Cemiplimab Before and After Surgery for the Treatment of High Risk Cutaneous Squamous Cell Cancer

Trial statusRecruiting
Trial phasePhase 1
Trial typeInterventional
Biological sexAll
Age18+
SponsorEmory University

About this trial

This phase I trial studies how well cemiplimab before and after surgery works in treating patients with high risk cutaneous squamous cell cancer. Immunotherapy with monoclonal antibodies, such as cemiplimab, may help the body's immune system attack the cancer, and may interfere with the ability of tumor cells to grow and spread. Giving cemiplimab before surgery may improve risk of the cancer returning in patients with high risk cutaneous squamous cell cancer.

Eligibility criteria

Qualifiers

Nodal disease with extracapsular extension (ECE) and at least one node >= 20 mm on the surgical pathology report

In-transit metastases (ITM) defined as skin or subcutaneous metastases that are > 2 cm from the primary lesion but are not beyond the regional nodal basin

T4 lesion for head and neck CSCC

Perineural invasion (PNI), defined as clinical and/or radiologic involvement of named nerves

Disqualifiers

Determined not to be a surgical candidate due to medical co-morbidities or extent of disease

Treatment with chronic immunosuppressants (e.g., cyclosporine following transplantation)

Prior organ allograft or allogeneic bone marrow transplantation

Subjects with active or history of immune mediated pneumonitis, colitis, hepatitis, nephritis, or skin reactions as these patients may be at increased risk for developing immune therapy-induced exacerbation or recurrence of their immune mediated disease, potentially delaying surgery

Trial design

Treatments tested in this trial

  • Cemiplimab
  • Radiation Therapy
  • Therapeutic Conventional Surgery

Treatment groups

20 Participants
are divided into 1 treatment group

Sponsors and collaborators

Emory University

Lead sponsor

National Cancer Institute (NCI)

Collaborator