- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03225365
Nivolumab +/- Ipilimumab Immunomonitoring in Metastatic Melanoma (IMMUNONIVO)
Immune Modulation Study in Patients With Metastatic Melanoma Treated With a First Line Therapy of Nivolumab +/- Ipilimumab (IMMUNONIVO/MelpredictPD1).
Study Overview
Status
Conditions
Intervention / Treatment
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
-
Pierre-Bénite, France, 69310
- Service de Dermatologie, Centre Hospitalier Lyon Sud (HCL)
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Men and women aged ≥ 18 years of age.
- Patient with metastatic or unresectable melanoma
- Nivolumab or Nivolumab + Ipilimumab treatment indication
- Skin biopsies available
- Patient affiliated to or a beneficiary of a social security category.
- Signed Written Informed Consent.
- Patient who agrees to the storage of his biological samples
Exclusion Criteria:
- Treated haematological malignancies Subjects with a condition requiring systemic treatment with either corticosteroids or other immunosuppressive medications
- Patients with autoimmune disease.
- Ocular melanoma
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Other
- Allocation: Non-Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
|---|---|
|
Other: Nivolumab
Previous untreated patient with metastatic melanoma eligible for a Nivolumab treatment. 30 patients will be included in the arm. |
Blood samples (52mL) will be taken at week 1, week 3, week 7, week 13, week 53 or at the progression. Skin biopsies will be taken at week 1, week 7, week 53 or at the progression. |
|
Other: Nivolumab + Ipilimumab
Previous untreated patient with metastatic melanoma eligible for a Nivolumab + Ipilimumab treatment. 30 patients will be included in the arm. |
Blood samples (52mL) will be taken at week 1, week 3, week 7, week 13, week 53 or at the progression. Skin biopsies will be taken at week 1, week 7, week 53 or at the progression. |
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Change description of biological characteristics of immune cells of the blood by immunomonitoring.
Time Frame: Week 1 (baseline, before the 1st injection), week 3 (before the 2d injection treatment), week 7 (before the 4th) , week 13 (before the 5th), week 53 (before the 26th or during radiological evaluation) or at the progression
|
Biological characteristics description of monocytes, dendritic cell and T cells subpopulations including different circulating suppressive subpopulations by immunomonitoring
|
Week 1 (baseline, before the 1st injection), week 3 (before the 2d injection treatment), week 7 (before the 4th) , week 13 (before the 5th), week 53 (before the 26th or during radiological evaluation) or at the progression
|
|
Change in the immune response by skin biopsy.
Time Frame: Week 1 (Baseline), week 7, week 53 or at the progression.
|
Week 1 (Baseline), week 7, week 53 or at the progression.
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Progression-free survival
Time Frame: Week1 , every radiological assessments defined by standard care (not by specific time frame)
|
Progression free survival (PFS) will be calculated as the period of time from the immunotherapy first administration to the first RECIST 1.1 disease progression
|
Week1 , every radiological assessments defined by standard care (not by specific time frame)
|
|
Overall survival
Time Frame: week 1, date of patient death
|
Overall survival (OS) will be calculated as the period of time from the immunotherapy first administration to the patient's death.
|
week 1, date of patient death
|
|
Auto-immune adverse event frequency
Time Frame: baseline, week 53 or at the progression
|
Immune adverse event description by clinical examination and correlation with biological characteristics of immune cells
|
baseline, week 53 or at the progression
|
|
Subtype of melanoma correlated with biological characteristics of immune cells
Time Frame: baseline
|
Subtype of melanoma defined by histological analysis correlated with biological characteristics of immune cells
|
baseline
|
|
Immunity gene polymorphism correlated with biological characteristics of immune cells
Time Frame: Week 1, week 3, week 7, week 13, week 53 or at the progression.
|
Immunity gene polymorphism defined by RNA sequencing correlated with biological characteristics of immune cells immune cells
|
Week 1, week 3, week 7, week 13, week 53 or at the progression.
|
Collaborators and Investigators
Sponsor
Publications and helpful links
General Publications
- Pham FK, Dufeu M, Benboubker V, Grimont M, Lhorisson A, Berthet J, Donzel M, Schneider R, Tonon L, Doffin AC, Boivin F, Durand S, Dubois B, Lopez J, Caux C, Valladeau-Guilemond J, Eberhardt A, Dalle S, Caramel J. Melanoma cell states shape spatial tumor-immune ecosystems to dictate the efficacy of anti-PD1 immunotherapy. J Immunother Cancer. 2026 Jun 18;14(6):e014030. doi: 10.1136/jitc-2025-014030.
- Gobbini E, Hubert M, Doffin AC, Eberhardt A, Hermet L, Li D, Duplouye P, Ghamry-Barrin S, Berthet J, Benboubker V, Grimont M, Sakref C, Perrot J, Tondeur G, Harou O, Lopez J, Dubois B, Dalle S, Caux C, Caramel J, Valladeau-Guilemond J. The Spatial Organization of cDC1 with CD8+ T Cells is Critical for the Response to Immune Checkpoint Inhibitors in Patients with Melanoma. Cancer Immunol Res. 2025 Apr 2;13(4):517-526. doi: 10.1158/2326-6066.CIR-24-0421.
- Benboubker V, Boivin F, Dalle S, Caramel J. Cancer Cell Phenotype Plasticity as a Driver of Immune Escape in Melanoma. Front Immunol. 2022 Mar 29;13:873116. doi: 10.3389/fimmu.2022.873116. eCollection 2022.
- Plaschka M, Benboubker V, Grimont M, Berthet J, Tonon L, Lopez J, Le-Bouar M, Balme B, Tondeur G, de la Fouchardiere A, Larue L, Puisieux A, Grinberg-Bleyer Y, Bendriss-Vermare N, Dubois B, Caux C, Dalle S, Caramel J. ZEB1 transcription factor promotes immune escape in melanoma. J Immunother Cancer. 2022 Mar;10(3):e003484. doi: 10.1136/jitc-2021-003484.
- Dalle S, Verronese E, N'Kodia A, Bardin C, Rodriguez C, Andrieu T, Eberhardt A, Chemin G, Hasan U, Le-Bouar M, Caramel J, Amini-Adle M, Bendriss-Vermare N, Dubois B, Caux C, Menetrier-Caux C. Modulation of blood T cell polyfunctionality and HVEM/BTLA expression are critical determinants of clinical outcome in anti-PD1-treated metastatic melanoma patients. Oncoimmunology. 2024 Jun 26;13(1):2372118. doi: 10.1080/2162402X.2024.2372118. eCollection 2024.
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
- Neoplasms by Site
- Neoplasms
- Neoplasms by Histologic Type
- Skin Diseases
- Neuroectodermal Tumors
- Neoplasms, Germ Cell and Embryonal
- Neoplasms, Nerve Tissue
- Neuroendocrine Tumors
- Nevi and Melanomas
- Skin Neoplasms
- Skin and Connective Tissue Diseases
- Melanoma
- Investigative Techniques
- Specimen Handling
- Clinical Laboratory Techniques
- Diagnostic Techniques and Procedures
- Diagnosis
- Punctures
- Surgical Procedures, Operative
- Blood Specimen Collection
Other Study ID Numbers
- 69HCL17_0043
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
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