Clinical trial Recruiting at 3 sites Phase 2 Interventional Ages 18 and up

PRTX007-003 with pembrolizumab before surgery for stage III melanoma

Official title: A Phase 2 Study to Investigate the Activity of Neoadjuvant PRTX007 Combined With Pembrolizumab in Participants With Stage III Melanoma (INFLECTION-003)

Run by Primmune Therapeutics, Inc. · NCT07565285 · Data updated 2026-11-12

This study tests whether adding the oral drug PRTX007 to pembrolizumab before surgery helps patients with resectable stage III melanoma respond better without extra safety risks.

More Melanoma Stage III trials

Quick facts

PhasePhase 2
Study typeInterventional
Ages18 Years and up
SexAll
Enrollment48 (estimated)
SponsorPrimmune Therapeutics, Inc.
Industry-sponsored
Drugs / interventionsimmunotherapy, pembrolizumab
Locations7 sites (Waratah, New South Wales and 6 other locations)
StatusRecruiting
StartedJuly 1, 2026
Main results expectedDecember 2027
Study endsJune 2029
Registry record updatedOctober 23, 2026
Trial IDNCT07565285 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults 18 and older with histologically confirmed, resectable stage III cutaneous melanoma suitable for curative surgery.

Probably not a fit

Patients who do not achieve major pathologic response or who experience intolerable toxicity may not benefit from this approach.

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

What this trial studies

This is a Phase 2, multicenter, open-label, single-arm trial conducted in Australia evaluating neoadjuvant PRTX007 in combination with pembrolizumab for resectable stage III melanoma. The primary goal is to measure the major pathologic response after neoadjuvant therapy, with secondary aims including safety, pathologic complete response, event-free survival, overall survival, pharmacokinetics, and immune biomarkers. Part A includes a dose-escalation safety run-in (3+3 design) to establish tolerability, followed by Part B to enroll additional participants based on observed activity. After neoadjuvant treatment, patients undergo surgical resection; post-surgical therapy is response-adapted based on MPR status. The study uses oral PRTX007 dosing cycles with intravenous pembrolizumab for three cycles prior to surgery and continues with adjuvant strategies depending on response.

Why it matters

Potential benefit: If successful, the approach could increase tumor responses before surgery and improve long-term outcomes for patients with resectable stage III melanoma.

How similar studies have gone: Neoadjuvant immunotherapy approaches have shown improvements in tumor responses in melanoma, but this specific combination (TLR7 agonist PRTX007 with pembrolizumab) is exploratory and the safety/efficacy remains to be confirmed.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Adults aged 18 years or older
* Histologically confirmed, resectable Stage III cutaneous melanoma.
* Candidate for curative-intent surgical resection
* Eastern Cooperative Oncology Group (ECOG) performance status of 0-2
* Adequate organ function
* Able to provide written informed consent

Exclusion Criteria:

* Prior systemic therapy for melanoma, including immunotherapy
* Uveal melanoma or mucosal melanoma.
* Active autoimmune disease requiring systemic treatment
* Primary immunodeficiency or use of systemic immunosuppressive therapy
* Women who are pregnant or breastfeeding
* Recent treatment with another investigational therapy
* Any condition that, in the opinion of the investigator, would interfere with study participation or safety

Where it's running

  • Calvary Mater Newcastle
    Waratah, New South Wales, Australia
    Recruiting
  • Peter MacCallum Cancer Centre
    Melbourne, Victoria, Australia
    Recruiting
  • One Clinical Research Pty Ltd
    Nedlands, Western Australia, Australia
    Recruiting
  • Cairns And Hinterland Hospital And Health Service
    Cairns, Queensland, Australia
    Not yet recruiting
  • Gallipoli Medical Research
    Greenslopes, Queensland, Australia
    Not yet recruiting
  • Princess Alexandra Hospital
    Woolloongabba, Queensland, Australia
    Not yet recruiting
Show 1 more location
  • Sir Charles Gairdner Hospital
    Nedlands, Western Australia, Australia
    Not yet 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.