New drug could prevent eye cancer recurrence in High-Risk patients
NCT ID NCT06246149
First seen Jun 27, 2026 · Last updated Jul 01, 2026 · Updated 2 times
Summary
This phase 3 trial tests whether the drug tebentafusp can prevent uveal melanoma from coming back in high-risk patients after their initial treatment. About 290 people with a specific genetic marker (HLA-A*02:01) will either receive weekly infusions of tebentafusp or be observed without treatment. The goal is to see if the drug improves recurrence-free survival and overall survival.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Tebentafusp (a drug given weekly by IV infusion)
- What this could lead to
- If it works, this could reduce the chance of uveal melanoma coming back after initial treatment, potentially improving long-term survival.
- What could go wrong
- This is an early-stage test in a specific genetic group (HLA-A*02:01 positive). The drug may not prevent recurrence, and side effects from weekly infusions are possible.
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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About 290 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Nov 2024
- Expected to finish
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Nov 2032
An estimate. End dates often move.
- Lead sponsor
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A research network
The lead sponsor is a research network or cooperative group.
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: * Primary non-metastatic UM, except iris melanoma, after definitive treatment either by surgery or radiotherapy * Time from primary treatment smaller than 11 weeks (note that the maximum time between primary treatment and randomization is 12 weeks ) * High-risk according to either 1) clinical criteria: TNM (AJCC8) stage III or 2) genetic criteria: monosomy 3 or GEP class 2. Prior to enrolment of the first patient, each site will declare which of the two genetic criteria it uses. Patients with stage I and stage II are only eligible if they meet the genetic criterion declared by the site. * ECOG performance status of 0 or 1 * 18 years or older * HLA-A\*02:01 positivity by local assessment * No evidence of UM recurrence, as evidenced by the required baseline imaging performed within 4 weeks prior to randomization * Adequate organ function * Time-interval between the end of primary treatment and the randomization less than or equal to 12 weeks * Evidence of post-menopausal status or negative urinary or serum pregnancy test for women of childbearing potential (WOCBP) within 3 days prior to randomization. * For patients of childbearing / reproductive potential, agreement to use adequate birth control measures during the study treatment period and for at least 6 months after the last dose of treatment. A highly effective method of birth control is defined as a method which results in a low failure rate (i.e., less than 1% per year) when used consistently and correctly. * For female subjects who are breast feeding, agreement to discontinue nursing prior to the first dose of study treatment and until 6 months after the last study treatment. * Written informed consent according to ICH/GCP and local regulations Exclusion Criteria: * Clinically significant cardiac disease or impaired cardiac function, including any of the following: * Clinically significant and/or uncontrolled heart disease such as congestive heart failure (New York Heart Association grade ≥ 2), uncontrolled hypertension, or clinically significant arrhythmia currently requiring medical treatment * QTcF \> 470 msec on screening electrocardiogram (ECG) or congenital long QT syndrome based on at least 3 ECGs obtained over a brief time interval (i.e., within 30 minutes) * Acute myocardial infarction or unstable angina pectoris \< 6 months prior to screening * Active infection requiring systemic antibiotic therapy. Patients requiring systemic antibiotics for infection must have completed therapy at least 1 week prior to randomization * Any evidence of severe or uncontrolled systemic disease or active infection including hepatitis B, hepatitis C and known active human immunodeficiency virus (HIV) defined as \>200 copies of HIV per ml of blood, active bleeding diatheses or renal transplant. NOTE: testing for HIV, HBV, and HCV status prior to enrolment is not necessary unless clinically indicated. * Participant with history of HBV infection will be eligible if on stable anti-viral therapy for \> 4 weeks prior to the planned first dose of study intervention and viral load confirmed as undetectable during Screening. * Participant with history of HBC infection will be eligible the participant has received curative treatment and viral load was confirmed as undetectable during Screening. * History of another primary malignancy except for adequately treated basal or squamous cell carcinoma of the skin or cancer of the cervix in situ and with the following exception. Patients with a history of another primary cancer treated with curative intent more than 3 years before study entry, who are not receiving any anti-cancer therapy, have a risk of disease recurrence lower than 10% as evaluated by the local Investigator, and who have no toxicity from previous treatment are eligible. * Participants with active autoimmune disease requiring immunosuppressive treatment, including inflammatory bowel disease (ulcerative colitis or Crohn's disease), within 2 years of screening. NOTE: The following exceptions are permitted: * Vitiligo * Alopecia * Managed hypothyroidism (on stable replacement doses) * Asymptomatic adrenal insufficiency (on stable replacement doses) * Psoriasis * Resolved childhood asthma/atopy * Well-controlled asthma * Type I diabetes mellitus * Any psychological, familial, sociological or geographical condition potentially hampering compliance with the study protocol and follow-up schedule; those conditions should be assessed and discussed with the patient before the enrolment in the trial. * Known contraindication to imaging tracer or any product of contrast media and MRI and/or CT contraindications
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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
15 sites in 9 countries. 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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Centre Antoine Lacassagne
RECRUITINGNice, FR 06189, France
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Charite - Universitaetsmedizin Berlin - Campus Benjamin Franklin
RECRUITINGBerlin, 12200, Germany
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Cliniques Universitaires Saint-Luc
RECRUITINGBrussels, 1200, Belgium
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East and North Hertfordshire NHS Trust - Mount Vernon Hospital
RECRUITINGNorthwood, HA6 2RN, United Kingdom
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Erasmus MC
RECRUITINGRotterdam, NL 3015 GD, Netherlands
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Hospital Clinico Universitario De Valladolid
RECRUITINGValladolid, 47003, Spain
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Institut Catala d'Oncologia - ICO L'Hospitalet - Hospital Duran i Reynals (Institut Catala D'Oncologia)
RECRUITINGL'Hospitalet de Llobregat, 08908, Spain
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Institut Curie - Hôpital de Paris
RECRUITINGParis, 75248, France
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Leiden University Medical Centre
RECRUITINGLeiden, 2300, Netherlands
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Maria Sklodowska-Curie Memorial Cancer Centre - Maria Sklodowska-Curie National Research Institute of Oncology
RECRUITINGWarsaw, 02 781, Poland
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Northwell Health -Center for Advanced Medicine
RECRUITINGLake Success, New York, 11042, United States
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Sahlgrenska Universitetssjukhuset
RECRUITINGGothenburg, SE 413 45, Sweden
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The Clatterbridge cancer Center NHS foundation Trust - Clatterbridge Cancer Center - Liverpool
RECRUITINGLiverpool, GB L7 8YA, United Kingdom
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Universitaets Krankenhaus Eppendorf - Universitaetsklinikum Hamburg-Eppendorf KE - University Cancer Center
RECRUITINGHamburg, 20246, Germany
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Universitaetsklinikum Heidelberg - Frauenklinik / Hautklinik
RECRUITINGHeidelberg, DE 69120, Germany
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Can flooding the liver with chemotherapy stop ocular melanoma?
- Liver-Targeted immune cell attack tested against melanoma spread
- Can a pill combo keep uveal melanoma from coming back?
- Can tracking a rare eye cancer pave the way for new treatments?
- Can a new drug tame advanced solid tumors?
- Can a single eye injection shrink melanoma and save sight?