Name: John B. Amos Cancer Center

Address:
City: Columbus
Zip: 31904
Country: United States

Status: Recruiting

Facility:
Name: Illinois CancerCare

Address:
City: Peoria
Zip: 61615
Country: United States

Status: Recruiting

Facility:
Name: Karmanos Cancer Institute

Address:
City: Detroit
Zip: 48201
Country: United States

Status: Recruiting

Facility:
Name: Allina Health Cancer Institute

Address:
City: Minneapolis
Zip: 55407
Country: United States

Status: Recruiting

Facility:
Name: Oncology Hematology West, P.C. dba Nebraska Cancer Specialists

Address:
City: Omaha
Zip: 68130
Country: United States

Status: Recruiting

Facility:
Name: Comprehensive Cancer Centers of Nevada - Southwest

Address:
City: Las Vegas
Zip: 89148
Country: United States

Status: Recruiting

Facility:
Name: Rutgers Cancer Institute of New Jersey

Address:
City: New Brunswick
Zip: 08903
Country: United States

Status: Recruiting

Facility:
Name: New York Oncology Hematology

Address:
City: Albany
Zip: 12206
Country: United States

Status: Recruiting

Facility:
Name: Kaiser Foundation Hospitals

Address:
City: Portland
Zip: 97227
Country: United States

Status: Recruiting

Facility:
Name: University of Tennessee Medical Center

Address:
City: Knoxville
Zip: 37920
Country: United States

Status: Recruiting

Facility:
Name: The University of Texas Health Science Center at Tyler D/B/A UT Health East Texas HOPE Cancer Center

Address:
City: Tyler
Zip: 75701
Country: United States

Status: Recruiting

Facility:
Name: West Virginia University (Please Use)

Address:
City: Morgantown
Zip: 26506
Country: United States

Status: Recruiting

Facility:
Name: University of Wisconsin Carbone Cancer Center

Address:
City: Madison
Zip: 53792
Country: United States

Status: Recruiting

Start date: September 9, 2024

Completion date: June 26, 2033

Lead sponsor:
Agency: Regeneron Pharmaceuticals
Agency class: Industry

Source: Regeneron Pharmaceuticals

Record processing date: ClinicalTrials.gov processed this data on November 12, 2024

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT06246916

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