Recruiting
Phase 1
Phase 2

REGN5678 & Cemiplimab

Sponsor:

Regeneron Pharmaceuticals

Code:

NCT03972657

Conditions

Metastatic Castration-Resistant Prostate Cancer (mCRPC)

Clear Cell Renal Cell Carcinoma (ccRCC)

Eligibility Criteria

Sex: All

Age: 18+

Healthy Volunteers: Not accepted

Interventions

REGN5678

Cemiplimab

Study Details

Brief summary:

The main purpose of this study is to determine the safety, tolerability (how the body reacts to the drug\[s\]) and effectiveness (ability to treat the cancer) of REGN5678 (Nezastomig) alone, or in combination with cemiplimab.

The study has 2 parts. The goal of Part 1 (dose escalation) is to determine a safe dose(s) of REGN5678 when it is given alone or in combination with cemiplimab. The goal of Part 2 (dose expansion) is to use the REGN5678 drug dose(s) found in Part 1 to see how well REGN5678 alone or in combination with cemiplimab works to shrink tumors.

This study is looking at several other research questions, including:

1. Side effects that may be experienced by taking REGN5678 alone or in combination with cemiplimab
2. How REGN5678 alone or in combination with cemiplimab works in the body
3. How much REGN5678 and/or cemiplimab are present in the blood
4. To see if REGN5678 alone or in combination with cemiplimab works to reduce the size of the tumor by helping the immune system destroy the tumor

Conditions

Metastatic Castration-Resistant Prostate Cancer (mCRPC)

Clear Cell Renal Cell Carcinoma (ccRCC)

Study ID

NCT03972657

Start date

Aug 12, 2019

Status verified date

Jul, 2026

Completion date

Nov 15, 2027

Anticipated

Primary completion date

Nov 15, 2027

Anticipated

Eligibility Criteria

Eligibility Criteria

Sex: All

Age: 18+

Healthy Volunteers: Not accepted

Key Inclusion Criteria:

mCRPC cohorts (men):

1. Men with histologically or cytologically confirmed adenocarcinoma of the prostate without pure small cell carcinoma.
2. PSA value at screening ≥4 ng/mL that has progressed within 6 months prior to screening as defined in the protocol.
3. Has received ≥2 lines prior systemic therapy approved in the metastatic and/or castration-resistant setting (in addition to Androgen Deprivation Therapy \[ADT\]) including at least:

1. one second-generation anti-androgen therapy (eg, abiraterone, enzalutamide, apalutamide, or darolutamide)
2. 177Lu-PSMA-617 radiotherapy, or another lutetium-based PSMA targeted radioligand, as described in the protocol

ccRCC cohorts (men and women):

1. Histologically or cytologically confirmed RCC with a clear-cell component.
2. Diagnosis of metastatic ccRCC with at least one measurable lesion via RECIST 1.1 criteria
3. Has progressed on or after ≥1 line prior systemic therapy approved in the metastatic setting. Prior treatment must include an anti-Programmed Death-1 (receptor) \[PD-1\]/Programmed Death-Ligand 1 (PD-L1) therapy and either ipilimumab and/or a tyrosine kinase inhibitor

Key Exclusion Criteria:

1. Has received treatment with an approved systemic therapy within 3 weeks of dosing or has not yet recovered (ie, grade ≤1 or baseline) from any acute toxicities, as described in the protocol
2. Has received any previous systemic biologic therapy within 5 half-lives of first dose of study therapy, as described in the protocol
3. Has received prior PSMA-targeting therapy with the exception of a PSMA targeting radioligand (eg. 177Lu-PSMA-617) in mCRPC
4. Dose Escalation: Has had prior anti-cancer immunotherapy (other than sipuleucel-T) within 5 half-lives prior to study therapy.
5. Dose Expansion (mCRPC only): Has had prior anti-cancer immunotherapy, as described in the protocol
6. Any condition that requires ongoing/continuous corticosteroid therapy (>10 mg prednisone/day or anti-inflammatory equivalent) within 1 week prior to the first dose of study therapy
7. Ongoing or recent (within 5 years) evidence of significant autoimmune disease that required treatment with systemic immunosuppressive treatments, as described in the protocol
8. Encephalitis, meningitis, neurodegenerative disease (with the exception of mild dementia that does not interfere with Activities of Daily Living \[ADLs\]) or uncontrolled seizures in the year prior to first dose of study therapy
9. Uncontrolled infection with Human Immunodeficiency Virus (HIV), hepatitis B or hepatitis C infection; or diagnosis of immunodeficiency

NOTE: Other protocol defined Inclusion/Exclusion Criteria apply

Study Design

Enrollment

345 participants

Anticipated

Allocation

Non randomized

Intervention Model

Parallel Assignment

Primary purpose

Treatment

Interventions and Outcome Measures

Arms

experimental: mCRPC - dose escalation cohort

REGN5678 with or without cemiplimab

experimental: mCRPC - dose expansion cohort

REGN5678 with or without cemiplimab

experimental: ccRCC - dose escalation cohort

REGN5678 with or without cemiplimab

experimental: ccRCC - dose expansion cohort

REGN5678 with or without cemiplimab

Interventions

REGN5678

Administered as per the protocol

Cemiplimab

Administered as per the protocol

Primary outcome measure

  • Incidence and severity of Treatment-Emergent Adverse Events (TEAEs) [ Time Frame: Through study completion, up to 5 years ]
  • Incidence and severity of Adverse Event of Special Interests (AESIs) [ Time Frame: Through study completion, up to 5 years ]
  • Incidence and severity of Serious Adverse Events (SAEs) [ Time Frame: Through study completion, up to 5 years ]
  • Number of participants with Grade ≥3 laboratory abnormalities [ Time Frame: Through study completion, up to 5 years ]
  • Incidence of Dose-Limiting Toxicities (DLTs) [ Time Frame: First dose through day 42 of last participant in each dose level ]
  • Concentration of REGN5678 in serum over time [ Time Frame: Through study completion, up to 5 years ]
  • Concentration of REGN5678 in combination with cemiplimab in serum over time [ Time Frame: Through study completion, up to 5 years ]
  • Composite Response Rate (CRR) of 50% decline of Prostate Specific Antigen (PSA) and/or confirmed radiographic response of complete (CR) or partial response (PR) [ Time Frame: Through study completion, up to 5 years ]
  • Objective Response Rate (ORR) per Response Evaluation Criteria in Solid Tumors (RECIST) 1.1 criteria [ Time Frame: Through study completion, up to 5 years ]

Central Contacts and Locations

Central contacts

Clinical Trials Administrator

844-734-6643clinicaltrials@regeneron.com

Locations

Banner MD Anderson Cancer Center

Recruiting

Gilbert, Arizona, United States, 85234

Mayo Clinic

Recruiting

Phoenix, Arizona, United States, 85054

University of Arizona

Recruiting

Tucson, Arizona, United States, 85724

John Wayne Cancer Institute (JWCI)

Recruiting

Santa Monica, California, United States, 90404

Sarah Cannon Research Institute (SCRI)

Recruiting

Denver, Colorado, United States, 80218

Yale University Hospital

Recruiting

New Haven, Connecticut, United States, 06510

Mayo Clinic Jacksonville

Recruiting

Jacksonville, Florida, United States, 32224

Moffitt Cancer Center - McKinley Drive

Recruiting

Tampa, Florida, United States, 33612

Massachusetts General Hospital

Recruiting

Boston, Massachusetts, United States, 02114

Henry Ford Health

Recruiting

Detroit, Michigan, United States, 48202

Mayo Clinic

Recruiting

Rochester, Minnesota, United States, 55905

NYU Langone Health Perlmutter Cancer Center

Recruiting

New York, New York, United States, 10016

Icahn School of Medicine at Mount Sinai

Recruiting

New York, New York, United States, 10029

Columbia University - The Trustees of Columbia University in the City of New York

Recruiting

New York, New York, United States, 10032

Montefiore Medical Center

Recruiting

New York, New York, United States, 10461

University of Rochester Medical Center (URMC) - Wilmot Cancer Institute (WCI) (James P. Wilmot Cancer Center) - Rochester

Recruiting

Rochester, New York, United States, 14642

James Cancer Hospital and Solove Research Institute

Recruiting

Columbus, Ohio, United States, 43210

Oregon Health & Science University (3485 S. Bond)

Recruiting

Portland, Oregon, United States, 97239

Thomas Jefferson University Hospital

Recruiting

Philadelphia, Pennsylvania, United States, 19107

Lifespan Cancer Institute

Recruiting

Providence, Rhode Island, United States, 02903

MD Anderson Cancer Center

Recruiting

Houston, Texas, United States, 77030

Emily Couric Clinical Cancer Center

Recruiting

Charlottesville, Virginia, United States, 22908

West Virginia University

Recruiting

Morgantown, West Virginia, United States, 26506

More Information

Sponsor

Regeneron Pharmaceuticals

Last update posted

Jul 9, 2026

Last verified

Jul, 2026

Trial information was received from ClinicalTrials.gov and was last updated on 2026-09-08. This information was provided to ClinicalTrials.gov by Regeneron Pharmaceuticals on 2026-07-09.