Can new drug cocktails reawaken the immune system against melanoma?

NCT ID NCT04305041

First seen Aug 13, 2026 · Last updated Aug 14, 2026 · Updated 1 time

Summary

This trial is testing whether combining the immunotherapy drug pembrolizumab with other experimental agents can help people with advanced melanoma whose cancer has stopped responding to standard anti-PD-1 treatment. The study includes several treatment arms, each pairing pembrolizumab with a different drug, such as quavonlimab, vibostolimab, lenvatinib, or ATRA. The goal is to see if any of these combinations can shrink tumors and improve outcomes, while also monitoring safety and side effects.

What this could mean

Our plain-language read of the trial. This is informational only — not medical advice or a prediction.

Active substance
Combinations of pembrolizumab with quavonlimab, vibostolimab, lenvatinib, or ATRA
What this could lead to
If successful, these combinations could offer new treatment options for people with advanced melanoma that no longer responds to current immunotherapies.
What could go wrong
This is an early-phase trial, so the combinations may not prove more effective than existing treatments and could cause additional side effects.

This is an AI summary of the original study and may miss details. Read our disclaimer.

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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.

Contacts and locations

Locations

  • A.P.H. Paris, Hopital Saint Louis ( Site 1107)

    Paris, 75010, France

  • CANCERCARE LANGENHOVEN DRIVE ONCOLOGY CENTRE-Clinical Trials Unit ( Site 1865)

    Port Elizabeth, Eastern Cape, 6055, South Africa

  • CHUV Centre Hospitalier Universitaire Vaudois ( Site 1602)

    Lausanne, Canton of Vaud, 1011, Switzerland

  • Calvary Mater Newcastle-Medical Oncology ( Site 1404)

    Waratah, New South Wales, 2298, Australia

  • Centre Hospitalier Lyon Sud ( Site 1102)

    Pierre-Bénite, Rhone, 69495, France

  • Chaim Sheba Medical Center ( Site 1701)

    Ramat Gan, 5265601, Israel

  • Duke Cancer Institute ( Site 1005)

    Durham, North Carolina, 27710, United States

  • Fiona Stanley Hospital ( Site 1401)

    Murdoch, Western Australia, 6150, Australia

  • Fondazione IRCCS Istituto Nazionale dei Tumori di Milano ( Site 1399)

    Milan, 20133, Italy

  • Gustave Roussy ( Site 1101)

    Villejuif, Île-de-France Region, 94805, France

  • HaEmek Medical Center ( Site 1703)

    Afula, 1834111, Israel

  • Hadassah Ein Karem Jerusalem ( Site 1702)

    Jerusalem, 9112001, Israel

  • Hopital La Timone ( Site 1103)

    Marseille, Bouches-du-Rhone, 13005, France

  • Hopital Saint Andre ( Site 1108)

    Bordeaux, Gironde, 33075, France

  • Hôpitaux Universitaires de Genève (HUG)-Oncology ( Site 1603)

    Geneva, Canton of Geneva, 1211, Switzerland

  • Inova Schar Cancer Institute ( Site 1011)

    Fairfax, Virginia, 22031, United States

  • Institut Claudius Regaud ( Site 1105)

    Toulouse, Haute-Garonne, 31059, France

  • Istituto Europeo di Oncologia ( Site 1301)

    Milan, 20141, Italy

  • Istituto Nazionale Tumori Fondazione Pascale ( Site 1302)

    Naples, 80131, Italy

  • Istituto Oncologico Veneto IRCCS ( Site 1355)

    Padova, 35128, Italy

  • Martha Morehouse Tower ( Site 1020)

    Columbus, Ohio, 43221, United States

  • Melanoma Institute Australia ( Site 1402)

    Wollstonecraft, New South Wales, 2065, Australia

  • NYU Clinical Cancer Center ( Site 1002)

    New York, New York, 10016, United States

  • Oregon Health & Science University ( Site 1013)

    Portland, Oregon, 97239, United States

  • Policlinico Le Scotte - A.O. Senese ( Site 1377)

    Siena, 53100, Italy

  • Providence Saint John's Health Center ( Site 1010)

    Santa Monica, California, 90404, United States

  • Rambam Health Care Campus-Oncology ( Site 1704)

    Haifa, 3109601, Israel

  • Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins ( Site 1022)

    Baltimore, Maryland, 21287, United States

  • Tasman Oncology Research Pty Ltd ( Site 1403)

    Southport, Queensland, 4215, Australia

  • The Angeles Clinic and Research Institute ( Site 1009)

    Los Angeles, California, 90025, United States

  • UCLA Hematology & Oncology ( Site 1004)

    Los Angeles, California, 90095, United States

  • Universitaetsspital Zuerich ( Site 1601)

    Zuerich Flughafen, Canton of Zurich, 8058, Switzerland

  • University of Colorado, Anschutz Cancer Pavilion ( Site 1012)

    Aurora, Colorado, 80045, United States

  • University of Pennsylvania Abramson Cancer Center ( Site 1008)

    Philadelphia, Pennsylvania, 19104, United States

  • University of Texas MD Anderson Cancer Center ( Site 1006)

    Houston, Texas, 77030, United States

  • West Cancer Center - East Campus ( Site 1014)

    Germantown, Tennessee, 38138, United States

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