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RECRUITINGPhase 2 / Phase 3INTERVENTIONAL

A Trial of LNS8801 With or Without Pembrolizumab in Patients With Refractory Melanoma

A Multicenter, Open-Label, Randomized, Controlled Study to Assess the Antitumor Activity of LNS8801 With and Without Pembrolizumab in Patients With Treatment-Refractory, Unresectable Melanoma

Important: This information is not medical advice. Talk to your doctor about whether a clinical trial is right for you.

About This Trial

The goal of this clinical trial is to understand if a new drug called LNS8801 can safely treat patients with melanoma. The primary question to be answered is what is the average length of time during which melanoma does not grow or spread after starting treatment with LNS8801? Researchers will compare LNS8801 taken alone or LNS8801 taken together with another drug called pembrolizumab to other therapies as decided by the treating doctor. 135 patients will be randomly (like flipping a coin) placed in 3 treatment groups. In the first group (LNS8801 only) - Patients will take 125mg tablet of LNS8801 by mouth once per day every day for up to 2 years. In the second group (LNS8801 + pembrolizumab) - Patients will take 125mg tablet of LNS8801 by mouth once per day plus 200 mg of pembrolizumab by IV infusion once every 3 weeks for up to 2 years. In the third group, called Physician's Choice (PC), patients will receive chemotherapy (dacarbazine or temozolomide) or immunotherapy (pembrolizumab, nivolumab/relatlimab or nivolumab/ipilimumab) as determined by their treating physician. How often the patient visits the clinic visits will depend on the treatment group. Besides returning to the clinic for treatment, the patient will undergo periodic safety assessments and other required study procedures such as imaging assessments.

Who May Be Eligible (Plain English)

Who May Qualify: - Confirmed unresectable and/or metastatic cutaneous melanoma. - 2 copies of the fully functional form of GPER protein-coding sequence. - Eligible for and willing to receive 1 or more of the physician's choice (PC) therapies. - Able to swallow tablets. - Progressed on treatment with an anti-PD-1 monoclonal antibody (mAb) administered either as monotherapy or in combination with other therapies. - Received an anti-CTLA-4 and/or BRAF containing regimen or is not eligible for or has declined anti-CTLA-4 and/or BRAF therapy prior to and for this study. - Measurable disease. - Eastern Cooperative Oncology Group Performance Status of 0 to 1. Who Should NOT Join This Trial: - Blue nevus subtype, mucosal, acral lentiginous, or uveal/ocular/choroidal Melanoma. - Previous anti-cancer or investigational drug/device treatment within 4 weeks of the first dose of study drug. - Radiotherapy within 2 weeks of starting study drug. - Allogeneic tissue/solid organ transplant. - Unstable autoimmune or weakened immune system disease. - Other concurrent health issues that would make participation or completion of the study difficult. - Prior reaction to anti PD-1 therapy that would make treatment with pembrolizumab unadvisable. - Other protocol-defined inclusion/exclusion criteria may apply. Always talk to your doctor about whether this trial is right for you.

Original Eligibility Criteria

View original clinical language
Inclusion Criteria: * Confirmed unresectable and/or metastatic cutaneous melanoma. * 2 copies of the fully functional form of GPER protein-coding sequence. * Eligible for and willing to receive 1 or more of the physician's choice (PC) therapies. * Able to swallow tablets. * Progressed on treatment with an anti-PD-1 monoclonal antibody (mAb) administered either as monotherapy or in combination with other therapies. * Received an anti-CTLA-4 and/or BRAF containing regimen or is not eligible for or has declined anti-CTLA-4 and/or BRAF therapy prior to and for this study. * Measurable disease. * Eastern Cooperative Oncology Group Performance Status of 0 to 1. Exclusion Criteria: * Blue nevus subtype, mucosal, acral lentiginous, or uveal/ocular/choroidal Melanoma. * Previous anti-cancer or investigational drug/device treatment within 4 weeks of the first dose of study drug. * Radiotherapy within 2 weeks of starting study drug. * Allogeneic tissue/solid organ transplant. * Unstable autoimmune or immunodeficiency disease. * Other concurrent health issues that would make participation or completion of the study difficult. * Prior reaction to anti PD-1 therapy that would make treatment with pembrolizumab unadvisable. * Other protocol-defined inclusion/exclusion criteria may apply.

Treatments Being Tested

BIOLOGICAL

LNS8801

G protein-coupled estrogen receptor (GPER) agonist

BIOLOGICAL

Pembrolizumab

Recombinant monoclonal antibody (anti-PD1)

DRUG

Chemotherapy (dacarbazine or temozolomide)

chemotherapy (dacarbazine, temozolomide)

BIOLOGICAL

Immunotherapy (Pembrolizumab)

pembrolizumab

BIOLOGICAL

Immunotherapy (nivolumab and relatlimab)

nivolumab and relatlimab

BIOLOGICAL

Immunotherapy (ipilimumab and nivolumab)

ipilimumab and nivolumab

Locations (7)

USC Newport Beach
Newport Beach, California, United States
UCSF
San Francisco, California, United States
Stanford
Stanford, California, United States
University of Colorado Anschutz
Aurora, Colorado, United States
Dana Farber
Boston, Massachusetts, United States
University of New Mexico
Albuquerque, New Mexico, United States
UPenn
Philadelphia, Pennsylvania, United States