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RecruitingInterventionalPhase 3

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)

NCT ID: NCT05549297Sponsor: Immunocore LtdLast updated: 2026-02-25

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

Sex: AllAge: 18 Years and olderHealthy volunteers: No
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 * 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 * have 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

Study locations (25)

Mayo Clinic Arizona

Phoenix, Arizona, 85054

Recruiting

Mayo Clinic Florida

Jacksonville, Florida, 32224

Recruiting

Orlando Health Cancer Institute

Orlando, Florida, 32806

Recruiting

Winship Cancer Institute of Emory University

Atlanta, Georgia, 30322

Recruiting

University of Kansas Cancer Center - Westwood

Westwood, Kansas, 66205

Recruiting

St Elizabeth Healthcare (St Elizabeth Medical Center)

Edgewood, Kentucky, 41017

Recruiting

St Elizabeth Healthcare (St Elizabeth Medical

Edgewood, Kentucky, 41017

Recruiting

Massachusetts General Hospital

Boston, Massachusetts, 02114

Recruiting

Beth Israel Deaconess Medical Center (BIDMC)

Boston, Massachusetts, 02215

Recruiting

Dana Farber Cancer Institute

Boston, Massachusetts, 02215

Recruiting

University of Minnesota Medical Center

Minneapolis, Minnesota, 55455

Recruiting

Mayo Clinic Minnesota

Rochester, Minnesota, 55905

Recruiting

Washington University School of Medicine

St Louis, Missouri, 63110

Recruiting

Rutgers Cancer Institute of New Jersey

New Brunswick, New Jersey, 08901

Recruiting

Northwell Health Cancer Institute - Zuckerberg Cancer Center

Lake Success, New York, 11042

Recruiting

Memorial Sloan Kettering Cancer Center

New York, New York, 10068

Recruiting

The Ohio State University Comprehensive Cancer Center

Columbus, Ohio, 43210

Recruiting

OU Health Stephenson Cancer Center

Oklahoma City, Oklahoma, 73104

Recruiting

Thomas Jefferson University Medical Oncology Clinic

Philadelphia, Pennsylvania, 19107

Recruiting

UPMC Hillman Cancer Center

Pittsburgh, Pennsylvania, 15232

Recruiting

Gibbs Cancer Center and Research Institute

Spartanburg, South Carolina, 29303

Recruiting

University of Tennessee Medical Center

Knoxville, Tennessee, 37920

Recruiting

Houston Methodist Hospital/Houston Methodist Cancer Center

Houston, Texas, 77030

Recruiting

University of Utah Huntsman Cancer Institute

Salt Lake City, Utah, 84112

Recruiting

Fred Hutchinson Cancer Center

Seattle, Washington, 98109

Recruiting