New drug duo takes on tough melanoma before surgery
NCT ID NCT06190951
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tests whether adding fianlimab to the immunotherapy cemiplimab works better than cemiplimab alone for people with high-risk, removable melanoma. About 151 participants will receive the drugs before surgery, then continue after. The goal is to see if the combination destroys more cancer cells and improves long-term outcomes.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 2
Tests whether the treatment actually works, and watches for side effects, in a larger group.
- Participants
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151 people
The number who actually took part.
- Started
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Sep 2024
- Expected to finish
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Dec 2030
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. All patients must be either stage III (IIIB, IIIC, IIID) or stage IV (M1a, M1b, M1c) per American Joint Committee on Cancer (AJCC) 8th edition (Amin 2017) and have histologically confirmed cutaneous melanoma that is deemed completely surgically resectable in order to be eligible as described in the protocol. 2. Patients with stage III melanoma must have clinically detectable disease that is confirmed as malignant on the pathology report. The pathology report must be reviewed, signed and dated by the investigator; this process will be confirmed during the interactive voice response system (IVRS) process as described in the protocol. 3. Patients must be candidates for full resection with curative intent and must be able to be surgically rendered free of disease with negative margins on resected specimens at surgery. The treatment plan including date of surgery must be documented by the investigator prior to randomization. 4. All patients must undergo full disease staging through a complete physical examination and imaging studies within 4 weeks prior to randomization. Imaging must include a computer tomography (CT) scan of the chest, abdomen, pelvis (if the primary tumor is on the head/neck then include a CT scan of head/neck), and all known sites of previously resected disease (if applicable) and brain magnetic resonance imaging (MRI) (or brain CT with contrast allowed if MRI is contraindicated). 5. Eastern Cooperative Oncology Group (ECOG) performance status (PS) 0 or 1 Key Exclusion Criteria: Medical conditions: 1. Primary uveal melanoma 2. Ongoing or recent (within 2 years) evidence of an autoimmune disease that required systemic treatment with immunosuppressive agents. The following are non-exclusionary: vitiligo, childhood asthma that has resolved, residual hypothyroidism that requires only hormone replacement, psoriasis not requiring systemic treatment. 3. Patients must not have received any prior systemic anti-cancer therapy for melanoma. Prior radiotherapy for melanoma is allowed if not given to a target lesion or, if given to a target lesion, there is pathological evidence of disease progression in the same lesion. 4. 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 as described in the protocol. Prior/concomitant therapy: 5. Use of immunosuppressive doses of corticosteroids (≥10mg of prednisone per day or equivalent) within 14 days of the first dose of study medication as described in the protocol. 6. Treatment with any anti-cancer therapy for malignancies other than melanoma, including immuno- therapy, chemotherapy, radiotherapy, or biological therapy in the 5 years prior to randomization as described in the protocol. Other comorbidities: 7. Participants with a history of myocarditis. 8. History or current evidence of significant (CTCAE grade ≥2) local or systemic infection (e. g., cellulitis, pneumonia, septicemia) requiring systemic antibiotic treatment within 2 weeks prior to the first dose of trial medication. 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.
Contacts and locations
Locations
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Azienda Ospedaliera Santa Croce i Carle
Cuneo, 12100, Italy
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Azienda Ospedaliero-Universitaria Ferrara
Ferrara, 44124, Italy
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Azienda Ospedaliero-Universitaria Maggiore della Carita - Oncology
Novara, 28100, Italy
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Azienda Sanitaria Universitaria del Friuli Centrale
Udine, 33100, Italy
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CHRU de Tours
Tours, Centre-Val de Loire, 37044, France
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CHU Estaing
Clermont-Ferrand, 63003, France
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CHU de Quebec - Universite Laval
Québec, G1J 1Z4, Canada
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CHU-Dijon
Dijon, Burgundy, 21000, France
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California Pacific Medical Center Research Institute
San Francisco, California, 94115, United States
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Campus Bio-Medico di Roma
Rome, 00128, Italy
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Centre Francois Baclesse
Caen, Normandy, 14000, France
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Centre Georges Francois Leclerc
Dijon, Bourgogne-Franche-Comté, 21000, France
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Centre Hospitalier Universitaire De Nice Hopital De L Archet
Nice, 06202, France
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Centre Hospitalier Universitaire De Poitiers
Poitiers, New Aquitaine, 86000, France
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Centre Hospitalier Universitaire Grenoble Alpes
La Tronche, Isere, 38700, France
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Centre Hospitalier de l'Universite de Montreal (CHUM)
Montreal, Quebec, H2X 0C1, Canada
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Charite University Medicine
Berlin, 10117, Germany
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Chu De Bordeaux
Bordeaux, Gironde, 33075, France
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Cleveland Clinic Foundation
Cleveland, Ohio, 44195, United States
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Dana Farber Cancer Institute Brookline Avenue
Boston, Massachusetts, 02215, United States
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Duke Cancer Institute, University Hospital
Durham, North Carolina, 27710, United States
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Eastern Health
Box Hill, Victoria, 3128, Australia
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Elbekliniken Stade Buxtehude
Buxtehude, Lower Saxony, 21614, Germany
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Emory Healthcare, Emory Clinic
Atlanta, Georgia, 30322, United States
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Flinders Medical Centre
Bedford Park, South Australia, 5042, Australia
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Fondazione IRCCS Istituto Nazionale dei Tumori.
Milan, 20133, Italy
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Gustave Roussy
Villejuif, Île-de-France Region, 94800, France
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Hartford Hospital
Hartford, Connecticut, 06102, United States
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Hautklinik
Ludwigshafen am Rhein, Rhineland-Palatinate, D-67063, Germany
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Helios Klinikum Erfurt
Erfurt, Thuringia, D-99089, Germany
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Hervey Bay Hospital
Hervey Bay, Queensland, 4655, Australia
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Hoag Family Cancer Institute
Newport Beach, California, 92663, United States
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Hopital Ambroise Pare
Boulogne, 92104, France
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Hopital Timone
Marseille, 13385, France
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Hospices Civils de Lyon
Pierre-Bénite, Auvergne-Rhône-Alpes, 69495, France
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Hospital Clinic de Barcelona
Barcelona, 08036, Spain
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Hospital Clinico Universitario San Cecilio
Granada, 18016, Spain
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Hospital Clinico Universitario Virgen De La Arrixaca
El Palmar, Murcia, 30120, Spain
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Hospital Clinico Universitario de Salamanca
Salamanca, 37007, Spain
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Hospital General Universitario Gregorio Maranon
Madrid, 28007, Spain
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Hospital Germans Trias i Pujol
Badalona, Barcelona, 08916, Spain
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Hospital Universitari Son Espases
Palma, Balearic Islands, 07120, Spain
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Hospital Universitario Central de Asturias
Oviedo, Principality of Asturias, 33011, Spain
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Hospital Universitario Virgen De La Victoria Malaga
Málaga, Andalusia, 29010, Spain
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Hospital Universitario Virgen de las Nieves
Granada, Andalusia, 18015, Spain
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Icon Cancer Centre Hobart
Hobart, Tasmania, 7000, Australia
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Inova Schar Cancer Institute
Fairfax, Virginia, 22031, United States
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Instituto Oncologico Dr Rosell
Barcelona, Catalonia, 08028, Spain
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Instituto Valenciano de Oncologia
Valencia, 46009, Spain
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Istituto Europeo di Oncologia
Milan, 20141, Italy
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Istituto Nazionale Tumori IRCCS Fondazione G Pascale
Naples, 80131, Italy
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Klinikum Bremen Ost
Bremen, 28325, Germany
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LMU Klinikum
Munich, Bavaria, 80337, Germany
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Lismore Base Hospital
Lismore, New South Wales, 2480, Australia
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Massachusetts General Hospital
Boston, Massachusetts, 02114, United States
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Medical Oncology
Taormina, 98039, Italy
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Medical University Innsbruck
Innsbruck, Tyrol, 6020, Austria
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Medical University of Graz
Graz, Styria, 8036, Austria
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Medical University of Vienna
Vienna, 1090, Austria
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Melanoma Institute of Australia
Wollstonecraft, New South Wales, 2065, Australia
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Muhlenkreiskliniken Minden, Ruhr University Bochum
Bochum, North Rhine-Westphalia, 44791, Germany
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Nantes University Hospital
Nantes, Pays de la Loire Region, 44093, France
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NorthShore University HealthSystem
Evanston, Illinois, 60201, United States
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Northwell Health Cancer Institute
Lake Success, New York, 11042, United States
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One Clinical Research at Hollywood Private Hospital
Nedlands, Western Australia, 6009, Australia
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Peter MacCallum Cancer Centre
Melbourne, Victoria, 3052, Australia
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Princess Margaret Cancer Centre
Toronto, Ontario, M5G 2M9, Canada
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Regional University Hospital of Lille 2208
Lille, 59037, France
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Rutgers Cancer Institute of New Jersey
New Brunswick, New Jersey, 08901, United States
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SRH Wald- Klinikum Gera GmbH
Gera, Thuringia, 07548, Germany
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Saint Louis Hospital
Paris, Île-de-France Region, 75010, France
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Seidman Cancer Center
Cleveland, Ohio, 44106, United States
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St John's Cancer Institute
Santa Monica, California, 90404, United States
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Sunnybrook Health Sciences Centre
Toronto, Ontario, M4N 3M5, Canada
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The Ohio State University James Comprehensive Cancer Center
Columbus, Ohio, 43210, United States
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The Queen Elizabeth Hospital
Woodville, South Australia, 5011, Australia
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The Townsville Hospital
Douglas, Queensland, 4814, Australia
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Thomas Jefferson University Hospital
Philadelphia, Pennsylvania, 19107, United States
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U.O. Oncologia Medica 2 Universitaria, Azienda Ospedaliero Universitaria Pisana
Pisa, 56126, Italy
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UC San Diego
La Jolla, California, 92093, United States
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USC Norris Comprehensive Cancer Center
Los Angeles, California, 90089, United States
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UT Southwestern/Simmons Comprehensive Cancer Center
Dallas, Texas, 75235, United States
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Universita della Campania Luigi Vanvitelli
Naples, 80131, Italy
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Universitaetsklinikum Wuerzburg
Würzburg, Bavaria, 97080, Germany
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Universitatsklinikum Freiburg
Freiburg im Breisgau, Baden-Wurttemberg, 79104, Germany
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Universitatsklinikum Leipzig, AoR
Leipzig, Saxony, 04103, Germany
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Universitatsklinikum Schleswig Holstein Campus Luebeck
Lübeck, Schleswig-Holstein, 23538, Germany
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Universitatsklinikum Ulm
Ulm, Baden-Wurttemberg, 89081, Germany
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University Hospital Dresden
Dresden, Saxony, 01307, Germany
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University Hospital Essen
Essen, North Rhine-Westphalia, 45147, Germany
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University Hospital Giessen
Giessen, Hesse, 35385, Germany
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University Hospital Saint Poelten
Sankt Pölten, Lower Austria, 3100, Austria
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University Hospital of Regensburg
Regensburg, Bavaria, 93053, Germany
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University of California San Francisco (UCSF)
San Francisco, California, 94143, United States
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University of Colorado Cancer Center
Aurora, Colorado, 80045, United States
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University of Massachusetts Chan Medical School
Worcester, Massachusetts, 01655, United States
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University of Pittsburgh
Pittsburgh, Pennsylvania, 15232, United States
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University of Tennessee Medical Center
Knoxville, Tennessee, 37920, United States
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University of Texas MD Anderson Cancer Center
Houston, Texas, 77030, United States
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University of Virginia
Charlottesville, Virginia, 22908, United States
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Vall d'Hebron Hospital
Barcelona, 08029, Spain
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Washington University School of Medicine
St Louis, Missouri, 63110, United States
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Westmead Hospital
Westmead, New South Wales, 2145, Australia
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Yale University Cancer Center
New Haven, Connecticut, 06510, United States
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- New antibody GNR-051 tested for safety in Hard-to-Treat cancers
- Blood test could spot Melanoma's BRAF mutation
- Can a CXCR1/2 blocker boost radiation against cancer that spreads to the brain lining?
- 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?