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NCT04949113 · ClinicalTrials.gov registry record · Phase 3

Neoadjuvant Ipilimumab Plus Nivolumab Versus Standard Adjuvant Nivolumab in Macroscopic Stage III Melanoma

A Phase 3 study of Malignant Melanoma Stage III, sponsored by The Netherlands Cancer Institute.

Active
Registry status
Phase 3
Development phase
423
Enrollment target
20
Study locations

NCT04949113 is a Phase 3 study of Malignant Melanoma Stage III that is active but no longer recruiting, run by The Netherlands Cancer Institute. The registered enrollment target is 423 participants. The trial reports 20 study locations across 5 states.

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The verdict

NCT04949113, a Phase 3 study of Malignant Melanoma Stage III, is active but no longer recruiting, sponsored by The Netherlands Cancer Institute.

ACTIVE NOT RECRUITING
Registry status
Phase 3
Development phase
423 participants
Enrollment target
20
Study locations

Study Summary

This is an international (Australia, Europe, and USA) open-label two-arm randomized phase 3 trial including 420 stage III (≤3 resectable in-transit metastases allowed) cutaneous or unknown primary melanoma patients. Patients will be randomized 1:1 to receive either 2 cycles of neoadjuvant ipilimumab 80 mg + nivolumab 240 mg every 3 weeks followed by a total lymph node dissection (TLND) and, if applicable, resection of in-transit metastases (arm A) versus standard upfront TLND +/- resection of in-transit metastases followed by 12 cycles adjuvant nivolumab 480 mg every 4 weeks (arm B). Patients with a pathologic partial or non-response in arm A will also receive adjuvant nivolumab 480 mg every 4 weeks for 46 weeks (11 cycles). In case of BRAF V600E/K mutation-positivity, patients from arm A with a pathologic partial or non-response (\>10% viable tumor) will be treated with adjuvant dabrafenib plus trametinib for 46 weeks. Patients will be treated in the study in both arms until melanoma progression to irresectable stage III or stage IV disease, disease recurrence, unacceptable toxicity, subject withdrawal of consent or until end of study treatment. An interim analysis will be performed after 60 events have occurred. The data safety monitory board (DSMB) will be ad hoc consulted when unexpected toxicities are reported. Patients will be followed by 12 weekly CT scans until end of year 3 and then until year 5 according to the institute's standards.

Interventions

  • DRUG Neoadjuvant ipilimumab + nivolumab
  • DRUG Adjuvant nivolumab

Study Locations (20)

Other

  • Princess Alexandra Hospital - Brisbane
  • Lake Macquarie Private Hospital - Gateshead
  • Alfred Health - Melbourne
  • Peter MacCallum Cancer Center - Melbourne
  • Fiona Stanley Hospital - Murdoch
  • Tasman Oncology - Southport
  • Westmead Hospital - Sydney
  • Amsterdam University Medical Center - location VUmc - Amsterdam
  • Amphia Ziekenhuis - Breda
  • Maxima Medisch Centrum - Eindhoven
  • Medisch Spectrum Twente - Enschede
  • University Medical Center Groningen - Groningen
  • Zuyderland Medisch Centrum - Heerlen
  • Medisch Centrum Leeuwarden - Leeuwarden
  • Leiden University Medical Center - Leiden
  • Maastricht University Medical Center - Maastricht

California

  • The Angeles Clinic - Los Angeles

Texas

  • MD Anderson Cancer Center - Houston

New South Wales

  • Melanoma Institute Australia (MIA) - Sydney

North Holland

  • Netherlands Cancer Institute - Amsterdam

Trial Details

FieldValue
Enrollment Target 423 participants
Start Date 2021-07-08
Est. Completion 2028-12-19
Phase Phase 3

Sponsor

The Netherlands Cancer Institute

3 total trials

What the Registry Record Tells You About NCT04949113

The ClinicalTrials.gov registry entry for NCT04949113 describes a study currently listed as active not recruiting, categorized as Phase 3. The registered enrollment target is 423 participants, a figure that helps gauge the scale of data the investigators plan to collect. The listed sponsor is The Netherlands Cancer Institute, which has 3 total studies on file at ClinicalTrials.gov.

The record links to 1 condition, with Malignant Melanoma Stage III appearing as the primary indexed condition, and to 2 interventions - of which Neoadjuvant ipilimumab + nivolumab is the first listed.

NCT04949113 reports 20 study locations spanning 5 distinct geographic areas - top geographies include Other, California, Texas.

Frequently Asked Questions

What is clinical trial NCT04949113 about?

NCT04949113 is a clinical study titled "Neoadjuvant Ipilimumab Plus Nivolumab Versus Standard Adjuvant Nivolumab in Macroscopic Stage III Melanoma". This is an international (Australia, Europe, and USA) open-label two-arm randomized phase 3 trial including 420 stage III (≤3 resectable in-transit metastases allowed) cutaneous or unknown primary melanoma patients. Patients will be randomized 1:1 to receive either 2 cycles of neoadjuvant ipilimumab...

What is the current status of trial NCT04949113?

This trial is currently active not recruiting. It is a Phase 3 study. The enrollment target is 423 participants. The study started on 2021-07-08. Estimated completion is 2028-12-19.

What conditions does trial NCT04949113 study?

This clinical trial studies the following conditions: Malignant Melanoma Stage III.

What interventions are being tested in trial NCT04949113?

The interventions under investigation include: Neoadjuvant ipilimumab + nivolumab (DRUG), Adjuvant nivolumab (DRUG).

Who is sponsoring clinical trial NCT04949113?

This trial is sponsored by The Netherlands Cancer Institute, which has 3 total clinical trials registered on ClinicalTrials.gov.

Where is trial NCT04949113 being conducted?

This trial has 20 study locations across California, Texas, New South Wales, North Holland. Contact the study sites directly through ClinicalTrials.gov for enrollment availability.

Data sourced from official public datasets. See our methodology for details. Retrieved and formatted by PlainTrial Editorial

Every figure on PlainTrial is rendered directly from the ClinicalTrials.gov registry, no number is typed in by an editor. This page mirrors this trial's own ClinicalTrials.gov registry record, live from the dataset. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error.