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Study of Intralesional Cemiplimab in Adult Patients With Early Stage Cutaneous Squamous Cell Carcinoma

RecruitingPhase 3

A Phase 3 Randomized Study of Intralesional Cemiplimab Versus Primary Surgery in Participants With Early Stage Cutaneous Squamous Cell Carcinoma (CSCC)

Who can join

Ages 18 and older · All sexes

Full eligibility criteria
Key Inclusion Criteria:

1. Participants who have a histologically confirmed invasive CSCC TL, as described in the protocol
2. Participants who have CSCC TL ≥1 cm and ≤2.0 cm (longest diameter) prior to biopsy and \>0.7 cm to ≤2.0 cm after biopsy, located in either the Head or Neck (HN), hand, or pre-tibial surface, as described in the protocol
3. Participants who are judged to be eligible for surgical resection of their CSCC TL and the method of planned surgical resection would be Micrographically oriented histographic surgery (Mohs) or other surgical method of Complete Margin Assessment (CMA). Participants for whom the planned surgery is surgical excision without margin control are not eligible
4. Eastern Cooperative Oncology Group (ECOG) performance status (PS) ≤1
5. Adequate hepatic, renal and bone marrow functions, as described in the protocol

Key Exclusion Criteria:

1. Participant in which the TL is a keratoacanthoma (KA), adenosquamous carcinoma, desmoplastic carcinoma, sarcomatoid carcinoma, basal cell carcinoma, basosquamous carcinoma, Bowen's disease, or CSCC in situ without an invasive component. (Note: For participants with invasive CSCC with a minor basaloid component, the patient may be eligible after discussion with the sponsor medical director.)
2. Ongoing or recent (within 5 years) evidence of significant autoimmune disease that required treatment with systemic immunosuppressive treatments, which may suggest risk for immune-mediated Adverse Events (imAEs), as described in the protocol
3. History of non-infectious pneumonitis within the last 5 years
4. TL (lesion planned for intralesional therapy) or other non-target CSCC lesion in dry red lip (vermillion), oral cavity, or nasal mucosa

NOTE: Other protocol defined inclusion / exclusion criteria apply.

About the study

This study will test a study drug called cemiplimab to see if it can help treat early-stage Cutaneous Squamous Cell Carcinoma (CSCC), a type of skin cancer. Cemiplimab works by helping the immune system to kill cancer cells. It binds to a protein called Programmed cell Death-1 (PD-1) on the surface of certain immune cells.

The main purpose of this study is to compare how well cemiplimab works compared to surgery, when injected into the lesion.

The study is looking at:

* The side effects cemiplimab might cause * How well cemiplimab works compared to surgery

What is being tested

Sponsor: Regeneron Pharmaceuticals · Participants: 369 · Started: Jan 2, 2025

Contact the study team

Official record on ClinicalTrials.gov — NCT06585410

Locations in the U.S.

ArizonaMedical Dermatology Specialists - Phoenix, Phoenix
Mayo Clinic - Arizona, Scottsdale
University of Arizona Cancer Center, Tucson
ArkansasArkansas Research Trials, North Little Rock
CaliforniaUC San Diego Moores Cancer Center, La Jolla
Profound Research, Dermatology Medical Group - Oceanside, Oceanside
Stanford University, Redwood City
Peak Dermatology, Aesthetics and Wellness, Visalia
District of ColumbiaGeorge Washington University Medical Faculty Associates, Washington D.C.
FloridaLife Clinical Trials, Coral Springs
Dermatology Associates of the Palm Beaches, Integri Research at Dermatology Associates, Delray Beach
University of South Florida, Tampa
IllinoisUniversity of Chicago Medical Center, Chicago
Oak Dermatology, Naperville
MarylandUS Dermatology Partners DBA DermAssociates, PC, Rockville
MassachusettsNortheast Dermatology Associates, Beverly
Dana-Farber Cancer Institute, Boston
MichiganMyMichigan Dermatologic Oncology, Midland
Somerset Skin Centre, Troy
MissouriDermatology and Skin Cancer Center, Lee's Summit
Washington University in St. Louis - Center for Dermatologic and Cosmetic Surgery, St Louis
NevadaLas Vegas Dermatology, Las Vegas
New HampshireStracSkin, PLLC, Portsmouth
New MexicoUniversity of New Mexico, Albuquerque
New YorkColumbia University Medical Center - Herbert Irving Center for Dermatology and Skin Cancer - Herbert Irving Pavilion, New York
Memorial Sloan Kettering Cancer Center, New York
Rochester Dermatologic Surgery, P.C., Victor
North CarolinaUNC Hospitals Dermatology and Skin Cancer Center at Southern Village, Chapel Hill
OhioCleveland Clinic, Cleveland
Buckeye Dermatology - Springfield Office, Springfield
OklahomaUniversity of Oklahoma Health Sciences Center, Oklahoma City
OregonDermatology Health Specialists, Bend
Oregon Health & Science University, Portland
PennsylvaniaPenn State Hershey Medical Center, Hershey
Penn Medicine, Perelman Center For Advanced Medicine, Philadelphia
South CarolinaClinical Research Center of the Carolinas, Charleston
TexasThe University of Texas at Austin Dell Medical School Ascension Medical Group, Austin
U.S. Dermatology Partners, Cedar Park
Reveal Research Institute, Dallas
The University of Texas MD Anderson Cancer Center, Houston
Epiphany Dermatology, Lewisville
Texas Dermatology and Laser Specialists, San Antonio
Center for Clinical Studies at Webster Clear Lake, Webster
UtahUniversity of Utah Hospital, Salt Lake City
VirginiaVcu Massey Cancer Center, Richmond

Conditions

From ClinicalTrials.gov, data retrieved Sep 30, 2026. Each study sets its own eligibility; the study team decides who can join.