A Study to Evaluate the Efficacy and Safety of Autogene Cevumeran (RO7198457) in Combination With Pembrolizumab Versus Pembrolizumab Alone in Participants With Previously Untreated Advanced Melanoma.

NCT ID: NCT03815058

Last Updated: 2026-01-30

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

131 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-12-21

Study Completion Date

2025-01-21

Brief Summary

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This study will evaluate the efficacy, safety, pharmacokinetics, and patient-reported outcomes (PROs) of autogene cevumeran (RO7198457) plus pembrolizumab compared with pembrolizumab alone in patients with previously untreated advanced melanoma.

Detailed Description

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Conditions

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Advanced Melanoma

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Safety Run-in Period: Autogene Cevumeran + Pembrolizumab

Participants will receive at least one cycle of 200 mg pembrolizumab monotherapy by intravenous (IV) infusion followed by 200 mg pembrolizumab IV infusion every 3 weeks (Q3W) plus a recommended dose of autogene cevumeran.

Group Type EXPERIMENTAL

Autogene cevumeran

Intervention Type BIOLOGICAL

Participants will receive a recommended dose of autogene cevumeran administered by IV infusion at protocol-defined intervals.

Pembrolizumab

Intervention Type DRUG

Participants will receive 200 mg pembrolizumab administered by IV infusion Q3W.

Randomized Period: Arm A: Pembrolizumab

Participants will receive 200 mg pembrolizumab administered by IV infusion Q3W. Participants in Arm A have the option to cross over to combination treatment with autogene cevumeran plus pembrolizumab (Arm B) after confirmed disease progression.

Group Type ACTIVE_COMPARATOR

Pembrolizumab

Intervention Type DRUG

Participants will receive 200 mg pembrolizumab administered by IV infusion Q3W.

Randomized Period: Arm B: Autogene Cevumeran + Pembrolizumab

Participants will receive at least one cycle of 200 mg pembrolizumab monotherapy by IV infusion followed by 200 mg pembrolizumab IV infusion Q3W plus a recommended dose of autogene cevumeran.

Group Type EXPERIMENTAL

Autogene cevumeran

Intervention Type BIOLOGICAL

Participants will receive a recommended dose of autogene cevumeran administered by IV infusion at protocol-defined intervals.

Pembrolizumab

Intervention Type DRUG

Participants will receive 200 mg pembrolizumab administered by IV infusion Q3W.

Interventions

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Autogene cevumeran

Participants will receive a recommended dose of autogene cevumeran administered by IV infusion at protocol-defined intervals.

Intervention Type BIOLOGICAL

Pembrolizumab

Participants will receive 200 mg pembrolizumab administered by IV infusion Q3W.

Intervention Type DRUG

Other Intervention Names

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RO7198457 Keytruda

Eligibility Criteria

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Inclusion Criteria

* Histologically confirmed metastatic (recurrent or de novo Stage IV) or unresectable locally advanced (Stage IIIC or IIID) cutaneous, acral, or mucosal melanoma;
* Eastern Cooperative Oncology Group (ECOG) Performance Status of 0 or 1;
* Life expectancy \>/= 12 weeks;
* Adequate hematologic and end-organ function;
* Naive to prior systemic anti-cancer therapy for advanced melanoma with some exceptions;
* Tumor specimen availability;
* Measurable disease per RECIST v1.1.

Exclusion Criteria

* Ocular/uveal melanoma;
* Any anti-cancer therapy with the exceptions as specified in the protocol;
* Symptomatic, untreated, or actively progressing central nervous system (CNS) metastases;
* Previous splenectomy;
* History of autoimmune disease;
* Prior allogeneic bone marrow transplantation or prior solid organ transplantation;
* Positive test for Human Immunodeficiency Virus (HIV) infection;
* Active hepatitis B or C or tuberculosis;
* Significant cardiovascular disease;
* Known clinically significant liver disease.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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BioNTech SE

INDUSTRY

Sponsor Role collaborator

Genentech, Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Clinical Trials

Role: STUDY_DIRECTOR

Hoffmann-La Roche

Locations

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City of Hope Comprehensive Cancer Center

Duarte, California, United States

Site Status

University of California San Diego Moores Cancer Center

La Jolla, California, United States

Site Status

UCSF Comprehensive Cancer Ctr

San Francisco, California, United States

Site Status

University of Colorado

Denver, Colorado, United States

Site Status

Cancer Specialists

Jacksonville, Florida, United States

Site Status

Moffitt McKinley Outpatient Center

Tampa, Florida, United States

Site Status

Atlanta Cancer Care

Alpharetta, Georgia, United States

Site Status

Northwestern University

Chicago, Illinois, United States

Site Status

Massachusetts General Hospital.

Boston, Massachusetts, United States

Site Status

Washington University

St Louis, Missouri, United States

Site Status

Case Western Research University

Cleveland, Ohio, United States

Site Status

Oregon Health and Science University

Portland, Oregon, United States

Site Status

Sarah Cannon Research Institute / Tennessee Oncology

Nashville, Tennessee, United States

Site Status

Intermountain Surgical Oncology

Murray, Utah, United States

Site Status

Huntsman Cancer Institute

Salt Lake City, Utah, United States

Site Status

University of Virginia

Charlottesville, Virginia, United States

Site Status

Seattle Cancer Care Alliance

Seattle, Washington, United States

Site Status

Liverpool Hospital

Liverpool, New South Wales, Australia

Site Status

The Queen Elizabeth Hospital

Woodville South, South Australia, Australia

Site Status

Peter MacCallum Cancer Centre

Melbourne, Victoria, Australia

Site Status

Alfred Hospital

Melbourne, Victoria, Australia

Site Status

St. John of God - Subiaco Hospital

Subiaco, Western Australia, Australia

Site Status

Antwerp University Hospital

Edegem, , Belgium

Site Status

ZAS Sint Augustinus Wilrijk

Wilrijk, , Belgium

Site Status

Elbe Kliniken Stade-Buxtehude GmbH

Buxtehude, , Germany

Site Status

Universitätsklinikum Koeln

Cologne, , Germany

Site Status

Universitatsklinikum Eppendorf

Hamburg, , Germany

Site Status

Universitätsklinikum Heidelberg

Heidelberg, , Germany

Site Status

Uni Schleswig-Holstein

Lübeck, , Germany

Site Status

Universitaetsmedizin der Johannes Gutenberg-Universitaet Mainz KöR, Hautklinik und Poliklinik

Mainz, , Germany

Site Status

Med. Fakultat Mannheim der Universitat Heidelberg

Mannheim, , Germany

Site Status

Fachklinik Hornheide

Münster, , Germany

Site Status

Universitätshautk. Tübingen

Tübingen, , Germany

Site Status

Clinica Universidad de Navarra

Pamplona, Navarre, Spain

Site Status

Instituto Oncológico Dr. Rosell

Barcelona, , Spain

Site Status

Vall d?Hebron Institute of Oncology (VHIO), Barcelona

Barcelona, , Spain

Site Status

Hospital Clinic de Barcelona

Barcelona, , Spain

Site Status

Hospital General Universitario Gregorio Marañon

Madrid, , Spain

Site Status

Hospital Universitario La Paz

Madrid, , Spain

Site Status

Hospital Universitario Virgen Macarena

Seville, , Spain

Site Status

Barts and The London

London, , United Kingdom

Site Status

Countries

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United States Australia Belgium Germany Spain United Kingdom

Provided Documents

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Document Type: Study Protocol and Statistical Analysis Plan

View Document

Other Identifiers

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2018-001773-24

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

2023-507389-15-00

Identifier Type: REGISTRY

Identifier Source: secondary_id

GO40558

Identifier Type: -

Identifier Source: org_study_id

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