Clinical trial Recruiting at 1 site Interventional Ages 18 and up

Evaluating biomarkers for melanoma immunotherapy response

Official title: Effectiveness of Immunotherapy in the First-line Treatment of Disseminated Melanoma and Recognition of Prognostic and Predictive Biomarkers From the Primary Tumor, Stool and Body Fluids: PROTOCOL TRIAL

Run by Institute of Oncology Ljubljana · NCT05878977 · Data updated 2026-11-12

This study is testing whether certain gut bacteria and blood markers can help predict how well immunotherapy works for people with advanced melanoma.

Quick facts

Study typeInterventional
Ages18 Years and up
SexAll
Enrollment150 (estimated)
SponsorInstitute of Oncology Ljubljana
Academic / other
Drugs / interventionsnivolumab, pembrolizumab, immunotherapy
Locations1 site (Ljubljana)
StatusRecruiting
StartedOctober 5, 2022
Main results expectedDecember 31, 2026
Study endsDecember 31, 2027
Registry record updatedOctober 18, 2024
Trial IDNCT05878977 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates are adults over 18 with unresectable stage IIID or IV malignant melanoma who are starting first-line immunotherapy.

Probably not a fit

Patients with previously treated melanoma or those with contraindications for immunotherapy will 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 study investigates the relationship between gastrointestinal microbiome composition, exosomal mRNA expression of PD-L1 and IFNγ, and the effectiveness of immune checkpoint inhibitors in treating metastatic melanoma. Patients receiving first-line immunotherapy will provide stool and blood samples at various time points to assess these biomarkers. The goal is to identify potential predictors of treatment response, which could enhance personalized treatment strategies for melanoma patients.

Why it matters

Potential benefit: If successful, this study could lead to improved patient selection for immunotherapy, enhancing treatment outcomes for those with metastatic melanoma.

How similar studies have gone: Other studies have shown promise in using biomarkers to predict responses to immunotherapy, suggesting this approach may be viable.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Age over 18 years
* Cytologically or histologically verified malignant melanoma
* Stage IIID unresectable/IV according to AJCC classification (8th edition, 2018)
* Performance status according to WHO 0 - 2 (ECOG criteria)
* 1st line of systemic treatment with immunotherapy (nivolumab, ipi/nivo, pembrolizumab)
* Triple CT/PET CT done within 4 weeks before the first application
* Signed consent to participate in clinical research

Exclusion Criteria:

* Previously treated melanoma with systemic therapy
* Capacity status according to WHO 3 - 4 (ECOG criteria)
* Contraindications for immunotherapy treatment (known deficiency of the immune system or active immunosuppressive treatment or active autoimmune disease requiring treatment)
* Other malignant diseases (except cured basal cell carcinoma and squamous cell carcinoma)

Where it's running

  • Institute of Oncology Ljubljana
    Ljubljana, Slovenia
    Recruiting

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

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.