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Tebentafusp Regimen Versus Investigator's Choice in Previously Treated Advanced Melanoma (TEBE-AM)

RecruitingPhase 3

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)

Who can join

Ages 18 and older · All sexes

Full eligibility criteria
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.

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
* known psychiatric or substance abuse disorders
* received prior treatment with a licensed or investigative Immune-mobilizing monoclonal T-cell receptor Against Cancer (ImmTAC) medication or 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 treatment with an approved anti-CTLA-4 mAb
* have 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)
* known clinically significant pulmonary or cardiac disease or impaired lung or cardiac function
* Out of range Laboratory values
* history of allogenic tissue/solid organ transplant

About the study

The purpose of this study is to evaluate the efficacy and safety of tebentafusp-based regimens, including 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.

What is being tested

Sponsor: Immunocore Ltd · Participants: 540 · Started: Dec 19, 2022

Contact the study team

Official record on ClinicalTrials.gov — NCT05549297

Locations in the U.S.

ArizonaMayo Clinic Arizona, Phoenix
FloridaMayo Clinic Florida, Jacksonville
Orlando Health Cancer Institute, Orlando
GeorgiaWinship Cancer Institute of Emory University, Atlanta
KansasUniversity of Kansas Cancer Center - Westwood, Westwood
KentuckySt Elizabeth Healthcare (St Elizabeth Medical, Edgewood
St Elizabeth Healthcare (St Elizabeth Medical Center), Edgewood
MassachusettsBeth Israel Deaconess Medical Center (BIDMC), Boston
Dana Farber Cancer Institute, Boston
Massachusetts General Hospital, Boston
MinnesotaUniversity of Minnesota Medical Center, Minneapolis
Mayo Clinic Minnesota, Rochester
MissouriWashington University School of Medicine, St Louis
New JerseyRutgers Cancer Institute of New Jersey, New Brunswick
New YorkNorthwell Health Cancer Institute - Zuckerberg Cancer Center, Lake Success
Memorial Sloan Kettering Cancer Center, New York
OhioThe Ohio State University Comprehensive Cancer Center, Columbus
OklahomaOU Health Stephenson Cancer Center, Oklahoma City
PennsylvaniaThomas Jefferson University Medical Oncology Clinic, Philadelphia
UPMC Hillman Cancer Center, Pittsburgh
South CarolinaGibbs Cancer Center and Research Institute, Spartanburg
TennesseeUniversity of Tennessee Medical Center, Knoxville
TexasHouston Methodist Hospital/Houston Methodist Cancer Center, Houston
UtahUniversity of Utah Huntsman Cancer Institute, Salt Lake City
WashingtonFred Hutchinson Cancer Center, Seattle

Conditions

From ClinicalTrials.gov, data retrieved Sep 29, 2026. Each study sets its own eligibility; the study team decides who can join.