New shot shrinks skin cancer before surgery, early study shows promise
NCT ID NCT03889912
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This early study tested a drug called cemiplimab, which helps the immune system attack cancer cells. The drug was injected directly into skin tumors (squamous cell or basal cell carcinoma) for 3 to 12 weeks before planned surgery. The main goal was to check safety and find the right dose. The study involved 97 people and looked at how well the drug shrank the tumor before it was removed.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- cemiplimab (a drug that helps the immune system fight cancer)
- What this could lead to
- If successful, this approach could offer a less invasive way to shrink skin cancers before surgery, potentially reducing the extent of surgery needed.
- What could go wrong
- This is an early phase 1 trial focused on safety, so effectiveness is not yet proven. Side effects, including injection reactions, are possible.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 1
The first testing in people. Mainly checks safety and dose, usually in a small group.
- Participants
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97 people
The number who actually took part.
- Started
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Apr 2019
- Finished
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Dec 2025
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Key Inclusion Criteria 1. Dose Escalation: History of recurrent resectable CSCC or BCC (Cohort C and I only) that satisfies conditions as defined in the protocol 2. Patients must have measurable disease in the index lesion, defined as 1-2 cm in the longest diameter 3. Eastern Cooperative Oncology Group (ECOG) performance status ≤1 Key Exclusion Criteria 1. Ongoing or recent (within 5 years) evidence of significant autoimmune disease that required treatment with systemic immunosuppressive treatments, which may suggest risk for immune-mediated adverse events (imAEs) 2. Prior treatment with an agent that blocks the programmed cell death 1 (PD-1)/ programmed cell death 1 ligand (PD-L1) pathway. 3. Prior treatment with other systemic immune modulating agent as defined in the protocol 4. M1 or N1, N2 (a, b, or c), or N3 CSCC or BCC. Patients with history of metastatic CSCC (distant or nodal), or metastatic BCC (distant or nodal) are excluded unless the disease-free interval is at least 3 years 5. Concurrent malignancies, other than those with negligible risk of metastasis or death. Patients with hematologic malignancies, including chronic lymphocytic leukemia (CLL), are excluded. 6. Patients with a history of solid organ transplant 7. Has received a Coronavirus induced disease of 2019 (COVID-19) vaccination (initial series and booster) within 1 week of planned start of study medication Note: Other protocol defined Inclusion/Exclusion criteria apply.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Alfred Health
Melbourne, Victoria, 3004, Australia
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Dermatology Associates of the Palm Beaches
Delray Beach, Florida, 33445, United States
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Duke Cancer Center
Durham, North Carolina, 27710, United States
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Erasmus MC
Rotterdam, 3015 GD, Netherlands
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Fremantle Dermatology
Fremantle, Western Australia, 6160, Australia
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Inova Schar Cancer Institute
Fairfax, Virginia, 22031, United States
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Maastricht University Medical Center
Maastricht, Limburg, 6202 AZ, Netherlands
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Medical Dermatology Specialists
Phoenix, Arizona, 85006, United States
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MetroDerm
Atlanta, Georgia, 30342, United States
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Northeast Dermatology Associates
Beverly, Massachusetts, 01915, United States
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Peter MacCallum Cancer Centre
Melbourne, Victoria, 3000, Australia
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Princess Alexandra Hospital
Brisbane, Queensland, 4102, Australia
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Radboud University Medical Center
Nijmegen, Gelderland, 6500 HB, Netherlands
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Rochester Dermatologic Surgery, P.C.
Victor, New York, 14564, United States
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TCR Medical Corporation
San Diego, California, 92123, United States
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The Netherlands Cancer Institute - Antoni van Leeuwenhoek
Amsterdam, North Holland, 1066 CX, Netherlands
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The University of Texas MD Anderson Cancer Center
Houston, Texas, 77030, United States
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University of Groningen, University Medical Centre Groningen
Groningen, 9700 RB, Netherlands
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Scientists map skin Cancer's inner workings to decode immunotherapy response
- Laser microscope may speed up skin cancer diagnosis
- Botox before the knife: could a Pre-Surgery injection lead to Better-Looking scars?
- Could a lighter immunotherapy schedule keep advanced cancers in check?
- Immunotherapy before surgery may cut skin cancer recurrence
- New skin patch could speed recovery after skin cancer removal