Experimental cancer drug combo tested in early trial
NCT ID NCT04157517
First seen Jun 25, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This early-phase trial tested the safety and dosing of a new drug called modakafusp alfa, given alone or with pembrolizumab, in adults with advanced solid tumors or melanoma. The study aimed to find the highest safe dose and check for side effects. It was terminated early, so results are limited.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- modakafusp alfa (TAK-573) and pembrolizumab
- What this could lead to
- If successful, this could point toward a new treatment option for advanced solid tumors, including melanoma.
- What could go wrong
- The trial was terminated early, so results are limited. It was a small, early-phase study focused on safety, not proof of effectiveness.
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 1/2
Runs two stages together: safety and dose first, then whether the treatment works.
- Participants
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45 people
The number who actually took part.
- Started
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Dec 2019
- Finished
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Dec 2023
- 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.
Inclusion Criteria: 1. Eastern Cooperative Oncology Group (ECOG) performance status of 0-1. 2. For both the dose escalation and expansion cohort phases of the study, eligible participants must have histologically confirmed advanced (locoregionally recurrent, not amenable to curative therapy) or metastatic solid tumors. 3. Measurable disease per RECIST v1.1. At least 1 target lesion amenable for biopsy is required for enrollment in phase 1b. A minimum of 1 target lesion for response assessment is required for enrollment in phase 2. A separate lesion amenable for biopsy is required for enrollment in phase 2 for cohorts I and II post futility analysis and for all participants (safety lead-in and expansion) with subgroup III melanoma. 4. Phase 1b Dose Escalation: Participants with histologically confirmed advanced locally (locoregionally recurrent, not amenable to curative therapy) or metastatic solid tumors. Phase 2 Dose Expansion: The combination cohorts, including participants in the safety-lead phase, will enroll participants with unresectable/metastatic melanoma in the following subgroups: I. Unresectable/metastatic histologically confirmed cutaneous melanoma with primary resistance to no more than 2 prior lines of anti-PD1 containing treatments in the metastatic setting. II. Unresectable/metastatic histologically confirmed cutaneous melanoma with acquired resistance to no more than 2 prior lines of anti-PD1 containing treatments in the metastatic setting. III. Unresectable/metastatic histologically confirmed cutaneous melanoma naive to prior anti-PD1 containing treatments in the metastatic setting. * Participants with BRAF V600E mutant melanoma may have received prior BRAF inhibitor therapy. * For the expansion cohorts I and II, there is no limitation of total number of prior line(s) of therapy, but the number of prior line(s) containing anti-PD1 must be ≤2 in the metastatic setting. * For the expansion cohort III, participants who received an anti-PD-1 treatment in the adjuvant setting must have completed that treatment at least 6 months prior to enrollment and must not have progressed on the anti-PD1 adjuvant treatment. * Primary resistance is defined as a best response of PD or SD less than (\<) 6 months to an anti-PD1 alone or in combination with other agents (that is, CTLA4) in the initial anti-PD1 containing treatment. * Acquired resistance is defined as a progression following a best response of CR, PR or SD\>6 months to a prior anti-PD1 alone or in combination with other agents (that is, CTLA4). Exclusion Criteria: 1. Persistent toxicity from previous treatments that has not resolved to less than or equal to (\<=) CTCAE version 5.0 Grade 1 prior to administration of modakafusp alfa, except for alopecia, Grade 2 neuropathy, and Grade 2 asthenia/fatigue, or autoimmune endocrinopathies with stable replacement therapy. 2. History of any of the following \<=6 months before first dose modakafusp alfa: New York Heart Association (NYHA) Grade III or IV congestive heart failure, unstable angina, myocardial infarction, unstable symptomatic ischemic heart disease, any ongoing symptomatic cardiac arrhythmias of Grade \>2, pulmonary embolism, or symptomatic cerebrovascular events, or any other serious cardiac condition (example, symptomatic pericardial effusion or restrictive cardiomyopathy). Chronic, stable atrial fibrillation on stable anticoagulant therapy, including low molecular-weight heparin, is allowed. 3. Baseline QT interval with Fridericia's correction (QTcF) greater than (\>) 480 millisecond (msec) (Grade \>=2), history of congenital long QT syndrome, or torsades de pointes. 4. Patients with acral lentiginous melanoma are excluded in phase 2 except for the safety lead-in phase. 5. Ongoing or active infection. 6. Known history of human immunodeficiency virus (HIV) infection or any other relevant congenital or acquired immunodeficiency. Testing during screening period is required only if indicated by specific local regulations or investigator's criteria. 7. Known hepatitis B (HBV) surface antigen seropositive or detectable hepatitis C infection viral load. Note: Participants with a positive HBV core antibody can be enrolled but must have an undetectable hepatitis B viral load. 8. Autoimmune disease requiring systemic immunosuppressive therapy. Participants with immune mediated endocrine deficiency from previous therapy with stable hormone replacement are exceptions.
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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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Avera Cancer Institute
Sioux Falls, South Dakota, 57105, United States
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Ballarat Regional Integrated Cancer Center
Ballarat, Victoria, 3350, Australia
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City of Hope Comprehensive Cancer Center - Duarte
Duarte, California, 91010, United States
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Cleveland Clinic Main Campus
Cleveland, Ohio, 44195, United States
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Intermountain Medical Center
Murray, Utah, 84107, United States
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Morristown Medical Center
Morristown, New Jersey, 07960, United States
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Norris Cotton Cancer Center Lebanon
Lebanon, New Hampshire, 03756, United States
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Orlando Health Cancer Institute
Orlando, Florida, 32806, United States
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Sarah Cannon Research Institute
Nashville, Tennessee, 37203, United States
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Sylvester Comprehensive Cancer Center
Miami, Florida, 33136, United States
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Texas Oncology - Baylor Charles A. Sammons Cancer Center
Dallas, Texas, 75246, United States
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The Angeles Clinic and Research Institute - West Los Angeles Office
Los Angeles, California, 90025, United States
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The Queen Elizabeth Hospital
Woodville South, South Australia, 5011, Australia
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University of California San Diego Moores Cancer Center
La Jolla, California, 92093, United States
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University of Colorado Health Memorial Hospital Central
Colorado Springs, Colorado, 80909, United States
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University of Pittsburgh Medical Center
Pittsburgh, Pennsylvania, 15232, United States
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West Virginia University Health Sciences Campus
Morgantown, West Virginia, 26506, United States
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