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A First-In Human (FIH) Study to Find Out How Well REGN10597 Medicine Given Alone or in Combination With Cemiplimab Works in Adult Participants Who Have Cancer With Tumors That Have Spread in Their Body

A Phase 1/2a, Open-Label, Dose Escalation and Dose Expansion First-In-Human Study of the Safety, Tolerability, Activity, and Pharmacokinetics of REGN10597 (Anti-PD-1-IL-2RA-IL-2 Fusion Protein) Alone or in Combination With Cemiplimab in Patients With Advanced Solid Organ Malignancies

Status
Recruiting
Phases
Phase 1Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT06413680
Acronym
BrILliance
Enrollment
240
Registered
2024-05-14
Start date
2024-09-23
Completion date
2030-02-03
Last updated
2026-04-28

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Melanoma, Clear-Cell Renal-Cell Carcinoma (ccRCC), Advanced Solid Tumors

Keywords

Advanced solid organ malignancies, Locally advanced, Metastatic, Non-uveal, Unresectable, Primary or secondary resistance to programmed cell death protein 1 (PD-1)/ programmed cell death ligand 1 (PD-L1)

Brief summary

This study is researching an experimental drug called REGN10597 alone or in combination with another drug called cemiplimab (called "study drug(s)"). The study is focused on patients with certain solid tumors that are in an advanced stage. The aim of the study is to see how safe, tolerable, and effective the study drug(s) are. The study is looking at several other research questions, including: * What side effects may happen from taking the study drug(s) * How much study drug(s) is in the blood at different times * Whether the body makes antibodies against the study drug(s) (which could make the study drug(s) less effective or could lead to side effects)

Detailed description

Phase 1: Conducted in the United States only Phase 2: Conducted globally

Interventions

Administered per the protocol

DRUGCemiplimab

Administered per the protocol

Sponsors

Regeneron Pharmaceuticals
Lead SponsorINDUSTRY

Study design

Allocation
NON_RANDOMIZED
Intervention model
SEQUENTIAL
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

Key Inclusion Criteria: Dose escalation cohorts: 1\. Histologically or cytologically confirmed diagnosis of solid malignancy (locally advanced or metastatic) with confirmed progression on standard-of-care therapy. Participants are required to submit archival tissue if it is available Dose expansion cohorts: 1\. Histologically of cytologically confirmed diagnosis of one of the following tumors with criteria, as defined in the protocol: * Module 1, Cohort 1: anti-PD-(L)1 Progressed Melanoma or * Module 1, Cohort 2: anti-PD-(L)1 Progressed RCC or * Module 2, Cohort 1: 1L Melanoma ALL Participants ARE REQUIRED to submit fresh pretreatment biopsy during screening, with an additional exploratory biopsy at other time points Key

Exclusion criteria

1. Prior treatment with Interleukin 2 (IL2)/IL15/IL-7 given outside the context of concurrent administration with adoptive cell therapy 2. Prior treatment with anti-PD1/PD-L1, or an approved systemic therapy or any previous systemic non-immunomodulatory biologic therapy within 4 weeks, as defined in the protocol 3. Has received radiation therapy or major surgery within 14 days prior to first dose of study drug or has not yet recovered from AEs 4. Has had prior anti-cancer immunotherapy within 4 weeks prior to study intervention, or discontinuation of prior anti-cancer immunotherapy due to grade 3 or 4 toxicities 5. Has ongoing immune-related AEs prior to initiation of study intervention, as defined in the protocol 6. Has known allergy or hypersensitivity to components of the study drug(s) 7. Has any condition requiring ongoing/continuous corticosteroid therapy (\>10 mg prednisone/day or anti-inflammatory equivalent) within 1-2 weeks to the first dose of study intervention 8. Has ongoing or recent (within 5 years) evidence of significant autoimmune disease or any other condition that required treatment with systemic immunosuppressive treatments NOTE: Other Protocol Defined Inclusion /

Design outcomes

Primary

MeasureTime frameDescription
Incidence of Dose-Limiting Toxicities (DLTs)Up to Day 29Dose escalation
Incidence of Treatment-Emergent Adverse Event (TEAEs)Approximately 6 YearsDose escalation
Incidence of Serious Adverse Events (SAEs)Approximately 6 YearsDose escalation
Incidence of TEAEs leading to treatment discontinuationApproximately 6 YearsDose escalation
Incidence of TEAEs leading to deathApproximately 6 YearsDose escalation
Number of participants with Grade 3 laboratory abnormalitiesApproximately 6 YearsDose escalation Grade 3 or higher per Common Terminology Criteria for Adverse Events (CTCAE) version 5.0
Objective Response Rate (ORR) per Response Evaluation Criteria In Solid Tumors (RECIST 1.1) criteria by investigator assessmentApproximately 6 YearsDose expansion

Secondary

MeasureTime frameDescription
ORR based on RECIST 1.1 criteria by investigator assessmentApproximately 6 YearsDose escalation
Best Overall Response (BOR) based on RECIST 1.1 criteriaApproximately 6 Years
Duration Of Response (DOR) based on RECIST 1.1 criteriaApproximately 6 Years
Disease control rate based on RECIST 1.1Approximately 6 Years
Time to response based on RECIST 1.1Approximately 6 Years
Progression Free Survival (PFS) based on RECIST 1.1Approximately 6 Years
Concentrations of REGN10597 in serumApproximately 6 Years
Incidence of Anti-Drug Antibody (ADA) to REGN10597 over timeApproximately 6 Years
Magnitude of ADA to REGN10597 over timeApproximately 6 Years

Countries

United States

Contacts

CONTACTClinical Trials Administrator
clinicaltrials@regeneron.com844-734-6643
STUDY_DIRECTORClinical Trial Management

Regeneron Pharmaceuticals

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: May 30, 2026