Tebentafusp Regimen Versus Investigator's Choice in Previously Treated Advanced Melanoma (TEBE-AM)

NCT ID: NCT05549297

Last Updated: 2025-07-23

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

RECRUITING

Clinical Phase

PHASE3

Total Enrollment

540 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-12-19

Study Completion Date

2028-07-31

Brief Summary

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The purpose of this study is to evaluate the efficacy and safety of tebentafusp-based regimens, including tebentafusp monotherapy and in combination with anti-PD1 vs investigator choice (including clinical trials of investigational agents, salvage therapy per local standard of care \[SoC\], best supportive care \[BSC\] on protocol survivor follow up) in patients with advanced non-ocular melanoma.

Detailed Description

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This is a phase 3 (as upon conversion to phase 3 there were no changes to the arms listed herein), multicenter, open-label study to evaluate the efficacy and safety of tebentafusp as monotherapy (Arm A) and in combination with pembrolizumab (Arm B) compared with standard of care or best supportive care (Arm C) in participants with non-ocular advanced melanoma who have progressed on a prior anti-PD(L)1 regimen, received an approved anti-CTLA4 regimen and, if the participant has a BRAF mutation, a prior BRAF tyrosine kinase inhibitor (TKI) regimen.

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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Arm A: Tebentafusp Monotherapy

Participants receive tebentafusp as single agent.

Group Type EXPERIMENTAL

Tebentafusp

Intervention Type DRUG

Soluble gp100-specific T cell receptor with anti-CD3 scFV

Arm B: Tebentafusp + Pembrolizumab

Participants receive tebentafusp in combination with pembrolizumab.

Group Type EXPERIMENTAL

Tebentafusp with Pembrolizumab

Intervention Type DRUG

Soluble gp100-specific T cell receptor with anti-CD3 scFV in combination with pembrolizumab

Arm C: Investigator's Choice

Participants receive investigator's choice of therapy.

Group Type EXPERIMENTAL

Investigators Choice

Intervention Type DRUG

Investigators choice of therapy

Interventions

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Tebentafusp

Soluble gp100-specific T cell receptor with anti-CD3 scFV

Intervention Type DRUG

Tebentafusp with Pembrolizumab

Soluble gp100-specific T cell receptor with anti-CD3 scFV in combination with pembrolizumab

Intervention Type DRUG

Investigators Choice

Investigators choice of therapy

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* HLA-A\*02:01-positive
* unresectable Stage III or Stage IV non-ocular melanoma
* archival tumor tissue sample or a newly obtained biopsy of a tumor lesion not previously irradiated has been provided.
* measurable or non-measurable disease per RECIST 1.1
* Eastern Cooperative Oncology Group (ECOG) performance status score of 0 or 1
* If applicable, must agree to use highly effective contraception
* Capable of giving signed informed consent which includes compliance with the requirements and restrictions listed in the Informed Consent (ICF) and protocol
* Must agree to provide protocol specified samples for biomarker analyses.

Exclusion Criteria

* Pregnant or lactating women
* diagnosis of ocular or metastatic uveal melanoma
* history of a malignant disease other than those being treated in this study
* ineligible to be retreated with pembrolizumab due to a treatment-related AE
* known untreated or symptomatic central nervous system (CNS) metastases and/or carcinomatous meningitis
* previous severe hypersensitivity reaction to treatment with another monoclonal antibody (mAb)
* active autoimmune disease requiring immunosuppressive treatment
* clinically significant cardiac or pulmonary disease or impaired cardiac function
* known psychiatric or substance abuse disorders
* received prior treatment with a licensed or investigative Immune-mobilizing monoclonal T-cell receptor Against Cancer (ImmTAC) medication or who have not completed adequate washout from prior medications.
* received chemotherapy or biological cancer therapy (excluding anti-PD(L)1 mAb, ipilimumab, and BRAF TKI regimen) within 14 days of first dose
* received cellular therapies within 90 days of study intervention
* ongoing Common Terminology Criteria for Adverse Events(CTCAE) Grade ≥ 2 clinically significant who in the opinion of the investigator could affect the outcome of the study
* received systemic treatment with steroids or any other immunosuppressive drug within 2 weeks of first dose
* have not progressed on treatment with an anti-PD(L)1 mAb
* have not received prior treatment with an approved anti-CTLA-4 mAb
* a BRAF V600 mutation, who have not received a prior BRAF/MEK TKI regimen
* currently participating or have participated in a study of an investigational agent or using an investigational device within 30 days of the first dose
* known history of chronic viral infections such as hepatitis B virus (HBV) or hepatitis C virus (HCV)
* known clinically significant pulmonary or cardiac disease or impaired lung or cardiac function
* Out of range Laboratory values
* history of allogenic tissue/solid organ transplant
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Immunocore Ltd

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Mayo Clinic Arizona

Phoenix, Arizona, United States

Site Status RECRUITING

Mayo Clinic Florida

Jacksonville, Florida, United States

Site Status RECRUITING

Orlando Health Cancer Institute

Orlando, Florida, United States

Site Status RECRUITING

Winship Cancer Institute of Emory University

Atlanta, Georgia, United States

Site Status RECRUITING

University of Kansas Cancer Center - Westwood

Westwood, Kansas, United States

Site Status RECRUITING

Massachusetts General Hospital

Boston, Massachusetts, United States

Site Status RECRUITING

Dana Farber Cancer Institute

Boston, Massachusetts, United States

Site Status RECRUITING

Mayo Clinic Minnesota

Rochester, Minnesota, United States

Site Status RECRUITING

Rutgers Cancer Institute of New Jersey

New Brunswick, New Jersey, United States

Site Status RECRUITING

Northwell Health Cancer Institute - Zuckerberg Cancer Center

Lake Success, New York, United States

Site Status RECRUITING

Memorial Sloan Kettering Cancer Center

New York, New York, United States

Site Status RECRUITING

Memorial Sloan Kettering Cancer Center

New York, New York, United States

Site Status RECRUITING

OU Health Stephenson Cancer Center

Oklahoma City, Oklahoma, United States

Site Status RECRUITING

Thomas Jefferson University Medical Oncology Clinic

Philadelphia, Pennsylvania, United States

Site Status RECRUITING

UPMC Hillman Cancer Center

Pittsburgh, Pennsylvania, United States

Site Status RECRUITING

University of Tennessee Medical Center

Knoxville, Tennessee, United States

Site Status RECRUITING

Houston Methodist Hospital/Houston Methodist Cancer Center

Houston, Texas, United States

Site Status RECRUITING

University of Utah Huntsman Cancer Institute

Salt Lake City, Utah, United States

Site Status RECRUITING

Melanoma Institute Australia

Wollstonecraft, New South Wales, Australia

Site Status RECRUITING

Gallipoli Medical Research Foundation (GMRF)

Greenslopes, Queensland, Australia

Site Status RECRUITING

Princess Alexandra Hospital

Woolloongabba, Queensland, Australia

Site Status RECRUITING

Alfred Health

Melbourne, Victoria, Australia

Site Status RECRUITING

LKH - Universitaetsklinikum Graz

Graz, , Austria

Site Status RECRUITING

Kepler Universitätsklinikum

Linz, , Austria

Site Status RECRUITING

Universitatsklinik fur Innere Medizin 3

Salzburg, , Austria

Site Status RECRUITING

AKH - Medizinische Universität Wien

Vienna, , Austria

Site Status RECRUITING

Cliniques Universitaires Sain-Luc

Brussels, , Belgium

Site Status RECRUITING

UZ Brussel

Jette, , Belgium

Site Status RECRUITING

UZ Leuven

Leuven, , Belgium

Site Status RECRUITING

Princess Margaret Hospital

Toronto, Ontario, Canada

Site Status RECRUITING

Centre Leon Berard

Lyon, Cedex, France

Site Status RECRUITING

Institute Claudius Regaud

Toulouse, Cedex, France

Site Status RECRUITING

Institut Gustave Roussy

Villejuif, Cedex, France

Site Status RECRUITING

CHU de Bordeaux - Hopital Saint Andre

Bordeaux, , France

Site Status RECRUITING

Hopital de la Timone [Recruiting]

Marseille, , France

Site Status RECRUITING

Hopital Saint Lous - APHP

Paris, , France

Site Status RECRUITING

Universitaetsklinikum Schleswig-Holstein

Schleswig, Kiel, Germany

Site Status RECRUITING

Charité - Campus Charité Mitte

Berlin, , Germany

Site Status RECRUITING

Universitatsklinikum Carl Gustav Carus Dresden

Dresden, , Germany

Site Status RECRUITING

Universitaetsklinikum Erlangen

Erlangen, , Germany

Site Status RECRUITING

Universitaetsklinikum Essen

Essen, , Germany

Site Status RECRUITING

Universitaetsklinikum Hamburg-Eppendorf

Hamburg, , Germany

Site Status RECRUITING

Universitaetsklinikum Heidelberg

Heidelberg, , Germany

Site Status RECRUITING

Universitaetsklinikum Schleswig-Holstein

Kiel, , Germany

Site Status RECRUITING

Johannes Wesling Klinikum Minden

Minden, , Germany

Site Status RECRUITING

LMU-Campus Innenstadt

München, , Germany

Site Status RECRUITING

Universitaetsklinikum Tübingen

Tübingen, , Germany

Site Status RECRUITING

Fondazione IRCCS Istituto Nazionale dei Tumori

Milan, , Italy

Site Status RECRUITING

Instituto Nazionale Tumori Fondazione G. Pascale

Napoli, , Italy

Site Status RECRUITING

Azienda Ospedaliera di Perugia Ospedale S. Maria della Misericordia

Perugia, , Italy

Site Status RECRUITING

Fondazione Policlinico Universitario Agostino Gemelli IRCCS

Roma, , Italy

Site Status RECRUITING

A.O.U Senese Policlinico Santa Maria alle Scotte

Siena, , Italy

Site Status RECRUITING

Centrum Onkologii im. prof. F. Lukaszczyka w Bydgoszczy

Bydgoszcz, , Poland

Site Status RECRUITING

Uniwersyteckie Centrum Kliniczne (UCK) - Klinika Onkologii i Radioterapii

Gdansk, , Poland

Site Status RECRUITING

Szpital Kliniczny im.Heliodora Swiecickiego Uniwersytetu Medycznego im.K. Marcinkowskiego w Poznaniu

Poznan, , Poland

Site Status RECRUITING

Narodowy Instytut Onkologii-im. Marii Sklodowskiej-Curie Panstwowy Instytut Badawczy

Warsaw, , Poland

Site Status RECRUITING

Hospital Universitari Vall d'Hebron

Barcelona, , Spain

Site Status RECRUITING

Hospital Clinico de Barcelona

Barcelona, , Spain

Site Status RECRUITING

Hospital General Universitario Gregorio Marañon

Madrid, , Spain

Site Status RECRUITING

Hospital Universitario Ramon y Cajal

Madrid, , Spain

Site Status RECRUITING

Hospital Regional Universitario de Malaga

Málaga, , Spain

Site Status RECRUITING

Hospital General Universitario de Valencia

Valencia, , Spain

Site Status RECRUITING

Kantonsspital St. Gallen

Sankt Gallen, , Switzerland

Site Status RECRUITING

Universitaetsspital Zurich

Zurich, , Switzerland

Site Status RECRUITING

Addenbrooke's Hospital

Cambridge, Cambridgeshire, United Kingdom

Site Status RECRUITING

Queen Elizabeth Hospital

Birmingham, West Midlands, United Kingdom

Site Status RECRUITING

Leeds General Infirmary

Leeds, , United Kingdom

Site Status RECRUITING

Guys & St Thomas' NHS Foundation Trust

London, , United Kingdom

Site Status RECRUITING

Sarah Cannon Research Institute UK

London, , United Kingdom

Site Status RECRUITING

Royal Marsden Hospital - Chelsea

London, , United Kingdom

Site Status RECRUITING

Mount Vernon Cancer Center

Middlesex, , United Kingdom

Site Status RECRUITING

Royal Marsden Hospital - Sutton

Sutton, , United Kingdom

Site Status RECRUITING

Countries

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United States Australia Austria Belgium Canada France Germany Italy Poland Spain Switzerland United Kingdom

Central Contacts

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Immunocore Medical Information

Role: CONTACT

844-466-8661

Immunocore Medical Information EU

Role: CONTACT

+00 800-744-51111

Other Identifiers

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IMCgp100-203

Identifier Type: -

Identifier Source: org_study_id

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