Recruiting
Phase 2

Fianlimab & Cemiplimab

Sponsor:

Regeneron Pharmaceuticals

Code:

NCT06769698

Conditions

Head and Neck Squamous Cell Carcinoma (HNSCC)

Eligibility Criteria

Sex: All

Age: 18+

Healthy Volunteers: Not accepted

Interventions

FDC fianlimab+cemiplimab

Cemiplimab

Placebo

Study Details

Brief summary:

This study is researching an experimental drug called fianlimab (also called REGN3767), combined with a medication called cemiplimab compared against cemiplimab combined with placebo (a placebo looks like a treatment but does not contain any real medicine), collectively called "study drugs" in this form.

The study is focused on participants with head and neck cancers who have not been previously treated for head and neck cancer that has come back or spread to other parts of the body, referred to as recurrent or metastatic (R/M) head and neck squamous cell carcinoma (HNSCC).

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

  • What side effects may happen from taking the study drugs
  • How much of each study drug is in the blood at different times
  • Whether the body makes antibodies against the study drug(s) individually (which could make the study drugs less effective or could lead to side effects)
  • Compatible research to better understand the study drugs and HNSCC

Conditions

Head and Neck Squamous Cell Carcinoma (HNSCC)

Study ID

NCT06769698

Start date

Apr 14, 2026

Status verified date

Aug, 2026

Completion date

Dec 28, 2030

Anticipated

Primary completion date

Jun 4, 2028

Anticipated

Eligibility Criteria

Eligibility Criteria

Sex: All

Age: 18+

Healthy Volunteers: Not accepted

Key Inclusion Criteria:

1. Have histologically confirmed (by local pathology) R/M HNSCC that is considered incurable by local therapies
2. Primary tumor location of oral cavity, oropharynx, larynx, or hypopharynx (patients with cervical neck node SCC with occult primary as described in the protocol
3. PD-L1 expression Combined Positive Score (CPS) ≥1 documented with a previously PD-L1 obtained Immunohistochemistry (IHC) result prior to screening, as described in protocol
4. Oropharynx cancer participants only: HPV status, based on a previously documented result prior to screening, must have been established in a surgical biopsy specimen or a core biopsy specimen as described in the protocol
5. At least 1 lesion that is measurable by Response Evaluation Criteria in Solid Tumors (RECIST) v1.1 as described in the protocol
6. Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1
7. Adequate organ and bone marrow function as described in the protocol

Key Exclusion Criteria:

Medical Conditions

1. Participants who have Progressive Disease (PD) within 6 months of completion of curatively intended systemic treatment for locoregionally advanced HNSCC as described in the protocol
2. Participants who have a primary tumor site of nasopharynx, paranasal sinus or salivary gland (any histology)
3. Head and neck SCC with unknown primary site as described in the protocol
4. Participants with active, known, or suspected autoimmune disease that has required systemic therapy within 5 years of the projected enrollment date as described in the protocol
5. History of interstitial lung disease (eg, idiopathic pulmonary fibrosis, organizing pneumonia) or active, noninfectious pneumonitis that required immune-suppressive doses of glucocorticoids to assist with management
6. History or current evidence of significant cardiovascular disease including, myocarditis, congestive heart failure (as defined by New York Heart Association Functional Classification III and IV), unstable angina, serious uncontrolled arrhythmia, and myocardial infarction 6 months prior to study enrollment.

Prior/Concomitant Therapy
7. Participants who have received prior systemic anticancer therapy in the R/M HNSCC setting as described in the protocol
8. Participants with a condition requiring corticosteroid therapy (>10 mg prednisone/prednisolone/day or equivalent) within 14 days of the first dose of study drug as described in the protocol

Note: Other protocol defined Inclusion/ Exclusion Criteria apply

Study Design

Enrollment

120 participants

Anticipated

Allocation

Randomized

Intervention Model

Parallel Assignment

Primary purpose

Treatment

Interventions and Outcome Measures

Arms

experimental: Cohort 1

Approximately 60 participants with HPV (human papillomavirus) positive HNSCC. Randomized 1:1 to Fianlimab + Cemiplmab Fixed Dose Combination (FDC) versus Cemiplimab + Placebo.

experimental: Cohort 2

Approximately 60 participants with HPV negative HNSCC. Randomization is the same as in Cohort 1.

Interventions

FDC fianlimab+cemiplimab

Fixed-Dose Combination (FDC) Administered per the protocol

Cemiplimab

Administered per the protocol

Placebo

Administered per the protocol

Primary outcome measure

  • Overall Response Rate (ORR) [ Time Frame: Up to 90 days after last study treatment, approximately 58 months ]

Central Contacts and Locations

Central contacts

Clinical Trials Administrator

844-734-6643clinicaltrials@regeneron.com

Locations

University of California Los Angeles

Recruiting

Los Angeles, California, United States, 90024

Samuel Oschin Cancer Center

Recruiting

Los Angeles, California, United States, 90048

Orlando Health

Recruiting

Orlando, Florida, United States, 32806

Emory University School of Medicine

Recruiting

Atlanta, Georgia, United States, 30308

Northwestern University

Recruiting

Evanston, Illinois, United States, 60208

St. Elizabeth Healthcare

Recruiting

Edgewood, Kentucky, United States, 41017

Norton Cancer Institute

Recruiting

Louisville, Kentucky, United States, 40202

Henry Ford Cancer Institute/Henry Ford Health System

Recruiting

Detroit, Michigan, United States, 48202

Oncology Hematology West P.C. dba Nebraska Cancer Specialists

Recruiting

Omaha, Nebraska, United States, 68130

University of Rochester

Recruiting

Rochester, New York, United States, 14642

Ohio State University

Recruiting

Columbus, Ohio, United States, 43210

Asplundh Cancer Pavilion

Recruiting

Willow Grove, Pennsylvania, United States, 19090

University of Tennessee Medical Center

Recruiting

Knoxville, Tennessee, United States, 37920

Vanderbilt-Ingram Cancer Center

Recruiting

Nashville, Tennessee, United States, 37232

Joe Arrington Cancer Research & Treatment Center

Recruiting

Lubbock, Texas, United States, 79410

Renovatio Clinical

Recruiting

The Woodlands, Texas, United States, 77380

Inova Schar Cancer Institute

Recruiting

Fairfax, Virginia, United States, 22031

Virginia Commonwealth University Massey Cancer Center

Recruiting

Richmond, Virginia, United States, 23298

More Information

Sponsor

Regeneron Pharmaceuticals

Last update posted

Aug 21, 2026

Last verified

Aug, 2026

Keywords

  • Recurrent or Metastatic (R/M)
  • Positive for Programmed Death Ligand 1 (PD-L1) Expression
  • Human Papillomavirus (HPV)

Trial information was received from ClinicalTrials.gov and was last updated on 2026-09-09. This information was provided to ClinicalTrials.gov by Regeneron Pharmaceuticals on 2026-08-21.