Single Arm Trial of Tumor-Treating Fields in Combination With Nivolumab and Ipilimumab in Metastatic Uveal Melanoma

NCT ID: NCT05004025

Last Updated: 2025-08-15

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: PHASE1
• Total Enrollment: 10 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2022-02-28
• Study Completion Date: 2025-07-23

Brief Summary

Tumor Treating Fields targeted to liver metastases may improve outcomes for patients with metastatic uveal melanoma treated with immune checkpoint inhibitors.

Detailed Description

Uveal melanoma is the most common ocular malignancy for adults and despite effective therapies, roughly 50% of patients will develop metastatic disease. Currently there is no therapy to improve the prognosis of patients with metastatic disease and these patients are usually treated with regimens used for cutaneous melanoma. Tumor Treating Fields is a new type of anti-cancer therapy approved by the FDA for use in glioblastoma multiforme and mesothelioma. TTF has been shown to activate the STING pathway leading to increased levels of dendritic cells in regional lymph nodes.

Conditions

Uveal Melanoma

Study Design

• Allocation Method: NA
• Intervention Model: SINGLE_GROUP
• Primary Study Purpose: TREATMENT
• Blinding Strategy: NONE

Study Groups

TTF Plus Chemotherapy

Novacure Optune with Opdivo and Yervoy

Group Type: EXPERIMENTAL

Novocure Optune

Intervention Type: DEVICE

Novacure Optune with Opdivo and Yervoy

Opdivo

Intervention Type: DRUG

Novacure Optune with Opdivo and Yervoy

Yervoy

Intervention Type: DRUG

Novacure Optune with Opdivo and Yervoy

Interventions

Novocure Optune

Novacure Optune with Opdivo and Yervoy

Intervention Type: DEVICE

Opdivo

Novacure Optune with Opdivo and Yervoy

Intervention Type: DRUG

Yervoy

Novacure Optune with Opdivo and Yervoy

Intervention Type: DRUG

Other Intervention Names

Nivolumab; Ipilimumab

Eligibility Criteria

Inclusion Criteria

1. Patient has histologically or cytologically confirmed metastatic uveal melanoma with predominant liver involvement

2. Age 18 years or older and willing and able to provide informed consent

3. WOCBP must have a negative serum pregnancy test documented with 72 hours of first administration of drug

4. Sexually active and WOCBP, patient and partner must agree to use adequate contraception

5. Normal organ and marrow function

6. ECOG 0-1

7. Life expectancy of 3 months or greater

Exclusion Criteria

1. History of previous grade 3, life threatening immune related adverse event (irAE) from prior checkpoint inhibitor therapy

2. Prior treatment with anti cytotoxic T-Lymphocyte-Associated protein 4 (CTLA-4) therapy within 90 days of C1D1 of study treatment

3. Prior anti-cancer therapy (systemic, regional or radiation) within 2 weeks of C1D1 of study treatment

4. AEs from prior anticancer therapies that have not resolved to grade 1 or less, other than endocrine related irAEs for which patients are on appropriate replacement therapy (ie hypothyroidism, adrenal insufficiency, type 1 diabetes)

5. History of or active autoimmune disease requiring systemic corticosteroid or immunosuppressive therapy. (Patients who have limited autoimmune disease not requiring systemic therapy or autoimmune disease that is unlikely to recur, such as ulcerative colitis s/p colectomy, will be allowed to enroll.)

6. Serious medical risk factors involving any of the major organ systems such that the Investigator considers it unsafe for the patient to receive an experimental research drug.

7. Patient is unwilling or unable to comply with study procedures

8. Patients with implanted pacemaker, defibrillator, nerve stimulator or other active electronic medical devices; sensitive to conductive hydrogels used on electrocardiogram (ECG) stickers or transcutaneous electrical nerve stimulation (TENS) electrodes typically used for TTFields studies.

• Minimum Eligible Age: 18 Years
• Maximum Eligible Age: 100 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

NovoCure Ltd.

INDUSTRY

Sponsor Role: collaborator

HonorHealth Research Institute

OTHER

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Principal Investigators

Justin Moser, MD

Role: PRINCIPAL_INVESTIGATOR

HonorHealth Research Institute

Locations

HonorHealth Research Institute

Scottsdale, Arizona, United States

The Angeles Clinic and Research Insititute

Los Angeles, California, United States

Countries

United States

Other Identifiers

TTFields-UM

Identifier Type: -

Identifier Source: org_study_id