Clinical trial Recruiting at 1 site Interventional Ages 18 and up

Effect of beta-glucan on immune response in advanced melanoma patients

Official title: Beta Glucan's Effect on Pembrolizumab Immunologic Response in Stage III-IV Melanoma

Run by University of Louisville · NCT04513028 · Data updated 2026-11-12

This study is testing if taking beta-glucan along with Pembrolizumab can boost the immune response in patients with advanced melanoma and help them live longer without the cancer coming back.

Quick facts

Study typeInterventional
Ages18 Years and up
SexAll
Enrollment30 (estimated)
SponsorUniversity of Louisville
Academic / other
Drugs / interventionsPembrolizumab
Locations1 site (Louisville, Kentucky)
StatusRecruiting
StartedNovember 3, 2020
Main results expectedJuly 31, 2026
Study endsJanuary 15, 2027
Registry record updatedOctober 30, 2025
Trial IDNCT04513028 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates include adults aged 18 and older with stage III-IV melanoma starting or continuing adjuvant Pembrolizumab without active disease.

Probably not a fit

Patients with a history of hypersensitivity to beta-glucan or those on ongoing immunosuppressive therapy may not benefit from this study.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This clinical pilot study investigates the impact of oral beta-glucan on the immune system of patients with advanced stage III-IV melanoma who are receiving adjuvant Pembrolizumab. The study aims to evaluate whether the combination of beta-glucan and Pembrolizumab can enhance immunologic responses, such as reducing peripheral myeloid-derived suppressor cells (MDSCs) and improving T effector cell function. Secondary outcomes will focus on clinical endpoints, including recurrence rates, progression-free survival, and overall survival among participants. The study will enroll treatment-naïve patients or those who have not received treatment in the last six months.

Why it matters

Potential benefit: If successful, this study could improve immune responses and clinical outcomes for patients with advanced melanoma.

How similar studies have gone: While the combination of beta-glucan with immunotherapy is a novel approach, similar studies have shown promise in enhancing immune responses.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Any patients with suspected (clinical) or definitive (tissue) diagnosis of Stage III-IV melanoma starting or continuing adjuvant Pembrolizumab without active evidence of disease (NED).
* Must be treatment naïve or have had treatment no less than 6 months prior to enrollment
* 18 years or older
* Must be able to take pills
* ECOG performance status of 0-3
* Ability to understand and willingness to sign a written informed consent
* Members of all racial and ethnic groups are eligible for this study

Exclusion Criteria:

* History of hypersensitivity reactions attributed to beta-glucan
* Patients receiving continuous or other ongoing immunosuppressive therapy
* Uncontrolled intercurrent illness including, but not limited to, autoimmune diseases, ongoing or active infection, symptomatic congestive heart failure, unstable angina pectoris, cardiac arrhythmia, or psychiatric illness/social situations that would limit compliance with study requirements
* Any patients who have serious autoimmune toxicity during the study period, or those who have disease recurrence during the 6-week study period should be excluded and analyzed separately
* Patients with mucosal melanoma
* Patients with concurrent malignancy or recent history thereof

Where it's running

  • University of Louisville
    Louisville, Kentucky, United States
    Recruiting

Study contacts

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How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 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.