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VO and Nivolumab vs Physician's Choice in Advanced Melanoma That Progressed on Anti-PD-1 & Anti-CTLA-4 Drugs (IGNYTE-3)

Status
Active
Cancer Type
Melanoma
Trial Phase
Phase III
Eligibility
12 Years and older, Male and Female
Study Type
Treatment
NCT ID
NCT06264180
Protocol IDs
RP1-104 (primary)
NCI-2024-04401
Study Sponsor
Replimune Inc.

Summary

This is a randomized, controlled, multicenter, open-label Phase 3 clinical study
comparing VO in combination with nivolumab versus Physician's Choice treatment for
patients with unresectable Stage IIIb-IV cutaneous melanoma whose disease progressed on
an anti PD-1 and an anti-CTLA-4 containing regimen (administered either as a combination
regimen or in sequence) or who are not candidates for treatment with an anti-CTLA-4
therapy.

Eligibility

  1. Male or female who is 12 years of age or older at the time of signed informed consent.
  2. Patients with histologically or cytologically confirmed unresectable or metastatic Stage IIIb through IV/M1a through M1d cutaneous melanoma.
  3. Confirmed disease progression (PD) on an approved anti-PD-1 and an anti-CTLA-4 treatment, administered either as a combination regimen (eg, nivolumab + ipilimumab) or in sequence.
  4. Treatment with prior anti-PD-1 therapy must have continued for a minimum of 8 weeks
  5. Patients who in the physician's judgement are not candidates for treatment with an anti-CTLA-4 antibody are eligible
  6. Has documented BRAF V600 mutation status. Patients with BRAF mutation should have received prior BRAF-directed therapy (with or without a MEK inhibitor) prior to enrollment in the study, unless deemed not clinically indicated at Investigator's discretion due to concurrent medical condition or prior toxicity.
  7. Has at least 1 measurable and injectable tumor of =1 cm in longest diameter (or shortest diameter for lymph nodes).
  8. Has adequate hematologic function.
  9. Has adequate hepatic function.
  10. Has adequate renal function.
  11. Prothrombin time (PT) =1.5 × ULN and partial thromboplastin time (PTT) or activated partial thromboplastin time (aPTT) =1.5 × ULN
  12. Eastern Cooperative Oncology Group (ECOG) performance status (PS) 0 to 1 for patients 18 years and older or a Lansky performance score (PSc) =80 for patients 12 to 17 years of age.
  13. Life expectancy of at least 3 months.
  14. Female and male patients of reproductive potential must agree to avoid becoming pregnant or impregnating a partner and adhere to highly effective contraception requirements during the treatment period and for at least 6 months after the last dose of study treatment.
  15. Women of childbearing potential must have a negative serum beta-human chorionic gonadotropin (ß-hCG) test within 72 hours before the first dose of study treatment. Key

Treatment Sites in Georgia

Winship Cancer Institute of Emory University


1365 Clifton Road NE
Building C
Atlanta, GA 30322
winshipcancer.emory.edu

**Clinical trials are research studies that involve people. These studies test new ways to prevent, detect, diagnose, or treat diseases. People who take part in cancer clinical trials have an opportunity to contribute to scientists’ knowledge about cancer and to help in the development of improved cancer treatments. They also receive state-of-the-art care from cancer experts... Click here to learn more about clinical trials.