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New combo aims to fight merkel cell cancer when immunotherapy fails

NCT ID NCT07472322

First seen Mar 27, 2026 · Last updated Jun 23, 2026 · Updated 16 times

Summary

This study tests whether combining two drugs—ASTX727 (a pill) and retifanlimab (given through a vein)—can shrink tumors and control advanced Merkel cell cancer in people whose disease has worsened after standard immunotherapy. About 31 adults with stage III or IV Merkel cell cancer that cannot be removed by surgery will take the drugs for up to two years. The main goals are to check safety and see if the combination helps stop the cancer from growing or spreading.

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This is a summary of the original study . Summaries may miss details or leave out important information. Before applying or accepting participation, make sure you have read and understood the full study. Curemydisease.com takes no responsibility whatsoever for anything missed, misunderstood, or acted upon as a result of our summary — we know it does not capture everything.

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Contacts and locations

Study contacts

  • Contact

    Phone: •••-•••-•••• Email: •••••@•••••

  • Contact

    Email: •••••@•••••

Locations

  • University of Wisconsin-Carbone Cancer Center

    Madison, Wisconsin, 53792, United States

    Contact Phone: •••-•••-•••• Email: •••••@•••••

    Contact Email: •••••@•••••

What this could mean

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

Active substance

ASTX727 (decitabine/cedazuridine) and retifanlimab

What this could lead to

If it works, this combination could offer a new treatment option for people with advanced Merkel cell cancer whose disease has stopped responding to standard immunotherapy.

What could go wrong

This is an early-phase trial with only 31 participants, so results may not apply to everyone. The combination may cause significant side effects, and it is not yet known if it will be more effective than existing treatments.

Conditions

The condition(s) this trial relates to.

cutaneous neuroendocrine carcinoma

As listed by the trial registrant

The condition terms exactly as the trial's registrant entered them.