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Primary Melanoma of the ExtremityMelanomaNCT06952400

The Registry Study of Genetic Alterations of Melanoma in Taiwan

An observational study of Primary Melanoma of the Extremity, run by National Health Research Institutes, Taiwan at 16 sites in Taiwan.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

Cutaneous melanoma is the most aggressive malignancy in skin cancers. Cutaneous melanoma is a rare disease in Taiwan with an incidence rate of around 1/100,000. Acral lentiginous melanoma is the most common subtype and comprises more than half of cutaneous melanoma in Asia including Taiwan but only 1% in Caucasians. Read more about this study

Who is it for?
Ages 18 years and olderHealthy volunteers can take part
Conditions the study is for
Primary Melanoma of the Extremity
Type of treatment
Injection or infusion
How many people
250 participants
Where
16 sitesTaiwan
Study dates
22 Aug 2022to 31 Dec 2030
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 years and older
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Study population: Cohort 1(early acral melanoma): melanoma, stage I/II; Cohort 2 (locally advanced acral melanoma): melanoma, stage III, resectable; and Cohort 3 (advanced): unresectable / metastatic melanoma, stage III/IV or recurrent melanoma (unresectable). Staging is based on AJCC Cancer Staging System 8th edition). The patients with advanced melanoma with available comprehensive NGS report are included in cohort 4.

Who may be able to join

  • Age > 18 years old
  • Pathologically confirmed melanoma. (Patients with additional malignancies requiring treatment or follow-up are allowed. Only treatment for melanoma should be recorded).
  • ECOG performance status < 3
  • Cohort 1(early acral melanoma): melanoma, stage I/II; Cohort 2 (locally advanced acral melanoma): melanoma, stage III, resectable; and Cohort 3 (advanced): unresectable / metastatic melanoma, stage III/IV or recurrent melanoma (unresectable). Staging is based on AJCC Cancer Staging System 8th edition). The patients with advanced melanoma with available comprehensive NGS report are included in cohort 4.
  • Willingness to provide archival or newly obtained tumor tissues for this study proposal
  • Life expectancy more than 3 months -
  • Patients fully understand the protocol with the willingness to have regular follow-up

Who cannot join

  • Inability to cooperate by providing a complete medical history
  • No available tumor tissues for genetic testing (archived tissue sampling more than 5 years from screening date)
  • Undesirable compliance (Mental status is not fit for further treatment or data collection.)

Trial locations and contacts

16 sites in 1 country. Contact the study team or a site near you to ask about taking part.

16 sites in 1 country

Taiwan16 sites, 16 recruiting
  • CHANG GUNG MEMORIAL HOSPITAL, Chiayi

    Chiayi City

    FENG-CHE KUAN

    FENG-CHE KUAN

    Recruiting
  • Kaohsiung Chang Gung Memorial Hospital

    Kaohsiung City

    Yen-Hao Chen

    Yen-Hao Chen

    Recruiting
  • Kaohsiung Medical University

    Kaohsiung City

    Hui-Hua Hsiao

    Hui-Hua Hsiao

    Recruiting
  • National Taiwan University Hospital ,NTUH Hsin-Chu Branch

    Sindian City

    Jih-Hsiang Lee

    Jih-Hsiang Lee

    Recruiting
  • China Medical University Hospital

    Taichung

    Chen-Yuan Lin

    Chen-Yuan Lin

    Recruiting
  • Chung Shan Medical University Hospital

    Taichung

    Ming-Fang Wu

    Ming-Fang Wu

    Recruiting
  • Taichung Veterans General Hospital

    Taichung

    Young-sen Yang

    Young-sen Yang

    Recruiting
  • National Cheng Kung University Hospital

    Tainan

    Chia-Jui Yen

    Chia-Jui Yen

    Recruiting
  • Taipei Veterans General Hospital

    Taipei, Taiwan/Taipei

    Chuan-Yen Chueh

    Chuan-Yen Chueh

    Recruiting
  • Koo Foundation Sun Yat-Sen Cancer Center

    Taipei

    Hsiao-Hsiang Cheng

    Hsiao-Hsiang Cheng

    Recruiting
  • MacKay Memorial Hospital

    Taipei

    Yi-Fang Chang

    Yi-Fang Chang

    Recruiting
  • National Taiwan University Hospital

    Taipei

    Chia-Chi Lin

    Chia-Chi Lin

    Recruiting
  • Taipei Medical University -Ministry of Health and Welfare Shuang-Ho Hospital

    Taipei

    Yao-Yu Hsieh

    Yao-Yu Hsieh

    Recruiting
  • Wan Fang Hospital, Taipei Medical University

    Taipei

    Chia-Lun Chang

    Chia-Lun Chang

    Recruiting
  • CHANG GUNG MEMORIAL HOSPITAL, Linkou

    Taoyuan

    Wen-Cheng Chang

    Wen-Cheng Chang

    Recruiting
  • Taoyuan General Hospital, Ministry of Health and Welfare

    Taoyuan

    Yuan-Hao Yang

    Yuan-Hao Yang

    Recruiting

Other trials in Taiwan

About this study

Official title: T1622 The Registry Study of Genetic Alterations of Melanoma in Taiwan

Cutaneous melanoma is the most aggressive malignancy in skin cancers. Cutaneous melanoma is a rare disease in Taiwan with an incidence rate of around 1/100,000. Acral lentiginous melanoma is the most common subtype and comprises more than half of cutaneous melanoma in Asia including Taiwan but only 1% in Caucasians. In addition, mucosal melanoma accounts for more than 20% of malignancy melanoma in Taiwan but only 1% in Caucasians. Acral and mucosal melanomas have distinct epidemiological, clinical, pathological and genetic features from non-acral melanoma which is commonly seen in Western countries. Comparing with melanoma in Caucasians, Asian melanoma has higher recurrence rate after primary surgery, lower response rate to immunotherapy, and shorter progression-free survival for immunotherapy and targeted therapy leading generally poor survival outcomes regardless stage.

Read the detailed description

Most melanoma patients present with locally advanced or metastatic disease at diagnosis reflecting the aggressive disease nature of melanoma in Taiwan. Currently, surgical resection of primary tumor and lymph node dissection are the main treatment for patients with locally advanced melanoma. Adjuvant therapy should be considered for stage III melanoma. Unfortunately, most patients recur after above aggressive treatment. Systemic treatment including targeted therapy, immunotherapy and chemotherapy is the main for unresectable or metastatic melanoma. The prognosis of these patients remains poor with a median survival time around a year. Therefore, a better understanding of this deadly disease is crucial and finding better therapeutic strategies for these patients and stratifying patients with suitable treatment are urgent.

Keywords
next-generation sequencing, acral melanoma, mucosal melanoma, cutaeous melanoma

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

Study groups in NCT06952400
Study groupRoleWhat they receive
Cohort 1(early acral melanoma): melanoma stage I/II
Cohort 2(locally advanced acral melanoma): melanoma, stage III, resectable
Cohort 3(advanced): unresectable / metastatic melanoma, stage III/IV or recurrent melanoma (unresectable). Staging is based on AJCC Cancer Staging System 8th edition).
Cohort 4The patients with advanced melanoma with available comprehensive NGS report are included in cohort

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. To evaluate the evolution of acral melanoma patients in Taiwan.

    1. Collecting the tissues from melanoma patients for NGS studies, One H\&E staining slide, and 10 tissue slides (4-5 um thickness) for cancer panel-based next generation sequencing analysis, including fusion panel (10 slides) will be required (first priority).
    2. Non-tumor Sample (Blood): Fifteen (15) ml of blood will be collected from the participant: 7 ml in EDTA tube (purple top) and 8 ml in Cell-Free DNA blood collection tube. These blood samples will be separated into peripheral blood mononuclear cells and plasma specimens for germline mutation analysis and potential biomarker study, respectively.
    3. Non-tumor Sample (Stool for microbiota):Collecting stool specimens before systemic treatment (for prospective cohort), 2-3 months after initiating targeted therapy or immunotherapy. IHC staining for specific biomarkers such as MDM2 and HER2 will be evaluated.

    Measured: Duration of Enrollment: 2022/10-2025/12

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted30 Apr 2025
  2. Study start22 Aug 2022
  3. Primary completion31 Dec 2025 (estimated)
  4. Study completion31 Dec 2030 (estimated)

Resources

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
Other
Enrolment
250 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06952400
Sponsor's protocol ID
T1622
Acronym
Melanoma
Status last verified
Apr 2025
First submitted
6 Apr 2025
Last updated
6 May 2025
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Undecided

Publications

  • Siegel RL, Miller KD, Fuchs HE, Jemal A. Cancer statistics, 2022. CA Cancer J Clin. 2022 Jan;72(1):7-33. doi: 10.3322/caac.21708. Epub 2022 Jan 12.

    PubMed 35020204
  • Chang JW, Huang YL, Chang YY, Lo YF, Ho TY, Huang YT, Chen HW, Wu CE. Sentinel Lymph Node Biopsy Was Associated With Favorable Survival Outcomes For Patients With Clinically Node-Negative Asian Melanoma. Cancer Manag Res. 2019 Nov 14;11:9655-9664. doi: 10.2147/CMAR.S227837. eCollection 2019.

    PubMed 31814762
  • Hayward NK, Wilmott JS, Waddell N, Johansson PA, Field MA, Nones K, Patch AM, Kakavand H, Alexandrov LB, Burke H, Jakrot V, Kazakoff S, Holmes O, Leonard C, Sabarinathan R, Mularoni L, Wood S, Xu Q, Waddell N, Tembe V, Pupo GM, De Paoli-Iseppi R, Vilain RE, Shang P, Lau LMS, Dagg RA, Schramm SJ, Pritchard A, Dutton-Regester K, Newell F, Fitzgerald A, Shang CA, Grimmond SM, Pickett HA, Yang JY, Stretch JR, Behren A, Kefford RF, Hersey P, Long GV, Cebon J, Shackleton M, Spillane AJ, Saw RPM, Lopez-Bigas N, Pearson JV, Thompson JF, Scolyer RA, Mann GJ. Whole-genome landscapes of major melanoma subtypes. Nature. 2017 May 11;545(7653):175-180. doi: 10.1038/nature22071. Epub 2017 May 3.

    PubMed 28467829
  • Newell F, Wilmott JS, Johansson PA, Nones K, Addala V, Mukhopadhyay P, Broit N, Amato CM, Van Gulick R, Kazakoff SH, Patch AM, Koufariotis LT, Lakis V, Leonard C, Wood S, Holmes O, Xu Q, Lewis K, Medina T, Gonzalez R, Saw RPM, Spillane AJ, Stretch JR, Rawson RV, Ferguson PM, Dodds TJ, Thompson JF, Long GV, Levesque MP, Robinson WA, Pearson JV, Mann GJ, Scolyer RA, Waddell N, Hayward NK. Whole-genome sequencing of acral melanoma reveals genomic complexity and diversity. Nat Commun. 2020 Oct 16;11(1):5259. doi: 10.1038/s41467-020-18988-3.

    PubMed 33067454
  • Newell F, Kong Y, Wilmott JS, Johansson PA, Ferguson PM, Cui C, Li Z, Kazakoff SH, Burke H, Dodds TJ, Patch AM, Nones K, Tembe V, Shang P, van der Weyden L, Wong K, Holmes O, Lo S, Leonard C, Wood S, Xu Q, Rawson RV, Mukhopadhyay P, Dummer R, Levesque MP, Jonsson G, Wang X, Yeh I, Wu H, Joseph N, Bastian BC, Long GV, Spillane AJ, Shannon KF, Thompson JF, Saw RPM, Adams DJ, Si L, Pearson JV, Hayward NK, Waddell N, Mann GJ, Guo J, Scolyer RA. Whole-genome landscape of mucosal melanoma reveals diverse drivers and therapeutic targets. Nat Commun. 2019 Jul 18;10(1):3163. doi: 10.1038/s41467-019-11107-x.

    PubMed 31320640
  • Sheen YS, Tan KT, Tse KP, Liao YH, Lin MH, Chen JS, Liau JY, Tseng YJ, Lee CH, Hong CH, Liao JB, Chang HT, Chu CY. Genetic alterations in primary melanoma in Taiwan. Br J Dermatol. 2020 May;182(5):1205-1213. doi: 10.1111/bjd.18425. Epub 2019 Oct 15.

    PubMed 31408190
  • Chang JW, Guo J, Hung CY, Lu S, Shin SJ, Quek R, Ying A, Ho GF, Nguyen HS, Dhabhar B, Sriuranpong V, Tiambeng ML, Prayogo N, Yamazaki N. Sunrise in melanoma management: Time to focus on melanoma burden in Asia. Asia Pac J Clin Oncol. 2017 Dec;13(6):423-427. doi: 10.1111/ajco.12670. Epub 2017 Feb 15. No abstract available.

    PubMed 28198155
  • Wu CE, Yang CK, Peng MT, Huang PW, Lin YF, Cheng CY, Chang YY, Chen HW, Hsieh JJ, Chang JW. Immune Checkpoint Inhibitors for Advanced Melanoma: Experience at a Single Institution in Taiwan. Front Oncol. 2020 Jun 4;10:905. doi: 10.3389/fonc.2020.00905. eCollection 2020.

    PubMed 32582554

Questions about this trial

What is this clinical trial studying?

An observational study of Primary Melanoma of the Extremity, run by National Health Research Institutes, Taiwan at 16 sites in Taiwan.

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: looking for participants now, as of the sponsor's last update on 6 May 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 16 sites in Taiwan. 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 Chien-Ya Hung, BS (+886-3-7206166 ext. 35104, 951106@nhri.edu.tw), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

To evaluate the evolution of acral melanoma patients in Taiwan. (time frame: Duration of Enrollment: 2022/10-2025/12). 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 NCT06952400, which also lists 8 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 6 May 2025.

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