ClinicalTrials.gg
RecruitingNCT04590326Updated Sep 24, 2026

A Study to Find Out How Safe REGN5668 is and How Well it Works In Adult Women When Given With Either Cemiplimab, or Cemiplimab + Fianlimab, or Ubamatamab

A Phase 1/2 interventional study of REGN5668 and Cemiplimab in Ovarian Cancer, Fallopian Tube Cancer and Primary Peritoneal Cancer, sponsored by Regeneron Pharmaceuticals. Recruiting at 28 sites in 5 countries. Open to female participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-09-24.

Sponsored by Regeneron Pharmaceuticals · Phase 1/2, Interventional, and Treatment

From the registry’s dates

  • Started Dec 2020; still recruiting 5 years 11 months later.
Phase
Phase 1/2
Study type
Interventional
Enrollment
612
Allocation
Non-randomized
Ages
18 Years and older
Sex
Female
01

Study summary

This study is researching an investigational drug called REGN5668 :

  • alone or,
  • combined with cemiplimab (also known as REGN2810) or,
  • combined with both cemiplimab and fianlimab (also known as REGN3767), or
  • combined with ubamatamab (also known as REGN4018), with or without sarilumab.

The main purposes of this study are to:

  • Learn about the safety and profile of any side effects from the study drugs and to determine the highest, safe dose that can be given to participants with ovarian cancer or cancer of the uterus
  • Look for signs that the study drugs can treat ovarian cancer or cancer of the uterus

This study has 2 parts. The purpose of Part 1 (Escalation) is to find the highest, safe dose of the study drug(s). The purpose of Part 2 (Expansion) is to use the doses chosen in Part 1. Participants with cancer of the uterus will only participate in Part 2.

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

  • Side effects that may be experienced by participants taking REGN5668 alone and/or in combination with cemiplimab, cemiplimab and fianlimab, or ubamatamab
  • How REGN5668 works in the body either alone and/or in combination with cemiplimab, cemiplimab and fianlimab, or ubamatamab
  • How much of the study drugs (REGN5668, cemiplimab, fianlimab, ubamatamab) are in the blood
  • To see if REGN5668 in combination with cemiplimab, cemiplimab and fianlimab, or ubamatamab works to treat cancer
02

Conditions studied

  • Ovarian Cancer
  • Fallopian Tube Cancer
  • Primary Peritoneal Cancer
  • Endometrial Cancer

Keywords

  • Progressive
  • Recurrent
  • Refractory
  • Serum CA-125 levels >= 2x ULN
03

In context

Ovarian Neoplasms

3,381 studies on the registry are indexed under Ovarian Neoplasms; 790 are open to participants now.

This study's planned enrollment of 612 is above the median of 54 across 2,548 interventional studies indexed under Ovarian Neoplasms.

Browse Ovarian Neoplasms studies →

Lead sponsor

Regeneron Pharmaceuticals is the lead sponsor of 411 studies on the registry; 90 are open to participants now.

Of its 125 completed or terminated interventional studies of FDA-regulated products, 79 (63%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
Female
Accepts healthy volunteers
No

Eligibility criteria

Key Inclusion Criteria:

  1. Ovarian Cancer Cohorts Only: Has or cytologically confirmed diagnosis of advanced epithelial ovarian cancer (except carcinosarcoma), primary peritoneal, or fallopian tube cancer that has received at least 1 line of platinum-based systemic therapy as defined in the protocol
  2. Expansion cohorts only: Has at least 1 lesion that is measurable by 1.1 as described in the protocol.
  3. Has a serum CA-125 level ≥2x (in screening, not applicable to endometrial cohorts)
  4. Has adequate organ and bone marrow function as defined in the protocol
  5. Has an (ECOG) performance status of 0 or 1.
  6. Has a of at least 3 months
  7. Endometrial Cancer Cohorts Only: histologically confirmed endometrial cancer that has progressed or recurrent after prior therapy and platinum-based chemotherapy as described in the protocol

Key Exclusion Criteria:

  1. Current or recent (as defined in the protocol) treatment with an agent, systemic biologic therapy, or anti-cancer immunotherapy
  2. Has had another within the last 5 years that is progressing, requires active treatment, or has a high likelihood of recurrence as defined in the protocol
  3. Prior treatment with a Mucin 16 (MUC16)-targeted therapy
  4. Ovarian Expansion cohorts only: More than 5
  5. Has any condition that requires ongoing/continuous therapy as defined in the protocol within 1 week prior to the first dose of study drug
  6. Has ongoing or recent (within 5 years) evidence of significant disease that required treatment with systemic treatments as defined in the protocol
  7. Has untreated or active primary brain tumor, , , or spinal cord compression as defined in the protocol
  8. Has history of cardiovascular disease as defined in the protocol
  9. Has known allergy or to cemiplimab and/or components of study drug(s).

Note: Other protocol-defined Inclusion/Exclusion criteria apply

Terms in these criteria, in plain language(16)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Histologically or cytologically confirmed

The diagnosis was confirmed by looking at a sample under a microscope: tissue from a biopsy or surgery (histology), or cells from a fluid or needle sample (cytology).

Your pathology report is the document that shows this.

RECIST

The standard rules for measuring tumours on CT or MRI scans, to tell whether a cancer is shrinking, stable or growing during treatment.

“Measurable disease per RECIST 1.1” usually means at least one tumour 10 mm or more at its longest on a CT scan, or a lymph node 15 mm or more across its short axis.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

ECOG performance status

A scale of how much an illness limits everyday activity. For people being assessed to join a study, scores run from 0 (fully active) to 4; lower is more active.

0
Fully active, no restrictions.
1
Limited in strenuous activity, but walking and able to do light work, such as housework or office work.
2
Walking and able to look after yourself, but unable to work; up and about more than half of waking hours.
3
Able to look after yourself only in part; in bed or a chair more than half of waking hours.
4
Unable to look after yourself at all; in bed or a chair all day.

Studies most often ask for 0–1 or 0–2. Your doctor gives the score; the WHO scale uses the same steps. The full scale also has 5, which records death.

Life expectancy

The study doctor’s estimate of how long someone is likely to live. Criteria use it so that people can stay in the study long enough for it to answer its question.

PD-1, PD-L1 and checkpoint inhibitors

PD-1, PD-L1 and CTLA-4 are proteins that act as brakes on the immune system. Checkpoint inhibitors, such as pembrolizumab or nivolumab, block them so the immune system can attack a cancer.

PD-L1 can also be measured in a tumour sample. Some scores count stained tumour cells only (TPS); others also count certain immune cells (CPS). The study names the score and the minimum it uses.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

Line of therapy

A line of therapy is one course of treatment, which may combine several drugs. First-line is the first course given; second-line follows when that stops working or is not tolerated.

“Two prior lines” means two courses that count separately under the study’s rules — not simply two drugs. Ask the study team if you are unsure how yours are counted.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

Autoimmune disease

A condition in which the immune system attacks the body’s own tissues, such as rheumatoid arthritis, lupus, psoriasis, type 1 diabetes or inflammatory bowel disease.

Immunotherapy studies often leave out active autoimmune disease, and some name exceptions, such as thyroid disease on replacement hormone. Check the exceptions this study lists.

Immunosuppression

A weakened immune system. It can come from an illness, such as HIV or some blood cancers, or from medicines that turn the immune system down, for example after an organ transplant or for an autoimmune disease; steroids at higher doses count.

Read whether the line is about a condition or about medicines, and which medicines and doses it means.

Brain metastases

Cancer deposits in the brain from a cancer that started elsewhere in the body (CNS metastases include the spinal cord).

Studies differ: some leave out any brain metastases, some accept ones treated and stable for some weeks. Check what this study allows.

Leptomeningeal disease

Cancer that has spread to the leptomeninges, the thin layers covering the brain and spinal cord, and the fluid between them. It is not the same as brain metastases.

Criteria often treat it separately, and many studies leave it out even where treated brain metastases are allowed.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

05

Study design

Phase
Phase 1 / Phase 2
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Sequential assignment
Masking
None (open label)
Enrollment
612 participants (estimated)

Study arms

  • Experimental
    Module 1

    REGN5668 in combination with cemiplimab, or cemiplimab + fianlimab

    Drug: REGN5668 · Drug: Cemiplimab · Drug: Cemiplimab + Fianlimab [Fixed Dose Combination (FDC)]

  • Experimental
    Module 2

    REGN5668 and ubamatamab

    Drug: REGN5668 · Drug: Ubamatamab · Drug: Sarilumab

Interventions

  • DrugREGN5668

    Administer per the protocol

    Also known as: ubletamig

  • Administer per the protocol

    Also known as: REGN2810, Libtayo®

  • Administer per the protocol

    Also known as: REGN4018

  • Administer per the protocol

    Also known as: Kevzara®

  • DrugCemiplimab + Fianlimab [Fixed Dose Combination (FDC)]

    Drug pages: Cemiplimab · Fianlimab

    Administer per the protocol

06

What researchers measure

Primary outcomes

  1. Incidence of Dose Limiting Toxicities (DLT)

    Dose escalation phase, Module 1

    Time frame: 42 days

  2. Incidence of DLTs

    Dose escalation phase, Module 2

    Time frame: 21 days post combination administration

  3. Incidence of Treatment-Emergent Adverse Events (TEAEs)

    Primary: Dose escalation phase Secondary: Dose expansion phase

    Time frame: Through study completion, up to 5 years

  4. Incidence of Serious Adverse Events (SAEs)

    Primary: Dose escalation phase Secondary: Dose expansion phase

    Time frame: Through study completion, up to 5 years

  5. Incidence of deaths

    Primary: Dose escalation phase Secondary: Dose expansion phase

    Time frame: Through study completion, up to 5 years

  6. Incidence of laboratory abnormalities (Grade 3 or higher per National Cancer Institute Common Terminology Criteria for Adverse Events [NCI-CTCAE] version 5.0 [v5.0])

    Primary: Dose escalation phase Secondary: Dose expansion phase

    Time frame: Through study completion, up to 5 years

  7. Concentrations of REGN5668 in serum when dosed alone and in combination with cemiplimab or ubamatamab

    Primary: Dose escalation phase

    Time frame: Through study completion, up to 5 years

  8. Objective Response Rate (ORR) defined by Response Evaluation Criteria in Solid Tumors (RECIST) 1.1 (Eisenhauer, 2009) of REGN5668 in combination with cemiplimab, cemiplimab + fianlimab, or ubamatamab (separately by cohort and combination)

    Primary: Dose expansion phase

    Time frame: Through study completion, up to 5 years

Secondary outcomes

  1. ORR based on RECIST 1.1

    Dose escalation phase

    Time frame: Through study completion, up to 5 years

  2. Best Overall Response (BOR) based on RECIST 1.1

    Dose escalation and expansion phases

    Time frame: Through study completion, up to 5 years

  3. Duration Of Response (DOR) based on RECIST 1.1

    Dose escalation and expansion phases

    Time frame: Through study completion, up to 5 years

  4. Disease Control Rate (DCR) based on RECIST 1.1

    Dose escalation and expansion phases

    Time frame: Through study completion, up to 5 years

  5. Progression-Free Survival (PFS) based on RECIST 1.1

    Dose escalation and expansion phases

    Time frame: Through study completion, up to 5 years

  6. Cancer Antigen 125 (CA-125) change from baseline after treatment with REGN5668 in combinations with cemiplimab, cemiplimab + fianlimab, or ubamatamab (separately by cohort and combination)

    Dose escalation and expansion phases

    Time frame: Through study completion, up to 5 years

  7. Concentration of REGN5668 in serum over time when dosed alone and in combination with cemiplimab, cemiplimab + fianlimab, or ubamatamab

    Dose escalation and expansion phases

    Time frame: Through study completion, up to 5 years

  8. Presence or absence of anti-drug antibodies against REGN5668

    Dose escalation and expansion phases

    Time frame: Through study completion, up to 5 years

  9. Presence or absence of anti-drug antibodies against ubamatamab

    Dose escalation and expansion phases

    Time frame: Through study completion, up to 5 years

  10. Presence or absence of anti-drug antibodies against cemiplimab

    Dose escalation and expansion phases

    Time frame: Through study completion, up to 5 years

  11. Presence or absence of anti-drug antibodies against fianlimab

    Dose escalation and expansion phases

    Time frame: Through study completion, up to 5 years

07

Study locations

27 of 28 sites recruiting
  • City of Hope Comprehensive Cancer Center
    Duarte, California 91010, United States
    Recruiting
  • The City of Hope Orange County Lennar Foundation Cancer Center
    Irvine, California 92618, United States
    Recruiting
  • Chao Family Comprehensive Cancer Center
    Orange, California 92868, United States
    Recruiting
  • H. Lee Moffitt Cancer Center
    Tampa, Florida 33612, United States
    Completed

    Not enrolling at this site — choose another above.

  • Robert H. Lurie Comprehensive Cancer Center of Northwestern University
    Chicago, Illinois 60611, United States
    Recruiting
  • University of Chicago Medical Center
    Chicago, Illinois 60637, United States
    Recruiting
  • Massachusetts General Hospital
    Boston, Massachusetts 02114, United States
    Recruiting
  • Dana Farber Cancer Institute Brookline Avenue
    Boston, Massachusetts 02215, United States
    Recruiting
  • Karmanos Cancer Institute
    Detroit, Michigan 48201, United States
    Recruiting
  • Memorial Sloan Kettering Cancer Center
    New York, New York 10065, United States
    Recruiting
  • The Ohio State University Wexner Medical Center
    Columbus, Ohio 43210, United States
    Recruiting
  • Perelman School of Medicine at the University of Pennsylvania
    Philadelphia, Pennsylvania 19104, United States
    Recruiting
  • Seattle Cancer Care Alliance at South Lake Union - G3630
    Seattle, Washington 98109, United States
    Recruiting
  • Universitair Ziekenhuis Leuven
    Leuven, Vlaams-Brabant 3000, Belgium
    Recruiting
  • Centro de Pesquisa em Oncologia PUCRS
    Porto Alegre, Rio Grande do Sul 90619-900, Brazil
    Recruiting
  • Fundacao Pio XII - Hospital de Cancer de Barretos
    Barretos, São Paulo 14784-400, Brazil
    Recruiting
  • Unimed Sorocaba
    Sorocaba, São Paulo 18065-100, Brazil
    Recruiting
  • AC Camargo Cancer Center, Fundacao Antonio Prudente
    São Paulo, 01509-010, Brazil
    Recruiting
  • Hopital Lyon Sud
    Pierre-Bénite, Auvergne-Rhône 69310, France
    Recruiting
  • Centre Georges Francois Leclerc
    Dijon, Bourgogne-Franche-Comté 21000, France
    Recruiting
  • Institut Bergonie
    Bordeaux, New Aquitaine 33076, France
    Recruiting
  • Centre Francois Baclesse (CFB)
    Caen, Normandy 14076, France
    Recruiting
  • Institut Gustave Roussy
    Villejuif, 94805, France
    Recruiting
  • Hospital Clinico Universitario Santiago de Compostela
    Santiago de Compostela, A Coruna 15706, Spain
    Recruiting
  • Institut Catala dOncologia Girona
    Girona, 17007, Spain
    Recruiting
  • Ciudad Universitaria
    Madrid, 28040, Spain
    Recruiting
  • Hospital Universitario Fundacion Jimenez
    Madrid, 28040, Spain
    Recruiting
  • Hospital Universitario 12 de Octubre Universidad Complutense de Madrid UCM
    Madrid, 28041, Spain
    Recruiting
08

References and documents

Individual participant data

Plan to share: Yes — All Individual Patient Data (IPD) that underlie publicly available results will be considered for sharing

Supporting information: Study protocol, Statistical analysis plan, Informed consent form, Clinical study report, Analytic code

Time frame: When Regeneron has: received marketing authorization from major health authorities (e.g., FDA, European Medicines Agency (EMA), Pharmaceuticals and Medical Devices Agency (PMDA), etc.) for the product and indication or has globally discontinued development of the product for all indications on or after April 2020 and has no plans for future development made the study results publicly available (e.g., scientific publication, scientific conference, clinical trial registry) the legal authority to share the data, and ensured the ability to protect participant privacy

Access criteria: Qualified researchers can submit a proposal for access to individual patient or aggregate level data from a Regeneron-sponsored clinical trial through Vivli. Regeneron's Independent Research Request Evaluation Criteria can be found at: https://www.regeneron.com/sites/default/files/Regeneron-External-Data-Sharing-Policy-and-Independent-Research-Request-Evaluation-Criteria.pdf

Data sharing details ↗ · vivli.org

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 24, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04590326
Responsible party
Sponsor
First posted
Oct 19, 2020
Start date
Dec 8, 2020
Primary completion
Nov 8, 2028 (estimated)
Completion
Nov 8, 2028 (estimated)
Last update
Sep 24, 2026

Study contacts

Clinical Trials Administrator
Contact
clinicaltrials@regeneron.com
844-734-6643
Clinical Trial Management
study director · Regeneron Pharmaceuticals

Oversight

Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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