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 type | Interventional |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 150 (estimated) |
| Sponsor | Institute of Oncology Ljubljana Academic / other |
| Drugs / interventions | nivolumab, pembrolizumab, immunotherapy |
| Locations | 1 site (Ljubljana) |
| Status | Recruiting |
| Started | October 5, 2022 |
| Main results expected | December 31, 2026 |
| Study ends | December 31, 2027 |
| Registry record updated | October 18, 2024 |
| Trial ID | NCT05878977 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
- Study coordinator: Tanja Mesti
- Email: tmesti@onko-i.si
- Phone: 0038615879287
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.