60 Participants Needed

Pembrolizumab + CMP-001 for Melanoma

Recruiting at 207 trial locations
Age: 18+
Sex: Any
Trial Phase: Phase 2
Sponsor: National Cancer Institute (NCI)
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
Breakthrough TherapyThis drug has been fast-tracked for approval by the FDA given its high promise
Approved in 3 JurisdictionsThis treatment is already approved in other countries

What You Need to Know Before You Apply

What is the purpose of this trial?

This phase II trial studies the effect of pembrolizumab alone or in combination with CMP-001 in treating patients with melanoma that can be treated by surgery (operable). Immunotherapy with monoclonal antibodies, such as pembrolizumab, may help the body's immune system attack the cancer, and may interfere with the ability of tumor cells to grow and spread. Immunotherapy with CMP-001 may induce changes in body's immune system and may interfere with the ability of tumor cells to grow and spread. The addition of CMP-001 to pembrolizumab could improve the ability of the immune system to shrink tumors and to prevent them from returning.

Will I have to stop taking my current medications?

The trial does not specify if you need to stop taking your current medications. However, you cannot be on certain immunosuppressive therapies or high-dose steroids, and you must not have received prior systemic therapy for melanoma.

Is the combination of Pembrolizumab and CMP-001 safe for treating melanoma?

Pembrolizumab, also known as Keytruda, has been studied for safety in treating advanced melanoma. Common side effects include fatigue, cough, nausea, itching, rash, decreased appetite, constipation, joint pain, and diarrhea. Some serious immune-related side effects can occur, such as lung inflammation, liver inflammation, and thyroid issues.12345

What makes the drug Pembrolizumab unique for treating melanoma?

Pembrolizumab is unique because it is the first anti-PD-1 therapy approved in the US for advanced melanoma, working by blocking a pathway that tumors use to hide from the immune system, thereby enhancing the body's ability to fight cancer.12567

What data supports the effectiveness of the drug Pembrolizumab + CMP-001 for treating melanoma?

Pembrolizumab, a part of the treatment, has shown strong antitumor activity and safety in patients with advanced melanoma, with high response rates and better outcomes compared to other treatments like ipilimumab. It is approved for use in melanoma and has demonstrated effectiveness in various solid tumors.12589

Who Is on the Research Team?

AT

Ahmad Tarhini

Principal Investigator

ECOG-ACRIN Cancer Research Group

Are You a Good Fit for This Trial?

Adults with operable melanoma, specifically nodal or in-transit cutaneous metastases, and no prior melanoma treatment can join. They must have good performance status (ECOG 0 or 1), injectable/measurable disease by scans, normal organ function tests, not be pregnant/breastfeeding, and willing to sign consent. Excluded are those with adrenal insufficiency, mucosal/uveal melanoma, brain metastases, severe heart/cardiac issues, immunodeficiency or on immunosuppressants.

Inclusion Criteria

I can understand and am willing to sign the consent form.
Your liver enzymes (AST and ALT) are not more than 2.5 times the normal limit.
My kidney function, measured by creatinine levels, is within the normal range.
See 18 more

Exclusion Criteria

Patients with adrenal insufficiency are ineligible
I have not had any systemic therapy for melanoma.
I have never needed steroids for non-infectious lung inflammation.
See 10 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Neoadjuvant Phase

Patients receive pembrolizumab alone or in combination with CMP-001 for up to 3 cycles

9 weeks
3 visits (in-person) per cycle

Surgery

Patients undergo surgery 1-2 weeks after completion of neoadjuvant phase

1-2 weeks

Adjuvant Phase

After recovery from surgery, patients receive pembrolizumab for up to 16 cycles

48 weeks
1 visit (in-person) every 6 weeks

Follow-up

Participants are monitored for safety and effectiveness after treatment

Up to 15 years
Every 3 months if < 2 years from study entry, every 6 months if 2-5 years, every 12 months if > 5 years

What Are the Treatments Tested in This Trial?

Interventions

  • CMP-001
  • Pembrolizumab
Trial Overview The trial is testing if pembrolizumab alone or combined with CMP-001 improves outcomes for patients with surgically treatable melanoma. Pembrolizumab is an antibody that may help the immune system fight cancer; CMP-001 might boost this effect.
How Is the Trial Designed?
2Treatment groups
Experimental Treatment
Group I: Arm B (CMP-001, pembrolizumab)Experimental Treatment7 Interventions
Group II: Arm A (pembrolizumab)Experimental Treatment6 Interventions

Pembrolizumab is already approved in United States, European Union, United Kingdom for the following indications:

🇺🇸
Approved in United States as KEYTRUDA for:
🇪🇺
Approved in European Union as KEYTRUDA for:
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Approved in United Kingdom as KEYTRUDA for:

Find a Clinic Near You

Who Is Running the Clinical Trial?

National Cancer Institute (NCI)

Lead Sponsor

Trials
14,080
Recruited
41,180,000+

Published Research Related to This Trial

Pembrolizumab (Keytruda) is the first anti-PD-1 therapy approved in the US for treating advanced malignant melanoma, specifically for patients who have progressed after prior treatments.
It is designed to target the PD-1 protein, enhancing the immune system's ability to fight cancer, and is currently under review for approval in the EU.
Pembrolizumab: first global approval.Poole, RM.[2021]
Pembrolizumab, a PD-1 inhibitor, has demonstrated clinical effectiveness in treating various solid tumors, particularly in patients with PD-L1-positive non-small-cell lung cancer and unresectable/metastatic melanoma.
Early-phase trials and ongoing studies are focused on further confirming the clinical benefits of pembrolizumab in thoracic malignancies, highlighting its potential as a significant treatment option in cancer therapy.
Pembrolizumab for the treatment of thoracic malignancies: current landscape and future directions.Karim, S., Leighl, N.[2017]
In a study of 655 patients with advanced melanoma, pembrolizumab showed a 5-year overall survival rate of 34%, with even better outcomes (41%) for treatment-naive patients, indicating its long-term efficacy.
The treatment was generally well-tolerated, with 86% of patients experiencing treatment-related adverse events, but only 7.8% discontinued due to these effects, suggesting a manageable safety profile.
Five-year survival outcomes for patients with advanced melanoma treated with pembrolizumab in KEYNOTE-001.Hamid, O., Robert, C., Daud, A., et al.[2023]

Citations

Pembrolizumab: first global approval. [2021]
Pembrolizumab for the treatment of thoracic malignancies: current landscape and future directions. [2017]
Five-year survival outcomes for patients with advanced melanoma treated with pembrolizumab in KEYNOTE-001. [2023]
Pembrolizumab joins the anti-PD-1 armamentarium in the treatment of melanoma. [2017]
Pembrolizumab superior to ipilimumab in melanoma. [2017]
Real-world experience with pembrolizumab toxicities in advanced melanoma patients: a single-center experience in the UK. [2022]
FDA Approval Summary: Accelerated Approval of Pembrolizumab for Second-Line Treatment of Metastatic Melanoma. [2021]
Neoadjuvant anti-programmed death-1 immunotherapy by pembrolizumab in resectable non-small cell lung cancer: First clinical experience. [2022]
Biophysical and Immunological Characterization and In Vivo Pharmacokinetics and Toxicology in Nonhuman Primates of the Anti-PD-1 Antibody Pembrolizumab. [2021]
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