New hope for advanced melanoma: experimental combo faces off against approved treatment
NCT ID NCT06246916
First seen Jun 27, 2026 · Last updated Aug 20, 2026 · Updated 5 times
Summary
This study tests whether a new combination of drugs (fianlimab and cemiplimab) works better than an already approved treatment (Opdualag) for people with advanced melanoma that cannot be removed by surgery or has spread. About 560 adults with previously untreated melanoma will receive either the experimental combo or the approved one. The goal is to see which shrinks tumors more safely and effectively.
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.
- Phase
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Phase 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
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About 560 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Sep 2024
- Expected to finish
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Jul 2033
An estimate. End dates often move.
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- 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.
Key Inclusion Criteria: 1. Participants with histologically confirmed unresectable stage III and stage IV (metastatic) melanoma per American Joint Committee on Cancer (AJCC), eighth revised edition. 2. Participants must not have received prior systemic therapy for unresectable or metastatic melanoma as described in the protocol. 3. Measurable disease per RECIST version 1.1. 4. Eastern Cooperative Oncology Group (ECOG) performance status (PS) ≤1 5. Adequate bone marrow, hepatic, and kidney function 6. Known B-Rapidly Accelerated Fibrosarcoma protein (BRAF) V600 mutation status or submitted sample for BRAF V600 mutation assessment as described in the protocol Key Exclusion Criteria: Medical Conditions: 1. Uveal, acral or mucosal melanoma. 2. Ongoing or recent (within 2 years) evidence of an autoimmune disease that required systemic treatment with immunosuppressive agents as described in the protocol. 3. Uncontrolled infection with human immunodeficiency virus (HIV), hepatitis B (HBV), or hepatitis C virus (HCV) infection; or diagnosis of immunodeficiency that is related to, or results in chronic infection. Mild cancer-related immunodeficiency (such as immunodeficiency treated with gamma globulin and without chronic or recurrent infection) is allowed. Prior/Concomitant Therapy: 4. Prior immune checkpoint inhibitor therapy other than anti-PD1/PD-L1 as described in the protocol 5. Systemic immune suppression as described in the protocol. Other Comorbidities: 6. Participants with a history of myocarditis. 7. Troponin T (TnT) or troponin I (TnI) \>2x institutional upper limit of normal (ULN). 8. Active or untreated brain metastases or spinal cord compression as described in the protocol. Note: Other protocol-defined Inclusion/ Exclusion Criteria apply.
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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
97 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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Advocate Lutheran General Hospital
RECRUITINGPark Ridge, Illinois, 60068, United States
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Allina Health Cancer Institute
RECRUITINGMinneapolis, Minnesota, 55407, United States
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Arizona Oncology Associates
WITHDRAWNTucson, Arizona, 85711, United States
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Banner MD Anderson Cancer Center
RECRUITINGGilbert, Arizona, 85234, United States
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Beacon Clinic
RECRUITINGCoeur d'Alene, Idaho, 83815, United States
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Boca Raton Clinical Research (BRCR) Global
RECRUITINGTamarac, Florida, 33321, United States
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Cancer Specialist of North Florida
WITHDRAWNJacksonville, Florida, 32256, United States
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Cancer and Blood Specialty Clinic
RECRUITINGLos Alamitos, California, 90720, United States
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Center For Disease And Blood Disorder
RECRUITINGFort Worth, Texas, 76104, United States
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Centre Hospitalier Universitaire de Quebec (CHUQ) - Centre Hospitalier de l'Universite Laval (CHUL)
RECRUITINGQuébec, G1J 0J9, Canada
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Clermont Oncology Center
WITHDRAWNClermont, Florida, 34711, United States
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Comprehensive Cancer Centers of Nevada
RECRUITINGLas Vegas, Nevada, 89148, United States
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Cross Cancer Institute
RECRUITINGEdmonton, Alberta, T6G 1Z2, Canada
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Dartmouth Hitchcock Medical Center
RECRUITINGLebanon, New Hampshire, 03756, United States
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Duke Health System
RECRUITINGDurham, North Carolina, 27710, United States
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Eisenhower Medical Center
WITHDRAWNRancho Mirage, California, 92270, United States
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Emad Ibrahim, MD, Inc.
RECRUITINGRedlands, California, 92373, United States
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Fort Wayne Medical Oncology and Hematology
RECRUITINGFort Wayne, Indiana, 46825, United States
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Fox Chase Cancer Center
RECRUITINGPhiladelphia, Pennsylvania, 19111, United States
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H. Lee Moffitt Cancer Center
RECRUITINGTampa, Florida, 33612, United States
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Henry Ford Cancer Institute/Henry Ford Health System
RECRUITINGDetroit, Michigan, 48202, United States
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Hope and Healing Cancer Services
RECRUITINGHinsdale, Illinois, 60521, United States
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Illinois CancerCare
RECRUITINGPeoria, Illinois, 61615, United States
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Inova Schar Cancer Institute
RECRUITINGFairfax, Virginia, 22031, United States
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Ironwood Cancer & Research Centers
RECRUITINGChandler, Arizona, 85224, United States
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Jewish General Hospital - Main Address
RECRUITINGMontreal, Quebec, H3T 1E2, Canada
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Joe Arrington Cancer Research & Treatment Center
RECRUITINGLubbock, Texas, 79410, United States
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John B. Amos Cancer Center
WITHDRAWNColumbus, Georgia, 31904, United States
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John Theurer Cancer Center
RECRUITINGHackensack, New Jersey, 07601, United States
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Kadlec Clinic Hematology and Oncology
RECRUITINGKennewick, Washington, 99336, United States
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Kaiser Foundation Hospitals
RECRUITINGPortland, Oregon, 97227, United States
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Karmanos Cancer Institute
WITHDRAWNDetroit, Michigan, 48201, United States
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Levine Cancer Institute
RECRUITINGCharlotte, North Carolina, 28204, United States
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Lifespan Cancer Institute
RECRUITINGProvidence, Rhode Island, 02903, United States
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London Regional Cancer Centre
RECRUITINGLondon, Ontario, N6A 5W9, Canada
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Markey Cancer Center Clinical Research Organization
RECRUITINGLexington, Kentucky, 40536, United States
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Mary Bird Perkins Cancer Center
RECRUITINGBaton Rouge, Louisiana, 70809, United States
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Maryland Oncology Hematology, P.A.
RECRUITINGColumbia, Maryland, 21044, United States
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Mayo Clinic Florida
RECRUITINGJacksonville, Florida, 32224, United States
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Mercy South
RECRUITINGSt Louis, Missouri, 63128, United States
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Messino Cancer Center
RECRUITINGAsheville, North Carolina, 28806, United States
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Minnesota Oncology Hematology, P.A
RECRUITINGFridley, Minnesota, 55432, United States
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New York Oncology Hematology
RECRUITINGAlbany, New York, 12206, United States
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Novant Health Cancer Institute
RECRUITINGCharlotte, North Carolina, 28204, United States
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Novant Health Weisiger Cancer Institute - Charlotte
RECRUITINGCharlotte, North Carolina, 28204, United States
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Novant Health Zimmer Cancer Institute - Wilmington
RECRUITINGWilmington, North Carolina, 28401, United States
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Oklahoma Cancer Specialists and Research Institute, LLC
RECRUITINGTulsa, Oklahoma, 74146, United States
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Oncology & Hematology Associates of Southwest Virginia, Inc.
RECRUITINGRoanoke, Virginia, 24014, United States
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Oncology Hematology Care Clinical Trials
RECRUITINGCincinnati, Ohio, 45242, United States
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Oncology Hematology West P.C. dba Nebraska Cancer Specialists
RECRUITINGOmaha, Nebraska, 68130, United States
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Oregon Health and Science University
RECRUITINGPortland, Oregon, 97239, United States
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Penn State Health Milton South Hershey Medical Center
RECRUITINGHershey, Pennsylvania, 17033, United States
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Princess Margaret Cancer Centre
RECRUITINGToronto, Ontario, M5G 2M9, Canada
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Providence Medical Foundation
RECRUITINGFullerton, California, 92835, United States
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Rocky Mountain Regional VA Medical Center
RECRUITINGAurora, Colorado, 80045, United States
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Rutgers Cancer Institute of New Jersey
RECRUITINGNew Brunswick, New Jersey, 08901, United States
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Saint Francis Cancer Center
WITHDRAWNGreenville, South Carolina, 29607, United States
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Sansum Clinic
WITHDRAWNSanta Barbara, California, 93105, United States
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Sarah Cannon Research Institute (SCRI) Oncology Partners
RECRUITINGNashville, Tennessee, 37203, United States
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Seidman Cancer Center
RECRUITINGCleveland, Ohio, 44106, United States
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St John's Cancer Institute
RECRUITINGSanta Monica, California, 90404, United States
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St. Joseph Hospital Orange
RECRUITINGOrange, California, 92868, United States
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St. Luke's University Health Network
RECRUITINGEaston, Pennsylvania, 18045, United States
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St. Vincent Healthcare
WITHDRAWNBillings, Montana, 59102, United States
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Sunnybrook Health Sciences Centre
RECRUITINGToronto, Ontario, M4N 3M5, Canada
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Sutter Health
RECRUITINGSacramento, California, 95816, United States
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Swedish Cancer Institute
RECRUITINGSeattle, Washington, 98104, United States
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Swedish Cancer Institute - Edmonds Campus
RECRUITINGEdmonds, Washington, 98026, United States
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Swedish Cancer Institute - Issaquah Campus
RECRUITINGIssaquah, Washington, 98029, United States
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Tennessee Oncology
RECRUITINGNashville, Tennessee, 37203, United States
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Tennessee Oncology - Chattanooga
RECRUITINGChattanooga, Tennessee, 37404, United States
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Texas Oncology
RECRUITINGDallas, Texas, 75246, United States
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Texas Oncology - Austin Central, Central Austin Cancer Center
RECRUITINGAustin, Texas, 78731, United States
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Texas Oncology - Austin Midtown, Midtown Medical Center I
RECRUITINGAustin, Texas, 78705, United States
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Texas Oncology - Bedford
RECRUITINGBedford, Texas, 76022, United States
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Texas Oncology - Fort Worth
RECRUITINGFort Worth, Texas, 76104, United States
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Texas Oncology - Grapevine
RECRUITINGGrapevine, Texas, 76051, United States
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Texas Oncology - Harlingen, Medical Arts Pavillion
RECRUITINGHarlingen, Texas, 78550, United States
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Texas Oncology - Longview
RECRUITINGLongview, Texas, 75601, United States
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Texas Oncology - McAllen
RECRUITINGMcAllen, Texas, 78503, United States
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Texas Oncology - Medical City
RECRUITINGDallas, Texas, 75230, United States
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Texas Oncology - Weslaco, Knapp Medical Plaza
RECRUITINGWeslaco, Texas, 78596, United States
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Texas Oncology-Palestine Cancer Center
RECRUITINGPalestine, Texas, 75801, United States
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Texas Oncology-Tyler, Northeast Texas Cancer Institute
WITHDRAWNTyler, Texas, 75702, United States
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The Melanoma And Skin Cancer Institute
RECRUITINGEnglewood, Colorado, 80113, United States
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The Ohio State University Wexner Medical Center
RECRUITINGColumbus, Ohio, 43210, United States
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The University of Kansas Cancer Center
RECRUITINGWestwood, Kansas, 66205, United States
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The University of Texas Health Science Center at Tyler D/B/A UT Health East Texas HOPE Cancer Center
WITHDRAWNTyler, Texas, 75701, United States
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The University of Texas MD Anderson Cancer Center
RECRUITINGHouston, Texas, 77030, United States
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The Valley Hospital Inc.
RECRUITINGParamus, New Jersey, 07652, United States
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UCHealth
WITHDRAWNFort Collins, Colorado, 80528, United States
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USOR Willamette Valley Cancer Institute and Research Center
RECRUITINGEugene, Oregon, 97401, United States
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University Cancer & Blood Center
RECRUITINGAthens, Georgia, 30607, United States
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University of Arkansas for Medical Sciences
RECRUITINGLittle Rock, Arkansas, 72205, United States
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University of California Irvine, UCI Medical Center
RECRUITINGOrange, California, 92868, United States
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University of California Los Angeles
RECRUITINGLos Angeles, California, 90024, United States
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University of California San Francisco (UCSF)
RECRUITINGSan Francisco, California, 94143, United States
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University of Colorado Cancer Center
RECRUITINGAurora, Colorado, 80045, United States
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University of Michigan
RECRUITINGAnn Arbor, Michigan, 48109, United States
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University of Pittsburgh Medical Center (UPMC) Hillman Cancer Center
RECRUITINGPittsburgh, Pennsylvania, 15232, United States
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University of Tennessee Medical Center
RECRUITINGKnoxville, Tennessee, 37920, United States
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University of Utah Huntsman Cancer Institute
RECRUITINGSalt Lake City, Utah, 84112, United States
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University of Virginia
RECRUITINGCharlottesville, Virginia, 22908, United States
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University of Wisconsin Carbone Cancer Center
RECRUITINGMadison, Wisconsin, 53792, United States
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VA St. Louis Healthcare System
RECRUITINGSt Louis, Missouri, 63106, United States
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Virginia Cancer Specialists, PC
WITHDRAWNFairfax, Virginia, 22031, United States
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Virginia Commonwealth University Massey Cancer Center
RECRUITINGRichmond, Virginia, 23298, United States
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Virginia Oncology Associates
WITHDRAWNNorfolk, Virginia, 23502, United States
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Washington University School of Medicine
RECRUITINGSt Louis, Missouri, 63110, United States
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West Virginia University
RECRUITINGMorgantown, West Virginia, 26506, United States
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Yale Cancer Center
RECRUITINGNew Haven, Connecticut, 06510, United States
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Can a new antibody help the immune system fight Hard-to-Treat tumors?
- Can tumor DNA and immune cells reveal why some cancers resist immunotherapy?
- Can a Two-Drug immune combo shrink melanoma tumors?
- Can teaching patients about immunotherapy cut severe side effects?
- Can a triple immunotherapy attack beat advanced melanoma?
- Laser microscope may speed up skin cancer diagnosis