A Phase II Platform Study to Evaluate Treatment With Cemiplimab Monotherapy or Cemiplimab Plus Fianlimab and Other Novel Combinations in Patients With Colorectal Cancer With Minimal Residual Disease Following Definitive Surgery and Chemotherapy
NSABP Foundation Inc
Summary
The NSABP FC-13 study is being done to determine if using immunotherapies alone or in combination with other drugs will delay or prevent colorectal cancer from coming back in patients with colorectal cancer who are ctDNA-positive after their treatment. Immunotherapeutic drugs (immunotherapies) act on different proteins on the surface of cells of the immune system and trigger the immune system to destroy cancer cells. The drugs being studied in NSABP FC-13 are cemiplimab, fianlimab, and REGN7075.
Eligibility
- Age range
- 18+ years
- Sex
- All
- Healthy volunteers
- No
Inclusion Criteria: * The patient must have consented to participate and, prior to beginning specific study procedures, must have signed and dated appropriate Institutional Review Board (IRB) -approved consent forms that conform to federal and institutional guidelines for study treatment. * Patients must be greater than or equal to18 years old. * The ECOG performance status must be 0-1. * Patients must have confirmed histologic and pathologic stage II/III colon, stage II/III rectal, or oligometastatic stage IV colorectal adenocarcinoma (per AJCC 8th edition). * There must be documentation by…
Interventions
- DrugCemiplimab
Cemiplimab 350mg intravenously
- Drugcemiplimab plus fianlimab
Cemiplimab 350mg + Fianlimab 1600mg intravenously
- Drugcemiplimab + REGN7075
Cemiplimab 350mg + REGN7075 2700mg intravenously
- OtherctDNA testing
Eligible patients using results for ctDNA-positivity as obtained from a commercial assay run in any CLIA-certified lab will proceed to enrollment and begin treatment. All patients will have confirmation of ctDNA-positivity via the Signatera\^TM assay (Clinical Trial Assay), but treatment may proceed while awaiting confirmatory results.
Locations (13)
- University of FloridaGainesville, Florida
- University of Iowa - Holden Comprehensive Cancer CenterIowa City, Iowa
- University of Kansas Cancer CenterKansas City, Kansas
- University of Maryland GreenbaumBaltimore, Maryland
- Missouri BaptistSt Louis, Missouri
- First Health of the CarolinasPinehurst, North Carolina