About this trial

The study is a randomized, double blind, placebo-controlled, non-comparative phase II trial that investigates the efficacy of neoadjuvant anti-PD-1 antibody Cemiplimab treatment in patients with clinical stage I or II Merkel cell carcinoma who have have undergone primary tumour excision and are pending sentinel lymph node biopsy.

Eligibility criteria

Qualifiers

Patient has signed informed written consent.

Patients is 18 years and older at time of signing of written informed consent

Patient has diagnosis of Merkel cell carcinoma in clinical stage II, or in stage I with minimum diameter of 1 cm, with primary tumor already removed and a planned sentinel lymph nodes biopsy still pending.

Patient has ECOG performance status 0-2.

Disqualifiers

Patient has prior sentinel lymph node removal for the current MCC.

Patients received prior treatment with immunotherapy (such as PD-1/PD-L1 or CTL4) or any other systemic anti-tumor (MCC) therapy (incl. investigational therapies)

Patient has active or a history of hematological neoplasms including chronic lymphocytic leukemia (CLL), irrespective if these require treatment or not.

Patient had prior organ transplantation including allogenic stem-cell transplantation.

Trial design

Treatments tested in this trial

  • Cemiplimab 350 mg i.v. on day 1 of every 21 days cycle for 2 cycles
  • Placebo NaCl 0.9% solution i.v. on day 1 of every 21 days cycle for 2 cycles.

Treatment groups

135 Participants
are divided into 2 treatment groups

Locations

14
Nationales Centrum für Tumorerkrankungen69120, HeidelbergBaden-Wurttemberg, Germany
Universitätsklinikum Mannheim68161, MannheimBaden-Wurttemberg, Germany
Universitätsklinikum Tübingen72076, TübingenBaden-Wurttemberg, Germany
Universitätsklinikum Regensburg93053, RegensburgBavaria, Germany

Sponsors and collaborators

Institut für Klinische Krebsforschung IKF GmbH at Krankenhaus Nordwest

Lead sponsor

Prof. Gutzmer, Skin Cancer Center Minden, Johannes-Wesling-Klinikum Minden, Germany

Collaborator

Universität Duisburg-Essen

Collaborator

Regeneron Pharmaceuticals

Collaborator