Actively Recruiting
Randomised, Multicentre, Multinational, Double-Blind Study Comparing MB11 Proposed Nivolumab Biosimilar Versus EU-US-Opdivo in Untreated Advanced Melanoma
Led by mAbxience Research S.L. · Updated on 2026-01-21
632
Participants Needed
19
Research Sites
96 weeks
Total Duration
On this page
AI-Summary
What this Trial Is About
Researchers are evaluating MB11, a proposed biosimilar to nivolumab, compared to EU- and US-sourced Opdivo in adults with untreated advanced unresectable or metastatic melanoma. This phase 3 randomized, double-blind, multinational study aims to compare the pharmacokinetics, efficacy, safety, and immune response of these treatments in this patient population. The trial is sponsored by mAbxience Research S.L. Participants will receive either MB11 or one of two versions of Opdivo through intravenous infusions at a dose of 3 mgkg over 30 minutes every two weeks for the first 12 cycles. From cycle 13 onwards, dosing continues every two weeks with either the same weight-based dose or a flat dose of 240 mg. The study includes multiple treatment groups to assess the biosimilar against the reference products under similar conditions. Throughout the study, participants will undergo regular monitoring, including assessments of drug levels in the blood, tumor response by imaging, safety checks, and immune system evaluations. The primary outcomes focus on pharmacokinetic equivalence and treatment efficacy by week 24, with extended follow-up through week 52 to compare other efficacy and safety measures. The total duration and detailed schedules will be managed to support thorough evaluation of these treatments in advanced melanoma.
CONDITIONS
Brief Title
Study to Compare Pharmacokinetics, Efficacy, Safety, and Immunogenicity of MB11 Versus EU-/US-Opdivo® in Subjects With Previously Untreated Advanced [Unresectable or Metastatic] Melanoma
Who Can Participate
Eligibility Criteria
You may qualify if you...
- Age 18 years or older at time of informed consent
- Body weight of at least 50 kg at baseline
- Signed informed consent before any study procedures or treatment
- ECOG performance status of 0 or 1
- Life expectancy of at least 3 months
- Untreated, histologically confirmed advanced unresectable Stage III or Stage IV melanoma
- At least one measurable disease lesion by CT or MRI per RECIST v1.1
- Tumor tissue collected within 90 days prior to randomisation available for PD-L1 testing and classified as positive
- Completed any prior palliative radiotherapy at least 2 weeks before study drug administration
- Any BRAF mutation status allowed
- Adequate organ function demonstrated during screening
- Female subjects of childbearing potential and partners must use highly effective contraception during and for 5 months after treatment
- Non-fertile females can be included
You will not qualify if you...
- Prior systemic therapy for advanced, unresectable, or metastatic melanoma
- Prior immunotherapy for melanoma, including anti-PD-1, anti-PD-L1, anti-CTLA-4 therapies, or BRAF-targeted therapy
- Participation in another clinical study or investigational treatment within 4 weeks or 5 elimination half-lives before randomisation
- Brain or leptomeningeal metastases; negative brain imaging required within 90 days before screening
- Peritoneal melanomatosis
- Ocular, mucosal, or acral lentiginous melanoma
- History or current other malignancies except disease-free for 3 years or certain treated skin/cervical cancers
- Active autoimmune disease requiring systemic treatment in last 2 years
- Unstable thyroid conditions
- Immunodeficiency or recent immunosuppressive therapy within 7 days before first dose
- Major surgery less than 28 days before first dose
- Organ or bone marrow transplant history
- Interstitial lung disease or pneumonitis requiring steroids
- Active or recent infections requiring therapy within 30 days
- Live virus vaccination within 30 days before first dose
- Known active or untreated latent tuberculosis
- Positive HIV, hepatitis B or C serology, or untreated Strongyloides infection
- Recent substance abuse or regular illicit drug use
- Pregnancy, lactation, or planning pregnancy during or up to 5 months after treatment
- Immediate family involved in the study site or staff
- Inability to comply with protocol or medical conditions increasing risk or interfering with study results
Research Team
S
Susana Millán, PhD
C
Camino Huerga
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