About this trial
The purpose of this study is to determine if neoadjuvant (treatment before surgery) immunotherapy treatment based on tumor biomarkers results in better participant outcomes. Immunotherapy is the treatment of disease by using a person's own immune system.
This study is divided into 2 sub-studies/parts designated Part 1 and Part 2 that will enroll in sequence starting with Part 1 followed by Part 2.
Eligibility criteria
Qualifiers
This study is divided into 2 sub-studies/parts designated Part 1 and Part 2 that will enroll in sequence starting with Part 1 followed by Part 2. In Part 2, Part 2 Cohort A and Part 2 Cohort B will enroll simultaneously. Inclusion criteria apply to Part 1 and Part 2 unless otherwise specified.
Voluntarily agree to participate by giving signed, dated, and written informed consent prior to any study-specific procedures.
18 years of age or older
Histologic diagnosis of melanoma (cutaneous, acral, mucosal or unknown primary) belonging to the following American Joint Committee on Cancer (AJCC) 8th edition TNM stages (Tx or T1-4) and (N1b, N1c, N2b, N2c, N3b or N3c) and/or (M1a).
Disqualifiers
Pregnancy or lactation.
Treatment with another investigational drug or other systemic intervention for melanoma within 4 weeks of initiation of study drugs. Patients must not have radiotherapy within the preceding 2 weeks. Patients must have recovered from adverse events due to agents administered more than 4 weeks earlier.
Participants must be at least 4 weeks from major surgery and have fully recovered from any effects of surgery and be free of significant detectable infection.
Ocular or uveal melanoma.
Trial design
Treatments tested in this trial
- Nivolumab
- Nivolumab + Relatlimab
- Ipilimumab
Treatment groups
6
Treatment groupsSee each treatment group below.
Sponsors and collaborators
H. Lee Moffitt Cancer Center and Research Institute
Lead sponsor
Bristol-Myers Squibb
Collaborator