Pre-surgery SEMA4D plus immunotherapy for melanoma

Neoadjuvant SEMA4D/ICB therapy for melanoma

['FUNDING_R01'] · EMORY UNIVERSITY · NIH-11308650

This project gives a SEMA4D-blocking antibody together with immune checkpoint drugs before surgery to people with resectable metastatic melanoma to boost their anti-tumor immune response.

Quick facts

Phase['FUNDING_R01']
Study typeNih_funding
SexAll
SponsorEMORY UNIVERSITY (nih funded)
Locations1 site (ATLANTA, UNITED STATES)
Trial IDNIH-11308650 on ClinicalTrials.gov

What this research studies

You would receive pepinemab (an antibody that blocks SEMA4D) combined with approved immune checkpoint drugs prior to surgical removal of melanoma. Doctors will collect tumor and blood samples during the pre-surgery window to see how immune cells such as dendritic cells, macrophages, B cells, and T cells change. The team will compare these immune changes to patients receiving standard care to learn which immune patterns link to long-term benefit. This work builds on earlier patients treated at Emory who showed promising ongoing responses after the same combination.

Who could benefit from this research

Good fit: Adults with resectable metastatic or refractory melanoma who are eligible for pre-surgical (neoadjuvant) immunotherapy would be the best candidates.

Not a fit: People with unresectable melanoma, other tumor types, or medical problems that prevent immunotherapy or surgery are unlikely to benefit from this protocol.

Why it matters

Potential benefit: If successful, this approach could strengthen anti-tumor immunity and lower the chance of melanoma coming back after surgery.

How similar studies have performed: Early neoadjuvant work combining SEMA4D blockade with checkpoint inhibitors at the same center showed promising ongoing responses in a small group of melanoma patients, but larger confirmation is needed.

Where this research is happening

ATLANTA, UNITED STATES

Researchers

About this research

  1. This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
  2. Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
  3. For full project details, budget, and progress reports, visit the official NIH RePORTER page below.

View on NIH RePORTER →

Last reviewed 2026-05-15 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.