Primary Objectives: * Dose Escalation: To determine maximum tolerated dose (MTD) or maximum administered dose (MAD) and overall safety and tolerability profile of SAR441000 when administered intratumorally as monotherapy and in combination with cemiplimab in patients who have no alternative standard treatment options. * Dose Expansion (Combination): To determine the objective response rate of SAR441000 administered intratumorally in combination with cemiplimab in patients with melanoma, cutaneous squamous cell carcinoma or head and neck squamous cell carcinoma. Secondary Objectives: * To characterize the pharmacokinetic (PK) profile of SAR441000 administered as monotherapy and in combination with cemiplimab. * To assess the immunogenicity of SAR441000. * To characterize the safety of SAR441000 when administered intratumorally in combination with cemiplimab. * To determine the disease control rate (DCR), duration of response (DoR) and progression free survival (PFS) of SAR441000. * To determine the recommended dose of SAR441000 for the expansion phase.
The expected duration of treatment for patients who benefit from study intervention may vary, based on progression date. Median expected duration of study per patient is estimated as 9 months in monotherapy and 12 months in combination therapy. The maximum treatment duration for non-progressive patients is up to 2 years.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
77
Pharmaceutical form: concentrate for solution for injection Route of administration: intratumoral
Pharmaceutical form: solution for injection Route of administration: intravenous
Dana-Farber Cancer Institute- Site Number : 8400003
Boston, Massachusetts, United States
Cleveland Clinic - Cleveland- Site Number : 8400007
Cleveland, Ohio, United States
The University of Texas MD Anderson Cancer Center- Site Number : 8400002
Houston, Texas, United States
Investigational Site Number : 0560001
Brussels, Belgium
Investigational Site Number : 0560003
Ghent, Belgium
Investigational Site Number : 0560002
Leuven, Belgium
Investigational Site Number : 2500004
Marseille, France
Investigational Site Number : 2500002
Paris, France
Investigational Site Number : 2500001
Villejuif, France
Investigational Site Number : 2760005
Hamburg, Germany
...and 9 more locations
For dose escalation: Incidence of Dose Limiting Toxicities (DLTs) (Monotherapy)
Incidence of DLTs at Cycle 1 (SAR441000 monotherapy), assessed as the occurrence of AE, satisfying protocol defined DLT criteria, using National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE) version 5.0 whether related or not to the study treatment in the absence of clear evidence to the contrary, and if not related to a disease progression
Time frame: Cycle 1; Cycle = 28 days for monotherapy
For dose escalation: Incidence of Dose Limiting Toxicities (DLTs) (Combination therapy)
Incidence of DLTs during period from Cycle 1 Day 1 to Cycle 2 Day 8 (SAR441000 + cemiplimab combination therapy), assessed as the occurrence of AE, satisfying protocol defined DLT criteria, using NCI-CTCAE version 5.0 whether related or not to the study treatment in the absence of clear evidence to the contrary, and if not related to a disease progression
Time frame: Cycle 1 Day 1 to Cycle 2 Day 8; Cycle = 21 days for combination therapy; overall assessment = 28 days
For dose escalation: Maximum tolerated dose (MTD) of SAR441000 (Monotherapy)
MTD of SAR441000 as monotherapy, determined during Cycle 1 of dose escalation phase
Time frame: End of Dose Escalation phase (ie, End of Cycle 1 for last patient); Cycle = 28 days for monotherapy
For dose escalation: Maximum tolerated dose (MTD) of SAR441000 (Combination therapy)
MTD of SAR441000, in combination with cemiplimab, determined during period from Cycle 1 Day 1 to Cycle 2 Day 8 in dose escalation phase
Time frame: End of Dose Escalation Phase (ie, End of Cycle 1 Day 1 to Cycle 2 Day 8 for last patient); Cycle = 21 days for combination; overall assesment = 28 days
Adverse Events
Incidence of Treatment Emergent Adverse Events (TEAE) during dose escalation phase
Time frame: Up to end of treatment (Estimated median duration=12 months)
For Expansion: Objective Response Rate (ORR)
Assessment of overall response rate using standard imaging and RECIST 1.1 criteria
Time frame: Estimated median duration = 12 months
Assessment of Pharmacokinetic (PK) parameter for SAR441000 (Cmax) (Monotherapy)
Maximum plasma concentration (Cmax) of SAR4410000 as monotherapy observed over the dosing interval
Time frame: Cycle 1 Week 1 and Cycle 3 Week 1 (in all patients); Cycle duration is 28 days for monotherapy
Assessment of Pharmacokinetic (PK) parameter for SAR441000 (Cmax) (Combination therapy)
Maximum plasma concentration (Cmax) of SAR4410000 in combination with cemiplimab observed over the dosing interval
Time frame: Cycle 1 Week 1 and Cycle 3 Week 1 (in all patients); Cycle duration is 21 days for combination therapy
Assessment of PK parameter for SAR441000 (AUC) (Monotherapy)
Area under the plasma concentration versus time curve (AUC) of SAR441000 as monotherapy over the dosing interval
Time frame: Cycle 1 Week 1 and Cycle 3 Week 1 (in all patients); Cycle duration is 28 days for monotherapy
Assessment of PK parameter for SAR441000 (AUC) (Combination therapy)
Area under the plasma concentration versus time curve (AUC) of SAR441000 in combination with cemiplimab over the dosing interval
Time frame: Cycle 1 Week 1 and Cycle 3 Week 1 (in all patients); Cycle duration is 21 days for combination therapy
Assessment of PK parameter (Ctrough) for SAR441000
Trough Plasma Concentration (Ctrough) of SAR441000 as monotherapy and in combination with cemiplimab. It is defined as plasma concentration observed just before treatment administration during repeated dosing
Time frame: Baseline to End of Treatment (Estimated median duration of 12 months)
Assessment of PK parameter for cemiplimab (Cmax)
Maximum plasma concentration of cemiplimab in combination with SAR441000, observed over the dosing interval
Time frame: Cycle 1; Cycle duration is 21 days
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.
Assessment of PK parameter of cemiplimab (AUC)
Area under the plasma concentration versus time curve of cemiplimab in combination with SAR441000 over the dosing interval
Time frame: Cycle 1; Cycle duration is 21 days
Assessment of PK parameter for cemiplimab (Ctrough)
Trough plasma concentration of cemiplimab in combination with SAR441000, observed just before treatment administration during repeated dosing
Time frame: Baseline to End of Treatment (Estimated median duration of 12 months)
Immunogenicity of SAR441000 and cemiplimab
Incidence of anti-drug antibody (ADA) positive patients for immunogenicity
Time frame: Baseline to End of Study (Estimated median duration of 12 months)
DCR
Disease Control Rate (DCR) with SAR441000 in combination with cemiplimab. DCR is sum of Complete Response + Partial Response + Stable Disease
Time frame: Baseline to End of Study (Estimated median duration of 12 months)
DoR
Duration of Response (DoR) with SAR441000 in combination with cemiplimab. DoR is time from initial response to the first documented tumor progression
Time frame: Baseline to End of Study (Estimated median duration of 12 months)
Progression Free Survival (PFS)
Time from first drug administration to the first documented tumor progression or death from any cause, whichever comes first
Time frame: Baseline to End of Study (Estimated median duration of 12 months)
Incidence of Treatment Emergent Adverse Events (TEAE) during dose expansion phase
Incidence of Adverse Events (AE)/ Serious AE (SAE) / Laboratory abnormalities considered to be adverse events
Time frame: Baseline to End of Treatment (Estimated median duration of 12 months)
Recommended dose of SAR441000 for expansion phase (Combination therapy)
SAR441000 dose for administration in combination with cemiplimab selected for expansion phase based on MTD/MAD by the Bayesian model, the overall safety, activity and PK/PDy data
Time frame: End of Dose Escalation Phase (ie, End of Cycle 1 Day 1 to Cycle 2 Day 8 for last patient); Cycle = 21 days for combination; overall assesment = 28 days
For Dose Expansion: Objective Response Rate (ORR)
Assessment of overall response rate using standard imaging by RECIST 1.1 and iRECIST criteria
Time frame: Estimated median duration of 12 months