Phase 2/3 Randomized Study of Tebentafusp as Monotherapy and in Combination With Pembrolizumab Versus Investigator's Choice in HLA-A*02:01-positive Participants With Previously Treated Advanced Melanoma (TEBE-AM)
Summary
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
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.
Arms & interventions
- DrugTebentafusp
Soluble gp100-specific T cell receptor with anti-CD3 scFV
- DrugTebentafusp with Pembrolizumab
Soluble gp100-specific T cell receptor with anti-CD3 scFV in combination with pembrolizumab
- DrugInvestigators Choice
Investigators choice of therapy
Outcome measures
Primary
Overall Survival (OS)
OS is the time from randomization to death due to any cause.
Time frame: Up to ~4 years
Secondary
Change from Baseline in Circulating Tumor DNS (ctDNA)
Time frame: Up to ~9 weeks
Number of participants with ≥1 adverse event (AE)
Time frame: Up to ~4 years
Number of participants with ≥1 serious adverse event (SAEs)
Time frame: Up to ~4 years
Number of participants with dose interruptions, reductions, and discontinuations from study therapy due to AEs
Time frame: Up to ~4 years
Number of participants with Grade ≥2 cytokine release syndrome (CRS)
Time frame: Up to ~4 years
Responses to the EORTC Core Quality of Life (EORTC-QLQ-C30)
Time frame: At designated time points up to ~4 years
Responses to the European Quality of Life 5 Dimensions 5 Level Version (EQ-5D-5L)
Time frame: At designated time points up to ~4 years
Plasma Concentration of Tebentafusp
Time frame: At designated time points up to ~4 years
Number of participants with anti-tebentafusp antibodies
Time frame: At designated time points up to ~4 years
Eligibility criteria
Study locations (25)
Mayo Clinic Arizona
Phoenix, Arizona, 85054
Mayo Clinic Florida
Jacksonville, Florida, 32224
Orlando Health Cancer Institute
Orlando, Florida, 32806
Winship Cancer Institute of Emory University
Atlanta, Georgia, 30322
University of Kansas Cancer Center - Westwood
Westwood, Kansas, 66205
St Elizabeth Healthcare (St Elizabeth Medical Center)
Edgewood, Kentucky, 41017
St Elizabeth Healthcare (St Elizabeth Medical
Edgewood, Kentucky, 41017
Massachusetts General Hospital
Boston, Massachusetts, 02114
Beth Israel Deaconess Medical Center (BIDMC)
Boston, Massachusetts, 02215
Dana Farber Cancer Institute
Boston, Massachusetts, 02215
University of Minnesota Medical Center
Minneapolis, Minnesota, 55455
Mayo Clinic Minnesota
Rochester, Minnesota, 55905
Washington University School of Medicine
St Louis, Missouri, 63110
Rutgers Cancer Institute of New Jersey
New Brunswick, New Jersey, 08901
Northwell Health Cancer Institute - Zuckerberg Cancer Center
Lake Success, New York, 11042
Memorial Sloan Kettering Cancer Center
New York, New York, 10068
The Ohio State University Comprehensive Cancer Center
Columbus, Ohio, 43210
OU Health Stephenson Cancer Center
Oklahoma City, Oklahoma, 73104
Thomas Jefferson University Medical Oncology Clinic
Philadelphia, Pennsylvania, 19107
UPMC Hillman Cancer Center
Pittsburgh, Pennsylvania, 15232
Gibbs Cancer Center and Research Institute
Spartanburg, South Carolina, 29303
University of Tennessee Medical Center
Knoxville, Tennessee, 37920
Houston Methodist Hospital/Houston Methodist Cancer Center
Houston, Texas, 77030
University of Utah Huntsman Cancer Institute
Salt Lake City, Utah, 84112
Fred Hutchinson Cancer Center
Seattle, Washington, 98109