MelanomaMELpreservNCT05429138
Ovarian Reserve and Semen Parameters Evolution During Adjuvant Therapy in Melanoma
An observational study of Melanoma, run by Assistance Publique Hopitaux De Marseille at 12 sites in France.
Trial summary
Prospective multicentric study including women aged 18 to 37 and men aged 18 to 45 during their visit to centers for the study and storage of human sperm and eggs (CECOS). Subjects will be included before adjuvant treatment initiation (T0) and immediately after treatment (approximately 1 year after initiation, T1)… Read more about this study
- Who is it for?
- Ages 18 to 45 years
- Conditions the study is for
- Melanoma
- What is being tested?
- biological sampling
- How many people
- 80 participants
- Where
- 12 sitesFrance
- Study dates
- 7 Dec 2022to Dec 2026
- Phase
- Observational
- Are there results?
- Not yet: the study is under way
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 to 45 years
- All sexes
- Adult
Study population: Patients of childbearing age treated with an adjuvant anti-PD-1 immunotherapy or neoadjuvant plus adjuvant or targeted therapies for a melanoma at high risk of recurrence
Who may be able to join
- Patients must have provided a signed, dated and written consent prior to any specific procedures, sampling and analyses
- Patients with valide Health Inssurance Scheme
- Female between 18 and 37 years old and male between 18 and 45 years old
- During the 2 months before the introduction of an approved regimen of adjuvant anti-PD-1 immunotherapy or neoadjuvant plus adjuvant or targeted therapy for an high-risk of reccurence melanoma
- Adjuvant or neoadjuvant plus adjuvant treatment must be prescribed as part of routine care
Who cannot join
- Individuals deprived of liberty or placed under the authority of a tutor
- Patients unable to understand, read and/or sign an informed consent
- History of cytotoxic treatment before T0 that can alterate the studied parameters
- In male, totale motile sperm count per ejaculate inferior to 39 millions at T0
- In women, an age-specific AMH level inferior to the 10th percentile at T0
- Any condition which in the Investigator's opinion would jeopardize compliance with the protocol of the study
- Patients that will received an investigational treatment during the study timeframe (an observational research is allowed)
- Patients who have changed the type of adjuvant treatment during adjuvant treatment (targeted switch therapy versus targeted immunotherapy and vice versa) or after the neoadjuvant phase due to the pathological response obtained.
Trial locations and contacts
12 sites in 1 country. Contact the study team or a site near you to ask about taking part.
DRSMR AP-HM contact
12 sites in 1 country
France12 sites, 12 recruiting
- Recruiting
CHU de Bordeaux
Bordeaux
Caroline DUTRIAUX
Lucie Chansel-Debordeaux
- Recruiting
AP-HM
Marseille
Nausicaa MALISSEN
- Recruiting
Hôpital Saint-Joseph
Marseille
Elodie ARCHIER
- Recruiting
CHU Montpellier
Montpellier
Vanessa Loup
Candice Lesage
- Recruiting
CHU de Nantes
Nantes
Gaëlle QUEREUX
Florence LEPERLIER
- Recruiting
CHU NICE L'archet
Nice
Henri MONTAUDIE
Henri Montaudie
- Recruiting
CHRU de Nîmes
Nîmes
Pierre STOEBNER
- Recruiting
APHP- Ambroise Paré
Paris
Elisa FUNCK-BRENTANO
Michaël GRYNBERG
- Recruiting
APHP-Cochin
Paris
Bénédicte OULES
Virginie BARRAUD
- Recruiting
APHP-Saint Louis
Paris
Céleste LEBBE
Barouyr BAROUDJIAN
- Recruiting
Oncôpole de Toulouse
Toulouse
Cécile PAGES
Roger LEANDRI
- Recruiting
Institut Gustave Roussy
Villejuif
Caroline Robert
About this study
Prospective multicentric study including women aged 18 to 37 and men aged 18 to 45 during their visit to centers for the study and storage of human sperm and eggs (CECOS). Subjects will be included before adjuvant treatment initiation (T0) and immediately after treatment (approximately 1 year after initiation, T1), and, in late post treatment (1 year after treatment cessation, T2).
Expected results: This study will evaluate the evolution of AMH, AFC, and semen parameters in our cohort of melanoma patients treated with anti-PD-1 and targeted therapy in an adjuvant and neoadjuvantsettings.
Read the detailed description
To the best of our knowledge, no data is available in humans on the impact of anti-PD-1 immunotherapies and therapies targeting the MAP kinase pathway, in adjuvant settings, on ovarian reserve and semen quality.
Main objective: to measure pre-treatment (T0) and immediate post-treatment (T1) evolution of anti-Müllerian hormone (AMH) levels reflecting the ovarian reserve in women, and of the total motile sperm count per ejaculate in men, in patients of childbearing age treated with anti-PD-1 immunotherapy or targeted therapies in an adjuvant situation for melanoma at high risk of recurrence.
Method: Prospective multicentric study including women aged 18 to 37 and men aged 18 to 45 during their visit to centers for the study and storage of human sperm and eggs (CECOS). Subjects will be included before adjuvant treatment initiation (T0) and immediately after treatment (approximately 1 year after initiation, T1), and, in late post treatment (1 year after treatment cessation, T2).
At each of their visit to CECOS (T0, T1 and T2), the women will have an AMH assay and an antral follicle count (AFC) by ultrasound while the men will perform a semen analysis (count, spermocytogram and staining with aniline blue for analysis of chromatin condensation).
A standardized questionnaire aimed at collecting data about factors that may alter fertility will be submitted at each of these visits.
Expected results: This study will evaluate the evolution of AMH, AFC, and semen parameters in our cohort of melanoma patients treated with anti-PD-1 and targeted therapy in an adjuvant settings.
- Conditions
- Melanoma
- Being tested
- biological sampling
- Keywords
- melanoma, ovarian reserv, semen parameters, fertility, adjuvant
- Medical subject headings
- Melanoma
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
biological samplingOther
Biological sampling: blood and semen
| Study group | Role | What they receive |
|---|---|---|
| Immunotherapy cohort | Patient that received adjuvant immunotherapy Receives: Other: biological sampling | |
| Targeted therapy | Patient that received adjuvant targeted therapy Receives: Other: biological sampling |
What is being measured
The primary outcome is the main question the study is designed to answer.
measurement of biological parameters : Anti-Müllerian hormone (AMH) levels in women
change in Anti-Müllerian hormone (AMH) levels in women
Measured: T1 (=Day0 + 12 months)
measurement of biological parameters : Change in sperm motility count in men
Change in sperm motility count per ejaculate in men
Measured: T1 (=Day0 + 12 months)
Secondary outcomes (4)
measurement of biological parameters : Antral follicle count in women
change in antral follicle count in women
Measured: T0 = Day 0 = treatment initiation; T1 = Day0 + 12 months; T2 = T1 + 12 months.
measurement of biological parameters : levels of spermatozoids with sperm chromatin abnormalities
change of rate of spermatozoids with sperm chromatin abnormalities
Measured: T0 = Day 0 = treatment initiation; T1 = Day0 + 12 months; T2 = T1 + 12 months.
measurement of biological parameters : Change in sperm count
Change in sperm count (spermogram) during time
Measured: T0 = Day 0 = treatment initiation; T1 = Day0 + 12 months; T2 = T1 + 12 months.
measurement of biological parameters : Change in sperm motility count
Change in sperm motility count (spermogram)
Measured: T0 = Day 0 = treatment initiation; T1 = Day0 + 12 months; T2 = T1 + 12 months.
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted23 Jun 2022
- Study start7 Dec 2022
- Primary completionDec 2026 (estimated)
- Study completionDec 2026 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for MelanomaStudies of the same condition, open and under way.
- More trials run by Assistance Publique Hopitaux De MarseilleThe 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
- Observational
- Observational model
- Cohort
- Time perspective
- Prospective
- Enrolment
- 80 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Assistance Publique Hopitaux De Marseille
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor
- Investigators
- Nausicaa Malissen, MD, PhD, Principal investigator, AP-HM
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05429138
- Sponsor's protocol ID
- 2021-A02601-40
- Acronym
- MELpreserv
- Status last verified
- Nov 2025
- First submitted
- 12 May 2022
- Last updated
- 18 Nov 2025
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 18 Nov 2025. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Ovarian Reserve and Semen Parameters Evolution During Adjuvant Therapy in Melanoma
- ClinicalTrials.gov ID
- NCT05429138
- Acronym / sponsor ID
- MELpreserv / 2021-A02601-40
- Conditions
- Melanoma
- Keywords
- melanoma, ovarian reserv, semen parameters, fertility, adjuvant
- Study type
- Observational
- Recruitment status
- Recruiting
- Enrolment
- 80 participants (estimated)
- Lead sponsor
- Assistance Publique Hopitaux De MarseilleUniversity, hospital or other
- Study start
- 7 Dec 2022 (actual)
- Primary completion
- Dec 2026 (estimated)
- Study completion
- Dec 2026 (estimated)
- First posted
- 23 Jun 2022 (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.
Prospective multicentric study including women aged 18 to 37 and men aged 18 to 45 during their visit to centers for the study and storage of human sperm and eggs (CECOS). Subjects will be included before adjuvant treatment initiation (T0) and immediately after treatment (approximately 1 year after initiation, T1), and, in late post treatment (1 year after treatment cessation, T2).
Expected results: This study will evaluate the evolution of AMH, AFC, and semen parameters in our cohort of melanoma patients treated with anti-PD-1 and targeted therapy in an adjuvant and neoadjuvantsettings.
Detailed description
To the best of our knowledge, no data is available in humans on the impact of anti-PD-1 immunotherapies and therapies targeting the MAP kinase pathway, in adjuvant settings, on ovarian reserve and semen quality.
Main objective: to measure pre-treatment (T0) and immediate post-treatment (T1) evolution of anti-Müllerian hormone (AMH) levels reflecting the ovarian reserve in women, and of the total motile sperm count per ejaculate in men, in patients of childbearing age treated with anti-PD-1 immunotherapy or targeted therapies in an adjuvant situation for melanoma at high risk of recurrence.
Method: Prospective multicentric study including women aged 18 to 37 and men aged 18 to 45 during their visit to centers for the study and storage of human sperm and eggs (CECOS). Subjects will be included before adjuvant treatment initiation (T0) and immediately after treatment (approximately 1 year after initiation, T1), and, in late post treatment (1 year after treatment cessation, T2).
At each of their visit to CECOS (T0, T1 and T2), the women will have an AMH assay and an antral follicle count (AFC) by ultrasound while the men will perform a semen analysis (count, spermocytogram and staining with aniline blue for analysis of chromatin condensation).
A standardized questionnaire aimed at collecting data about factors that may alter fertility will be submitted at each of these visits.
Expected results: This study will evaluate the evolution of AMH, AFC, and semen parameters in our cohort of melanoma patients treated with anti-PD-1 and targeted therapy in an adjuvant settings.
Study design
- Observational model
- Cohort
- Time perspective
- Prospective
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Immunotherapy cohort | – | Other: biological samplingPatient that received adjuvant immunotherapy |
| Targeted therapy | – | Other: biological samplingPatient that received adjuvant targeted therapy |
Who may qualify
- Ages
- 18 to 45 years
- Sex
- All
- Age groups
- Adult
- Study population
- Patients of childbearing age treated with an adjuvant anti-PD-1 immunotherapy or neoadjuvant plus adjuvant or targeted therapies for a melanoma at high risk of recurrence
Key inclusion criteria (5 listed)
- Patients must have provided a signed, dated and written consent prior to any specific procedures, sampling and analyses
- Patients with valide Health Inssurance Scheme
- Female between 18 and 37 years old and male between 18 and 45 years old
- During the 2 months before the introduction of an approved regimen of adjuvant anti-PD-1 immunotherapy or neoadjuvant plus adjuvant or targeted therapy for an high-risk of reccurence melanoma
- Adjuvant or neoadjuvant plus adjuvant treatment must be prescribed as part of routine care
Key exclusion criteria (8 listed)
- Individuals deprived of liberty or placed under the authority of a tutor
- Patients unable to understand, read and/or sign an informed consent
- History of cytotoxic treatment before T0 that can alterate the studied parameters
- In male, totale motile sperm count per ejaculate inferior to 39 millions at T0
- In women, an age-specific AMH level inferior to the 10th percentile at T0
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 |
|---|---|---|
| biological samplingBiological sampling: blood and semen | Other | Immunotherapy cohort, Targeted therapy |
Primary outcome
measurement of biological parameters : Anti-Müllerian hormone (AMH) levels in women
Time frame: T1 (=Day0 + 12 months)
change in Anti-Müllerian hormone (AMH) levels in women
measurement of biological parameters : Change in sperm motility count in men
Time frame: T1 (=Day0 + 12 months)
Change in sperm motility count per ejaculate in men
4 secondary outcomes
measurement of biological parameters : Antral follicle count in women
Time frame: T0 = Day 0 = treatment initiation; T1 = Day0 + 12 months; T2 = T1 + 12 months.
measurement of biological parameters : levels of spermatozoids with sperm chromatin abnormalities
Time frame: T0 = Day 0 = treatment initiation; T1 = Day0 + 12 months; T2 = T1 + 12 months.
measurement of biological parameters : Change in sperm count
Time frame: T0 = Day 0 = treatment initiation; T1 = Day0 + 12 months; T2 = T1 + 12 months.
measurement of biological parameters : Change in sperm motility count
Time frame: T0 = Day 0 = treatment initiation; T1 = Day0 + 12 months; T2 = T1 + 12 months.
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 18 Nov 2025.
- Individual participant dataSharing planned: No
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Melanoma
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.
DRSMR AP-HM contact
Nausicaa Malissen, MD, PhD principal investigator
AP-HM
12 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
An observational study of Melanoma, run by Assistance Publique Hopitaux De Marseille at 12 sites 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 5 inclusion and 8 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: looking for participants now, as of the sponsor's last update on 18 Nov 2025. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 12 sites 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?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
Contact Nausicaa Malissen, MD, PhD (0491384215, nausicaa.malissen@ap-hm.fr), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
measurement of biological parameters : Anti-Müllerian hormone (AMH) levels in women (time frame: T1 (=Day0 + 12 months)). 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?
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 Nov 2025.