Actively Recruiting

Phase 2
Age: 18Years +
All Genders
NCT06151236

Neoadjuvant Nivolumab and Relatlimab in Merkel Cell Carcinoma

Led by Melanoma Institute Australia · Updated on 2026-02-17

20

Participants Needed

1

Research Sites

524 weeks

Total Duration

On this page

Sponsors

M

Melanoma Institute Australia

Lead Sponsor

B

Bristol-Myers Squibb

Collaborating Sponsor

AI-Summary

What this Trial Is About

The goal of this clinical trial is to test neoadjuvant dual immunotherapy in Merkel cell carcinoma with the aim to improve recurrence-free survival

CONDITIONS

Official Title

Neoadjuvant Nivolumab and Relatlimab in Merkel Cell Carcinoma

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Aged 18 years or older
  • Provided written consent
  • Histologically confirmed, resectable Merkel cell carcinoma at stage I (≥10 mm), IIA, IIB, or III
  • In-transit metastases allowed if they can be fully removed
  • Measurable disease by RECIST 1.1 criteria
  • Previous radiotherapy allowed if disease has progressed since treatment
  • Availability of archival or new biopsy tissue from tumor lesions
  • ECOG performance status 0-1
  • Adequate organ function based on blood tests
  • Life expectancy greater than 12 months
  • Female participants must use effective contraception during treatment and for 5 months after last dose
Not Eligible

You will not qualify if you...

  • Evidence of distant metastases by clinical, radiographic, or pathological evaluation
  • Contraindications to nivolumab or relatlimab
  • Prior exposure to anti-PD-1, CTLA-4, PDL-1, LAG-3 antibodies, or other experimental immunotherapies or chemotherapy
  • Active autoimmune disease or need for chronic steroid therapy except hormone replacement
  • Immunodeficiency diagnosis or chronic steroid therapy over 10 mg prednisone daily
  • Active malignancy within past 3 years, except chronic lymphocytic leukemia
  • Uncontrolled cardiovascular disease or history of myocarditis
  • Previous allogenic tissue or solid organ transplant
  • Elevated Troponin T or I over twice the institutional upper limit
  • History or current pneumonitis or interstitial lung disease requiring steroids
  • Active infection requiring systemic treatment
  • Active Hepatitis B or C infection
  • Known HIV infection
  • Pregnant or breastfeeding
  • Medical or social conditions preventing attendance to scheduled assessments or procedures

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Trial Site Locations

Total: 1 location

1

Melanoma Institute Australia

Wollstonecraft, New South Wales, Australia, 2065

Actively Recruiting

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Research Team

M

Monica Osorio

CONTACT

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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Neoadjuvant Nivolumab and Relatlimab in Merkel Cell Carcinoma | DecenTrialz