Safety and Tolerability of Au-TMP Nanoparticles Combined With Radiotherapy and Toripalimab for Advanced Melanoma
Led by West China Hospital · Updated on 2026-05-07
6
Participants Needed
2
Research Sites
52 weeks
Total Duration
AI-Summary
What this Trial Is About
Advanced melanoma is a very aggressive cancer that often resists standard radiotherapy and single immunotherapy treatments. Researchers are studying a new treatment approach combining a melanoma-specific gold nanoparticle called Au-TMP with radiotherapy and anti-PD-1 immunotherapy. This Phase 1a trial aims to evaluate the safety and tolerability of this combination in patients with advanced melanoma.
Participants receive a single injection of Au-TMP directly into a tumor, guided by ultrasound or CT scan. After this, they undergo fractionated radiotherapy totaling 30 Gy over 5 sessions, followed by systemic treatment with Toripalimab, an anti-PD-1 antibody given every two weeks. This sequence is designed to amplify radiation effects and help the immune system attack the tumor.
During the study, participants will be closely monitored for side effects and dose-limiting toxicities up to 28 days after treatment, with additional safety assessments up to 12 months. Researchers will also measure drug levels in the blood and track tumor response for up to one year. The study includes thorough lab tests, imaging, and follow-ups to evaluate safety, tolerability, and preliminary effectiveness of the combined treatment.
CONDITIONS
Brief Title
Au-TMP and Radiotherapy for Advanced Melanoma With Anti-PD-1 Therapy
Research Team
X
Xingchen Peng, Professor
Y
Yuting Yan, Doctor
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Histologically confirmed unresectable Stage III or IV melanoma without prior systemic therapy
At least one measurable lesion per RECIST v1.1
At least one lesion suitable for intratumoral injection and radiotherapy
Adequate blood counts and organ function within 7 days prior to treatment
Anticipated survival of at least 16 weeks
Agreement to use effective contraception during and for 12 months after the trial
Willingness to participate, sign consent, and comply with follow-up
You will not qualify if you...
Prior treatment with anti-PD-1, anti-PD-L1, or anti-PD-L2 agents
Known allergy to anti-PD-1 antibodies or Au-TMP components
Active skin breakdown, infection, ulceration, or bleeding at injection site
Presence of driver mutations with approved first-line targeted therapies
Ocular (uveal) or mucosal melanoma
Use of other anti-tumor therapies or clinical trial participation within 4 weeks
Pregnant or breastfeeding women
Positive HIV or Hepatitis C; certain Hepatitis B conditions
History of active tuberculosis
Active autoimmune disease requiring systemic treatment in past 2 years
Serious uncontrolled medical conditions or recent major cardiac events
Active brain or leptomeningeal metastases unless stable and off high-dose steroids
Recent use of hematopoietic stimulants or live vaccines
Major surgery within 4 weeks prior to treatment
History of psychiatric disorders or substance abuse
Other malignancies within 5 years except certain localized treated cancers
Any condition increasing risk or interfering with study participation
Your Study Journey
Screening
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person)
Treatment
Duration - At least 4 weeks with Toripalimab continued every 2 weeks thereafter up to 12 months or until disease progression or discontinuation
Participants receive a single intratumoral injection of Au-TMP, followed by local fractionated radiotherapy to the injected tumor, and systemic administration of Toripalimab every 2 weeks.
1 injection visit, 5 radiotherapy visits, and biweekly visits for Toripalimab administration
Follow-up
Duration - Up to 12 months
Participants are monitored for safety, adverse events, and treatment response for up to 12 months after the initial Au-TMP administration.
Regular visits scheduled for safety and response assessments
How is the study designed?
Study Type
INTERVENTIONAL
Masking
NONE
Allocation
NA
Model
SINGLE_GROUP
Primary Purpose
TREATMENT
Number of Arms
1
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