Actively Recruiting

Phase 1
Phase 2
Age: 18Years +
All Genders
NCT06240143

Intradermal Ipilimumab and Nivolumab in High Risk Stage II Melanoma

Led by The Netherlands Cancer Institute · Updated on 2024-11-14

96

Participants Needed

6

Research Sites

520 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

This open label, single country trial will test if local injection of low-dose ipilimumab and nivolumab, is safe and reduces the sentinel node positivity in high-risk stage II melanoma patients.

CONDITIONS

Official Title

Intradermal Ipilimumab and Nivolumab in High Risk Stage II Melanoma

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Men and women at least 18 years old
  • WHO Performance Status of 0 or 1
  • Histologically confirmed stage pT3-4 cutaneous melanoma (Breslow thickness >2.0mm)
  • At least 4% risk of sentinel node positivity by MIA risk tool
  • Primary melanoma excised within 4 weeks before consent
  • No prior re-excision or sentinel node procedure
  • No other solid or hematologic malignancies requiring systemic treatment within 6 months
  • No prior immunotherapy targeting CTLA-4, PD-1, PD-L1, or LAG-3
  • No prior targeted therapy with BRAF/MEK inhibitors
  • No immunosuppressive medications within 6 months (steroids ≤10 mg prednisolone allowed)
  • Laboratory values within specified limits for blood counts, liver and kidney function
  • LDH level at or below normal limit
  • Women of childbearing potential must use highly effective contraception during and 23 weeks after treatment
  • Willing and able to comply with study procedures and visits
Not Eligible

You will not qualify if you...

  • Acral, uveal/ocular, mucosal, or lentigo maligna melanoma
  • Concurrent second primary melanoma
  • Regionally or distantly metastasized melanoma including in-transit and macroscopic lymph node metastases
  • No suspicious lymph nodes detectable by ultrasound in draining region
  • Active or history of autoimmune disease requiring systemic steroids or immunosuppressive treatment (except certain mild conditions)
  • Prior surgery or radiotherapy in affected lymph node region
  • Positive for hepatitis B surface antigen or active hepatitis C infection
  • Known HIV infection or AIDS
  • Allergy or severe reaction to study drug components or monoclonal antibodies
  • Medical conditions or infections making study treatment unsafe or unclear
  • Pregnant or breastfeeding women
  • Use of immunosuppressive medications or high-dose corticosteroids
  • Use of other investigational drugs within 30 days or 5 half-lives
  • Psychological, familial, sociological, or geographical conditions affecting study compliance

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Trial Site Locations

Total: 6 locations

1

Amsterdam University Medical Center

Amsterdam, Netherlands

Not Yet Recruiting

2

Antoni van Leeuwenhoek Hospital

Amsterdam, Netherlands

Actively Recruiting

3

University Medical Center Groningen

Groningen, Netherlands

Actively Recruiting

4

Leiden University Medical Center

Leiden, Netherlands

Not Yet Recruiting

5

Erasmus University Medical Center

Rotterdam, Netherlands

Not Yet Recruiting

6

University Medical Center Utrecht

Utrecht, Netherlands

Not Yet Recruiting

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Research Team

C

Christian Blank, Prof

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

NON_RANDOMIZED

Model

SEQUENTIAL

Primary Purpose

TREATMENT

Number of Arms

4

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Intradermal Ipilimumab and Nivolumab in High Risk Stage II Melanoma | DecenTrialz