Triple Immune Checkpoint Inhibition for Advanced or Metastatic PD-(L)1 Refractory Merkel Cell Carcinoma
NCT06056895 · Status: ACTIVE_NOT_RECRUITING · Phase: PHASE2 · Type: INTERVENTIONAL · Enrollment: 12
Last updated 2026-01-15
Summary
This phase II trial tests how well a combination of three immunotherapy drugs work for patients with Merkel cell carcinoma that has spread to lymph nodes and/or distant parts of the body and cannot be treated with surgery (advanced or metastatic MCC) and grew despite prior PD-(L)1 therapy. The three drugs INCMGA00012 (retifanlimab, anti-PD-1), INCAGN02385 (tuparstobart, anti-LAG-3), and INCAGN02390 (verzistobart, anti-TIM-3) are monoclonal antibodies given periodically via IV to reactivate the body's immune system to attack the cancer. This combination may stop tumor growth if tumors have grown despite anti-PD-(L)1 therapy alone.
Conditions
- Unresectable Clinical Stage III Merkel Cell Carcinoma AJCC v8
- Clinical Stage IV Merkel Cell Carcinoma AJCC v8
- Merkel Cell Carcinoma
Interventions
- PROCEDURE
-
Biopsy
Undergo tumor biopsy
- PROCEDURE
-
Biospecimen Collection
Undergo blood sample collection
- PROCEDURE
-
Computed Tomography
Undergo CT/MRI
- PROCEDURE
-
Magnetic Resonance Imaging
Undergo CT/MRI
- BIOLOGICAL
-
Given IV
- DRUG
-
Tuparstobart
Given IV
- DRUG
-
Verzistobart
Given IV
Sponsors & Collaborators
- collaborator INDUSTRY
- lead OTHER
Principal Investigators
-
Shailender Bhatia, MD · Fred Hutch/University of Washington Cancer Consortium
Study Design
- Allocation
- NA
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- SINGLE_GROUP
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2023-11-08
- Primary Completion
- 2027-01-31
- Completion
- 2027-04-30
- FDA Drug
- Yes
Countries
- United States
Study Locations
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