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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT05549297
Registration number
NCT05549297
Ethics application status
Date submitted
26/08/2022
Date registered
22/09/2022
Date last updated
7/03/2024
Titles & IDs
Public title
Tebentafusp Regimen Versus Investigator's Choice in Previously Treated Advanced Melanoma (TEBE-AM)
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Scientific title
Phase 2/3 Randomized Study of Tebentafusp as Monotherapy and in Combination With Pembrolizumab Versus Investigator's Choice in HLA-A*02:01-positive Participants With Previously Treated Advanced Melanoma (TEBE-AM)
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Secondary ID [1]
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IMCgp100-203
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Advanced Melanoma
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Condition category
Condition code
Cancer
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Malignant melanoma
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Drugs - Tebentafusp
Treatment: Drugs - Tebentafusp with Pembrolizumab
Treatment: Drugs - Investigators Choice
Experimental: Arm A - Tebentafusp as single agent
Experimental: Arm B - Tebentafusp in combination with Pembrolizumab
Experimental: Arm C - Straight to on protocol survival follow up including investigators choice of therapy
Treatment: Drugs: Tebentafusp
soluble gp100-specific T cell receptor with anti-CD3 scFV
Treatment: Drugs: Tebentafusp with Pembrolizumab
soluble gp100-specific T cell receptor with anti-CD3 scFV in combination with Pembrolizumab
Treatment: Drugs: Investigators Choice
Investigators choice of therapy
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Intervention code [1]
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Treatment: Drugs
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Phase 2 Primary
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Assessment method [1]
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ctDNA reduction on treatment relative to baseline
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Timepoint [1]
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from randomization to approximately 9 weeks
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Primary outcome [2]
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Phase 2 Primary
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Assessment method [2]
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Overall Survival
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Timepoint [2]
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from randomization to approximately 2 years
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Secondary outcome [1]
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Safety: Adverse Events and Severe Adverse Events
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Assessment method [1]
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Incidence and severity of AEs, SAEs and changes from baseline in laboratory parameters, vital signs, and ECGs
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Timepoint [1]
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from first dose to approximately 2 years
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Secondary outcome [2]
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Safety: Tolerability
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Assessment method [2]
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Dose Interruptions and discontinuations; Dose Reductions
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Timepoint [2]
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from first dose to approximately 2 years
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Secondary outcome [3]
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Serum Pharmacokinetics
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Assessment method [3]
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Tebentafusp concentration. Tebentafusp PK parameters (eg, Cmax, Tmax, Cavg, t1/2)
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Timepoint [3]
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from first dose to approximately 2 years
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Secondary outcome [4]
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Phase 2 Secondary
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Assessment method [4]
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Incidence of anti-tebentafusp antibodies
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Timepoint [4]
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from first dose to approximately 2 years
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Eligibility
Key inclusion criteria
* HLA-A*02:01-positive.
* unresectable Stage III or Stage IV non-ocular melanoma
* archival tumor tissue sample or a newly obtained biopsy of a tumor lesion not previously irradiated has been provided.
* measurable or non-measurable disease per RECIST 1.1
* Eastern Cooperative Oncology Group (ECOG) performance status score of 0 or 1
* If applicable, must agree to use highly effective contraception
* Capable of giving signed informed consent which includes compliance with the requirements and restrictions listed in the Informed Consent (ICF) and protocol
* Must agree to provide protocol specified samples for biomarker analyses.
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Minimum age
18
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
* Pregnant or lactating women
* diagnosis of ocular or metastatic uveal melanoma
* history of a malignant disease other than those being treated in this study
* ineligible to be retreated with pembrolizumab due to a treatment-related AE
* known untreated or symptomatic central nervous system (CNS) metastases and/or carcinomatous meningitis
* previous severe hypersensitivity reaction to treatment with another monoclonal antibody (mAb)
* active autoimmune disease requiring immunosuppressive treatment with clinically significant cardiac disease or impaired cardiac function
* known psychiatric or substance abuse disorders
* received prior treatment with a licensed or investigative Immune-mobilizing monoclonal T-cell receptor Against Cancer (ImmTAC) medication who have not completed adequate washout from prior medications.
* received chemotherapy or biological cancer therapy (excluding anti-PD(L)1 mAb, ipilimumab, and BRAF TKI regimen) within 14 days of first dose
* received cellular therapies within 90 days of study intervention
* ongoing Common Terminology Criteria for Adverse Events(CTCAE) Grade = 2 clinically significant who in the opinion of the investigator could affect the outcome of the study
* received systemic treatment with steroids or any other immunosuppressive drug within 2 weeks of first dose
* have not progressed on treatment with an anti-PD(L)1 mAb
* have not received prior ipilimumab
* a BRAF V600 mutation, who have not received a prior BRAF/MEK TKI regimen
* currently participating or have participated in a study of an investigational agent or using an investigational device within 30 days of the first dose
* known history of chronic viral infections such as hepatitis B virus (HBV) or hepatitis C virus (HCV)
* Out of range Laboratory values
* history of allogenic tissue/solid organ transplant
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 2
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Recruiting
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
19/12/2022
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
1/09/2027
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Actual
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Sample size
Target
460
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
NSW,QLD,VIC
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Recruitment hospital [1]
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Melanoma Institute Australia - Wollstonecraft
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Recruitment hospital [2]
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Gallipoli Medical Research Foundation (GMRF) - Greenslopes
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Princess Alexandra Hospital - Woolloongabba
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Alfred Health - Melbourne
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Recruitment postcode(s) [1]
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2065 - Wollstonecraft
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Recruitment postcode(s) [2]
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4120 - Greenslopes
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Recruitment postcode(s) [3]
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4102 - Woolloongabba
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Recruitment postcode(s) [4]
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3004 - Melbourne
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Recruitment outside Australia
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United States of America
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Arizona
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Austria
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Graz
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Austria
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Linz
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Sutton
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
Immunocore Ltd
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Address
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Country
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Ethics approval
Ethics application status
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Summary
Brief summary
To evaluate the efficacy and safety of tebentafusp-based regimens tebentafusp monotherapy and in combination with anti-PD1 vs investigator choice (including clinical trials of investigational agents, salvage therapy per local standard of care (SoC), best supportive care (BSC)) on protocol survivor follow up) in patients with advanced non-ocular melanoma
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Trial website
https://clinicaltrials.gov/study/NCT05549297
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Trial related presentations / publications
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Contacts
Principal investigator
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Contact person for public queries
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Immunocore Medical Information
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Phone
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844-466-8661
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Email
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[email protected]
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Contact person for scientific queries
No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT05549297
Download to PDF