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.
Quick facts
| Phase | Phase 2 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 48 (estimated) |
| Sponsor | Primmune Therapeutics, Inc. Industry-sponsored |
| Drugs / interventions | immunotherapy, pembrolizumab |
| Locations | 7 sites (Waratah, New South Wales and 6 other locations) |
| Status | Recruiting |
| Started | July 1, 2026 |
| Main results expected | December 2027 |
| Study ends | June 2029 |
| Registry record updated | October 23, 2026 |
| Trial ID | NCT07565285 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
- Study coordinator: Gunjan Mody
- Email: gunjan.mody@novotech-cro.com
- Phone: +61 2 9199 9596
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
-
Using Cyclophosphamide and Pembrolizumab for advanced melanoma treatment
This study is testing if a combination of Cyclophosphamide and Pembrolizumab can help people with advanced melanoma who haven't responded to other treatments feel better and improve their health.
-
Evaluating new treatments for advanced melanoma with pembrolizumab
This study is testing new treatment combinations for patients with advanced melanoma who haven't responded to previous therapies to see if they can improve their chances of survival.
-
Effect of beta-glucan on immune response in advanced melanoma patients
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.
-
Lenvatinib and Pembrolizumab With or Without SBRT for Metastatic Kidney Cancer
This study tests whether adding SBRT to standard lenvatinib plus pembrolizumab helps people with metastatic kidney cancer who have stable disease after initial treatment.
-
Bladder cancer: test a biomarker-guided plan after neoadjuvant therapy
This phase 2 study tests a biomarker- and response-guided plan to preserve the bladder in patients with muscle-invasive bladder cancer after neoadjuvant therapy.
-
Peripheral neuropathy during perioperative therapy with enfortumab vedotin and pembrolizumab in muscle-invasive urothelial cancer
This study follows adults with muscle-invasive urothelial cancer to see how nerve-related side effects develop when people receive enfortumab vedotin and pembrolizumab around surgery as part of standard care.
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.