Comparing tebentafusp treatment to standard care for advanced melanoma
Phase 2/3 Randomized Study of Tebentafusp as Monotherapy and in Combination With Pembrolizumab Versus Investigator's Choice in HLA-A*02:01-positive Participants With Previously Treated Advanced Melanoma (TEBE-AM)
This study is testing a new treatment called tebentafusp for people with advanced melanoma to see if it works better than the usual care they’ve already received.
Quick facts
| Phase | Phase 3 |
|---|---|
| Study type | Interventional |
| Enrollment | 540 (estimated) |
| Ages | 18 Years and up |
| Sex | All |
| Sponsor | Immunocore Ltd Industry-sponsored |
| Drugs / interventions | pembrolizumab, ipilimumab, chemotherapy |
| Locations | 82 sites (Phoenix, Arizona and 81 other locations) |
| Trial ID | NCT05549297 on ClinicalTrials.gov |
What this trial studies
This phase 3 clinical trial evaluates the efficacy and safety of tebentafusp, both as a standalone treatment and in combination with pembrolizumab, against the investigator's choice of standard care in patients with advanced non-ocular melanoma who have previously undergone treatment. The study is multicenter and open-label, focusing on patients who have progressed after prior anti-PD(L)1 and anti-CTLA4 therapies. Participants must provide tumor samples for biomarker analysis and meet specific eligibility criteria related to their disease stage and performance status.
Who should consider this trial
Good fit: Ideal candidates are HLA-A*02:01-positive individuals with unresectable Stage III or IV non-ocular melanoma who have previously been treated with specific therapies.
Not a fit: Patients with ocular or metastatic uveal melanoma, or those with untreated symptomatic CNS metastases, are unlikely to benefit from this study.
Why it matters
Potential benefit: If successful, this treatment could offer a new effective option for patients with advanced melanoma who have limited treatment choices.
How similar studies have performed: Previous studies have shown promising results with immunotherapy approaches in melanoma, suggesting potential success for this novel treatment regimen.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria: * HLA-A\*02:01-positive * unresectable Stage III or Stage IV non-ocular melanoma * archival tumor tissue sample or a newly obtained biopsy of a tumor lesion not previously irradiated has been provided. * measurable or non-measurable disease per RECIST 1.1 * Eastern Cooperative Oncology Group (ECOG) performance status score of 0 or 1 * If applicable, must agree to use highly effective contraception * Capable of giving signed informed consent which includes compliance with the requirements and restrictions listed in the Informed Consent (ICF) and protocol * Must agree to provide protocol specified samples for biomarker analyses. Exclusion Criteria: * Pregnant or lactating women * diagnosis of ocular or metastatic uveal melanoma * history of a malignant disease other than those being treated in this study * ineligible to be retreated with pembrolizumab due to a treatment-related AE * known untreated or symptomatic central nervous system (CNS) metastases and/or carcinomatous meningitis * previous severe hypersensitivity reaction to treatment with another monoclonal antibody (mAb) * active autoimmune disease requiring immunosuppressive treatment * known psychiatric or substance abuse disorders * received prior treatment with a licensed or investigative Immune-mobilizing monoclonal T-cell receptor Against Cancer (ImmTAC) medication or who have not completed adequate washout from prior medications. * received chemotherapy or biological cancer therapy (excluding anti-PD(L)1 mAb, ipilimumab, and BRAF TKI regimen) within 14 days of first dose * received cellular therapies within 90 days of study intervention * ongoing Common Terminology Criteria for Adverse Events(CTCAE) Grade ≥ 2 clinically significant who in the opinion of the investigator could affect the outcome of the study * received systemic treatment with steroids or any other immunosuppressive drug within 2 weeks of first dose * have not progressed on treatment with an anti-PD(L)1 mAb * have not received prior treatment with an approved anti-CTLA-4 mAb * have a BRAF V600 mutation, who have not received a prior BRAF/MEK TKI regimen * currently participating or have participated in a study of an investigational agent or using an investigational device within 30 days of the first dose * known history of chronic viral infections such as hepatitis B virus (HBV) or hepatitis C virus (HCV) * known clinically significant pulmonary or cardiac disease or impaired lung or cardiac function * Out of range Laboratory values * history of allogenic tissue/solid organ transplant
Where this trial is running
Phoenix, Arizona and 81 other locations
- Mayo Clinic Arizona — Phoenix, Arizona, United States (Recruiting)
- Mayo Clinic Florida — Jacksonville, Florida, United States (Recruiting)
- Orlando Health Cancer Institute — Orlando, Florida, United States (Recruiting)
- Winship Cancer Institute of Emory University — Atlanta, Georgia, United States (Recruiting)
- University of Kansas Cancer Center - Westwood — Westwood, Kansas, United States (Recruiting)
- St Elizabeth Healthcare (St Elizabeth Medical Center) — Edgewood, Kentucky, United States (Recruiting)
- St Elizabeth Healthcare (St Elizabeth Medical — Edgewood, Kentucky, United States (Recruiting)
- Massachusetts General Hospital — Boston, Massachusetts, United States (Recruiting)
- Beth Israel Deaconess Medical Center (BIDMC) — Boston, Massachusetts, United States (Recruiting)
- Dana Farber Cancer Institute — Boston, Massachusetts, United States (Recruiting)
- University of Minnesota Medical Center — Minneapolis, Minnesota, United States (Recruiting)
- Mayo Clinic Minnesota — Rochester, Minnesota, United States (Recruiting)
- Washington University School of Medicine — St Louis, Missouri, United States (Recruiting)
- Rutgers Cancer Institute of New Jersey — New Brunswick, New Jersey, United States (Recruiting)
- Northwell Health Cancer Institute - Zuckerberg Cancer Center — Lake Success, New York, United States (Recruiting)
- Memorial Sloan Kettering Cancer Center — New York, New York, United States (Recruiting)
- The Ohio State University Comprehensive Cancer Center — Columbus, Ohio, United States (Recruiting)
- OU Health Stephenson Cancer Center — Oklahoma City, Oklahoma, United States (Recruiting)
- Thomas Jefferson University Medical Oncology Clinic — Philadelphia, Pennsylvania, United States (Recruiting)
- UPMC Hillman Cancer Center — Pittsburgh, Pennsylvania, United States (Recruiting)
- Gibbs Cancer Center and Research Institute — Spartanburg, South Carolina, United States (Recruiting)
- University of Tennessee Medical Center — Knoxville, Tennessee, United States (Recruiting)
- Houston Methodist Hospital/Houston Methodist Cancer Center — Houston, Texas, United States (Recruiting)
- University of Utah Huntsman Cancer Institute — Salt Lake City, Utah, United States (Recruiting)
- Fred Hutchinson Cancer Center — Seattle, Washington, United States (Recruiting)
- Melanoma Institute Australia — Wollstonecraft, New South Wales, Australia (Recruiting)
- Gallipoli Medical Research Foundation (GMRF) — Greenslopes, Queensland, Australia (Recruiting)
- Princess Alexandra Hospital — Woolloongabba, Queensland, Australia (Recruiting)
- Alfred Health — Melbourne, Victoria, Australia (Recruiting)
- LKH - Universitaetsklinikum Graz — Graz, Austria (Recruiting)
- Kepler Universitätsklinikum — Linz, Austria (Recruiting)
- Universitatsklinik fur Innere Medizin 3 — Salzburg, Austria (Recruiting)
- AKH - Medizinische Universität Wien — Vienna, Austria (Recruiting)
- Cliniques Universitaires Sain-Luc — Brussels, Belgium (Recruiting)
- UZ Brussel — Jette, Belgium (Recruiting)
- UZ Leuven — Leuven, Belgium (Recruiting)
- BC Cancer — Vancouver, British Columbia, Canada (Recruiting)
- Princess Margaret Hospital — Toronto, Ontario, Canada (Recruiting)
- Lady Davis Institute for Medical Research (LDI) Jewish General Hospital (JGH) — Montreal, Quebec, Canada (Recruiting)
- Centre Leon Berard — Lyon, Cedex, France (Recruiting)
- Institute Claudius Regaud — Toulouse, Cedex, France (Recruiting)
- Institut Gustave Roussy — Villejuif, Cedex, France (Recruiting)
- CHU de Bordeaux - Hopital Saint Andre — Bordeaux, France (Recruiting)
- Hopital de la Timone [Recruiting] — Marseille, France (Recruiting)
- Hopital Saint Lous - APHP — Paris, France (Recruiting)
- Universitaetsklinikum Schleswig-Holstein — Schleswig, Kiel, Germany (Recruiting)
- Charité - Campus Charité Mitte — Berlin, Germany (Recruiting)
- Universitatsklinikum Carl Gustav Carus Dresden — Dresden, Germany (Recruiting)
- Universitaetsklinikum Erlangen — Erlangen, Germany (Recruiting)
- Universitaetsklinikum Essen — Essen, Germany (Recruiting)
+32 more sites — see ClinicalTrials.gov for the full list.
Study contacts
- Study coordinator: Immunocore Medical Information
- Email: medical.information@immunocore.com
- Phone: 844-466-8661
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.