CClinicalTrials.gg
Active, not recruitingNCT06190951Updated Feb 10, 2026

A Trial to Learn if Fianlimab and Cemiplimab Are Safe and Work Better Than Anti-PD1 Alone in Adult Participants With Resectable Stage 3 or 4 Melanoma

A Phase 2 interventional study of cemiplimab and Fixed Dose Combination (FDC) cemiplimab+fianlimab in Melanoma, sponsored by Regeneron Pharmaceuticals. Active, not recruiting at 104 sites in 8 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-02-10.

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

Phase
Phase 2
Study type
Interventional
Enrollment
151
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

This study is researching an experimental drug called REGN3767, also known as fianlimab (R3767), when combined with another medication called cemiplimab (each individually called a "study drug" or called "study drugs" when combined) compared with cemiplimab alone. These types of immunotherapy study drugs are collectively known as immune checkpoint inhibitors. Immunotherapies are treatments that use the immune system to recognize and kill cancer cells. The study is focused on participants with a type of skin cancer known as melanoma.

The objective of this study is to see if the combination of fianlimab and cemiplimab is an effective treatment compared to cemiplimab in participants with high-risk, resectable melanoma. Participants will receive treatment before surgery, undergo resection, and then will have the option to continue treatment after resection.

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

  • What side effects may happen from receiving 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 drug less effective or could lead to side effects). Antibodies are proteins that are naturally found in the blood stream that fight infections.
  • How administering the study drugs might improve quality of life.
02

Conditions studied

  • Melanoma

Keywords

  • Skin cancer
  • Fully resectable stage III melanoma
  • Fully resectable stage IV melanoma
03

In context

Melanoma

3,006 studies on the registry are indexed under Melanoma; 519 are open to participants now.

This study's enrollment of 151 is above the median of 38 across 2,351 interventional studies indexed under Melanoma.

Browse Melanoma studies →

Lead sponsor

Regeneron Pharmaceuticals is the lead sponsor of 400 studies on the registry; 91 are open to participants now.

Of its 120 completed or terminated interventional studies of FDA-regulated products, 77 (64%) 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
All
Accepts healthy volunteers
No

Eligibility criteria

Key Inclusion Criteria:

  1. All patients must be either stage III (IIIB, IIIC, IIID) or stage IV (M1a, M1b, M1c) per American Joint Committee on Cancer (AJCC) 8th edition (Amin 2017) and have histologically confirmed cutaneous melanoma that is deemed completely surgically resectable in order to be eligible as described in the protocol.
  2. Patients with stage III melanoma must have clinically detectable disease that is confirmed as malignant on the pathology report. The pathology report must be reviewed, signed and dated by the investigator; this process will be confirmed during the interactive voice response system (IVRS) process as described in the protocol.
  3. Patients must be candidates for full resection with curative intent and must be able to be surgically rendered free of disease with negative margins on resected specimens at surgery. The treatment plan including date of surgery must be documented by the investigator prior to randomization.
  4. All patients must undergo full disease staging through a complete physical examination and imaging studies within 4 weeks prior to randomization. Imaging must include a computer tomography (CT) scan of the chest, abdomen, pelvis (if the primary tumor is on the head/neck then include a CT scan of head/neck), and all known sites of previously resected disease (if applicable) and brain magnetic resonance imaging (MRI) (or brain CT with contrast allowed if MRI is contraindicated).
  5. Eastern Cooperative Oncology Group (ECOG) performance status (PS) 0 or 1

Key Exclusion Criteria:

Medical conditions:

  1. Primary uveal melanoma
  2. Ongoing or recent (within 2 years) evidence of an autoimmune disease that required systemic treatment with immunosuppressive agents. The following are non-exclusionary: vitiligo, childhood asthma that has resolved, residual hypothyroidism that requires only hormone replacement, psoriasis not requiring systemic treatment.
  3. Patients must not have received any prior systemic anti-cancer therapy for melanoma. Prior radiotherapy for melanoma is allowed if not given to a target lesion or, if given to a target lesion, there is pathological evidence of disease progression in the same lesion.
  4. Uncontrolled infection with human immunodeficiency virus (HIV), hepatitis B (HBV) or hepatitis C virus (HCV) infection; or diagnosis of immunodeficiency that is related to or results in chronic infection as described in the protocol.

    Prior/concomitant therapy:

  5. Use of immunosuppressive doses of corticosteroids (≥10mg of prednisone per day or equivalent) within 14 days of the first dose of study medication as described in the protocol.
  6. Treatment with any anti-cancer therapy for malignancies other than melanoma, including immuno- therapy, chemotherapy, radiotherapy, or biological therapy in the 5 years prior to randomization as described in the protocol.

    Other comorbidities:

  7. Participants with a history of myocarditis.
  8. History or current evidence of significant (CTCAE grade ≥2) local or systemic infection (e. g., cellulitis, pneumonia, septicemia) requiring systemic antibiotic treatment within 2 weeks prior to the first dose of trial medication.

Note: Other protocol-defined inclusion/ exclusion criteria apply

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Care provider, Investigator)
Enrollment
151 participants (actual)

Study arms

  • Active comparator
    Arm A

    As described in the protocol

    Drug: cemiplimab · Drug: Placebo

  • Experimental
    Arm B

    As described in the protocol

    Drug: Fixed Dose Combination (FDC) cemiplimab+fianlimab

  • Experimental
    Arm C

    As described in the protocol

    Drug: Fixed Dose Combination (FDC) cemiplimab+fianlimab

Interventions

  • Drugcemiplimab

    Administered per the protocol

    Also known as: REGN2810, Libtayo

  • DrugFixed Dose Combination (FDC) cemiplimab+fianlimab

    Or coadministration, depending on availability.

    Also known as: REGN2810, Libtayo, REGN3767

  • DrugPlacebo

    Administered per the protocol

06

What researchers measure

Primary outcomes

  1. Pathological complete response (pCR) rate as assessed by Blinded Independent Pathological Review (BIPR)

    Time frame: Up to 1 year

Secondary outcomes

  1. pCR rate as assessed by local pathologic review

    Time frame: Up to 1 year

  2. Event-Free Survival (EFS)

    Time frame: Up to 4 years

  3. Distant metastasis-free survival (DMFS)

    Time frame: Up to 4 years

  4. Overall survival (OS)

    Time frame: Up to 4 years

  5. Major pathological response (MPR) as assessed by BIPR

    Time frame: Up to 4 years

  6. MPR rate as assessed by local pathologic review

    Time frame: Up to 4 years

  7. Objective Response Rate (ORR) assessed by investigator per RECIST 1.1 criteria

    Time frame: Up to 4 years

  8. ORR assessed by Blinded Independent Central Review (BICR) per RECIST 1.1 criteria

    Time frame: Up to 4 years

  9. Relapse-free survival (RFS)

    Time frame: Up to 4 years

  10. Occurrence of treatment-emergent adverse events (TEAEs)

    Time frame: 90 days following last dose of study drug, approximately 4 years

  11. Occurrence of immune-mediated adverse events (imAEs)

    Time frame: 90 days following last dose of study drug, approximately 4 years

  12. Occurrence of serious adverse events (SAEs)

    Time frame: 90 days following last dose of study drug, approximately 4 years

  13. Occurrence of adverse events of special interest (AESIs)

    Time frame: 90 days following last dose of study drug, approximately 4 years

  14. Occurrence of TEAEs resulting in death

    Time frame: 90 days following last dose of study drug, approximately 4 years

  15. Occurrence of interruption or discontinuation of study drug(s) due to TEAE.

    Time frame: 90 days following last dose of study drug, approximately 4 years

  16. Occurrence of cancellation of surgery due to TEAE or delay to surgery

    Time frame: 90 days following last dose of study drug, approximately 4 years

  17. Occurrence of laboratory abnormalities

    Grade 3 or higher per Common Terminology Criteria for Adverse Events (CTCAE V5.0)

    Time frame: 90 days following last dose of study drug, approximately 4 years

  18. Concentrations of fianlimab in serum

    Time frame: Up to 4 years

  19. Concentrations of cemiplimab in serum

    Time frame: Up to 4 years

  20. Anti-drug antibodies (ADA) in serum to fianlimab

    Time frame: Up to 4 years

  21. ADA in serum to cemiplimab

    Time frame: Up to 4 years

  22. Change from baseline in disease-related symptoms per Functional Assessment of Cancer Therapy-Melanoma (FACT-M) subscale

    The FACT-M is a melanoma-specific quality of life questionnaire that is composed of items from the Functional Assessment of Cancer Therapy-General (FACT-G). The FACT-M is scored on a 5-point Likert-scale: "Not at all", "A little bit", "Somewhat", "Quite a bit", and "Very much.". A Higher score represents higher Health Related Quality of Life (HRQoL).

    Time frame: Up to 4 years

  23. Change from baseline in functioning per European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (QoL) C30 (EORTC QLQ-C30)

    EORTC-QLQ-C30 is a 30-item subject self-report questionnaire composed of both multi-item and single scales, including a global health status/quality of life (GHS/QoL) scale. Participants rate items on a four-point scale, with 1 as "not at all" and 4 as "very much." A change of 5 - 10 points is considered a small change. A change of 10 - 20 points is considered a moderate change.

    Time frame: Up to 4 years

  24. Change from baseline in global health status/QoL per EORTC QLQ-C30

    Time frame: Up to 4 years

  25. Change from baseline in overall health state per European Quality of Life Dimension 5 (EQ-5D-5L)

    The EQ-5D-5L consists of EQ-5D descriptive system comprises five dimensions: mobility, self-care, usual activities, pain/discomfort and anxiety/depression. Each dimension has 5 levels: no problems, slight problems, moderate problems, severe problems and extreme problems.

    Time frame: Up to 4 years

07

Study locations

104 sites
  • UC San Diego
    La Jolla, California 92093, United States
  • USC Norris Comprehensive Cancer Center
    Los Angeles, California 90089, United States
  • Hoag Family Cancer Institute
    Newport Beach, California 92663, United States
  • California Pacific Medical Center Research Institute
    San Francisco, California 94115, United States
  • University of California San Francisco (UCSF)
    San Francisco, California 94143, United States
  • St John's Cancer Institute
    Santa Monica, California 90404, United States
  • University of Colorado Cancer Center
    Aurora, Colorado 80045, United States
  • Hartford Hospital
    Hartford, Connecticut 06102, United States
  • Yale University Cancer Center
    New Haven, Connecticut 06510, United States
  • Emory Healthcare, Emory Clinic
    Atlanta, Georgia 30322, United States
  • NorthShore University HealthSystem
    Evanston, Illinois 60201, United States
  • Massachusetts General Hospital
    Boston, Massachusetts 02114, United States
  • Dana Farber Cancer Institute Brookline Avenue
    Boston, Massachusetts 02215, United States
  • University of Massachusetts Chan Medical School
    Worcester, Massachusetts 01655, United States
  • Washington University School of Medicine
    St Louis, Missouri 63110, United States
  • Rutgers Cancer Institute of New Jersey
    New Brunswick, New Jersey 08901, United States
  • Northwell Health Cancer Institute
    Lake Success, New York 11042, United States
  • Duke Cancer Institute, University Hospital
    Durham, North Carolina 27710, United States
  • Seidman Cancer Center
    Cleveland, Ohio 44106, United States
  • Cleveland Clinic Foundation
    Cleveland, Ohio 44195, United States
  • The Ohio State University James Comprehensive Cancer Center
    Columbus, Ohio 43210, United States
  • Thomas Jefferson University Hospital
    Philadelphia, Pennsylvania 19107, United States
  • University of Pittsburgh
    Pittsburgh, Pennsylvania 15232, United States
  • University of Tennessee Medical Center
    Knoxville, Tennessee 37920, United States
  • UT Southwestern/Simmons Comprehensive Cancer Center
    Dallas, Texas 75235, United States
  • University of Texas MD Anderson Cancer Center
    Houston, Texas 77030, United States
  • University of Virginia
    Charlottesville, Virginia 22908, United States
  • Inova Schar Cancer Institute
    Fairfax, Virginia 22031, United States
  • Lismore Base Hospital
    Lismore, New South Wales 2480, Australia
  • Westmead Hospital
    Westmead, New South Wales 2145, Australia
  • Melanoma Institute of Australia
    Wollstonecraft, New South Wales 2065, Australia
  • The Townsville Hospital
    Douglas, Queensland 4814, Australia
  • Hervey Bay Hospital
    Hervey Bay, Queensland 4655, Australia
  • Flinders Medical Centre
    Bedford Park, South Australia 5042, Australia
  • The Queen Elizabeth Hospital
    Woodville, South Australia 5011, Australia
  • Icon Cancer Centre Hobart
    Hobart, Tasmania 7000, Australia
  • Eastern Health
    Box Hill, Victoria 3128, Australia
  • Peter MacCallum Cancer Centre
    Melbourne, Victoria 3052, Australia
  • One Clinical Research at Hollywood Private Hospital
    Nedlands, Western Australia 6009, Australia
  • University Hospital Saint Poelten
    Sankt Pölten, Lower Austria 3100, Austria
  • Medical University of Graz
    Graz, Styria 8036, Austria
  • Medical University Innsbruck
    Innsbruck, Tyrol 6020, Austria
  • Medical University of Vienna
    Vienna, 1090, Austria
  • Sunnybrook Health Sciences Centre
    Toronto, Ontario M4N 3M5, Canada
  • Princess Margaret Cancer Centre
    Toronto, Ontario M5G 2M9, Canada
  • Centre Hospitalier de l'Universite de Montreal (CHUM)
    Montreal, Quebec H2X 0C1, Canada
  • CHU de Quebec - Universite Laval
    Québec, G1J 1Z4, Canada
  • Hospices Civils de Lyon
    Pierre-Bénite, Auvergne-Rhône-Alpes 69495, France
  • Centre Georges Francois Leclerc
    Dijon, Bourgogne-Franche-Comté 21000, France
  • CHU-Dijon
    Dijon, Burgundy 21000, France
  • CHRU de Tours
    Tours, Centre-Val de Loire 37044, France
  • Chu De Bordeaux
    Bordeaux, Gironde 33075, France
  • Centre Hospitalier Universitaire Grenoble Alpes
    La Tronche, Isere 38700, France
  • Centre Hospitalier Universitaire De Poitiers
    Poitiers, New Aquitaine 86000, France
  • Centre Francois Baclesse
    Caen, Normandy 14000, France
  • Nantes University Hospital
    Nantes, Pays de la Loire Region 44093, France
  • Hopital Ambroise Pare
    Boulogne, 92104, France
  • CHU Estaing
    Clermont-Ferrand, 63003, France
  • Regional University Hospital of Lille 2208
    Lille, 59037, France
  • Hopital Timone
    Marseille, 13385, France
  • Centre Hospitalier Universitaire De Nice Hopital De L Archet
    Nice, 06202, France
  • Saint Louis Hospital
    Paris, Île-de-France Region 75010, France
  • Gustave Roussy
    Villejuif, Île-de-France Region 94800, France
  • Universitatsklinikum Freiburg
    Freiburg im Breisgau, Baden-Wurttemberg 79104, Germany
  • Universitatsklinikum Ulm
    Ulm, Baden-Wurttemberg 89081, Germany
  • LMU Klinikum
    Munich, Bavaria 80337, Germany
  • University Hospital of Regensburg
    Regensburg, Bavaria 93053, Germany
  • Universitaetsklinikum Wuerzburg
    Würzburg, Bavaria 97080, Germany
  • University Hospital Giessen
    Giessen, Hesse 35385, Germany
  • Elbekliniken Stade Buxtehude
    Buxtehude, Lower Saxony 21614, Germany
  • Muhlenkreiskliniken Minden, Ruhr University Bochum
    Bochum, North Rhine-Westphalia 44791, Germany
  • University Hospital Essen
    Essen, North Rhine-Westphalia 45147, Germany
  • Hautklinik
    Ludwigshafen am Rhein, Rhineland-Palatinate D-67063, Germany
  • University Hospital Dresden
    Dresden, Saxony 01307, Germany
  • Universitatsklinikum Leipzig, AoR
    Leipzig, Saxony 04103, Germany
  • Universitatsklinikum Schleswig Holstein Campus Luebeck
    Lübeck, Schleswig-Holstein 23538, Germany
  • Helios Klinikum Erfurt
    Erfurt, Thuringia D-99089, Germany
  • SRH Wald- Klinikum Gera GmbH
    Gera, Thuringia 07548, Germany
  • Charite University Medicine
    Berlin, 10117, Germany
  • Klinikum Bremen Ost
    Bremen, 28325, Germany
  • Azienda Ospedaliera Santa Croce i Carle
    Cuneo, 12100, Italy
  • Azienda Ospedaliero-Universitaria Ferrara
    Ferrara, 44124, Italy
  • Fondazione IRCCS Istituto Nazionale dei Tumori.
    Milan, 20133, Italy
  • Istituto Europeo di Oncologia
    Milan, 20141, Italy
  • Istituto Nazionale Tumori IRCCS Fondazione G Pascale
    Naples, 80131, Italy
  • Universita della Campania Luigi Vanvitelli
    Naples, 80131, Italy
  • Azienda Ospedaliero-Universitaria Maggiore della Carita - Oncology
    Novara, 28100, Italy
  • U.O. Oncologia Medica 2 Universitaria, Azienda Ospedaliero Universitaria Pisana
    Pisa, 56126, Italy
  • Campus Bio-Medico di Roma
    Rome, 00128, Italy
  • Medical Oncology
    Taormina, 98039, Italy
  • Azienda Sanitaria Universitaria del Friuli Centrale
    Udine, 33100, Italy
  • Hospital Universitario Virgen de las Nieves
    Granada, Andalusia 18015, Spain
  • Hospital Universitario Virgen De La Victoria Malaga
    Málaga, Andalusia 29010, Spain
  • Hospital Universitari Son Espases
    Palma, Balearic Islands 07120, Spain
  • Hospital Germans Trias i Pujol
    Badalona, Barcelona 08916, Spain
  • Instituto Oncologico Dr Rosell
    Barcelona, Catalonia 08028, Spain
  • Hospital Clinico Universitario Virgen De La Arrixaca
    El Palmar, Murcia 30120, Spain
  • Hospital Universitario Central de Asturias
    Oviedo, Principality of Asturias 33011, Spain
  • Vall d'Hebron Hospital
    Barcelona, 08029, Spain
  • Hospital Clinic de Barcelona
    Barcelona, 08036, Spain

Showing the first 100 of 104 sites across 8 countries.

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, Sap, Icf, Csr, Analytic code

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 Feb 10, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06190951
Lead sponsor
Regeneron Pharmaceuticals
Responsible party
Sponsor
First posted
Jan 5, 2024
Start date
Sep 18, 2024
Primary completion
Nov 2, 2026 (estimated)
Completion
Dec 9, 2030 (estimated)
Last update
Feb 10, 2026

Study contacts

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 ↗

Not currently enrolling

This study is active, not recruiting, as verified in Feb 2026. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion