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Neoadjuvant XL092 + Cemiplimab

XL092 and Cemiplimab in BRAF WT Thyroid Cancer

  • RegistryNCT06902376
  • PhasePhase 1
  • StatusRecruiting
  • ConditionBRAF V600E Wild-Type Anaplastic Thyroid Cancer
  • SponsorUNC Lineberger Comprehensive Cancer Center
How NEO-COMBATXL works1 min

The drug

What is being tested.

XL092 will be administered at a dose of 60mg PO daily for 8 weeks (weeks 1-8)

Cemiplimab will be administered at a dose of 350mg intravenous over 30 minutes every 3 weeks for 3 cycles (cycle length is 21 days) at weeks 1, 4, and 7.

This study includes subjects with BRAFV600E wild type (WT) anaplastic thyroid cancer (ATC) who are scheduled to undergo surgical resection as part of their standard of care. The study hypothesizes that the combination of neoadjuvant XL092 and cemiplimab will be safe and feasible prior to surgical resection in participants with BRAF V600E-WT ATC. Anaplastic thyroid cancer (ATC) is a highly aggressive and fatal malignancy.

The study

How the trial runs.

This multicenter study examines the safety and feasibility of the combination of neoadjuvant XL092 and cemiplimab prior to surgical resection in participants with wild-type (WT) anaplastic thyroid cancer (ATC) that has a BRAF mutation (BRAF V600E).

Live record on ClinicalTrials.gov →

Eligibility

Who the study is looking for.

  • Written informed consent was obtained to participate in the study and HIPAA authorization for the release of personal health information.
  • Subjects are willing and able to comply with study procedures based on the judgment of the investigator.
  • Age ≥ 18 years at the time of consent.
  • the Eastern Cooperative Oncology Group (ECOG) Performance Status of 0-2.
  • Pathologic findings supporting the clinical impression of anaplastic thyroid cancer. Terminology consistent or suggestive of diagnosis may include the following: anaplastic thyroid carcinoma, undifferentiated carcinoma, squamous carcinoma; carcinoma with spindled, giant cell, or epithelial features; poorly differentiated carcinoma with pleomorphism, extensive necrosis with tumor cells present.
  • Subject is willing to have a fresh biopsy at least 3 days prior to neoadjuvant therapy if archival tissue is unavailable. Also willing to have a biopsy at the time of SOC surgery, if applicable.

Inclusion criteria as written on the registry, trimmed. The full list, with exclusions, is on the live record.

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