Metastatic Malignant MelanomaPhase 2NCT02617849
Pembrolizumab With Carboplatin/Paclitaxel in Patients With Metastatic Melanoma
A Phase 2 study testing Pembrolizumab, Carboplatin and Paclitaxel in people with Metastatic Malignant Melanoma, run by Wilson Miller at 2 sites in Canada.
Trial summary
This is a multi-center, open-label, Phase II clinical trial evaluating pembrolizumab in combination with carboplatin/paclitaxel as a treatment in unresectable locally advanced or metastatic melanoma. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Metastatic Malignant Melanoma
- What is being tested?
- Pembrolizumab, Carboplatin and Paclitaxel
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 30 participants
- Where
- 2 sitesCanada
- Study dates
- 19 May 2016to Dec 2025
- Phase
- Phase 2
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- The subject must:
- Be willing and able to provide written informed consent for the trial.
- Be ≥ 18 years of age on day of signing informed consent.
- Have histologically confirmed diagnosis of unresectable Stage III or metastatic melanoma.
- Patients may not have a diagnosis of uveal melanoma.
- Have measurable disease based on RECIST 1.1.
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- Have a tumor sample (FFPE archival or newly obtained biopsy) of a metastatic site that is available for biomarker analysis.
- Have an ECOG of 0 or 1.
- Demonstrate adequate organ function as below:
- Absolute neutrophil count (ANC) ≥1.5 x 109/L
- Platelets ≥100 x 109/L
- Hemoglobin ≥90 g/L (may be transfused)
- Serum creatinine OR CrCl ≤ 1.5 X upper limit of normal (ULN) OR ≥60 mL/min for subject with creatinine levels > 1.5 X institutional ULN
- Serum total bilirubin ≤ 1.5 X ULN OR Direct bilirubin ≤ ULN for subjects with total bilirubin levels > 1.5 ULN
- AST (SGOT) and ALT (SGPT) ≤ 2.5 X ULN OR ≤ 5 X ULN for subjects with liver metastases
- Albumin >2.5 mg/dL
- International Normalized Ratio (INR) or Prothrombin Time (PT)
- Activated Partial Thromboplastin Time (aPTT) ≤ 1.5 X ULN unless subject is receiving anticoagulant therapy as long as PT or PTT is within therapeutic range of intended use of anticoagulants ≤1.5 X ULN unless subject is receiving anticoagulant therapy as long as PT or PTT is within therapeutic range of intended use of anticoagulants
- Female subject of childbearing potential should have a negative urine or serum pregnancy within 72 hours prior to receiving the first dose of study medication. If the urine test is positive or cannot be confirmed as negative, a serum pregnancy test will be required.
- Female subjects of childbearing potential should be willing to use 2 methods of birth control or be surgically sterile, or abstain from heterosexual activity for the course of the study through 120 days after the last dose of study medication. Subjects of childbearing potential are those who have not been surgically sterilized or have not been free from menses for > 1 year.
- Male subjects should agree to use an adequate method of contraception starting with the first dose of study therapy through 120 days after the last dose of study therapy.
- No known active or chronic infection with HIV, Hepatitis B, or Hepatitis C.
Who cannot join
- The subject must be excluded from participating in the trial if the subject:
- Has had prior treatment for advanced unresectable or metastatic melanoma. Prior treatment with BRAF and MEK inhibitors is permitted in this setting. A washout of at least 5-half-lives (median terminal half-life) prior to the first dose of trial treatment must have elapsed.
- Has received prior therapy with an anti-CTLA4, anti-PD-1, anti-PD-L1, or anti-PD-L2 agent.
- Has evidence of symptomatic CNS lesions as determined by the investigator. Patients with asymptomatic lesions or previously irradiated or surgically resected are eligible.
- Has a known additional malignancy that is progressing or requires active treatment.
- Has a diagnosis of immunodeficiency or is receiving systemic steroid therapy (>10 mg daily prednisone equivalents) or any other form of immunosuppressive therapy within 7 days prior to the first dose of trial treatment. Inhaled or topical steroids, and adrenal replacement doses ≤ 10 mg prednisone equivalents are permitted.
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- Has ≥ Grade 2 peripheral neuropathy.
- Patients with an active autoimmune disease or a documented history of autoimmune disease or syndrome that requires systemic steroids or immunosuppressive agents. Patients with vitiligo or resolved childhood asthma/atopy is an exception to this rule. Patients that require intermittent use of bronchodilators or local steroid injections would not be excluded from the study. Patients with hypothyroidism stable on hormone replacement will not be excluded from the study.
- Has an active infection requiring systemic therapy.
- Has a history or current evidence of any condition, therapy, or laboratory abnormality that might confound the results of the trial, interfere with the subject's participation for the full duration of the trial, or is not in the best interest of the subject to participate, in the opinion of the treating investigator.
- Has known psychiatric or substance abuse disorders that would interfere with cooperation with the requirements of the trial.
- Is pregnant or breastfeeding, or expecting to conceive or father children within the projected duration of the trial, starting with the pre-screening or screening visit through 120 days after the last dose of trial treatment.
- Has a known history of active TB (Bacillus Tuberculosis)
- Has received a live vaccine within 30 days of planned start of study therapy. Note: Seasonal influenza vaccines for injection are generally inactivated flu vaccines and are allowed; however intranasal influenza vaccines (e.g., Flu-Mist®) are live attenuated vaccines, and are not allowed.
Trial locations and contacts
2 sites in 1 country.
Canada2 sites
Jewish General Hospital
Montreal, Quebec, H3T 1E2
Hopital Notre-Dame
Montreal, Quebec
About this study
Official title: A Phase II Study of Pembrolizumab With Carboplatin/Paclitaxel in Patients With Metastatic Melanoma
This is a multi-center, open-label, Phase II clinical trial evaluating pembrolizumab in combination with carboplatin/paclitaxel as a treatment in unresectable locally advanced or metastatic melanoma.
- Conditions
- Metastatic Malignant Melanoma
- Being tested
- Pembrolizumab, Carboplatin, Paclitaxel
- Medical subject headings
- Melanoma
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
PembrolizumabDrug
Also called MK3475
200 mg IV every 3 weeks
CarboplatinDrug
AUC=6, every 3 weeks x 4
PaclitaxelDrug
175 mg/m2, every 3 weeks x 4
| Study group | Role | What they receive |
|---|---|---|
| Pembrolizumab, Carboplatin, Paclitaxel | Experimental | Carboplatin will be administered at AUC = 6, IV over 60 minutes every 3 weeks for up to 4 doses. Paclitaxel will be administered at 175mg/m2, IV over 3 hours every 3 weeks for up to 4 doses. Pembrolizumab will be administered at 200 mg, IV over 30 minutes every 3 weeks. Receives: Drug: Pembrolizumab; Drug: Carboplatin; Drug: Paclitaxel |
What is being measured
The primary outcome is the main question the study is designed to answer.
Overall Response Rate as assessed by RECIST 1.1 and immune-related Response Criteria
Measured: 56 months
Secondary outcomes (4)
Number of participants with treatment-related adverse events as assessed by CTCAE v4.0
Measured: 56 months
Overall Survival
Measured: 56 months
Progression Free Survival
Measured: 56 months
Melanoma-associated serological markers by multiplexed array will be generated
Measured: 56 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted1 Dec 2015 (estimated)
- Study start19 May 2016
- Primary completionDec 2021 (estimated)
- Study completionDec 2025 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Metastatic Malignant MelanomaStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 2
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 30 participants (actual)
Sponsor and investigators
- Lead sponsor
- Wilson Miller
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor-investigator, Wilson Miller, Jewish General Hospital
- Investigators
- Wilson Miller, MD, PhD, Principal investigator, Jewish General HospitalRahima Jamal, MD, PhD, Principal investigator, CHUM, Hopital Notre-Dame
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT02617849
- Sponsor's protocol ID
- MK-3475-269
- Status last verified
- Feb 2021
- First submitted
- 3 Nov 2015
- Last updated
- 18 Feb 2021
- Results posted
- No
- Data monitoring committee
- No
Publications
Lambert C, Jamal R, Thebault P, Cocolakis E, Belanger K, Dionne J, Cailhier JF, Le H, Letendre C, Lepage S, Shechtman Y, Lapointe R, Miller WH Jr. A mixed inflammatory peripheral signature defines clinical outcomes in a phase II trial combining pembrolizumab with paclitaxel and carboplatin in melanoma. Oncoimmunology. 2026 Dec 31;15(1):2631244. doi: 10.1080/2162402X.2026.2631244. Epub 2026 Feb 24.
PubMed 41732954
Study at a glance
From the registry record, last updated by the sponsor on 18 Feb 2021. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase II Study of Pembrolizumab With Carboplatin/Paclitaxel in Patients With Metastatic Melanoma
- ClinicalTrials.gov ID
- NCT02617849
- Acronym / sponsor ID
- MK-3475-269
- Conditions
- Metastatic Malignant Melanoma
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Unknown status
- Enrolment
- 30 participants (actual)
- Lead sponsor
- Wilson MillerUniversity, hospital or other
- Study start
- 19 May 2016 (actual)
- Primary completion
- Dec 2021 (estimated)
- Study completion
- Dec 2025 (estimated)
- First posted
- 1 Dec 2015 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This is a multi-center, open-label, Phase II clinical trial evaluating pembrolizumab in combination with carboplatin/paclitaxel as a treatment in unresectable locally advanced or metastatic melanoma.
Study design
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| Pembrolizumab, Carboplatin, Paclitaxel | Experimental | Drug: Pembrolizumab, Drug: Carboplatin, Drug: PaclitaxelCarboplatin will be administered at AUC = 6, IV over 60 minutes every 3 weeks for up to 4 doses. Paclitaxel will be administered at 175mg/m2, IV over 3 hours every 3 weeks for up to 4 doses. Pembrolizumab will be administered at 200 mg, IV over 30 minutes every 3 weeks. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (22 listed)
- Be willing and able to provide written informed consent for the trial.
- Be ≥ 18 years of age on day of signing informed consent.
- Have histologically confirmed diagnosis of unresectable Stage III or metastatic melanoma.
- Have measurable disease based on RECIST 1.1.
- Have a tumor sample (FFPE archival or newly obtained biopsy) of a metastatic site that is available for biomarker analysis.
Key exclusion criteria (14 listed)
- Has had prior treatment for advanced unresectable or metastatic melanoma. Prior treatment with BRAF and MEK inhibitors is permitted in this setting. A washout of at least 5-half-lives (median terminal half-life) prior to the first dose of trial treatment must have elapsed.
- Has received prior therapy with an anti-CTLA4, anti-PD-1, anti-PD-L1, or anti-PD-L2 agent.
- Has evidence of symptomatic CNS lesions as determined by the investigator. Patients with asymptomatic lesions or previously irradiated or surgically resected are eligible.
- Has a known additional malignancy that is progressing or requires active treatment.
- Has a diagnosis of immunodeficiency or is receiving systemic steroid therapy (>10 mg daily prednisone equivalents) or any other form of immunosuppressive therapy within 7 days prior to the first dose of trial treatment. Inhaled or topical steroids, and adrenal replacement doses ≤ 10 mg prednisone equivalents are permitted.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| PembrolizumabAlso: MK3475200 mg IV every 3 weeks | Drug | Pembrolizumab, Carboplatin, Paclitaxel |
| CarboplatinAUC=6, every 3 weeks x 4 | Drug | Pembrolizumab, Carboplatin, Paclitaxel |
| Paclitaxel175 mg/m2, every 3 weeks x 4 | Drug | Pembrolizumab, Carboplatin, Paclitaxel |
Primary outcome
Overall Response Rate as assessed by RECIST 1.1 and immune-related Response Criteria
Time frame: 56 months
4 secondary outcomes
Number of participants with treatment-related adverse events as assessed by CTCAE v4.0
Time frame: 56 months
Overall Survival
Time frame: 56 months
Progression Free Survival
Time frame: 56 months
Melanoma-associated serological markers by multiplexed array will be generated
Time frame: 56 months
Results and safety
Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 18 Feb 2021.
- Derived from this study: PubMed 41732954Lambert C, Jamal R, Thebault P, Cocolakis E, Belanger K, Dionne J, Cailhier JF, Le H, Letendre C, Lepage S, Shechtman Y, Lapointe R, Miller WH Jr. A mixed inflammatory peripheral signature defines clinical outcomes in a phase II trial combining pembrolizumab with paclitaxel and carboplatin in melanoma. Oncoimmunology. 2026 Dec 31;15(1):2631244. doi: 10.1080/2162402X.2026.2631244. Epub 2026 Feb 24.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Wilson Miller, MD, PhD principal investigator
Jewish General Hospital
Rahima Jamal, MD, PhD principal investigator
CHUM, Hopital Notre-Dame
2 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing Pembrolizumab, Carboplatin and Paclitaxel in people with Metastatic Malignant Melanoma, run by Wilson Miller at 2 sites in Canada.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 22 inclusion and 14 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: status not confirmed, as of the sponsor's last update on 18 Feb 2021. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 2 sites in Canada. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Results are not available in the source record.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Overall Response Rate as assessed by RECIST 1.1 and immune-related Response Criteria (time frame: 56 months). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT02617849, which also lists 1 linked publication.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 18 Feb 2021.