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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT03969004
Registration number
NCT03969004
Ethics application status
Date submitted
6/05/2019
Date registered
31/05/2019
Titles & IDs
Public title
Study of Adjuvant Cemiplimab Versus Placebo After Surgery and Radiation Therapy in Patients With High Risk Cutaneous Squamous Cell Carcinoma
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Scientific title
A Randomized, Placebo-Controlled, Double-Blind Study of Adjuvant Cemiplimab Versus Placebo After Surgery and Radiation Therapy in Patients With High Risk Cutaneous Squamous Cell Carcinoma
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Secondary ID [1]
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2019-000566-38
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Secondary ID [2]
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R2810-ONC-1788
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Cutaneous Squamous Cell Carcinoma
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Condition category
Condition code
Cancer
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Non melanoma skin cancer
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Cancer
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0
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0
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Kidney
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Drugs - Cemiplimab
Treatment: Drugs - Placebo
Experimental: Cemiplimab -
Placebo comparator: Placebo -
Treatment: Drugs: Cemiplimab
Intravenous (IV) infusion over 30 minutes
Treatment: Drugs: Placebo
Intravenous (IV) infusion over 30 minutes
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Intervention code [1]
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Treatment: Drugs
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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DFS defined as time from randomization to the first documented disease recurrence (local, regional and/or distant); or death due to any cause.
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Assessment method [1]
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For patients who do not have a tumor recurrence or death, DFS will be censored on the date of last disease assessment.
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Timepoint [1]
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Up to 54 months
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Secondary outcome [1]
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Overall survival (OS), defined as time from randomization to the date of death. A patient who has not died will be censored on the last known date as alive.
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Assessment method [1]
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Timepoint [1]
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Up to 78 months
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Secondary outcome [2]
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FFLRR defined as time from randomization to the date of first locoregional recurrence (LRR). Patients who died without a preceding LRR will be censored on the date of death.
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Assessment method [2]
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For patients who do not have a LRR or death, FFLRR will be censored on the date of last disease assessment.
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Timepoint [2]
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Up to 54 months
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Secondary outcome [3]
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Freedom from distant recurrence (FFDR), defined as time from randomization to the date of first distant recurrence (DR). Patients who died without a preceding DR will be censored on the date of death.
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Assessment method [3]
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For patients who do not have a DR or death, FFDR will be censored on the date of last disease assessment.
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Timepoint [3]
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Up to 54 months
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Secondary outcome [4]
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Cumulative occurrence of second primary cutaneous squamous cell carcinoma tumor (SPTs) for each patient from randomization to occurrence of first primary endpoint event or end of study.
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Assessment method [4]
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0
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Timepoint [4]
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Up to 54 months
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Secondary outcome [5]
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Incidence and severity of treatment-emergent adverse events (TEAE)
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Assessment method [5]
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Timepoint [5]
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Up to 78 months
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Secondary outcome [6]
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Incidence of deaths
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Assessment method [6]
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Timepoint [6]
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Up to 78 months
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Secondary outcome [7]
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Incidence of laboratory abnormalities
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Assessment method [7]
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0
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Timepoint [7]
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Up to 78 months
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Secondary outcome [8]
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Cemiplimab concentrations in serum
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Assessment method [8]
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0
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Timepoint [8]
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Up to 78 months
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Secondary outcome [9]
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Anti-drug antibodies (ADA) in serum
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Assessment method [9]
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Timepoint [9]
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Up to 78 months
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Eligibility
Key inclusion criteria
Key
* For Japan only, men and women =21 years old
* Patient with resection of pathologically confirmed CSCC (primary CSCC lesion only, or primary CSCC with nodal involvement, or CSCC nodal metastasis with known primary CSCC lesion previously treated within the draining lymph node echelon), with macroscopic gross resection of all disease
* High risk CSCC, as defined in the protocol
* Completion of curative intent post-operative radiation therapy (RT) within 2 to 10 weeks of randomization
* Eastern Cooperative Oncology Group performance status (ECOG PS) =1
* Adequate hepatic, renal, and bone marrow function as defined in the protocol
Key
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
* Squamous cell carcinomas (SCCs) arising in non-cutaneous sites as defined in the protocol
* Concurrent malignancy other than localized CSCC and/or history of malignancy other than localized CSCC within 3 years of date of randomization as defined in the protocol
* Patients with hematologic malignancies (note: patients with chronic lymphocytic leukemia (CLL) are not excluded if they have not required systemic therapy for CLL within 6 months of enrollment)
* Patients with history of distantly metastatic CSCC (visceral or distant nodal), unless the disease-free interval is at least 3 years (regional nodal involvement of disease in draining lymph node basin that was resected and radiated prior to enrollment will not be exclusionary)
* Ongoing or recent (within 5 years of randomization date) evidence of significant autoimmune disease that required treatment with systemic immunosuppressive treatments, which may suggest risk for immune-related adverse events (irAEs). The following are not exclusionary: vitiligo, childhood asthma that has resolved, type 1 diabetes, residual hypothyroidism that required only hormone replacement, or psoriasis that does not require systemic treatment.
* Has had prior systemic anti-cancer immunotherapy for CSCC
Note: Other protocol defined Inclusion/Exclusion criteria apply
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people receiving the treatment/s
The people administering the treatment/s
The people assessing the outcomes
The people analysing the results/data
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 3
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Recruiting
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
4/06/2019
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
28/01/2028
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Actual
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Sample size
Target
412
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
NSW,North South WalesQLD,SA,TAS,VIC,WA
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Recruitment hospital [1]
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The Border Cancer Hospital Dispensary - Albury Wodonga Regional Cancer Centre - Albury
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Coffs Harbour Health Campus - Coffs Harbour
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Central Coast Cancer Centre-Gosford and Wyong Hospitals - Gosford
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St George Hospital - Kogarah
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North Shore Private Hospital - St Leonards
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Cancer Care Associates (CCA) Riverina Cancer Care Centre (RCCC) - Wagga Wagga
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Calvary Mater Newcastle - Waratah
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Westmead Hospital - Westmead
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Illawarra Cancer Care Centre (ICCC) - Wollongong
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Melanoma Institute - Sydney
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Wide Bay Hospital and Health Service - Cancer Care Services - Bundaberg
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Cairns Hospital - Cairns
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The Royal Brisbane and Women's Hospital - Herston
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ICON Cancer Care - Southport
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Toowoomba Hospital - Toowoomba
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Genesis Care Tugun - John Flynn Private Hospital - Tugun
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Recruitment hospital [17]
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Wide Bay Hospital and Health Service - Cancer Care Services - Hervey Bay - Urraween
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Princess Alexandra Hospital - Woolloongabba
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Ashford Cancer Centre Research-Adelaide Cancer Centre - Kurralta Park
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Royal Hobart Hospital-Hobart Hospital - Hobart
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Royal Hobart Hospital - Hobart
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Bendigo Health - Bendigo
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St. Vincent's Hospital - Fitzroy
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Recruitment hospital [24]
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Olivia Newton -John Cancer Wellness & Research Centre - Heidelberg
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Recruitment hospital [25]
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Peter Maccallum Cancer Centre (PMCC) - Melbourne
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Sir Charles Gairdner Hospital - Nedlands
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Royal Adelaide Hospital - Adelaide
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Liverpool Cancer Therapy Center - Liverpool
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Recruitment hospital [29]
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University of New South Wales (UNSW) - Liverpool Hospital - Liverpool Cancer Therapy Centre - Liverpool
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Recruitment hospital [30]
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The Townsville Hospital and Health Service - Townsville
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Recruitment postcode(s) [1]
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2640 - Albury
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Recruitment postcode(s) [2]
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2450 - Coffs Harbour
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Recruitment postcode(s) [3]
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2250 - Gosford
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Recruitment postcode(s) [4]
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2217 - Kogarah
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Recruitment postcode(s) [5]
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2065 - St Leonards
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Recruitment postcode(s) [6]
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2650 - Wagga Wagga
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Recruitment postcode(s) [7]
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2298 - Waratah
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Recruitment postcode(s) [8]
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2145 - Westmead
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Recruitment postcode(s) [9]
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2500 - Wollongong
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Recruitment postcode(s) [10]
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2060 - Sydney
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Recruitment postcode(s) [11]
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4670 - Bundaberg
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Recruitment postcode(s) [12]
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4870 - Cairns
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Recruitment postcode(s) [13]
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4029 - Herston
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Recruitment postcode(s) [14]
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4215 - Southport
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Recruitment postcode(s) [15]
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4350 - Toowoomba
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Recruitment postcode(s) [16]
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4224 - Tugun
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Recruitment postcode(s) [17]
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4655 - Urraween
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Recruitment postcode(s) [18]
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4102 - Woolloongabba
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Recruitment postcode(s) [19]
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5037 - Kurralta Park
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Recruitment postcode(s) [20]
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7000 - Hobart
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Recruitment postcode(s) [21]
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3550 - Bendigo
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Recruitment postcode(s) [22]
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3065 - Fitzroy
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Recruitment postcode(s) [23]
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3084 - Heidelberg
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Recruitment postcode(s) [24]
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3000 - Melbourne
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Recruitment postcode(s) [25]
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6009 - Nedlands
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Recruitment postcode(s) [26]
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5000 - Adelaide
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Recruitment postcode(s) [27]
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2170 - Liverpool
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Recruitment postcode(s) [28]
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4814 - Townsville
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Recruitment outside Australia
Country [1]
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United States of America
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State/province [1]
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Arizona
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California
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United States of America
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District of Columbia
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Florida
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Georgia
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Illinois
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Kentucky
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Maryland
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Massachusetts
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Michigan
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Missouri
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Nebraska
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New York
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Ohio
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Russian Federation
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Omsk
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Russian Federation
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State/province [88]
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Rostov-Na-Donu
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Russian Federation
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Saint Petersburg
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Country [90]
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Spain
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State/province [90]
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Cataluna
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Country [91]
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Spain
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State/province [91]
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Madrid
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Spain
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Badalona
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Spain
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State/province [93]
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Barcelona
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Spain
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State/province [94]
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Majadahonda
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Spain
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State/province [95]
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Salamanca
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Country [96]
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Spain
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State/province [96]
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Sevilla
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Country [97]
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Spain
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State/province [97]
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Valencia
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Country [98]
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United Kingdom
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State/province [98]
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Devon
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Country [99]
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United Kingdom
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State/province [99]
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Somerset
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Country [100]
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United Kingdom
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State/province [100]
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Cardiff
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Country [101]
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United Kingdom
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State/province [101]
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Edinburgh
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Country [102]
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United Kingdom
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State/province [102]
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Glasgow
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Country [103]
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United Kingdom
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State/province [103]
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London
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Country [104]
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United Kingdom
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State/province [104]
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Manchester
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
Regeneron Pharmaceuticals
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Address
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Ethics approval
Ethics application status
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Summary
Brief summary
The primary objective of the study is to compare disease-free survival (DFS) of patients with high-risk cutaneous squamous cell carcinoma (CSCC) treated with adjuvant cemiplimab, versus those treated with placebo, after surgery and radiation therapy (RT). The secondary objectives of the study are: * To compare the overall survival (OS) of high-risk CSCC patients treated with adjuvant cemiplimab, versus those treated with placebo, after surgery and RT * To compare the effect of adjuvant cemiplimab with that of placebo on patients' freedom from locoregional recurrence (FFLRR) after surgery and RT * To compare the effect of adjuvant cemiplimab with that of placebo on patients' freedom from distant recurrence (FFDR) after surgery and RT * To compare the effect of adjuvant cemiplimab with that of placebo on the cumulative incidence of second primary CSCC tumors (SPTs) after surgery and RT * To evaluate the safety of adjuvant cemiplimab and that of placebo in high-risk CSCC patients after surgery and RT * To assess cemiplimab pharmacokinetics and immunogenicity in human serum
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Trial website
https://clinicaltrials.gov/study/NCT03969004
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
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Clinical Trial Management
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Regeneron Pharmaceuticals
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Contact person for public queries
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Clinical Trials Administrator
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Phone
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844-734-6643
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Email
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[email protected]
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Contact person for scientific queries
Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
Yes
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What data in particular will be shared?
All Individual Patient Data (IPD) that underlie publicly available results will be considered for sharing
Supporting document/s available: Study protocol, Statistical analysis plan (SAP), Informed consent form (ICF), Clinical study report (CSR), Analytic code
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When will data be available (start and end dates)?
Individual anonymized participant data will be considered for sharing once the indication has been approved by a regulatory body, if there is legal authority to share the data and there is not a reasonable likelihood of participant re-identification.
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Available to whom?
Qualified researchers may request access to anonymized patient level data or aggregate study data when Regeneron has received marketing authorization from major health authorities (e.g., FDA, European Medicines Agency \[EMA\], Pharmaceuticals and Medical Devices Agency \[PMDA\], etc) for the product and indication, has the legal authority to share the data, and has made the study results publicly available (eg, scientific publication, scientific conference, clinical trial registry).
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Available for what types of analyses?
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How or where can data be obtained?
IPD available at link: https://vivli.org/
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT03969004