Triple therapy for melanoma: hope or hype?
NCT ID NCT02967692
First seen Jun 26, 2026 · Last updated Jun 26, 2026
Summary
This phase 3 study tested whether adding an immunotherapy drug (spartalizumab) to two targeted therapy drugs (dabrafenib and trametinib) works better than the targeted drugs alone for people with advanced BRAF V600 mutant melanoma. The trial enrolled 568 participants but was terminated early. The goal was to see if the combination could delay cancer progression and improve survival.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Spartalizumab (an immunotherapy drug) combined with dabrafenib and trametinib (targeted therapy drugs)
- What this could lead to
- If successful, this combination could improve control of advanced melanoma by boosting the immune system while blocking cancer growth.
- What could go wrong
- The trial was terminated early, so results are limited. Adding immunotherapy to targeted therapy may increase side effects without clear benefit.
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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568 people
The number who actually took part.
- Started
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Feb 2017
- Finished
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Aug 2024
- 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 to 100 years
- 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.
Inclusion criteria Part 1: Safety run-in * Histologically confirmed, unresectable or metastatic melanoma with BRAF V600 mutation * Aspartate transaminase (AST) \< 2.5× ULN and Alanine transaminase (ALT) \< 2.5× ULN * Measurable disease according to RECIST 1.1 * ECOG performance status ≤ 1 Part 2: Biomarker cohort * Histologically confirmed, unresectable or metastatic melanoma with BRAF V600 mutation * At least two cutaneous or subcutaneous or nodal lesions for tumor sample collection * Measurable disease according to RECIST 1.1 * ECOG performance status ≤ 2 Part 3: Double-blind, randomized, placebo-controlled part * Histologically confirmed, unresectable or metastatic melanoma with BRAF V600 mutation * ECOG performance status ≤ 2 * Measurable disease according to RECIST 1.1 Exclusion Criteria: Part 1: Safety run-in * Subjects with uveal or mucosal melanoma * Any history of CNS metastases * Prior systemic anti-cancer treatment for unresectable or metastatic melanoma * Neoadjuvant and/or adjuvant therapy for melanoma completed less than 6 months prior to enrollmen * Radiation therapy within 4 weeks prior to start of study treatment * Active autoimmune disease, and/or history of autoimmune disease(s) that required treatment Parts 2 \& 3: Biomarker cohort \& double-blind, randomized, placebo-controlled part * Subjects with uveal or mucosal melanoma * Prior systemic anti-cancer treatment for unresectable or metastatic melanoma * Neoadjuvant and/or adjuvant therapy for melanoma completed less than 6 months prior to enrollment * Radiation therapy within 4 weeks prior to start of study treatment * Clinically active cerebral melanoma metastasis. * Active autoimmune disease, and/or history of autoimmune disease(s) that required treatment Other protocol-defined Inclusion/Exclusion may apply.
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Get notified about this study
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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.
Contacts and locations
Locations
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California Cancer Associates for Research and Excellence
Encinitas, California, 92024, United States
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California Pacific Medical Center
San Francisco, California, 94115, United States
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Johns Hopkins U
Lutherville, Maryland, 21093, United States
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Kyoto University Hospital
Sakyo Ku, Kyoto, 606 8507, Japan
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Kyushu University Hospital
Fukuoka, Fukuoka, 812-8582, Japan
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NYU Laura and Isaac Perlmutter Cancer Center
New York, New York, 10016, United States
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National Cancer Hospital
Chuo Ku, Tokyo, 104 0045, Japan
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Nebraska Cancer Specialists
Omaha, Nebraska, 68130, United States
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Novartis Investigative Site
CABA, Buenos Aires, C1125ABD, Argentina
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Novartis Investigative Site
CABA, Buenos Aires, C1426ANZ, Argentina
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Novartis Investigative Site
Rosario, Santa Fe Province, S2000KZE, Argentina
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Novartis Investigative Site
Caba, C1431FWO, Argentina
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Gateshead, New South Wales, 2290, Australia
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North Sydney, New South Wales, 2060, Australia
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Greenslopes, Queensland, 4120, Australia
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Melbourne, Victoria, 3004, Australia
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Nedlands, Western Australia, 6009, Australia
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Innsbruck, Tyrol, 6020, Austria
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Graz, 8036, Austria
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Linz, 4020, Austria
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Salzburg, A-5020, Austria
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Sankt Pölten, 3100, Austria
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Brussels, 1090, Belgium
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Brussels, 1200, Belgium
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Curitiba, Paraná, 80530 010, Brazil
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Porto Alegre, Rio Grande do Sul, 90035-003, Brazil
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São Paulo, São Paulo, 01246 000, Brazil
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Rio de Janeiro, 20560-120, Brazil
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Plovdiv, 4004, Bulgaria
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Sofia, 1303, Bulgaria
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Vancouver, British Columbia, V5Z 4E6, Canada
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Toronto, Ontario, M4N 3M5, Canada
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Montreal, Quebec, H3T 1E2, Canada
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Montreal, Quebec, H4A 3J1, Canada
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Sherbrooke, Quebec, J1H 5N4, Canada
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Temuco, Araucania, 4810469, Chile
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Santiago, 7500921, Chile
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Santiago, 8420383, Chile
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Brno, Czech Republic, 656 53, Czechia
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Zlín, Czech Republic, 762 75, Czechia
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Novartis Investigative Site
Hradec Králové, CZE, 500 05, Czechia
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Novartis Investigative Site
Ostrava, Poruba, 708 52, Czechia
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Novartis Investigative Site
Olomouc, 779 00, Czechia
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Prague, 100 34, Czechia
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Novartis Investigative Site
Prague, 12808, Czechia
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Aarhus N, 8200, Denmark
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Limoges, Haute Vienne, 87000, France
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Novartis Investigative Site
Amiens, 80054, France
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Novartis Investigative Site
Besançon, 25030, France
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Bobigny, 93009, France
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Bordeaux, 33075, France
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Boulogne-Billancourt, 92104, France
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Caen, 14033, France
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Clermont-Ferrand, 63003, France
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Dijon, 21034, France
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Grenoble, 38043, France
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Le Mans, 72000, France
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Novartis Investigative Site
Lille, 59037, France
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Lorient, 56322, France
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Lyon, 69373, France
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Marseille, 13885, France
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Mulhouse, 68070, France
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Nice, 06202, France
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Paris, 75475, France
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Pierre-Bénite, 69495, France
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Poitiers, 86021, France
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Reims, 51092, France
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Rouen, 76031, France
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Strasbourg, 67091, France
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Toulouse, 31059, France
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Vandœuvre-lès-Nancy, 54519, France
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Villejuif, 94800, France
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Mannheim, Baden-Wurttemberg, 68305, Germany
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Regensburg, Bavaria, 93053, Germany
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Leipzig, Saxony, 04103, Germany
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Halle, Saxony-Anhalt, 06120, Germany
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Berlin, 13353, Germany
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Novartis Investigative Site
Berlin, 13578, Germany
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Bonn, 53105, Germany
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Chemnitz, 09117, Germany
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Dresden, 01307, Germany
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Düsseldorf, 40225, Germany
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Erfurt, 99089, Germany
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Essen, 45147, Germany
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Freiburg im Breisgau, 79106, Germany
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Gera, 07548, Germany
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Hamburg, 20246, Germany
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Hanover, 30625, Germany
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Heidelberg, 69120, Germany
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Homburg, 66421, Germany
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Kiel, 24105, Germany
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Mainz, 55131, Germany
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Marburg, 35039, Germany
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Minden, 32429, Germany
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München, 81377, Germany
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Münster, 48157, Germany
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Stade, 21682, Germany
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Tübingen, 72076, Germany
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Athens, 115 27, Greece
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Athens, 18547, Greece
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Budapest, H 1122, Hungary
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Debrecen, 4032, Hungary
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Szeged, H 6725, Hungary
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Haifa, 3109601, Israel
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Jerusalem, 9112001, Israel
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Ramat Gan, 5265601, Israel
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Bari, BA, 70124, Italy
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Bergamo, BG, 24127, Italy
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Bologna, BO, 40138, Italy
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Brescia, BS, 25123, Italy
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Meldola, FC, 47014, Italy
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Genova, GE, 16132, Italy
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Monza, MB, 20900, Italy
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Milan, MI, 20133, Italy
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Milan, MI, 20141, Italy
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Modena, MO, 41124, Italy
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Padova, PD, 35100, Italy
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Roma, RM, 00167, Italy
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Siena, SI, 53100, Italy
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Candiolo, TO, 10060, Italy
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Torino, TO, 10126, Italy
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Verona, VR, 37134, Italy
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Naples, 80131, Italy
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León, Guanajuato, 37178, Mexico
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Guadalajara, Jalisco, 44100, Mexico
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Mexico City, Mexico City, 14080, Mexico
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Leiden, South Holland, 2333, Netherlands
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Amersfroort, 3818 ES, Netherlands
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Oslo, 0310, Norway
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Gdansk, 80 952, Poland
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Warsaw, 02 781, Poland
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Lisbon, 1099 023, Portugal
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Porto, 4200-072, Portugal
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Chelyabinsk, 454048, Russia
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Moscow, 115478, Russia
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Moscow, 143423, Russia
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Nizhny Novgorod, 603137, Russia
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Omsk, 644013, Russia
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Saint Petersburg, 197758, Russia
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Novartis Investigative Site
Saint Petersburg, 198255, Russia
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Samara, 443011, Russia
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Málaga, Andalusia, 29010, Spain
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Seville, Andalusia, 41009, Spain
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Jerez de la Frontera, Cadiz, 11407, Spain
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Badalona, Catalonia, 08916, Spain
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Barcelona, Catalonia, 08036, Spain
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A Coruña, Galicia, 15006, Spain
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Oviedo, Principality of Asturias, 33011, Spain
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Valencia, Valencia, 46014, Spain
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Las Palmas de Gran Canaria, 35016, Spain
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Madrid, 28009, Spain
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Madrid, 28034, Spain
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Novartis Investigative Site
Madrid, 28050, Spain
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Novartis Investigative Site
Madrid, 28222, Spain
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Gothenburg, SE-413 45, Sweden
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Lund, 221 85, Sweden
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Stockholm, SE 171 76, Sweden
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Aarau, Canton of Aargau, 5001, Switzerland
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Zurich, 8091, Switzerland
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Songkhla, Hat Yai, 90110, Thailand
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Bangkok, 10330, Thailand
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Truro, Cornwall, TR1 3LJ, United Kingdom
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Guildford, Surrey, GU2 7XX, United Kingdom
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Sutton, Surrey, SM2 5PT, United Kingdom
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Leicester, LE1 5WW, United Kingdom
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London, NW3 2QG, United Kingdom
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Manchester, M20 2BX, United Kingdom
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Middlesbrough, TS4 3BW, United Kingdom
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Novartis Investigative Site
Preston, PR2 9HT, United Kingdom
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Novartis Investigative Site
Rickmansworth Road, WD187HT, United Kingdom
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Osaka International Cancer Institute
Osaka, Osaka, 541-8567, Japan
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Stanford Cancer Center
Stanford, California, 94305, United States
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Tokyo Metropolitan Komagome Hospital
Bunkyo Ku, Tokyo, 113-8677, Japan
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UC Irvine Medical Center
Orange, California, 92613-4091, United States
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Univ of TX MD Anderson Cancer Cntr
Houston, Texas, 77030, United States
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University of Kansas Cancer Center
Westwood, Kansas, 66205, United States
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University of Pittsburgh Med Center
Pittsburgh, Pennsylvania, 15213, United States
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University of Tennessee Medical Ctr
Knoxville, Tennessee, 37920, United States
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Utah Cancer Specialists
Salt Lake City, Utah, 84106, 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?