A Study to Evaluate the Efficacy and Safety of IBI363 Monotherapy Compared to Pembrolizumab in Patients With Unresectable Locally Advanced or Metastatic Mucosal or Acral Melanoma Who Had Not Previously Received Systemic Therapy

NCT ID: NCT06797297

Last Updated: 2025-04-04

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

PHASE2

Total Enrollment

180 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-02-24

Study Completion Date

2027-06-30

Brief Summary

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This is a Phase II, open-label, randomized, multi-center study to assess the efficacy and safety of IBI363 monotherapy compared to Pembrolizumab in the treatment of patients with unresectable locally advanced or metastatic mucosal or acral melanoma who had not previously received systemic therapy.

Detailed Description

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Conditions

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Melanoma

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Participants are assigned to one of two groups in parallel for the duration of the study

Study Groups

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Experimental: IBI363

Group Type EXPERIMENTAL

IBI363

Intervention Type BIOLOGICAL

a mutated IL-2 cytokine fused to an anti-PD-1 antibody to combine IL-2 pathway stimulation with checkpoint blockade.

Active Comparator: Pembrolizumab

Group Type ACTIVE_COMPARATOR

Pembrolizumab

Intervention Type BIOLOGICAL

Pembrolizumab is a humanized monoclonal anti-PD1 antibody

Interventions

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IBI363

a mutated IL-2 cytokine fused to an anti-PD-1 antibody to combine IL-2 pathway stimulation with checkpoint blockade.

Intervention Type BIOLOGICAL

Pembrolizumab

Pembrolizumab is a humanized monoclonal anti-PD1 antibody

Intervention Type BIOLOGICAL

Eligibility Criteria

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Inclusion Criteria

1. Histologically or cytologically confirmed unresectable, locally advanced or metastatic mucosal or acral-type melanoma, according to the American Joint Committee on Cancer (AJCC) 8th edition stage III-IV.
2. No prior systemic treatment for unresectable or metastatic melanoma; Prior adjuvant or neoadjuvant therapy (except for disease progression to unresectable or metastatic melanoma during adjuvant or neoadjuvant therapy or within 6 months after treatment discontinuation) was permitted.
3. Have at least one measurable lesion (target lesion) according to RECIST v1.1. For lesions that have previously received radiotherapy or intratumoral injection, measurable lesions that progress to the criteria specified in RECIST1.1 after treatment may be considered.

The target lesions of this study must be measured by imaging (enhanced CT or MRI. Plain scan CT or MRI can be accepted after communication with the sponsor if the subjects are allergic to contrast media or have other conditions that are not suitable for enhanced CT or MRI).

Skin lesions or other superficial sites that cannot be repeatedly measured by imaging can only be used as non-target lesions.
4. The Eastern Cooperative Oncology Group Physical Status Score (ECOG PS) is 0 or 1.
5. Expected survival time no less than 3 months.
6. Female subjects of childbearing age or male subjects whose partner is a female of childbearing age agree to strictly use effective contraception throughout the treatment period and for 6 months after the treatment period.
7. Breastfeeding women must agree to strictly refrain from breastfeeding during the entire treatment period and for 6 months after the treatment period.

Exclusion Criteria

1. Women who are pregnant or plan to become pregnant within 6 months before, during, or after the last dose of the study drug.
2. Active or symptomatic central nervous system metastases
3. Any of the following hematological abnormalities were present at baseline \* (within 7 days before the first administration of the study drug) :

Hemoglobin \<90 g/L The absolute count of neutrophils (ANC) was \<1.5×10\^9/L Platelet count \<100×10\^9/L
4. Any of the following serum biochemical abnormalities are present at baseline (within 7 days before the first dose) :

Total bilirubin \>1.5× Upper limit of normal (ULN); Aspartate aminotransferase (AST) or Alanine aminotransferase (ALT) \>3×ULN; For liver metastasis, AST or ALT \> 5.0×ULN; With serum Creatinine \>1.5×ULN or Clearance of Creatinine (CCr) \<45 mL/min, CCr (using actual body weight) was calculated using Cockcroft-Gault formula (Appendix 3).

Albumin \<30 g/L.
5. Any of the following coagulation parameters are abnormal at baseline (within 7 days before the first dose) :

International normalizaed ratio (INR) \>1.5×ULN (\>3×ULN if receiving steady dose anticoagulant therapy); Partial thromboplastin time (PTT) (or activated partial thromboplastin time, \[activated partial thromboplastin time, PTT) aPTT\]) \>1.5×ULN (\>3×ULN if receiving steady dose anticoagulant therapy).
6. There is a history of active thrombosis or deep vein thrombosis or pulmonary embolism in the 4 weeks prior to initial administration of the investigatory drug, unless the disease is adequately treated and is considered stable by the investigator.
7. Uncontrolled bleeding or a known tendency to bleed.
8. Cardiovascular and cerebrovascular diseases of significant clinical significance.
9. History of interstitial pneumonia, pulmonary fibrosis, pneumoconiosis, drug-related pneumonia, radiation pneumonia, etc. requiring steroid hormone or other treatment, as well as severe abnormal lung function or other forms of restrictive lung disease.
10. An active autoimmune disease requiring systemic treatment (e.g. with disease-modifying drugs, corticosteroids, or immunosuppressants) has occurred within 2 years prior to first administration. Replacement therapies (such as thyroxine, insulin, or physiological corticosteroids for adrenal or pituitary insufficiency) are not considered systemic.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Innovent Biologics (Suzhou) Co. Ltd.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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First Affiliated Hospital of Anhui Medical University

Hefei, Anhui, China

Site Status RECRUITING

Beijing Jishuitan Hospital, Capital Medical University

Beijing, Beijing Municipality, China

Site Status RECRUITING

Peking University Cancer Hospital & Institute, Beijing, China,

Beijing, Beijing Municipality, China

Site Status RECRUITING

Chongqing University Cancer Hospital

Chongqing, Chongqing Municipality, China

Site Status RECRUITING

Fujian Cancer Hospital

Fuzhou, Fujian, China

Site Status RECRUITING

Sun Yat-sen University Cancer Center

Guangzhou, Guangdong, China

Site Status RECRUITING

Affiliated Tumor Hospital of Guangxi Medical University

Nanning, Guangxi, China

Site Status RECRUITING

Fourth Hospital of Hebei Medical University

Shijiazhuang, Hebei, China

Site Status RECRUITING

Harbin Medical University Cancer Hospital

Harbin, Heilongjiang, China

Site Status RECRUITING

The Third people's hospital of Zhengzhou

Zhengzhou, Henan, China

Site Status RECRUITING

Henan Cancer Hospital

Zhengzhou, Hena, China

Site Status RECRUITING

Union Hospital, Tongji Medical College, Huazhong University of Science and Technology

Wuhan, Hubei, China

Site Status RECRUITING

Xiangya Second Hospital of Central South University

Changsha, Hunan, China

Site Status RECRUITING

Hunan Cancer Hospital

Changsha, Hunan, China

Site Status RECRUITING

Baotou Cancer Hospital

Baotou, Inner Mongolia, China

Site Status RECRUITING

Jiangsu Provincial People's Hospital

Nanjing, Jiangsu, China

Site Status RECRUITING

Nanjing Drum Tower Hospital

Nanjing, Jiangsu, China

Site Status RECRUITING

Jiangxi Provincial Cancer Hospital

Nanchang, Jiangxi, China

Site Status RECRUITING

Jilin Cancer Hospital

Changchun, Jilin, China

Site Status RECRUITING

The first hospital of Jilin University

Changchun, Jilin, China

Site Status RECRUITING

Liaoning Cancer Hospital

Shenyang, Liaoning, China

Site Status RECRUITING

Qilu Hospital of Shandong University

Jinan, Shandong, China

Site Status RECRUITING

Shandong First Medical University Affiliated Cancer Hospital

Jinan, Shandong, China

Site Status RECRUITING

Fudan University Shanghai Cancer Center

Shanghai, Shanghai Municipality, China

Site Status RECRUITING

Shanxi Bethune Hospital

Taiyuan, Shanxi, China

Site Status RECRUITING

Second Affiliated Hospital of Xi'an Jiaotong University

Xi’an, Shanxi, China

Site Status RECRUITING

West China Hospital, Sichuan University

Chengdu, Sichuan, China

Site Status RECRUITING

Tianjin Cancer Hospital

Tianjin, Tianjin Municipality, China

Site Status RECRUITING

The Affiliated Cancer Hospital of Xinjiang Medical University

Ürümqi, Xinjiang, China

Site Status RECRUITING

Yunnan Cancer Hospital

Kunming, Yunnan, China

Site Status RECRUITING

Zhejiang Cancer Hospital

Hangzhou, Zhejiang, China

Site Status RECRUITING

Countries

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China

Central Contacts

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Xiuzhi Yu

Role: CONTACT

0512-69566088

Facility Contacts

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Role: primary

13805692145

Role: primary

13801132522

Jun Guo

Role: primary

010-88196317

Role: primary

15923245950

Role: primary

18950395132

Role: primary

15915733209

Role: primary

18677102309

Role: primary

13831195070

Role: primary

13101608088

Role: primary

13937130192

Role: primary

13801132522

Role: primary

15807183251

Role: primary

13973130429

Role: primary

18874933879

Role: primary

15947323899

Role: primary

13952030916

Role: primary

13815891858

Role: primary

13870673011

Role: primary

13304329877

Role: primary

13944888991

Role: primary

18900917416

Role: primary

18560082871

Role: primary

17653115630

Role: primary

13916860586

Role: primary

15834121235

Role: primary

15332413430

Role: primary

18980601130

Role: primary

186 2222 1235

Role: primary

13999153829

Role: primary

13888052830

Role: primary

13750851650

Other Identifiers

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CIBI363B202

Identifier Type: -

Identifier Source: org_study_id

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