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NCT06743126 | RECRUITING | Melanoma, Cutaneous Malignant

SUPRAME-ACTengine® IMA203 vs. Investigator's Choice of Treatment in Previously Treated, Unresectable or Metastatic Cutaneous Melanoma
Sponsor:

Immatics US, Inc.

Brief Summary:

This clinical trial is a prospective, multicenter, open-label, randomized, actively controlled, parallel-group Phase 3 clinical trial to evaluate the efficacy, safety and tolerability of treatment with IMA203 administered at the recommended phase 2 dose versus investigator's choice of treatment in patients with previously treated, unresectable or metastatic cutaneous melanoma.

Condition or disease

Melanoma, Cutaneous Malignant

Intervention/treatment

IMA203

nivolumab plus relatlimab

lifileucel

nivolumab

pembrolizumab

ipilimumab

Dacarbazine

temozolomide

paclitaxel

paclitaxel plus carboplatin

Albumin-Bound Paclitaxel

Phase

PHASE3

Detailed Description:

SCREENING: Patient eligibility will be determined by protocol inclusion/exclusion criteria including HLA (human leukocyte antigen) screening. Leukapheresis for potential manufacturing of the IMA203 cellular product may be performed, if patients are HLA-A\*02:01 positive and meet the eligibility criteria for leukapheresis. MANUFACTURING: IMA203 products will be made from the patients' white blood cells. TREATMENT- Experimental arm: Lymphodepletion with cyclophosphamide and fludarabine will occur in the days before the IMA203 product infusion to improve the duration of time that IMA203 product stays in the body. The patient will be admitted to the hospital during the T-cell infusion. After the IMA203 product infusion, a low dose of IL-2 will be given subcutaneously for up to 10 days. TREATMENT- Control arm: Investigator's choice of treatment approved by the respective competent authority (nivolumab plus relatlimab \[Opdualag®\], lifileucel, nivolumab, pembrolizumab, ipilimumab, or chemotherapy \[e.g., dacarbazine, temozolomide, paclitaxel, alb-bound paclitaxel, or paclitaxel plus carboplatin\]) as determined by the site investigator in accordance with current respective prescribing information (PI) and/or summary of product characteristics (SmPC).

Study Type : INTERVENTIONAL
Estimated Enrollment : 360 participants
Masking : NONE
Primary Purpose : TREATMENT
Official Title : A Prospective, Multicenter, Open-label, Randomized, Actively Controlled, Parallel-group Phase 3 Clinical Trial to Evaluate Efficacy, Safety, and Tolerability of IMA203 Versus Investigator's Choice of Treatment in Patients With Previously Treated, Unresectable or Metastatic Cutaneous Melanoma (ACTengine® IMA203-301)
Actual Study Start Date : 2025-01-14
Estimated Primary Completion Date : 2028-01
Estimated Study Completion Date : 2031-10

Information not available for Arms and Intervention/treatment

Ages Eligible for Study: 18 Years
Sexes Eligible for Study: ALL
Accepts Healthy Volunteers:
Criteria
Inclusion Criteria
  • * Pathologically confirmed and documented cutaneous melanoma- CM patients (including acral melanoma) with unresectable or metastatic disease
  • * HLA-A\*02:01 positive
  • * Adequate selected organ function per protocol
  • * Eastern Cooperative Oncology Group (ECOG) performance status 0-1
  • * Disease progression (resistance, toxicity) on or after at least one PD-1 inhibitor, applied either as monotherapy or in combination with other therapies as treatment for unresectable or metastatic cutaneous melanoma
  • * Patients with BRAF mutation should have been treated with one prior line of BRAF-directed therapy (with or without a MEK inhibitor) prior to initial eligibility assessment, unless deemed not clinically indicated at Investigator's discretion due to concurrent medical condition, prior toxicity, or if declined by the patient
  • * Life expectancy more than 6 months
  • * Measurable disease according to Response Evaluation Criteria in Solid Tumors (RECIST 1.1)
  • * Female patient of childbearing potential must use adequate contraception from randomization until 12 months after the infusion of IMA203 or in line with the instructions provided for investigator's choice treatment (in the control arm)
  • * Male patient must agree to use effective contraception or be abstinent while on study and for 6 months after the infusion of IMA203 or in line with the instructions provided for investigator's choice treatment (in the control arm)
  • * The patient must have recovered from any side effects of prior therapy to Grade 1 or lower prior to randomization.
Exclusion Criteria
  • * Primary mucosal or uveal melanoma and melanoma of unknown primary
  • * History of other malignancies (except for adequately treated basal or squamous cell carcinoma or carcinoma in situ) within the last 3 years
  • * Serious autoimmune disease Note: At the discretion of the investigator, these patients may be included if their disease is well controlled without the use of immunosuppressive agents.
  • * History of cardiac conditions as per protocol
  • * Prior allogenic stem cell transplantation or solid organ transplantation
  • * Concurrent severe and/or uncontrolled medical disease that could compromise participation in the study
  • * History of or current immunodeficiency disease or prior treatment compromising immune function at the discretion of the treating physician
  • * History of hypersensitivity to CY, FLU, or IL-2 or presence of any contraindications and other limitations for planned treatment with investigator's choice as laid down in the current versions of the respective PIs / SmPCs
  • * Known hypersensitivity to any of the rescue medications
  • * History of or current immunodeficiency disease or prior treatment compromising immune function at the discretion of the investigator
  • * Positive for HIV infection or with active hepatitis B virus (HBV) or active hepatitis C virus (HCV) infection.
  • * Any condition contraindicating leukapheresis
  • * Pregnant or breastfeeding
  • * Any other condition that would, in the investigator's or sponsor's judgment, contraindicate the patient's participation in the clinical trial because of safety concerns or compliance with clinical trial procedures (e.g., psychiatric disorders or substance dependence, neurological impairment)
  • * Patient has received systemic corticosteroids within 2 weeks prior to leukapheresis,
  • * Patient has received surgery or other anti-cancer therapies, any agent that is likely to suppress bone marrow function, or investigational medicinal products within 7 days prior to leukapheresis.
  • * Patients with any active infection or ongoing reactivation of infection
  • * Patients who underwent non-myeloablative lymphodepletion prior to cell therapy within the last 6 months
  • * Prior treatment with IMA203
  • * Patients with ascites, pleural or pericardial effusion which requires repeated (2 within 4 weeks) or continuous paracentesis, thoracentesis or pericardiocentesis within last 2 months
  • * Patients with LDH greater than 2.0-fold ULN
  • * Concurrent treatment in another clinical trial or a device study that could interfere with the IMA203 treatment or planned investigator's choice treatment
  • * Patients with active brain metastases or leptomeningeal metastases
  • * Patient has received any investigational therapies, inactivated vaccines, chronic use of systemic corticosteroids or IV antibiotics within 1 week prior to randomization, or live vaccines within 4 weeks prior to randomization
  • * Patient has received any anti-cancer therapy (prior anti-cancer treatment or bridging therapy) or radiotherapy within 1 week prior to start of trial treatment
  • * Other protocol defined inclusion/exclusion criteria could apply
SUPRAME-ACTengine® IMA203 vs. Investigator's Choice of Treatment in Previously Treated, Unresectable or Metastatic Cutaneous Melanoma

Location Details

NCT06743126

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How to Participate

Want to participate in this study, select a site at your convenience, send yourself email to get contact details and prescreening steps.

Locations

RECRUITING

United States, Arizona

Honor Health Research Institute

Scottsdale, Arizona, United States, 85258

RECRUITING

United States, California

UCLA Hematology/Oncology

Los Angeles, California, United States, 90024

RECRUITING

United States, Connecticut

Yale Cancer Center

New Haven, Connecticut, United States, 06510

RECRUITING

United States, Florida

Moffitt Cancer Center

Tampa, Florida, United States, 33612

RECRUITING

United States, Massachusetts

Massachusetts General Hospital

Boston, Massachusetts, United States, 02114

RECRUITING

United States, New York

Laura and Isaac Perlmutter Cancer Center at NYU Langone Health

New York, New York, United States, 10016

RECRUITING

United States, North Carolina

UNC Hospitals, The University of North Carolina at Chapel Hill

Chapel Hill, North Carolina, United States, 27599

RECRUITING

United States, Ohio

Ohio State University

Columbus, Ohio, United States, 43210

RECRUITING

United States, Pennsylvania

Fox Chase Cancer Center

Philadelphia, Pennsylvania, United States, 19111

RECRUITING

United States, Pennsylvania

UPMC Hillman Cancer Center

Pittsburgh, Pennsylvania, United States, 15232

RECRUITING

United States, Tennessee

SCRI Oncology Partners

Nashville, Tennessee, United States, 37203

RECRUITING

United States, Texas

Baylor University

Dallas, Texas, United States, 75246

RECRUITING

United States, Texas

The University of Texas MD Anderson Cancer Center

Houston, Texas, United States, 77030

RECRUITING

United States, Utah

Huntsman Cancer Institute, University of Utah

Salt Lake City, Utah, United States, 84112

RECRUITING

United States, Virginia

Virginia Commonwealth University

Richmond, Virginia, United States, 23219

NOT YET RECRUITING

Germany,

Charite University Medicine Berlin Kör

Berlin, Germany, 12203

NOT YET RECRUITING

Germany,

University Clinic Bonn Aör

Bonn, Germany, 53127

RECRUITING

Germany,

Technical University of Dresden

Dresden, Germany, 01307

NOT YET RECRUITING

Germany,

Universitaetsklinikum Erlangen Aör

Erlangen, Germany, 91054

NOT YET RECRUITING

Germany,

Universitaetsklinikum Essen Aör

Essen, Germany, 45147

NOT YET RECRUITING

Germany,

Goethe University Frankfurt

Frankfurt Am Main, Germany, 60590

NOT YET RECRUITING

Germany,

University Medical Center Hamburg-Eppendorf

Hamburg, Germany, 20246

NOT YET RECRUITING

Germany,

University Clinic Heidelberg Aör

Heidelberg, Germany, 69120

NOT YET RECRUITING

Germany,

University Medicine of Johannes Gutenberg University Mainz Kör

Mainz, Germany, 55131