New Shot-in-Tumor combo aims to beat melanoma before surgery
NCT ID NCT07230613
First seen Jun 27, 2026 · Last updated Jul 22, 2026 · Updated 2 times
Summary
This phase 2 trial tests injecting two immunotherapy drugs (ipilimumab and nivolumab) directly into melanoma tumors before surgical removal. The goal is to shrink or eliminate the cancer while reducing the severe side effects that can occur when these drugs are given through a vein. About 50 adults with stage III melanoma that can be surgically removed will receive up to three injections over three weeks, then have surgery. Researchers will check if the tumor is gone or mostly gone after treatment.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Ipilimumab and nivolumab (immunotherapy drugs)
- What this could lead to
- If successful, this approach could offer a safer, more effective way to shrink melanoma tumors before surgery, potentially reducing recurrence and avoiding harsh side effects.
- What could go wrong
- This is a small, early-phase trial (50 participants) testing a new injection method. The treatment may not work as hoped, could cause unexpected side effects, or delay surgery.
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 2
Tests whether the treatment actually works, and watches for side effects, in a larger group.
- Participants
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About 50 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Jan 2026
- Expected to finish
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Dec 2033
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
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.
In addition to NEOREM Master Protocol inclusion and exclusion criteria, the following inclusion and exclusion criteria must be verified before inclusion in the NEO-1 trial: Inclusion Criteria: 1. Patients ≥ 18 years old. 2. Patients with resectable and measurable (according to RECIST v1.1 criteria) stage III cutaneous and mucosal melanoma. 3. Patients who received anti-PD-1 and stopped treatment \> 6 months prior to their inclusion in NEO-1 trial are eligible. 4. Patients who received target therapy and stopped treatment \> 3 months prior to their inclusion in NEO-1 trial are eligible. Exclusion Criteria: 1. Patients with clinically or radiologically detectable distant metastases. 2. Patients with uveal melanoma. 3. Patients with any hypersensitivity to the active ingredient or to any of the excipients of nivolumab and/ ipilimumab. 4. Patients without pathological evaluable disease according to RECIST v1.1 criteria.
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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.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
6 sites. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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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
Locations
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AP-HM Marseille (Hôpital de la Timone)
RECRUITINGMarseille, 13005, France
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AP-HP- Hôpital Saint-Louis
RECRUITINGParis, 75010, France
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CHU de Bordeaux- Hôpital Saint-André
RECRUITINGBordeaux, 33075, France
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Centre Léon Bérard
RECRUITINGLyon, 69373, France
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Gustave Roussy
RECRUITINGVillejuif, 94805, France
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Hospices Civils de Lyon (Hôpital Lyon Sud)
RECRUITINGLyon, 69495, France
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- Can a vaccine keep melanoma from coming back? large trial tests immune boosters
- New drug KUP-101A enters first human tests for advanced skin cancers
- Triple drug attack on melanoma: new trial hopes to boost surgery success
- New drug duo aims to fight rare melanoma before surgery