Metastatic MelanomaIMMUNONIVONCT03225365
Nivolumab +/- Ipilimumab Immunomonitoring in Metastatic Melanoma
A study testing Blood and biopsy sampling in people with Metastatic Melanoma, run by Hospices Civils de Lyon at 1 site in France.
Trial summary
This is an open bi-centric prospective non-randomized study in patients with metastatic melanoma treated with a first line treatment of Nivolumab +/- Ipilimumab. The aim of the study is to characterize the immune cells modulations under anti-PD-1 +/- anti-CTLA4 and identify the differences between responder and… Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Metastatic Melanoma
- What is being tested?
- Blood and biopsy sampling
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 5 participants
- Where
- 1 siteFrance
- Study dates
- 10 Oct 2019to 15 Jun 2021
- Phase
- Interventional
- 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
- 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
Who cannot join
- Treated haematological malignancies Subjects with a condition requiring systemic treatment with either corticosteroids or other immunosuppressive medications
- Patients with autoimmune disease.
- Ocular melanoma
Trial locations and contacts
1 site in 1 country.
France1 site
Service de Dermatologie, Centre Hospitalier Lyon Sud (HCL)
Pierre-Bénite, 69310
About this study
Official title: Immune Modulation Study in Patients With Metastatic Melanoma Treated With a First Line Therapy of Nivolumab +/- Ipilimumab (IMMUNONIVO/MelpredictPD1).
This is an open bi-centric prospective non-randomized study in patients with metastatic melanoma treated with a first line treatment of Nivolumab +/- Ipilimumab. The aim of the study is to characterize the immune cells modulations under anti-PD-1 +/- anti-CTLA4 and identify the differences between responder and non-responder patients.
- Conditions
- Metastatic Melanoma
- Being tested
- Blood and biopsy sampling
- Keywords
- Melanoma, Nivolumab, Ipilimumab, Immune modulation
- Medical subject headings
- Melanoma
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Blood and biopsy samplingBiological
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.
| Study group | Role | What they receive |
|---|---|---|
| Nivolumab | Other | Previous untreated patient with metastatic melanoma eligible for a Nivolumab treatment.
30 patients will be included in the arm. Receives: Biological: Blood and biopsy sampling |
| Nivolumab + Ipilimumab | Other | Previous untreated patient with metastatic melanoma eligible for a Nivolumab + Ipilimumab treatment.
30 patients will be included in the arm. Receives: Biological: Blood and biopsy sampling |
What is being measured
The primary outcome is the main question the study is designed to answer.
Change description of biological characteristics of immune cells of the blood by immunomonitoring.
Biological characteristics description of monocytes, dendritic cell and T cells subpopulations including different circulating suppressive subpopulations by immunomonitoring
Measured: 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.
Measured: Week 1 (Baseline), week 7, week 53 or at the progression.
Secondary outcomes (5)
Progression-free survival
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
Measured: Week1 , every radiological assessments defined by standard care (not by specific time frame)
Overall survival
Overall survival (OS) will be calculated as the period of time from the immunotherapy first administration to the patient's death.
Measured: week 1, date of patient death
Auto-immune adverse event frequency
Immune adverse event description by clinical examination and correlation with biological characteristics of immune cells
Measured: baseline, week 53 or at the progression
Subtype of melanoma correlated with biological characteristics of immune cells
Subtype of melanoma defined by histological analysis correlated with biological characteristics of immune cells
Measured: baseline
Immunity gene polymorphism correlated with biological characteristics of immune cells
Immunity gene polymorphism defined by RNA sequencing correlated with biological characteristics of immune cells immune cells
Measured: Week 1, week 3, week 7, week 13, week 53 or at the progression.
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted21 Jul 2017
- Study start10 Oct 2019
- Primary completion15 Jun 2021
- Study completion15 Jun 2021
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (5)Papers the sponsor has linked to this study.
- Other trials for Metastatic MelanomaStudies of the same condition, open and under way.
- More trials run by Hospices Civils de LyonThe sponsor's other registered studies.
- 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 N/A
- Primary purpose
- Other
- Allocation
- Non-randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 5 participants (actual)
Sponsor and investigators
- Lead sponsor
- Hospices Civils de Lyon
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT03225365
- Sponsor's protocol ID
- 69HCL17_0043
- Acronym
- IMMUNONIVO
- Status last verified
- Jul 2026
- First submitted
- 17 Jul 2017
- Last updated
- 20 Jul 2026
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
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.
PubMed 42315253Gobbini 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.
PubMed 39774795Benboubker 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.
PubMed 35432344Plaschka 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.
PubMed 35288462Dalle 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.
PubMed 38939518
Study at a glance
From the registry record, last updated by the sponsor on 20 Jul 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Immune Modulation Study in Patients With Metastatic Melanoma Treated With a First Line Therapy of Nivolumab +/- Ipilimumab (IMMUNONIVO/MelpredictPD1).
- ClinicalTrials.gov ID
- NCT03225365
- Acronym / sponsor ID
- IMMUNONIVO / 69HCL17_0043
- Conditions
- Metastatic Melanoma
- Keywords
- Melanoma, Nivolumab, Ipilimumab, Immune modulation
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 5 participants (actual)
- Lead sponsor
- Hospices Civils de LyonUniversity, hospital or other
- Study start
- 10 Oct 2019 (actual)
- Primary completion
- 15 Jun 2021 (actual)
- Study completion
- 15 Jun 2021 (actual)
- First posted
- 21 Jul 2017 (actual)
- 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 an open bi-centric prospective non-randomized study in patients with metastatic melanoma treated with a first line treatment of Nivolumab +/- Ipilimumab. The aim of the study is to characterize the immune cells modulations under anti-PD-1 +/- anti-CTLA4 and identify the differences between responder and non-responder patients.
Study design
- Primary purpose
- Other
- Allocation
- Non-randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Nivolumab | Other | Biological: Blood and biopsy samplingPrevious untreated patient with metastatic melanoma eligible for a Nivolumab treatment. 30 patients will be included in the arm. |
| Nivolumab + Ipilimumab | Other | Biological: Blood and biopsy samplingPrevious untreated patient with metastatic melanoma eligible for a Nivolumab + Ipilimumab treatment. 30 patients will be included in the arm. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (7 listed)
- 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.
Key exclusion criteria (3 listed)
- Treated haematological malignancies Subjects with a condition requiring systemic treatment with either corticosteroids or other immunosuppressive medications
- Patients with autoimmune disease.
- Ocular melanoma
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 |
|---|---|---|
| Blood and biopsy samplingBlood 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. | Biological | Nivolumab, Nivolumab + Ipilimumab |
Primary outcome
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
Change in the immune response by skin biopsy.
Time frame: Week 1 (Baseline), week 7, week 53 or at the progression.
5 secondary outcomes
Progression-free survival
Time frame: Week1 , every radiological assessments defined by standard care (not by specific time frame)
Overall survival
Time frame: week 1, date of patient death
Auto-immune adverse event frequency
Time frame: baseline, week 53 or at the progression
Subtype of melanoma correlated with biological characteristics of immune cells
Time frame: 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.
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 20 Jul 2026.
- Results publication: PubMed 42315253Pham 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.
- Results publication: PubMed 39774795Gobbini 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.
- Results publication: PubMed 35432344Benboubker 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.
- Results publication: PubMed 35288462Plaschka 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.
- Results publication: PubMed 38939518Dalle 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.
- Individual participant dataSharing planned: No
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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.
The record lists no contact. Use the official record to reach the sponsor.
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Blood and biopsy sampling in people with Metastatic Melanoma, run by Hospices Civils de Lyon at 1 site in France.
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 7 inclusion and 3 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: finished, as of the sponsor's last update on 20 Jul 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in France. 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.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
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?
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). The study lists 2 primary outcomes in all. 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 NCT03225365, which also lists 5 linked publications.
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 20 Jul 2026.