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NCT06697301PHASE2, PHASE3Recruiting

Safety and Efficacy of EIK1001 in Combo With Pembro Versus Placebo and Pembro as First-Line Therapy in Patients With Advanced Melanoma.

Eikon Therapeutics

Start Date

5/22/2025

Completion Date

12/1/2040

Summary

The study is for patients with advanced melanoma who are eligible for standard therapy with Pembrolizumab.

Detailed Description

This is a Multicenter, Randomized, Double-Blind, Active Comparator-Controlled, Adaptive Phase 2/3 Study to Evaluate the Safety and Efficacy of EIK1001 and Pembrolizumab Versus Placebo and Pembrolizumab as First-Line Therapy in Participants with Advanced Melanoma. The study includes dose optimization and expansion parts.

Eligibility Criteria

Age Range: 18 years to No maximum

Inclusion Criteria: To be eligible for inclusion in this study, participants must: * Be ≥ 18 years of age on the day of signing of informed consent. * Have a life expectancy of at least 3 months. * Have histologically or cytologically confirmed Stage 3 (unresectable) or Stage 4 metastatic melanoma per AJCC 8th ed. and be eligible for standard therapy with pembrolizumab. * Have at least 1 lesion with measurable disease at Baseline by CT or MRI according to Response Evaluation Criteria in Solid Tumors (RECIST) 1.1 by assessment of local site Investigator/radiologist. * Have known BRAF V600 mutation status or consent to BRAF V600 mutation testing per local institutional standards during the screening period * Have completed prior radiotherapy at least 2 weeks prior to study treatment administration. * Have an ECOG Performance Status of 0 to 1. * Have adequate organ and marrow function as defined by normal CBC, coagulation, serum chemistry and liver function tests on specimens collected within 10 days of treatment start. * Have a negative serum pregnancy test within 72 hours prior to receiving the first dose of study medication (applies to women of childbearing potential \[WOCBP\]). * Be willing to use either 2 adequate methods of contraception, 1 adequate method plus a hormonal method of contraception, or be willing to abstain from heterosexual activity throughout the study (Visit 1 to 120 days after the last dose of study therapy; applies to WOCBP who are not menopausal for \> 2 years, post-hysterectomy/oophorectomy, or surgically sterilized). * Agree to use an approved adequate contraceptive method throughout the study (Visit 1 to 120 days after the last dose of study therapy; applies to sexually active male participants with a partner who is WOCBP). * Be willing and able to provide written, informed consent for the study. Exclusion Criteria: A participant is excluded from the study if any of the following criteria apply: * Has melanoma of ocular origin. * Is currently enrolled in or has recently participated in a study of an IMP and received an IMP within 4 weeks or 5 half-lives (whichever is shorter) of administration of EIK1001 or placebo. * Prior to the 1St dose of EIK1001 or placebo, the prospective participant has received systemic therapy for advanced melanoma. * Note: prior adjuvant or neoadjuvant melanoma therapies (such as anti-PD-1 or anti CTLA 4 therapies or BRAF/MEK inhibitors) are permitted if all related AEs have either returned to Baseline or stabilized, with a minimum of 6 months between the last dose of prior therapy and documented disease progression. * Experienced a ≥ Grade 3 AE while receiving prior anti PD 1 therapy. * Has had major surgery (\< 3 weeks prior to the first dose). * Has received a live-virus vaccination within 30 days of the first dose of study treatment. * Has a known history of prior malignancy, unless the participant has undergone potentially curative therapy with no evidence of disease recurrence for 5 years. * Has known active CNS metastases and/or carcinomatous meningitis. Participants with previously treated brain metastases may participate if they are clinically stable for at least 4 weeks with no evidence of new or enlarging brain metastases. There must be no need for immunosuppressive doses of glucocorticoids for at least 2 weeks prior to study treatment administration. * There is a mean resting QTcF \> 470 ms on triplicate electrocardiograms. * There is active autoimmune disease that has required systemic treatment in the past 2 years. The following autoimmune conditions are permitted: Type 1 diabetes, hypothyroidism (on hormone replacement), or- vitiligo, psoriasis and alopecia as long as no systemic treatment is required. * There is either chronic treatment with systemic steroids, other immunosuppressive medication, or either of these has been administered within 14 days of start of study treatment. * Note: Participants with asthma that require intermittent use of bronchodilators, inhaled steroids, or local steroid injections are eligible. Steroid replacement for adrenal insufficiency is also permitted. * There is a history of (noninfectious) pneumonitis/interstitial lung disease that required steroids or has current pneumonitis/ interstitial lung disease. * There are any active infections requiring therapy. * There is uncontrolled human immunodeficiency virus (HIV) infection. HIV-infected participants with well-controlled HIV may enroll. * There is a positive test result for hepatitis B virus (HBV) or HCV indicating presence of virus (it is expected that all participants will have been serologically tested for hepatitis B in advance of this study, with HBsAG, anti-HBc IgG, and anti-HBs as per ASCO 2020 Provisional Clinical Opinion \[PCO\] on universal Serologic testing for hepatitis B at the onset of anticancer therapy; screening should also include an anti-HCV test prior to start of cancer treatment: * There is a history or clinical evidence of any condition, therapy, or laboratory abnormality that might confound the results of the study or interfere with the participant's participation for the full duration of the study * Known psychiatric or substance abuse disorder that would interfere with cooperation with study requirements. * There is a known history of regular illicit drug use and/or recent history (within the last year) of substance abuse (including alcohol). * Participant is pregnant, breastfeeding, or planning to conceive or father children within the projected duration of the study. * Participant is currently receiving medications known to be strong inhibitors or inducers of CYP3A4 and CYP1A2.

Interventions

DRUG

EIK1001

DRUG

Pembrolizumab (KEYTRUDA® )

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Conditions

Advanced Melanoma

Locations

Ironwood Cancer & Research Centers

Chandler, Arizona 85224

United States

Genesis Cancer and Blood Institute

Hot Springs, Arkansas 71913

United States

Helios Clinical Research

Los Angeles, California 90015

United States

Providence Medical Foundation

Santa Rosa, California 95403

United States

UCHealth Memorial Hospital Central

Colorado Springs, Colorado 80909

United States

Bioresearch Partner

Hialeah, Florida 33013

United States

The Center for Cancer and Blood Disorders

Bethesda, Maryland 20817

United States

MidAmerica Cancer Care

Kansas City, Missouri 64132

United States

Washington University School of Medicine in St. Louis

St Louis, Missouri 63108

United States

Gabrail Cancer Center Research LLC

Canton, Ohio 44718

United States

University of Pittsburgh Medical Center(UPMC)-Hillman Cancer Center

Pittsburgh, Pennsylvania 15232

United States

Cancer Care Wollongong

Wollongong, New South Wales 2500

Australia

Icon Cancer Centre Chermside

Chermside, Queensland 4032

Australia

Southern Adelaide Local Health Network Incorporated Flinders Medical Centre

Bedford Park, South Australia 5042

Australia

Eastern Health

Box Hill, Victoria 3128

Australia

Peninsula and South Eastern Haematology and Oncology Group

Frankston, Victoria 3199

Australia

Universitätsklinikum Graz

Graz, Styria 8036

Austria

Universitair Ziekenhuis Antwerpen

Edegem, Antwerpen 2650

Belgium

Cliniques Universitaires Saint-Luc

Brussels, Brussels Capital 1200

Belgium

Centre Hospitalier Universitaire Universite Catholique de Louvain - Site Godinne

Yvoir, Namur B-5530

Belgium

Universitair Ziekenhuis Leuven - Campus Gasthuisberg

Leuven, Vlaams Brabant 3000

Belgium

Algemeen Ziekenhuis Groeninge - Campus Kennedylaan

Kortrijk, West-Vlaanderen 8500

Belgium

Vitaz Primary Location

Sint-Niklaas, 9100

Belgium

Sunnybrook Research Ins<tute

Toronto, Ontario M4N 3M5

Canada

Masaryk Memorial Cancer Institute

Brno, Brno 65653

Czechia

University Hospital Hradec Kralove

Sokolov, Hradce Kralove 50009

Czechia

Aarhus Universitetshospital

Aarhus, Central Jutland 8200

Denmark

Aalborg University Hospital

Aalborg, Nord Jutland 9000

Denmark

Oulu University Hospital

Oulu, Oulu 90230

Finland

Tampere University Hospital

Tampere, Pirkanmaa 33521

Finland

Helsinki University Hospital

Helsinki, Uusimaa 00029

Finland

Centre Hospitalier Lyon-Sud

Pierre-Bénite, Auvergne-Rhône-Alpes 69495

France

A Paré

Boulogne, Boulogne 92104

France

Centre Hospitalier Universitaire Grenoble Alpes

La Tronche, Isère 38700

France

CHU Lille

Polonovski, Lille Cedex 59037

France

Hôpital La Timone

Marseille, Marseille 13385

France

Centre Hospitalier Universitaire (CHU) Nice

Nice, PACA 06200

France

Hôpital Bichat AP-HP Université Paris Cité

Paris, Paris 75018

France

ICO Saint Herblain

Saint-Herblain, Pays de la Loire Region 44800

France

CHU Rouen

Rouen, Rouen 76031

France

Hospital Saint Andre

Bordeaux, 33075

France

Universitätsmedizin Mannheim

Mannheim, Baden-Wurttemberg 68167

Germany

Universitaetsklinikum Tuebingen (UKT)

Tübingen, Baden-Wurttemberg 72076

Germany

Klinik für Dermatologie, Venerologie und Allergologie

Würzburg, Bavaria 97080

Germany

Universitätsklinik Hamburg Eppendorf

Martinsried, Free and Hanseatic City of Hamburg 20246

Germany

Universitat Leipzig

Saxony, Leipzig 04103

Germany

Elbe Kliniken Stade-Buxtehude

Buxtehude, Lower Saxony 21614

Germany

Johannes Wesling Klinikum Minden

Minden, North Rhine-Westphalia 32429

Germany

University of Mainz Medical Center

Mainz, RLP 55131

Germany

Universitätsklinikum Schleswig-Holstein - Campus Kiel

Kiel, Schleswig-Holstein 24105

Germany

Universitätsklinikum Schleswig-Holstein - Campus Lübeck

Lübeck, Schleswig-Holstein 23538

Germany

Charite Department of Dermatology, Venereology and Allergology

Berlin, State of Berlin 10115

Germany

Fachklinik Hornheide

Münster, 48157

Germany

National Institute of Oncology

Budapest, Budapest 1122

Hungary

University of Pécs

Pécs, 7632

Hungary

Soroka medical center

Beersheba, Be'er Sheva 8410101

Israel

Rabin Medical Center

Petah Tikva, Petach Tikva 4941492

Israel

Ella Lemelbaum Institute for Immuno-Oncology and Melanoma

Ramat Gan, Ramat Gan 5262100

Israel

Tel Aviv Medical Center

Tel Aviv, Tel Aviv 6423906

Israel

IRCCS Ospedale San Raffaele

Milan, Milano 20132

Italy

Humanitas Gavazzeni Bergamo

Bergamo, Province of Bergamo 24125

Italy

Clinica Oncologia Delle Marche

Ancona, The Marches 60126

Italy

UOC Immunoterapia Oncologica

Siena, Tuscany 53100

Italy

Christchurch Public Hospital

Christchurch, Christchurch 8011

New Zealand

Auckland City Hospital

Auckland, New Zealand 1023

New Zealand

Nordland Hospital Trust

Bodø, Bodø N-8005

Norway

Oslo University Hospital - The Norwegian Radium Hospital

Oslo, Oslo 0310

Norway

Drammen Hospital

Drammen, Oslofjord 3004

Norway

Uniwersyteckie Centrum Kliniczne

Gdansk, Gdańsk 80-952

Poland

Prezychodnia Lekarska KOMED Roman Karaszewski

Konin, Konin 62-500

Poland

Mazowiecki Szpital Wojewódzki, Siedlckie Centrum Onkologii

Siedlce, Siedlce 08-110

Poland

Maria Sklodowska-Curie National Cancer Research Institute

Warsaw, Warsaw 02-781

Poland

IPO Lisboa

Lisbon, Lisbon District 1099-023

Portugal

Hospital da Luz Lisboa

Lisbon, Lisbon District 1500-650

Portugal

Military Medical Academy- Department of Oncology

Belgrade, Belgrade 11000

Serbia

Cancercare Port Elizabeth - Langenhoven Drive Oncology Centre

Port Elizabeth, Eastern Cape 6045

South Africa

University of Pretoria, Steve Biko Academic Hospital

Pretoria, Gauteng 0002

South Africa

The Medical Oncology Centre of Rosebank

Saxonwold, Gauteng 2196

South Africa

Abraham Oncology

Richards Bay, KwaZulu-Natal 3900

South Africa

Curo Oncology

Pretoria, Pretoria 0084

South Africa

Cape Town Oncology Trials

Cape Town, Western Cape 7570

South Africa

TASK Eden

George Central, Western Cape 6530

South Africa

Kyungpook National University Chilgok Hospital

Buk-Gu, Daegu 41404

South Korea

Seoul National University Hospital

Jongno-gu, Seoul 03080

South Korea

H. Germans Trias I Pujol (ICO-Badalona)

Badalona, Badalona 08916

Spain

Hospital Universitari Dexeus

Barcelona, Barcelona 08028

Spain

Vall d' Hebron Institute of Oncology

Barcelona, Barcelona 08035

Spain

San Pedro de Alcántara Hospital

Cáceres, Cáceres 10003

Spain

Hospital Universitario Lucus Augusti

Lugo, Galicia 27003

Spain

Institut Català d'Oncologia Girona (ICO Girona)

Girona, Girona 17007

Spain

University Hospital of Jerez

Jerez de La Frontera (Cádiz), Jerez de La Frontera (Cádiz) 11407

Spain

GenesisCare Madrid - Hospital San Francisco de Asís

Madrid, Madrid 28002

Spain

Hospital General Universitario Gregorio Marañón

Madrid, Madrid 28007

Spain

HM CIOCC

Madrid, Madrid 28050

Spain

Hospital 12 de Octubre

Usera, Madrid 28031

Spain

Hospital Regional Universitario

Málaga, Malaga 29011

Spain

Hospital Universitario Virgen de la Victoria

Málaga, Málaga 29010

Spain

IVO - Fundacion Instituto Valenciano de Oncologia

Valencia, Valencia 46009

Spain

INCLIVA Instituto de Investigación Sanitaria

Valencia, Valencia 46010

Spain

Gävle Sjukhus

Gävle, Gävleborg County 801 88

Sweden

Karolinska University Hospital

Stockholm, Södermanland County 17176

Sweden

Universitätsspital Zürich

Zurich, Canton of Zurich 8091

Switzerland

Kantonsspital Graubünden

Chur, Chur 7000

Switzerland

Belfast City Hospital, Belfast Health and Social Care Trust

Belfast, Belfast BT9 7AB

United Kingdom

Guy's and St Thomas' NHS Foundation Trust

London, England SE1 9RT

United Kingdom

Sarah Cannon Research Institute London

London, England W1G6AD

United Kingdom

University Hospital Southampton

Southampton, Hampshire SO32 2DA

United Kingdom