135 Participants Needed

LNS8801 With or Without Pembrolizumab for Melanoma

Recruiting at 6 trial locations
SV
Overseen BySudha Velayutham
Age: 18+
Sex: Any
Trial Phase: Phase 2 & 3
Sponsor: Linnaeus Therapeutics, Inc.
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)
Prior Safety DataThis treatment has passed at least one previous human trial

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial tests a new drug, LNS8801, to determine its effectiveness in treating melanoma, a type of skin cancer, by preventing its growth or spread. Researchers will compare LNS8801 alone to a combination of LNS8801 and pembrolizumab, a drug that aids the immune system in fighting cancer, as well as other treatments selected by doctors. The trial seeks participants with melanoma that cannot be surgically removed or has spread, who have tried other treatments like anti-PD-1 therapy but require new options. Participants must be able to swallow pills and have measurable cancer. As a Phase 2 trial, this research focuses on assessing the treatment's effectiveness in an initial, smaller group, providing access to potentially effective new therapies.

Do I need to stop my current medications to join the trial?

The trial protocol does not specify if you need to stop your current medications, but you cannot have had anti-cancer or investigational treatments within 4 weeks before starting the study drug.

Is there any evidence suggesting that this trial's treatments are likely to be safe?

A previous study found LNS8801 to be safe and easy to handle when used alone, with no serious side effects or dose-limiting issues. Another study tested LNS8801 with pembrolizumab, and this combination was also safe and well-tolerated.

These findings suggest that both treatments are generally safe for people. While individual reactions may vary, these studies indicate that the treatments do not usually cause severe problems.12345

Why are researchers excited about this trial's treatments?

Researchers are excited about LNS8801 for melanoma because it offers a novel approach by targeting the AHR (aryl hydrocarbon receptor) pathway, which is different from most current treatments. Most melanoma therapies focus on inhibiting specific proteins like BRAF or leveraging the immune system with checkpoint inhibitors like pembrolizumab. However, LNS8801's unique mechanism could potentially enhance immune response and inhibit tumor growth. When combined with pembrolizumab, it may further boost the effectiveness of immunotherapy. Additionally, LNS8801 can be taken orally, which is a convenient alternative to intravenous treatments.

What evidence suggests that this trial's treatments could be effective for melanoma?

Research has shown that LNS8801 may help treat melanoma. In earlier studies, 63% of patients taking LNS8801 alone experienced no cancer growth or spread. For those with specific markers, this rate reached 100%, with no cancer progression for over six months. In this trial, some participants will receive LNS8801 as monotherapy, while others will receive a combination of LNS8801 with pembrolizumab. Previous studies demonstrated that when LNS8801 was combined with pembrolizumab, more than 75% of patients had no cancer return after two years, and over 90% experienced no disease progression. These findings suggest that LNS8801, both alone and with pembrolizumab, could effectively treat melanoma.16789

Are You a Good Fit for This Trial?

This trial is for patients with advanced melanoma that can't be surgically removed and has spread. Participants must be able to swallow pills, have a certain level of fitness (ECOG 0-1), and their cancer must have worsened despite previous anti-PD-1 therapy. They should also be eligible for one of the standard treatments chosen by their doctor.

Inclusion Criteria

My genes have 2 normal copies of the GPER protein.
My cancer can be measured by tests.
My melanoma cannot be removed by surgery and/or has spread.
See 5 more

Timeline for a Trial Participant

Prescreening

Patients must initially consent to a prescreening blood-based genetic test only

Not specified

Screening

Participants are screened for eligibility to participate in the trial

Up to 3 weeks
1 visit (in-person)

Treatment

Patients receive LNS8801 alone, LNS8801 with pembrolizumab, or physician's choice treatment

Up to 2 years
Every 3 weeks for pembrolizumab group, daily for LNS8801

Follow-up

Participants are monitored for safety and effectiveness after treatment

Up to 5 years after the end of treatment
Every 6 months for the first year, then annually

What Are the Treatments Tested in This Trial?

Interventions

  • LNS8801
  • Pembrolizumab
Trial Overview Researchers are testing LNS8801 alone or combined with pembrolizumab against physician's choice of chemotherapy or other immunotherapies in melanoma patients. The main goal is to see how long these treatments prevent cancer growth. Patients will take LNS8801 daily and receive pembrolizumab every three weeks, up to two years.
How Is the Trial Designed?
3Treatment groups
Experimental Treatment
Active Control
Group I: LNS8801 MonotherapyExperimental Treatment1 Intervention
Group II: LNS8801 + PembrolizumabExperimental Treatment2 Interventions
Group III: Physician's ChoiceActive Control4 Interventions

Find a Clinic Near You

Who Is Running the Clinical Trial?

Linnaeus Therapeutics, Inc.

Lead Sponsor

Trials
2
Recruited
340+

Merck Sharp & Dohme LLC

Industry Sponsor

Trials
4,096
Recruited
5,232,000+
Chirfi Guindo profile image

Chirfi Guindo

Merck Sharp & Dohme LLC

Chief Marketing Officer since 2022

Degree in Engineering from Ecole Centrale de Paris, MBA from New York University Stern School of Business

Robert M. Davis profile image

Robert M. Davis

Merck Sharp & Dohme LLC

Chief Executive Officer since 2021

JD from Northwestern University Pritzker School of Law, MBA from Northwestern University Kellogg Graduate School of Management, Bachelor's in Finance from Miami University

Citations

NCT04130516 | Study Assessing MTD, Safety, Tolerability, ...Combination therapy cohorts treated with 125 mg LNS8801 daily PO + 200 mg Q3W Pembrolizumab IV: COHORT C2: 20 evaluable patients with no remaining SOC therapies ...
The effect of LNS8801 alone and in combination ...In the first-in-human dose escalation study, LNS8801 was safe and tolerable alone and in combination with pembrolizumab in patients with advanced solid tumors ( ...
An In Vivo Study of LNS8801, a GPER Agonist, in a ...Results showed that sex‐biased effects were observed in the efficacy of LNS8801 and that LNS8801 shows a UV‐protective influence in both male ...
LNS8801 With or Without Pembrolizumab in Patients ...The goal of this clinical trial is to understand if a new drug called LNS8801 can safely treat patients with melanoma. The primary question to be answered ...
Melanoma update: is a cure now in sight?After a median follow-up of 2 years, over 75% of patients receiving the combination therapy were recurrence-free, and more than 90% were free ...
The effect of LNS8801 alone and in combination with ...In the first-in-human dose escalation study, LNS8801 was safe and tolerable alone and in combination with pembrolizumab in patients with ...
1101P The effect of LNS8801 in combination with ...These data support further development of LNS8801 in combination with pembrolizumab treat advanced CM patients. Clinical trial identification. NCT04130516.
LNS8801: An Enantiomerically Pure Agonist of the G ...LNS8801 is a synthetic, orally bioavailable, enantiomerically pure, GPER agonist with potent anticancer activity in vivo.
Phase 1b study of the novel first-in-class G protein-coupled ...In the first-in-human dose escalation study, LNS8801 was safe and tolerable alone and in combination with pembrolizumab in patients with metastatic solid tumors ...
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