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There are 172 active trials for advanced/metastatic melanoma.
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TrialFetch AI summary: This trial involves adult patients with advanced solid tumors who have limited treatment options, evaluating the efficacy and safety of IBI363, a PD-1/IL-2α-bias bispecific antibody fusion protein targeting the PD-1/PD-L1 pathway and activating the IL-2 pathway to enhance tumor-specific T cell activity.
ClinicalTrials.gov ID: NCT06281678
TrialFetch AI summary: Adults with unresectable/metastatic melanoma (including mucosal/unknown primary; treatment-naïve allowed) or recurrent/metastatic HNSCC after platinum therapy are randomized to pembrolizumab plus GB1211 vs pembrolizumab plus placebo. GB1211 (selvigaltin) is an oral selective galectin‑3 inhibitor aimed at reversing immune suppression and resistance to PD‑1 blockade; prior PD‑1/PD‑L1 allowed if ≥6 months since last dose with progression; key exclusions include active autoimmune disease and untreated brain mets.
ClinicalTrials.gov ID: NCT05913388
TrialFetch AI summary: Enrolling patients ≥10 years (≥30 kg) with unresectable/metastatic solid tumors or recurrent/progressive primary CNS tumors harboring qualifying BRAF alterations (class 1 V600E or class 2 incl. fusions), across cohorts for BRAF fusions, V600E CNS tumors, and selected rare V600E non‑CNS tumors; excludes NF1/activating RAS and prior MAPK inhibitors in most cohorts. Treatment is oral plixorafenib (PLX‑8394), a selective BRAF inhibitor that disrupts RAF dimer signaling and avoids paradoxical ERK activation, given alone or with cobicistat boosting depending on cohort.
ClinicalTrials.gov ID: NCT05503797
TrialFetch AI summary: Adults and adolescents (≥12) with unresectable stage IIIb–IV cutaneous melanoma progressing after anti–PD-1 and anti–CTLA-4 (with measurable, injectable lesions) are randomized to intratumoral vusolimogene oderparepvec (RP1), an engineered HSV‑1 oncolytic immunotherapy expressing GM‑CSF and GALV‑GP R-, plus nivolumab versus physician’s choice (Opdualag, anti–PD‑1 monotherapy, or single‑agent chemotherapy). Excludes mucosal/uveal melanoma, active CNS mets, >2 prior systemic lines, high LDH, significant autoimmune/infectious risks, or prior oncolytic/intratumoral therapy.
ClinicalTrials.gov ID: NCT06264180
TrialFetch AI summary: Adults with unresectable stage III/IV or metastatic cutaneous or mucosal melanoma that has progressed on prior PD-1/PD-L1 therapy (including after PD-1+LAG-3) receive triplet immune checkpoint blockade: fianlimab (anti–LAG-3), cemiplimab (anti–PD-1), and ipilimumab (anti–CTLA-4). Excludes uveal melanoma and untreated/leptomeningeal CNS disease; definitively treated brain metastases allowed.
ClinicalTrials.gov ID: NCT06594991
TrialFetch AI summary: Adults with unresectable metastatic uveal melanoma, ECOG 0–1, ICI-naïve, and with at least one measurable/injectable lesion are randomized to intratumoral RP2 plus nivolumab versus standard ipilimumab plus nivolumab. RP2 is a replication-competent HSV‑1 oncolytic immunotherapy engineered to express GALV-GP-R−, GM-CSF, and a local anti–CTLA-4–like molecule to promote oncolysis and immune activation alongside PD-1 blockade.
ClinicalTrials.gov ID: NCT06581406
TrialFetch AI summary: Adults with unresectable stage III–IV melanoma that is primary/acquired PD‑1/L1–refractory and has at least one injectable cutaneous/subcutaneous/nodal lesion (including treated, stable brain mets allowed) are randomized to pembrolizumab plus intratumoral L19IL2, L19TNF, or their combination. L19IL2 (IL‑2 fused to L19 antibody) and L19TNF (TNF‑α fused to L19) target the ED‑B domain of fibronectin to concentrate cytokines in tumor vasculature/ECM, aiming to convert PD‑1–refractory disease to responsive.
ClinicalTrials.gov ID: NCT06284590
TrialFetch AI summary: Previously untreated adults with unresectable stage III/IV, HLA‑A*02:01–positive melanoma (ECOG 0–1, known BRAF status) are randomized to brenetafusp (IMC‑F106C), a PRAME‑directed soluble TCR/CD3 bispecific (ImmTAC) that redirects T‑cell cytotoxicity, plus nivolumab vs standard nivolumab or nivolumab/relatlimab. Excludes prior systemic therapy for advanced disease and active/untreated CNS mets; primary endpoint is PFS.
ClinicalTrials.gov ID: NCT06112314
TrialFetch AI summary: Adults with unresectable stage III/IV melanoma eligible for first-line pembrolizumab (ECOG 0–1; non-ocular; no prior systemic therapy for advanced disease) are randomized to pembrolizumab plus EIK1001 vs pembrolizumab plus placebo. EIK1001 is an IV dual TLR7/8 agonist that activates dendritic cells to enhance innate and adaptive antitumor immunity, aiming to improve PFS/OS over pembrolizumab alone.
ClinicalTrials.gov ID: NCT06697301
TrialFetch AI summary: Adults with previously untreated, unresectable stage III/IV cutaneous melanoma (BRAF-mutant or wild-type) are randomized to pembrolizumab plus V940, an individualized lipid‑nanoparticle mRNA vaccine encoding up to 34 patient-specific neoantigens to prime CD4+/CD8+ T cells, versus pembrolizumab plus placebo. Requires measurable disease and tissue for sequencing; excludes ocular/mucosal melanoma but allows controlled HIV/HBV/HCV.
ClinicalTrials.gov ID: NCT06961006