A study of REGN3767, an anti-LAG-3 antibody, alone and in combination with cemiplimab (REGN2810), an anti-PD1 antibody, in advanced cancers.

Authors

null

Kyriakos P. Papadopoulos

START, San Antonio, TX

Kyriakos P. Papadopoulos , Nehal J. Lakhani , Melissa Lynne Johnson , Haeseong Park , Ding Wang , Timothy Anthony Yap , Kathleen N. Moore , Tasha Nicholle Sims , Chetachi Emeremni , Maria Karasarides , Glenn Scott Kroog

Organizations

START, San Antonio, TX, START Midwest, Grand Rapids, MI, Sarah Cannon Research Institute, Nashville, TN, Washington University School of Medicine, St. Louis, MO, Henry Ford Hospital, Detroit, MI, The University of Texas MD Anderson Cancer Center, Houston, TX, Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, The University of Oklahoma, Oklahoma City, OK, Regeneron Pharmaceuticals, Inc., Tarrytown, NY, Regeneron Pharmaceuticals, Inc., Basking Ridge, NJ

Research Funding

Pharmaceutical/Biotech Company

Background: Lymphocyte activation gene 3 (LAG-3) is an immune checkpoint receptor with a biological role in T cell regulation. Analysis of immune-cell infiltrates from human tumors show that a subset of CD4+ and/or CD8+ cells co-express LAG-3 and PD-1 and may be associated with decreased T-cell effector function and tumor escape (Baitsch L et al. J Clin Investig. 2011;121:2350-2360; Jie HB et al. Br J Cancer. 2013;109:2629-2635.). Preclinical models provide evidence that dual inhibition of LAG-3 and PD-1 blockade offer synergistic anti-tumor effects and suggest a promising immunotherapy combination that warrants clinical investigation (Woo SR et al. Cancer Res. 2012;72(4): 917-927). This first in human study will evaluate the safety and efficacy of REGN3767 alone and in combination with cemiplimab in advanced malignancies. Methods: Phase 1 study enrolling patients with advanced malignancies. Dose escalation phase employs a modified 3+3 (4+3) design to assess the tolerability and pharmacokinetics (PK) of REGN3767 monotherapy and in combination with cemiplimab. Monotherapy is exploring 4 escalating REGN3767 dose levels. Combination is exploring 3 escalating REGN3767 dose levels. After tolerability and PK evaluation, doses of REGN3767 will be selected for monotherapy and combination therapy tumor-specific expansion cohorts. Solid tumor expansion cohorts will enroll per Simon’s two-stage design to evaluate safety and preliminary efficacy. Lymphoma expansion cohorts will enroll 15 patients. Patients who are anti-PD-1/PD-L1 therapy naïve and experienced are eligible for separate cohorts. Patients previously exposed to anti-LAG-3 therapy are not eligible. The primary objectives are the determination of the recommended phase 2 dose (RP2D, dose escalation) and ORR (dose expansion). Secondary objectives include characterization of PK and immunogenicity in all patients, as well as anti-tumor efficacy in dose escalation, and safety in dose expansion. This trial is actively enrolling eligible patients in the US, UK, Ireland, and South Korea. Clinical Trial Information: NCT03005782.

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Abstract Details

Meeting

2018 ASCO Annual Meeting

Session Type

Poster Session

Session Title

Developmental Therapeutics—Immunotherapy

Track

Developmental Therapeutics and Translational Research

Sub Track

Immune Checkpoint Inhibitors

Clinical Trial Registration Number

NCT03005782

Citation

J Clin Oncol 36, 2018 (suppl; abstr TPS3127)

DOI

10.1200/JCO.2018.36.15_suppl.TPS3127

Abstract #

TPS3127

Poster Bd #

328a

Abstract Disclosures