A Clinical Study of BCD-217 (Nurulimab + Prolgolimab) Followed by Anti-PD-1 Compared to Anti-PD-1 Monotherapy as First-Line Treatment in Subjects With Unresectable/Metastatic Melanoma (OCTAVA)
Melanoma, Melanoma (Skin), Melanoma Stage III
About this trial
This is an interventional treatment trial for Melanoma focused on measuring PD-1, CTLA-4, prolgolimab, nurulimab, immunotherapy, checkpoint inhibitors, CPI, programm death, cytotoxic T-lymphocyte-associated protein
Eligibility Criteria
Inclusion Criteria: Signed informed consent and the subject's ability to comply with the requirements of the clinical study protocol; Age ≥18 years at the time of signing the informed consent form; Histologically confirmed melanoma (with available documented evidence of relevant investigations); Untreated unresectable stage III melanoma or untreated metastatic (stage IV) melanoma; Available blocks for histological examination and/or the subject's consent to undergo biopsy ; Consent to the evaluation of the PD-L1 status and BRAF V600 mutation status at a central laboratory; ECOG score 0-1; Life expectancy of at least 12 weeks ; Measurable target tumor lesions (at least 1 lesion) according to RECIST 1.1 criteria , confirmed by central independent reviewer; In subjects of childbearing potential, willingness to use reliable contraceptive measures throughout the study, from the signing of the informed consent form and for additional 24 weeks after the administration of the last dose of the investigational product. Exclusion Criteria: Indications for radical (surgical, radiation) therapy; A history of previous systemic antitumor therapy for unresectable or metastatic melanoma ; Prior therapy with checkpoint inhibitors (e.g., anti-CTLA-4 and/or anti-PD-1/PD-L1/PD-L2 products); Prior therapy with BRAF and MEK protein kinase inhibitors; Use of immunostimulants, monoclonal antibodies and/or colony-stimulating factors within less than 4 weeks prior to randomization in the study; Ocular melanoma; Mucosal melanoma; CNS metastases; Impossibility to determine PD-L1 status and/or BRAF status; Subjects with severe comorbidities, life-threatening acute complications of the primary disease (including massive pleural, pericardial, or peritoneal effusions requiring intervention , pulmonary lymphangitis, bleeding, or organ perforation) at the time of signing the informed consent form; Ongoing concomitant diseases at the time of screening, which increase the risk of severe adverse events during the administration of the study therapy: stable angina, functional class III-IV; unstable angina or a history of myocardial infarction within less than 6 months prior to signing the informed consent form; moderate to severe heart failure (classes III and IV according to NYHA classification); uncontrolled hypertension (systolic blood pressure >150 mmHg or diastolic blood pressure >90 mmHg) ; a history of atopic asthma , angioedema; respiratory failure (moderate to severe), grade 3 or 4 chronic obstructive pulmonary disease; any other concomitant diseases (including, but not limited to, metabolic, hematological, renal, hepatic, pulmonary, neurological, endocrine, cardiac, infectious, gastrointestinal disorders), which expose the subject to an unacceptable risk during the study therapy; Known or suspected systemic autoimmune diseases (including, but not limited to, systemic lupus erythematosus, Crohn's disease, nonspecific ulcerative colitis, systemic scleroderma, inflammatory myopathy, mixed connective tissue disease, overlap syndrome, etc.) ; History of interstitial pulmonary disease or pneumonitis requiring systemic glucocorticoids; The need for glucocorticoid therapy (at >10 mg/day prednisolone equivalent doses) or any other drugs with immunosuppressive effects within 14 days prior to randomization; Hematologic abnormalities : neutrophils <1.5×109/L; platelets <100×109/L; hemoglobin <90 g/L; Renal impairment: creatinine ≥2.5×ULN; Hepatic impairment : total bilirubin ≥3×ULN (except for subjects with Gilbert's syndrome, in whom bilirubin levels should not exceed 50 μmol/L), AP, AST or ALT ≥2.5×ULN (≥5×ULN in case of subjects with liver metastases); Any antitumor treatment within less than 4 weeks or surgery within less than 28 days prior to randomization within the study; History of oncological disease, except for radically treated diseases with remission for over 5 years prior randomization in this study ; Conditions limiting the subject's ability to comply with the Protocol requirements (in the Investigator's opinion ); Participation in other clinical studies within less than 30 days prior to randomization and during this clinical study ; Acute infections or activation of chronic infectious diseases or systemic antibacterial therapy within less than 28 days prior to randomization; Active hepatitis B, active hepatitis C (confirmed by PCR), active syphilis, HIV-infection, currently or previously ; Impossibility to administer the investigational product intravenously; Impossibility to administer intravenous contrast agents (including due to hypersensitivity to contrast media); Hypersensitivity to any of the components of BCD-100 or BCD-217; A history of hypersensitivity to monoclonal antibody products; Pregnancy or breastfeeding.
Sites / Locations
- Healthcare Institution "Bobruisk Interdistrict Oncological Dispensary"Recruiting
- Healthcare Institution "Brest Regional Oncological Dispensary"Recruiting
- Health Institution "Gomel Regional Clinical Oncology Center"Recruiting
- Health care institution "Grodno University Clinic"Recruiting
- State Institution "Republican Scientific and Practical Center of Oncology and Medical Radiology named after A.I. N.N. Alexandrov"Recruiting
- Healthcare Institution "Minsk City Clinical Cancer Center"Recruiting
- State Institution "Mogilev Regional Oncological Dispensary"Recruiting
- Healthcare Institution "Vitebsk Regional Clinical Oncology Center"Recruiting
- Fortis HospitalRecruiting
- Kasturba Medical College and HospitalRecruiting
- TATA Memorial HospitalRecruiting
- HealthCare Global Enterprises Ltd, NCHRI Cancer CenterRecruiting
- HealthCare Global Enterprises Ltd Manavata cancer CentreRecruiting
- Sankalp Superspeciality HospitalRecruiting
- All India Institute of Medical ScienceRecruiting
- Deenanath Mangeshkar Hospital & Research CenterRecruiting
- PDEAS Ayurved Rugnalaya & Steriling Multispeciality HospitalRecruiting
- Horizon Mulitispeciality HospitalRecruiting
- Shalby HospitalRecruiting
- Kiran Multispeciality hospital &ResearchRecruiting
- Chelyabinsk Regional Clinical Center for Oncology and Nuclear MedicineRecruiting
- LLC "New Clinic"Recruiting
- Arkhangelsk Clinical Oncology DispensaryRecruiting
- Regional State Budgetary Institution of Health Care "Altai Regional Oncological Dispensary"Recruiting
- Limited Liability Company "EVIMED"Recruiting
- Private healthcare institution "Clinical hospital "RZD-Medicine" of the city of Chelyabinsk"Recruiting
- State budgetary healthcare institution Leningrad Regional Clinical HospitalRecruiting
- State Autonomous Health Institution "Republican Clinical Oncology Dispensary of the Ministry of Health of the Republic of Tatarstan named after Professor M.Z. Sigal"Recruiting
- State budgetary health care institution "Kuzbass clinical oncological dispensary named after M.S. Rappoport"Recruiting
- Regional Goverment Budgetary Healthcare State "Kostroma Oncology Center"Recruiting
- State Budgetary Institution of Healthcare "Leningrad Regional Clinical Oncological Dispensary named after V.I. L.D. Romana"Recruiting
- "Russian Cancer Research Center named after N.N. Blokhin "of the Ministry of Health of the Russian FederationRecruiting
- Branch of Hadassah Medical LTD Limited Liability CompanyRecruiting
- Federal State Autonomous Educational Institution of Higher Education I.M. Sechenov First Moscow State Medical University of the Ministry of Health of the Russian Federation (Sechenov University)Recruiting
- Joint Stock Company "K31 City"Recruiting
- JSC "Medsi Group"Recruiting
- Moscow City Oncology Hospital No. 62Recruiting
- State budgetary health care institution of the city of Moscow "City Clinical Oncology Hospital No. 1 of the Department of Health of the City of Moscow"Recruiting
- State Budgetary Institution of Healthcare of the City of Moscow "Moscow Multidisciplinary Clinical Center "Kommunarka" of the Department of Health of the City of Moscow"Recruiting
- Nizhny Novgorod Region State Budgetary Healthcare Facility "Clinical Diagnostics Center"Recruiting
- LLC "DobroMed"Recruiting
- State Budgetary Healthcare Institution "Novosibirsk Regional Clinical Oncology Center" of the Novosibirsk RegionRecruiting
- Federal State Budgetary Institution "National Medical Research Center for Radiology" of the Ministry of Health of the Russian FederationRecruiting
- Budgetary Healthcare Institution of Omsk Region "Clinical Oncology Center"Recruiting
- Federal State Budgetary Institution "National Medical Research Center of Oncology named after N.N. Petrov" of the Ministry of Health of the Russian Federation (FSBI "N.N. Petrov National Medical Research Center of Oncology" of the Ministry of Health of RuRecruiting
- LLC "Clinical Trials"Recruiting
- JSC "Modern Medical Technologies"Recruiting
- Federal State Budgetary Educational Institution of Higher Education "Saint Petersburg State University"Recruiting
- Federal State Budgetary Health Institution St. Petersburg Clinical Hospital of the Russian Academy of SciencesRecruiting
- Limited Liability Company "EuroCityClinic"Recruiting
- Limited Liability Company "Oncological Research Center"Recruiting
- Limited Liability Company "Stepmed Clinic"Recruiting
- Limited Liability Company "Strategic Medical Systems"Recruiting
- LLC "AV medical group"Recruiting
- N.N. Petrov National Medicine Research Center of oncologyRecruiting
- Private Medical Institution EvromedservisRecruiting
- Private institution educational organization of higher education "Medical University "Reaviz"Recruiting
- State budgetary health care institution "St. Petersburg Clinical Scientific and Practical Center of Specialized Medical Assistance (Oncological)"Recruiting
- Federal State Educational Institution of Higher Professional Education "Mordovia State University N.P. Ogareva "Recruiting
- Oncology Dispensary 2Recruiting
- City Hospital #40, Kurortny districtRecruiting
- State Health Care Institution "Volgograd Regional Clinical Oncology Dispensary № 1"Recruiting
- State Regional Budgetary Healthcare Institution "Regional Clinical Oncology Hospital" of the Yaroslavl RegionRecruiting
Arms of the Study
Arm 1
Arm 2
Experimental
Active Comparator
BCD-217 (nurulimab + prolgolimab)
BCD-100 (prolgolimab)
BCD-217 followed by prolgolimab 1 mg/kg monotherapy.
Prolgolimab monotherapy.