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PD-1 Inhibitor
PD-1 Inhibitor Therapy Duration for Melanoma (STOP-GAP Trial)
Phase 3
Recruiting
Research Sponsored by Canadian Cancer Trials Group
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial Must have
Treated with surgery and without evidence of progression prior to randomization and have no evidence of new or enlarging brain metastases.
Treated with stereotactic radiosurgery and without evidence of progression prior to randomization and have no evidence of new or enlarging brain metastases.
Timeline
Screening 3 weeks
Treatment Varies
Follow Up 7 years
Awards & highlights
STOP-GAP Trial Summary
This trial is testing whether an immunotherapy drug works better when taken continuously or intermittently for people with metastatic melanoma.
Who is the study for?
Adults with metastatic melanoma who are eligible for government-funded PD-1 inhibitor therapy can join. They must have stable disease, including brain metastases if present, and be willing to complete questionnaires in English or French. Those not willing to potentially pause treatment or with contraindications to PD-1 inhibitors cannot participate.Check my eligibility
What is being tested?
The trial is testing two methods of administering a PD-1 inhibitor: intermittently stopping and restarting treatment versus continuous use without breaks. The goal is to see which method better extends the lives of patients with metastatic melanoma.See study design
What are the potential side effects?
PD-1 inhibitors may cause immune-related side effects such as inflammation in various organs, skin reactions, fatigue, hormonal changes, and increased risk of infections. Specific side effects depend on individual patient responses.
STOP-GAP Trial Eligibility Criteria
Inclusion Criteria
You may be eligible if you check “Yes” for the criteria belowSelect...
I had surgery for my condition and there's no sign it's gotten worse or that I have new brain tumors.
Select...
I had radiosurgery for my brain tumor and it hasn't grown since.
Select...
My melanoma cannot be surgically removed and has spread.
Select...
I am eligible for treatment with a PD-1 inhibitor as per government guidelines.
Select...
My brain metastases are stable.
Select...
I started PD-1 inhibitor treatment less than 16 weeks ago or haven't started yet.
STOP-GAP Trial Timeline
Screening ~ 3 weeks3 visits
Treatment ~ Varies
Follow Up ~ 7 years
Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~7 years
Treatment Details
Study Objectives
Outcome measures can provide a clearer picture of what you can expect from a treatment.Primary outcome measures
Overall survival
Secondary outcome measures
Duration of response using RECIST 1.1 / Immune-Related RECIST (irRECIST)
Economic evaluation consisting of both healthcare utilization and health utilities measured by the EQ-5D questionnaire
Number and severity of adverse events using CTCAE v 4.0
+3 moreSTOP-GAP Trial Design
2Treatment groups
Active Control
Group I: Arm 1: Intermittent PD-1 Inhibitor therapyActive Control1 Intervention
Any PD-1 inhibitor that is commercially available, government approved and publicly funded. Dose as recommended by the manufacturer.
Group II: Arm 2: Continuous PD-1 Inhibitor therapyActive Control1 Intervention
Any PD-1 inhibitor that is commercially available, government approved and publicly funded. Dose as recommended by the manufacturer.
Find a Location
Who is running the clinical trial?
Canadian Cancer Trials GroupLead Sponsor
124 Previous Clinical Trials
66,839 Total Patients Enrolled
3 Trials studying Melanoma
3,013 Patients Enrolled for Melanoma
Melanoma and Skin Cancer Trials LimitedOTHER
16 Previous Clinical Trials
6,058 Total Patients Enrolled
12 Trials studying Melanoma
5,526 Patients Enrolled for Melanoma
Xinni SongStudy ChairOttawa Hospital Research Institute
Media Library
Eligibility Criteria:
This trial includes the following eligibility criteria:- I am not willing to stop my anti-PD-1 therapy if required.My cancer cannot be removed by surgery and can be monitored but doesn't need to be measurable.My cancer has not worsened and I have no new or growing brain tumors for at least 4 weeks.I had surgery for my condition and there's no sign it's gotten worse or that I have new brain tumors.I had radiosurgery for my brain tumor and it hasn't grown since.I can attend all treatments and follow-ups for the study.My melanoma cannot be surgically removed and has spread.I am eligible for treatment with a PD-1 inhibitor as per government guidelines.My cancer cannot be removed by surgery and can be monitored but doesn't need to be measurable.My brain metastases are stable.I cannot take PD-1 inhibitors due to health risks.I am at least 18 years old and qualify for public health funding.I started PD-1 inhibitor treatment less than 16 weeks ago or haven't started yet.I can and will fill out health questionnaires in English or French.
Research Study Groups:
This trial has the following groups:- Group 1: Arm 1: Intermittent PD-1 Inhibitor therapy
- Group 2: Arm 2: Continuous PD-1 Inhibitor therapy
Awards:
This trial has 2 awards, including:- No Placebo-Only Group - All patients enrolled in this study will receive some form of active treatment.
- Pivotal Trial - The final step before approval, pivotal trials feature drugs that have already shown basic safety & efficacy.
Timeline:
This trial has the following timeline:- Screening: It may take up to 3 Weeks to process to see if you qualify in this trial.
- Treatment: The duration you will receive the treatment varies.
- Follow Ups: You may be asked to continue sharing information regarding the trial for 6 Months after you stop receiving the treatment.
Frequently Asked Questions
These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.
Has the FDA cleared Arm 2: Continuous PD-1 Inhibitor therapy for use?
"Arm 2: Continuous PD-1 Inhibitor therapy was given a safety score of 3. This is due to the fact that Phase 3 trials have yielded some data supporting efficacy as well as multiple rounds of data supporting safety."
Answered by AI
Are there multiple facilities conducting this research within the state?
"17 different medical centres across Canada are currently recruiting patients for this trial. If you decide to participate in the study, it would be advantageous to choose a site near your home to limit travel requirements."
Answered by AI
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