MedPath

Cemiplimab

Generic Name
Cemiplimab
Brand Names
Libtayo
Drug Type
Biotech
Chemical Formula
-
CAS Number
1801342-60-8
Unique Ingredient Identifier
6QVL057INT
Background

Cemiplimab is a fully human monoclonal antibody that works against programmed death receptor-1 (PD-1), which is a negative regulator of T cell function. By blocking PD-1, cemiplimab works to enhance T cell-mediated antitumour responses.

Cemiplimab was first approved by the FDA on September 28, 2018, as the first FDA-approved treatment for advanced cutaneous squamous cell carcinoma (CSCC). It was later approved to be used in basal cell carcinoma and non-small non-small cell lung cancer. Cemiplimab was also approved by the European Commission on June 28, 2019. In October 2022, the EMA's Committee for Medicinal Products for Human Use (CHMP) recommended cemiplimab be granted marketing authorization for the treatment of cervical cancer.

Indication

Cemiplimab is indicated to treat:

Associated Conditions
Locally Advanced Basal Cell Carcinoma, Locally Advanced Cutaneous Squamous Cell Carcinoma, Locally Advanced Non-Small Cell Lung Cancer, Metastatic Cervical Cancer, Metastatic Non-Small Cell Lung Cancer, Metastatic cutaneous squamous cell carcinoma, Recurrent Cervical Cancer, Metastatic Basal cell carcinoma
Associated Therapies
First Line Chemotherapy
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Rate of Cardiovascular Adverse Events, Myocarditis May Be Low in Trials Assessing ICIs

A systematic review and meta-analysis of 83,315 patients from 589 trials showed low rates of cardiovascular adverse events (CVAEs) and myocarditis in those treated with immune checkpoint inhibitors (ICIs), with no significant differences except for cemiplimab. Dual ICIs increased myocarditis risk, but not CVAEs when combined with chemotherapy or tyrosine kinase inhibitors. Early recognition and treatment are crucial for optimal outcomes, though evidence-based monitoring strategies are lacking. Mortality from myocarditis was 37.7%, with potential reduction through systematic screening and specific treatments.
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Libtayo shows durable survival benefits in phase 3 lung cancer study

Regeneron's Libtayo showed durable survival benefits in advanced NSCLC, with median OS of 26 months vs. 13 months for chemotherapy, and no new safety signals observed at five years.
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MAIA Biotechnology Announces Positive Survival Updates in Phase 2 Study of THIO

16 patients surpassed 12-month survival follow-up, with THIO's substantial survival benefit in third line surpassing standard-of-care overall survival of 5.8 months, with a median survival follow-up of 10.6 months. Treatment with THIO followed by Libtayo® has been generally well-tolerated.
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MAIA Biotechnology Announces Positive Survival Updates in Phase 2 Study of THIO in Non

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BioNTech Announces Positive Topline Phase 2 Results for mRNA Immunotherapy Candidate BNT111 in Patients with Advanced Melanoma

BioNTech announces positive Phase 2 results for mRNA immunotherapy BNT111 in advanced melanoma patients, showing significant improvement in ORR when combined with cemiplimab vs. historical control, with both monotherapies active. BNT111, part of BioNTech's FixVac platform, targets four tumor-associated antigens and has received FDA Fast Track and Orphan Drug designations for melanoma treatment.
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