The purpose of this study is to evaluate the efficacy and safety of tebentafusp-based regimens, including tebentafusp monotherapy and in combination with anti-PD1 vs investigator choice (including clinical trials of investigational agents, salvage therapy per local standard of care \[SoC\], best supportive care \[BSC\] on protocol survivor follow up) in patients with advanced non-ocular melanoma.
This is a phase 3 (as upon conversion to phase 3 there were no changes to the arms listed herein), multicenter, open-label study to evaluate the efficacy and safety of tebentafusp as monotherapy (Arm A) and in combination with pembrolizumab (Arm B) compared with standard of care or best supportive care (Arm C) in participants with non-ocular advanced melanoma who have progressed on a prior anti-PD(L)1 regimen, received an approved anti-CTLA4 regimen and, if the participant has a BRAF mutation, a prior BRAF tyrosine kinase inhibitor (TKI) regimen.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
540
Soluble gp100-specific T cell receptor with anti-CD3 scFV
Soluble gp100-specific T cell receptor with anti-CD3 scFV in combination with pembrolizumab
Investigators choice of therapy
Overall Survival (OS)
OS is the time from randomization to death due to any cause.
Time frame: Up to ~4 years
Change from Baseline in Circulating Tumor DNS (ctDNA)
Change from baseline in ctDNA will be assessed.
Time frame: Up to ~9 weeks
Number of participants with ≥1 adverse event (AE)
Number of participants with AEs.
Time frame: Up to ~4 years
Number of participants with ≥1 serious adverse event (SAEs)
Number of participants with SAEs.
Time frame: Up to ~4 years
Number of participants with dose interruptions, reductions, and discontinuations from study therapy due to AEs
Number of participants with tolerability issues.
Time frame: Up to ~4 years
Number of participants with Grade ≥2 cytokine release syndrome (CRS)
CRS based on American Society for Transplantation and Cellular Therapy (ASTCT) criteria.
Time frame: Up to ~4 years
Responses to the EORTC Core Quality of Life (EORTC-QLQ-C30)
Participant-reported quality of life.
Time frame: At designated time points up to ~4 years
Responses to the European Quality of Life 5 Dimensions 5 Level Version (EQ-5D-5L)
Participant-reported quality of life.
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Mayo Clinic Arizona
Phoenix, Arizona, United States
RECRUITINGMayo Clinic Florida
Jacksonville, Florida, United States
RECRUITINGOrlando Health Cancer Institute
Orlando, Florida, United States
RECRUITINGWinship Cancer Institute of Emory University
Atlanta, Georgia, United States
RECRUITINGUniversity of Kansas Cancer Center - Westwood
Westwood, Kansas, United States
RECRUITINGMassachusetts General Hospital
Boston, Massachusetts, United States
RECRUITINGDana Farber Cancer Institute
Boston, Massachusetts, United States
RECRUITINGMayo Clinic Minnesota
Rochester, Minnesota, United States
RECRUITINGRutgers Cancer Institute of New Jersey
New Brunswick, New Jersey, United States
RECRUITINGNorthwell Health Cancer Institute - Zuckerberg Cancer Center
Lake Success, New York, United States
RECRUITING...and 62 more locations
Time frame: At designated time points up to ~4 years
Plasma Concentration of Tebentafusp
Plasma concentration of tebentafusp.
Time frame: At designated time points up to ~4 years
Number of participants with anti-tebentafusp antibodies
The number of participants with anti drug antibodies (ADA) to tebentafusp.
Time frame: At designated time points up to ~4 years