Experimental tumor injection aims to supercharge immunotherapy in rare skin cancer
NCT ID NCT06947928
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tests whether adding an experimental drug called IFx-Hu2.0 (injected directly into a tumor) to the standard immunotherapy pembrolizumab can improve outcomes for people with advanced or metastatic Merkel cell carcinoma. About 118 adults who have not received checkpoint inhibitors before will be randomly assigned to get either IFx-Hu2.0 or a placebo injection, followed by pembrolizumab. The main goal is to see if the combination leads to more tumor shrinkage or disappearance.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- IFx-Hu2.0 (an experimental immune-boosting drug injected into tumors) combined with pembrolizumab (an immunotherapy given intravenously)
- What this could lead to
- If it works, this combination could shrink or eliminate tumors in more people with advanced Merkel cell carcinoma than pembrolizumab alone.
- What could go wrong
- This is an early-to-mid stage trial with only 118 participants. The added benefit of IFx-Hu2.0 is unproven, and side effects from the combination may be greater than with standard treatment.
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
-
Phase 2/3
Runs two stages together: whether the treatment works, then large-scale confirmation.
- Participants
-
About 118 people
The number the study aims to enrol. It can still change while the study runs.
- Started
-
Dec 2025
- Expected to finish
-
Dec 2032
An estimate. End dates often move.
- Lead sponsor
-
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
-
18 years and older
- Sex
-
Anyone
- Healthy volunteers
-
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: 1. At least 18 years of age. 2. Life expectancy equal to or greater than six months. 3. Eastern Cooperative Oncology Group (ECOG) Performance Status \< 2. 4. Must be recurrent and/or unresectable Stage III or Stage IV American Joint Committee on Cancer (AJCC) (8th edition) and have histologically confirmed Merkel cell carcinoma 1. Must have at least one injectable lesion equal to or greater than 3 mm. 2. Must have measurable disease as defined by RECIST v1.1. 5. Participants should be CPI naïve i.e., no prior therapy with CPI including but not limited to Pembrolizumab, avelumab, ipilimumab, nivolumab. 6. Tumor tissue from an archival core biopsy or resected site of disease must be provided for biomarker analyses. If archival tissue is not available, then a new biopsy should be performed. 7. Adequate hematological, hepatic, and renal function according to laboratory ranges and medical criteria defined within the study protocol. Exclusion Criteria: 1. Uncontrolled intercurrent illness including, but not limited to, ongoing or active infection, symptomatic congestive heart failure, unstable angina pectoris, cardiac arrhythmia, or psychiatric illness/social situations that would limit compliance with protocol requirements. 2. Participants with known active brain metastases with the exception of treated brain metastases that have imaging proving stability at least 4 weeks prior to the start of study treatment, no new metastases, and not requiring steroids. 3. Participants with recurrent resectable MCC 4. Participants with prior systemic chemotherapy 5. Pregnant or breastfeeding females and females desiring to become pregnant or breastfeed within the timeframe of this study. 6. Active, known, or suspected autoimmune disease. Potential Participants with type I diabetes mellitus, residual hypothyroidism due to autoimmune thyroiditis only requiring hormone replacement, skin disorders (such as vitiligo, psoriasis, or alopecia) not requiring systemic treatment are permitted to enroll. Low-grade autoimmune toxicity is NOT an exclusion under this criterion. 7. A condition requiring systemic treatment with either corticosteroids (\> 10 mg daily prednisone equivalent) or other immunosuppressive medications within 14 days of randomization. Inhaled or topical steroids are permitted in the absence of active autoimmune disease.
Get updates
Get notified about this study
Sign up to get updates when this study changes or when new studies for Advanced or metastatic merkel cell carcinoma are added.
Genom att skicka in godkänner du våra Användarvillkor
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.
-
The study's own enquiry address
This study publishes an address for enquiries. See it below .
-
The places running it
18 sites. The list below names each one and where it is.
-
The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
-
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
Show contact details
Enter your email to view the contact information for this study.
Genom att skicka in godkänner du våra Användarvillkor
Study contacts
-
Contact
Email: •••••@•••••
Locations
-
Atlantic Health System
RECRUITINGMorristown, New Jersey, 07960, United States
-
Dana-Farber Cancer Institute
RECRUITINGBoston, Massachusetts, 02215, United States
-
East Carolina University
RECRUITINGGreenville, North Carolina, 27834, United States
-
Fred Hutchinson Cancer Research Center
RECRUITINGSeattle, Washington, 98109, United States
-
Hackensack University Medical Center
RECRUITINGHackensack, New Jersey, 07601, United States
Contact Email: •••••@•••••
-
Inova Schar Cancer
RECRUITINGFairfax, Virginia, 22031, United States
-
Mayo Clinic Comprehensive Cancer Center
RECRUITINGJacksonville, Florida, 32224, United States
-
Mayo Clinic Comprehensive Cancer Center
RECRUITINGRochester, Minnesota, 55905, United States
-
Moffitt Cancer Center
RECRUITINGTampa, Florida, 33612, United States
-
Stanford Health Care - Skin Cancer Program
RECRUITINGStanford, California, 94304, United States
-
Sylvester Comprehensive Cancer Center
RECRUITINGMiami, Florida, 33136, United States
-
The University of Texas MD Anderson Cancer Center
RECRUITINGHouston, Texas, 77384, United States
-
UPMC Hillman Cancer Center
RECRUITINGPittsburgh, Pennsylvania, 15232, United States
-
USC Norris Comprehensive Cancer Center
RECRUITINGLos Angeles, California, 90033, United States
-
University of California San Francisco - Helen Diller Family Comprehensive Cancer Center
RECRUITINGSan Francisco, California, 94143, United States
-
University of Colorado Hospital - Anschutz Cancer Pavilion
RECRUITINGAurora, Colorado, 80045, United States
Contact Email: •••••@•••••
-
Virginia Commonwealth University
RECRUITINGRichmond, Virginia, 23298, United States
-
West Virginia University
RECRUITINGMorgantown, West Virginia, 26506, United States
More trials for these conditions
Other studies related to the condition(s) this trial covers.