Blood clot marker may predict immunotherapy success in advanced skin cancer
NCT ID NCT07684066
First seen Jul 06, 2026 · Last updated Jul 23, 2026 · Updated 3 times
Summary
This study looks at whether a routine blood test measuring D-dimer levels can predict if the immunotherapy drug cemiplimab will control advanced cutaneous squamous cell carcinoma. Researchers will follow 116 patients starting cemiplimab in regular care, comparing disease control rates between those with high versus low D-dimer levels. No extra treatments or tests are required beyond standard care. If validated, this simple marker could help personalize treatment decisions.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- What this could lead to
- If D-dimer levels reliably predict treatment response, doctors could tailor cemiplimab therapy for advanced skin cancer patients, avoiding ineffective treatment.
- What could go wrong
- This is an observational study, not a treatment trial. The D-dimer test may not prove useful in real-world settings, and results may not change patient outcomes.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Participants
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About 116 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Aug 2026
An estimate. Start dates often move.
- Expected to finish
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Mar 2030
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
Who is studied
Adult patients with histologically confirmed locally advanced or metastatic cutaneous squamous cell carcinoma for whom systemic treatment with cemiplimab is planned as part of routine clinical care at participating oncology/dermato-oncology centers.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Histologically confirmed locally advanced or metastatic cutaneous squamous cell carcinoma * Planned initiation of systemic treatment with cemiplimab as part of routine clinical care * Pretreatment D-dimer measurement performed within 7 days before initiation of cemiplimab treatment up to the day of first administration before infusion * Age 18 years or older at the time of consent * ECOG performance status 0 to 2 * Written informed consent for study participation and pseudonymized collection and analysis of clinical and laboratory data Exclusion Criteria: * Prior treatment with immune checkpoint inhibitors in curative or palliative intent for cutaneous squamous cell carcinoma * Concurrent second malignancy requiring systemic treatment, such as chemotherapy, immunotherapy, or targeted therapy * Clinically unstable comorbidity, including NYHA class III-IV heart failure or active systemic infection * Acute symptomatic thrombosis or pulmonary embolism within 4 weeks before the pretreatment D-dimer measurement * Incidental asymptomatic thromboembolic events detected during clinical diagnostic work-up or following an elevated D-dimer result are not exclusion criteria and will be documented * Physician-estimated life expectancy of less than 3 months or severe non-tumor-related comorbidity likely to preclude assessment of the clinical course within the first 6 months * Lack of capacity to consent or legal guardianship without valid legal representation
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
15 sites in 2 countries. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Elbe Klinikum Buxtehude
Buxtehude, 21614, Germany
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Hannover Medical School
Hanover, 30625, Germany
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Johannes Wesling Klinikum Minden
Minden, 32429, Germany
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Klinikum Bremerhaven Reinkenheide
Bremerhaven, 27574, Germany
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University Medical Center Erlangen
Erlangen, 91054, Germany
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University Medical Center Göttingen
Göttingen, 37075, Germany
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University Medical Center Hamburg-Eppendorf
Hamburg, 20246, Germany
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University Medical Center Mainz
Mainz, 55131, Germany
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University Medical Center Mannheim
Mannheim, 68167, Germany
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University Medical Center OWL, Campus Klinikum Bielefeld Rosenhöhe
Bielefeld, 33647, Germany
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University Medical Center Rostock
Rostock, 18057, Germany
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University Medical Center Salzburg
Salzburg, 5020, Austria
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University Medical Center Schleswig-Holstein, Campus Kiel
Kiel, 24105, Germany
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University Medical Center Schleswig-Holstein, Campus Lübeck
Lübeck, 23538, Germany
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University Medical Center Tübingen
Tübingen, 72076, Germany
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