Patologia: Melanoma
Osservazionale-Sperimentale: Sperimentale
Monocentrico-Multicentrico: Multicentrico
Randomizzato: Sì
Fase di studio: 1, II Randomizzato
Linee di trattamento: Prima linea
Criteri di inclusione:
- Have histologically or cytologically confirmed melanoma
- Unresectable Stage III or Stage IV melanoma
- At least one measurable lesion by CT or MRI per RECIST 1.1 as confirmed by BICR.
- Has been untreated for advanced disease except:
- BRAF V600 mutation-positive melanoma may have received SOC targeted therapy as 1L therapy for advanced disease (eg,
- BRAF/MEK inhibitor, alone or in combination).
Note: Prior 1L therapy for advanced disease with targeted therapy is permitted if it was completed at least 4 weeks before randomization, disease progression has been documented radiologically and all related AEs have either returned to baseline or stabilized.
- Prior adjuvant or neoadjuvant therapy, with targeted therapy or immunotherapy (such as anti-PD-1 therapy, anti-CTLA-4 or Interferon) is permitted. Prior anti‑PD‑1 therapy will only be permitted if relapse did not occur during treatment or within 6 months of treatment discontinuation. No other prior adjuvant or neoadjuvant therapy will be allowed.Note: Both prior adjuvant or neoadjuvant and 1L therapy for advanced disease with targeted therapy (eg, BRAF/MEK inhibitor, alone or in combination) is not allowed.
- Documentation of BRAF V600-activating mutation status or consent to BRAF V600 mutation testing during Screening (participants with BRAF mutation-positive melanoma as well as BRAF wild-type or unknown are eligible).
Criteri di esclusione:
- Has a diagnosis of immunodeficiency or is receiving chronic systemic steroid therapy
- Has a known additional malignancy that is progressing or requires active treatment within the past 2 years.
- Has known active central nervous system (CNS) metastases and/or carcinomatous meningitis.
- Has ocular or mucosal melanoma.
- Has an active autoimmune disease that has required systemic treatment in past 2 years.
- Has known history of hepatitis B (defined as HBsAg reactive) or known hepatitis C virus (defined as HCV RNA [qualitative] is detected) infection.
- Has received prior radiotherapy within 2 weeks of the first dose of study intervention. Participants must have recovered from all radiation-related toxicities, not require corticosteroids, and not have had radiation pneumonitis.
Trattamento sperimentale:
A) Pembrolizumab + Vibostolimab
B) Coformulation Pembrolizumab/Quavonlimab
C) Coformulation Pembrolizumab/Quavonlimab + Lenvatinib
Trattamento di controllo:
A) Pembrolizumab
Obiettivi primari dello studio:
The goal of substudy 02B is to evaluate the safety and efficacy of investigational treatment arms in participants with 1L advanced melanoma and to identify the investigational agent(s) that, when used in combination, are superior to the current treatment options/pembrolizumab monotherapy.
IRCCS Istituto Nazionale dei Tumori
Via Venezian 1 - 20133 Milano - MI
Istituto Europeo di Oncologia
Via Ripamonti 435 - 20141 Milano - MI
Divisione Sviluppo di Nuovi Farmaci per Terapie Innovative
Riferimento: Prof. Giuseppe Curigliano
Telefono: 0257489599
Email: giuseppe.curigliano@ieo.it
Istituto Oncologico Veneto IRCCS
Via Gattamelata 64 - 35128 Padova - PD
Riferimento: Dr. Jacopo Pigozzo
Telefono: 0498215931
Email: oncologia.melanoma@iov.veneto.it
Azienda Ospedaliera Universitaria Senese
Viale Bracci 16 - 53100 Siena - SI
Istituto Nazionale Tumori IRCCS Fondazione Pascale
Via Mariano Semmola - 80131 Napoli - NA
S.C. Oncologia Clinica Sperimentale Melanoma Immunoterapia e Terapie Innovative
Riferimento: Dr. Paolo Ascierto
Telefono: 0815903236
Email: p.ascierto@istitutotumori.na.it
Numero di iscrizione a registro: 2019-003977-24
Data di inserimento: 24.05.2022
Merck Sharp & Dohme LLC
Istituto Europeo di Oncologia, Milano - Divisione Sviluppo di Nuovi Farmaci per Terapie Innovative
Riferimento: Prof. Giuseppe Curigliano
Telefono: 0257489599
Email: giuseppe.curigliano@ieo.it
Localita: Milano