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DRUG:

ubamatamab (REGN4018)

i
Other names: REGN4018, REGN 4018, REGN-4018
Company:
Regeneron, Sanofi
Drug class:
CD3 agonist, MUC16 inhibitor
Related drugs:
13d
Translational findings support regimen selection for first-in-human study of ubamatamab (MUC16 × CD3 bispecific antibody) in patients with recurrent ovarian cancer. (PubMed, Clin Transl Sci)
Integrating preclinical and clinical data determined a target trough concentration range of 5-30 mg/L, which supports evaluation of ubamatamab 250 mg with or without cemiplimab and 800 mg monotherapy once every 3 weeks in expansion cohorts. Preclinical data (cytokine release, tumor regression, monkey PK) had translational value in supporting regimen selection in dose escalation and subsequently in dose expansion after integration with patient data from dose escalation.
P1 data • Journal
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MUC16 (Mucin 16, Cell Surface Associated)
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MUC16 expression
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Libtayo (cemiplimab-rwlc) • ubamatamab (REGN4018)
2ms
Enrollment open • Combination therapy
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Libtayo (cemiplimab-rwlc) • ubamatamab (REGN4018)
4ms
Phase II Trial of Ubamatamab Alone or in Combination With Cemiplimab in MUC16-Expressing SMARCB1-Deficient Malignancies (clinicaltrials.gov)
P2, N=40, Not yet recruiting, M.D. Anderson Cancer Center | Trial primary completion date: Jul 2026 --> Jul 2028
Trial primary completion date • Combination therapy
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Libtayo (cemiplimab-rwlc) • ubamatamab (REGN4018)
7ms
New P2 trial • Combination therapy
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Libtayo (cemiplimab-rwlc) • ubamatamab (REGN4018)
9ms
R5668-ONC-1938: A Trial to Find Out How Safe REGN5668 is and How Well it Works When Given With Either Cemiplimab or REGN4018 (clinicaltrials.gov)
P1/2, N=612, Recruiting, Regeneron Pharmaceuticals | N=326 --> 612 | Trial primary completion date: Jan 2027 --> Apr 2027
Enrollment change • Trial primary completion date • Combination therapy
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Libtayo (cemiplimab-rwlc) • ubamatamab (REGN4018) • Kevzara (sarilumab) • REGN5668
1year
Study of REGN4018 Administered Alone or in Combination With Cemiplimab in Adult Patients With Recurrent Ovarian Cancer or Other Recurrent Mucin-16 Expressing (MUC16+) Cancers (clinicaltrials.gov)
P1/2, N=690, Recruiting, Regeneron Pharmaceuticals | Trial completion date: Jul 2024 --> Jun 2026 | Trial primary completion date: Jul 2024 --> Jun 2026
Trial completion date • Trial primary completion date
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Libtayo (cemiplimab-rwlc) • ubamatamab (REGN4018) • Kevzara (sarilumab)
1year
UBAMATAMAB (MUC16XCD3 BISPECIFIC ANTIBODY) WITH OR WITHOUT CEMIPLIMAB (ANTI-PD-1 ANTIBODY) IN RECURRENT OVARIAN CANCER: PHASE 1 CLINICAL AND BIOMARKER RESULTS (IGCS 2023)
Conclusion/Implications Ubamatamab +/- cemiplimab demonstrated acceptable safety and evidence of clinical activity in heavily pretreated OC. An ongoing randomised Phase 2 study is evaluating ubamatamab alone and with cemiplimab.
Clinical • P1 data • Late-breaking abstract • PD(L)-1 Biomarker • IO biomarker
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MUC16 (Mucin 16, Cell Surface Associated)
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MUC16 expression
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Libtayo (cemiplimab-rwlc) • ubamatamab (REGN4018)
1year
FIRST-IN-HUMAN PHASE 1/2 STUDY OF UBAMATAMAB, A MUC16XCD3 BISPECIFIC ANTIBODY, ADMINISTERED ALONE OR IN COMBINATION WITH CEMIPLIMAB IN PATIENTS WITH RECURRENT OVARIAN CANCER (IGCS 2023)
The impact of ubamatamab on QOL and physical functioning will be assessed. Current Trial Status: The study is currently recruiting patients to combination dose escalation, monotherapy dose expansion, and the randomized Phase 2 cohort.
Clinical • P1/2 data • Combination therapy • PD(L)-1 Biomarker
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MUC16 (Mucin 16, Cell Surface Associated)
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MUC16 expression
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Libtayo (cemiplimab-rwlc) • ubamatamab (REGN4018)
almost2years
Clinical • P1/2 data
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MUC16 (Mucin 16, Cell Surface Associated)
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Libtayo (cemiplimab-rwlc) • ubamatamab (REGN4018) • REGN5668
over2years
MUCIN 16 (CANCER ANTIGEN 125) EXPRESSION IN EPITHELIOID SARCOMA LEADS TO SINGLE-PATIENT STUDY WITH BISPECIFIC T-CELL ENGAGER UBAMATAMAB (MUCIN16-CD3): A BENCH-TO-BEDSIDE EXPERIENCE (CTOS 2022)
MUC16 expression is a frequent feature in epithelioid sarcoma and may be identified in other INI-1-deficient malignancies. MUC16 is a possible therapeutic target and warrants further clinical trial development outside the ovarian cancer field.
Clinical • IO biomarker
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MUC16 (Mucin 16, Cell Surface Associated)
|
MUC16 expression
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ubamatamab (REGN4018)
over2years
Phase I/II, multicenter, open-label study of REGN5668 (R5668; mucin [MUC]16 x CD28 bispecific antibody [bsAb]) with cemiplimab or REGN4018 (R4018; MUC16 x CD3 bsAb) in recurrent ovarian cancer (rOVCA) (EACR 2022)
Exclusion criteria include recent biologic therapy (7 days); approved conventional therapy (except biologics or immunotherapy) <3 weeks (wks) or investigational agents <4 wks prior to first study dose; and anti–PD-L1 therapy <5 T 1/2 prior to first study dose. Key exploratory endpoints are correlation between clinical efficacy endpoints and baseline protein expression levels of MUC16 and PD-L1. Results and Discussions NA Conclusion NA
Clinical • P1/2 data • PD(L)-1 Biomarker • IO biomarker
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MUC16 (Mucin 16, Cell Surface Associated)
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MUC16 expression
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Avastin (bevacizumab) • Libtayo (cemiplimab-rwlc) • ubamatamab (REGN4018) • REGN5668
over3years
[VIRTUAL] A phase I/II, multicenter, open-label study of REGN5668 (mucin [MUC]16 x CD28 bispecific antibody [bsAb]) with cemiplimab (programmed death [PD]-1 Ab) or REGN4018 (MUC16 x CD3 bsAb) in recurrent ovarian cancer (rOVCA). (ASCO 2021)
Exclusion criteria include recent biologic therapy ( 7 days); approved conventional therapy (except biologics or immunotherapy) < 3 weeks (wks) or investigational agents < 4 wks prior to first study dose; and anti–PD-L1 therapy < 5 half-lives prior to first study dose . In expansion, primary endpoint is ORR by RECIST 1.1 for each combination; key secondary endpoints are TEAEs, serious AEs, deaths . Key exploratory endpoints are correlation between clinical efficacy endpoints and baseline protein expression levels of MUC16 and PD-L1.
Clinical • P1/2 data • PD(L)-1 Biomarker • IO biomarker
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MUC16 (Mucin 16, Cell Surface Associated) • PD-L2 (Programmed Cell Death 1 Ligand 2)
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MUC16 expression
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Avastin (bevacizumab) • Libtayo (cemiplimab-rwlc) • ubamatamab (REGN4018) • REGN5668
almost4years
Clinical • P1/2 data • Combination therapy
|
MUC16 (Mucin 16, Cell Surface Associated)
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Libtayo (cemiplimab-rwlc) • ubamatamab (REGN4018)
over4years
[VIRTUAL] Combinatorial Approaches to Enhance Bispecific Anti-Tumor Efficacy (PEGS 2020)
This presentation will describe Regeneron’s bispecific platform and present preclinical data on REGN4018, a clinical-stage, T cell-engaging, bispecific-targeting Muc16 for solid tumor indications. In addition, status updates on Regeneron’s other clinical-stage bispecific antibodies (REGN1979, REGN5458, REGN5678) will be presented, as well as a discussion of new combinatorial approaches being taken to enhance bispecific anti-tumor efficacy.
Clinical
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MUC16 (Mucin 16, Cell Surface Associated)
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Ordspono (odronextamab) • ubamatamab (REGN4018) • linvoseltamab (REGN5458) • nezastomig (REGN5678)