A Study With Combinations of Anti-LAG-3 and Anti-PD-1 Antibodies in Adult Participants With Advanced or Metastatic Melanoma (Harmony Head-to-Head)

ConditionMelanoma
Trial statusRecruiting
Trial phasePhase 3
Trial typeInterventional
Biological sexAll
Age18+
SponsorRegeneron Pharmaceuticals

About this trial

This study is researching an experimental drug called fianlimab (also known as REGN3767), combined with another medication called cemiplimab (also known as REGN2810), called "study drugs". The study is focused on patients with a type of skin cancer known as melanoma. The aim of the study is to see how safe and effective the combination of fianlimab and cemiplimab is in treating melanoma, in comparison with the combination of two medications, relatlimab and nivolumab, commercialized under the brand name Opdualag™ and approved for the treatment of melanoma in adults and children.

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

* What side effects may happen from taking the study drugs. * How much study drug is in the blood at different times. * Whether the body makes antibodies against the study drugs (which could make the drug less effective or could lead to side effects)

Eligibility criteria

Qualifiers

Participants with histologically confirmed unresectable stage III and stage IV (metastatic) melanoma per American Joint Committee on Cancer (AJCC), eighth revised edition.

Participants must not have received prior systemic therapy for unresectable or metastatic melanoma as described in the protocol.

Measurable disease per RECIST version 1.1.

Eastern Cooperative Oncology Group (ECOG) performance status (PS) ≤1

Disqualifiers

Uveal, acral or mucosal melanoma.

Ongoing or recent (within 2 years) evidence of an autoimmune disease that required systemic treatment with immunosuppressive agents as described in the protocol.

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. Mild cancer-related immunodeficiency (such as immunodeficiency treated with gamma globulin and without chronic or recurrent infection) is allowed.

Prior immune checkpoint inhibitor therapy other than anti-PD1/PD-L1 as described in the protocol

Trial design

Treatments tested in this trial

  • fianlimab
  • cemiplimab
  • relatlimab+nivolumab

Treatment groups

560 Participants
are divided into 2 treatment groups

Locations

110
Canada
Cross Cancer InstituteT6G 1Z2, EdmontonAlberta, Canada
London Regional Cancer CentreN6A 5W9, LondonOntario, Canada
Princess Margaret Cancer CentreM5G 2M9, TorontoOntario, Canada
Sunnybrook Health Sciences CentreM4N 3M5, TorontoOntario, Canada

Sponsors and collaborators

Regeneron Pharmaceuticals

Lead sponsor