Melanoma, Cutaneous MalignantPhase 3SUPRAMENCT06743126
SUPRAME-ACTengine® IMA203 vs. Investigator's Choice of Treatment in Previously Treated, Unresectable or Metastatic Cutaneous Melanoma
A Phase 3 study testing IMA203, nivolumab plus relatlimab and lifileucel in people with Melanoma, Cutaneous Malignant and Mucosal Melanoma, run by Immatics US, Inc. at 71 sites in 6 countries.
Trial summary
This clinical trial is a prospective, multicenter, open-label, randomized, actively controlled, parallel-group Phase 3 clinical trial to evaluate the efficacy, safety and tolerability of treatment with IMA203 administered at the recommended phase 2 dose versus investigator's choice of treatment in patients with… Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Melanoma, Cutaneous Malignant, Mucosal Melanoma
- What is being tested?
- IMA203, nivolumab plus relatlimab and lifileucel
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 450 participants
- Where
- 71 sitesin 6 countries
- Study dates
- 14 Jan 2025to 12 Aug 2032
- Phase
- Phase 3
- 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
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Pathologically confirmed and documented cutaneous melanoma or mucosal melanoma. CM patients (including acral melanoma and melanoma of unknown primary) and mucosal melanoma patients with unresectable or metastatic disease
- Positive for HLA-A*02:01 or one of its P-group alleles
- Adequate selected organ function per protocol
- Eastern Cooperative Oncology Group (ECOG) performance status 0-1
- Disease progression (resistance, toxicity) on or after at least one PD-1 inhibitor, applied either as monotherapy or in combination with other therapies as treatment for unresectable or metastatic melanoma
- Patients with BRAF mutation should have been treated with one prior line of BRAF-directed therapy (with or without a MEK inhibitor) prior to initial eligibility assessment, unless deemed not clinically indicated at Investigator's discretion due to concurrent medical condition, prior toxicity, or if declined by the patient
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- Life expectancy more than 6 months
- Measurable disease according to Response Evaluation Criteria in Solid Tumors (RECIST 1.1)
- Female patient of childbearing potential must use adequate contraception from randomization until 12 months after the infusion of IMA203 or in line with the instructions provided for investigator's choice treatment (in the control arm)
- Male patient must agree to use effective contraception or be abstinent while on study and for 6 months after the infusion of IMA203 or in line with the instructions provided for investigator's choice treatment (in the control arm)
- The patient must have recovered from any side effects of prior therapy to Grade 1 or lower prior to randomization and prior to trial treatment start.
Who cannot join
- Uveal melanoma
- History of other malignancies (except for adequately treated basal or squamous cell carcinoma or carcinoma in situ) within the last 3 years
- Serious autoimmune disease Note: At the discretion of the investigator, these patients may be included if their disease is well controlled without the use of immunosuppressive agents.
- History of cardiac conditions as per protocol
- Prior allogenic stem cell transplantation or solid organ transplantation
- Concurrent severe and/or uncontrolled medical disease that could compromise participation in the study
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- History of or current immunodeficiency disease or prior treatment compromising immune function at the discretion of the treating physician
- History of hypersensitivity to CY, FLU, or IL-2 or presence of any contraindications and other limitations for planned treatment with investigator's choice as laid down in the current versions of the respective PIs / SmPCs
- Known hypersensitivity to any of the rescue medications
- History of or current immunodeficiency disease or prior treatment compromising immune function at the discretion of the investigator
- Positive for HIV infection or with active hepatitis B virus (HBV) or active hepatitis C virus (HCV) infection.
- Any condition contraindicating leukapheresis
- Pregnant or breastfeeding
- Any other condition that would, in the investigator's or sponsor's judgment, contraindicate the patient's participation in the clinical trial because of safety concerns or compliance with clinical trial procedures (e.g., psychiatric disorders or substance dependence, neurological impairment)
- Patient has received systemic corticosteroids within 2 weeks prior to leukapheresis,
- Patient has received surgery or other anti-cancer therapies, any agent that is likely to suppress bone marrow function, or investigational medicinal products within 7 days prior to leukapheresis.
- Patients with any active infection or ongoing reactivation of infection
- Patients who underwent non-myeloablative lymphodepletion prior to cell therapy within the last 6 months
- Prior treatment with IMA203
- Patients with ascites, pleural or pericardial effusion which requires repeated (2 within 4 weeks) or continuous paracentesis, thoracentesis or pericardiocentesis within last 2 months
- Patients with LDH greater than 2.0-fold ULN
- Concurrent treatment in another clinical trial or a device study that could interfere with the IMA203 treatment or planned investigator's choice treatment
- Patients with active brain metastases or leptomeningeal metastases
- Patient has received any investigational therapies, inactivated vaccines, chronic use of systemic corticosteroids or IV antibiotics within 1 week prior to randomization, or live vaccines within 4 weeks prior to randomization
- Patient has received any anti-cancer therapy (prior anti-cancer treatment or bridging therapy) or radiotherapy within 1 week prior to start of trial treatment
- Other protocol defined inclusion/exclusion criteria could apply
Trial locations and contacts
71 sites in 6 countries. Contact the study team or a site near you to ask about taking part.
71 sites in 6 countries
United States43 sites, 43 recruiting
- Recruiting
Lehigh Valley Topper Cancer Institute
Allentown, Pennsylvania, 18103
Rino Seedor, MD, 215-847-7409, Rino.Seedor@jefferson.edu
- Recruiting
University of Michigan
Ann Arbor, Michigan, 48109
Leslie Fecher, MD, 734-647-8921, lfecher@med.umich.edu
- Recruiting
Winship Cancer Institute, Emory University
Atlanta, Georgia, 30322
Nathaniel Wilson, MD
- Recruiting
University of Colorado, Anschutz Medical Campus
Aurora, Colorado, 80045
Sapna Patel, MD, 720-848-0000
- Recruiting
University of MD Greenebaum Comprehensive Cancer Center
Baltimore, Maryland, 21201
Petra Hausner, MD, PhD, 410-328-2567, phausner@umm.edu
- Recruiting
Massachusetts General Hospital
Boston, Massachusetts, 02114
Alexandra (Lexi) Haugh, MD, MPH
- Recruiting
Beth Israel Deaconess Medical Center
Boston, Massachusetts, 02215
David McDermott, MD, dmcdermo@bidmc.harvard.edu
- Recruiting
UNC Hospitals, The University of North Carolina at Chapel Hill
Chapel Hill, North Carolina, 27599
Stergios Moschos, MD, 919-843-7713, stergios_moschos@med.unc.edu
- Recruiting
University of Chicago Medical Center
Chicago, Illinois, 60637
Daniel Olson, MD, dolson2@medicine.bsd.uchicago.edu
- Recruiting
Cleveland Clinic, Taussig Cancer Institute
Cleveland, Ohio, 44195
James Isaac, isaacsj3@ccf.org
- Recruiting
Ohio State University
Columbus, Ohio, 43210
Richard Wu, MD, PhD
- Recruiting
Baylor University
Dallas, Texas, 75246
Charles (Lance) Cowey, MD
- Recruiting
University of Texas Southwestern Medical Center
Dallas, Texas, 75390
Sanjay Chandrasekaran, MD, Sanjay.Chandrasekaran@utsouthwestern.edu
- Recruiting
City of Hope National Medical Center
Duarte, California, 91010
Yan Xing, MD, yxing@coh.org
- Recruiting
The University of Texas MD Anderson Cancer Center
Houston, Texas, 77030
Rodabe N Amaria, MD, 346-723-9626, RNAmaria@mdanderson.org
- Recruiting
Mayo Clinic Florida
Jacksonville, Florida, 32224
Ruqin Chen, MD, chen.ruqin@mayo.edu
- Recruiting
UC San Diego Moores Cancer Center
La Jolla, California, 92093
Gregory Daniels, MD, gdaniels@health.ucsd.edu
- Recruiting
UCLA Hematology/Oncology
Los Angeles, California, 90024
Bartosz Chmielowski, MD, PhD, bchmielowski@mednet.ucla.edu
- Recruiting
University of Wisconsin
Madison, Wisconsin, 53792
Vincent Ma, MD
- Recruiting
University of Miami - Sylvester Comprehensive Cancer Cente
Miami, Florida, 33136
Leonel Hernandez-Aya, MD, l.hernandezaya@med.miami.edu
- Recruiting
Atlantic Health System/Morristown Medical Center
Morristown, New Jersey, 07960
Eric Whitman, MD, eric.whitman@atlantichealth.org
- Recruiting
SCRI Oncology Partners
Nashville, Tennessee, 37203
Meredith A McKean, MD, MPH, 615-524-4461
- Recruiting
Yale Cancer Center
New Haven, Connecticut, 06510
Michael Hurwitz, MD, PhD
- Recruiting
Laura and Isaac Perlmutter Cancer Center at NYU Langone Health
New York, New York, 10016
Maya Dimitrova, MD, 212-731-6230, maya.dimitrova@nyulangone.org
- Recruiting
Memorial Sloan Kettering Cancer Center
New York, New York, 10065
James Smithy, MD, smithyj@mskcc.org
- Recruiting
University of Nebraska Medical Center
Omaha, Nebraska, 68198
Bhavina Sharma, MD, 402-559-5692, bhsharma@unmc.edu
- Recruiting
AdventHealth, Orlando
Orlando, Florida, 32804
Sajeve Thomas, MD
- Recruiting
University of Pennsylvania, Abramson Cancer Center
Philadelphia, Pennsylvania, 19104
Tara Mitchell, MD, 215-662-7908
- Recruiting
Thomas Jeffersion University, Sidney Kimmel Cancer Center
Philadelphia, Pennsylvania, 19107
Rino Seedor, MD, 215-847-7409, Rino.Seedor@jefferson.edu
- Recruiting
Fox Chase Cancer Center
Philadelphia, Pennsylvania, 19111
Anthony J Olszanski, MD, RPh, 215-728-5673, Anthony.Olszanski@FCCC.edu
- Recruiting
Mayo Clinic
Phoenix, Arizona, 85054
Seetharam Mahesh, MD, Seetharam.Mahesh@mayo.edu
- Recruiting
UPMC Hillman Cancer Center
Pittsburgh, Pennsylvania, 15232
Diwakar Davar, M.D., 412-623-7368, davard@upmc.edu
Jason J Luke, M.D.
- Recruiting
Providence Cancer Institute Franz Clinic
Portland, Oregon, 97213
Matthew Taylor, MD, Matthew.Taylor@providence.org
- Recruiting
Virginia Commonwealth University
Richmond, Virginia, 23219
Andrew Poklepovic, MD, andrew.poklepovic@vcuhealth.org
- Recruiting
Mayo Clinic
Rochester, Minnesota, 55905
Arkadiusz Dudek, MD, PhD, dudek.arkadiusz@mayo.edu
- Recruiting
University of Rochester
Rochester, New York, 14642
Sahasrabudhe Deepak, MD, deepak_sahasrabudhe@urmc.rochester.edu
- Recruiting
Huntsman Cancer Institute, University of Utah
Salt Lake City, Utah, 84112
Siwen Hu-Lieskovan, MD, PhD, Siwen.Hu-Leiskovan@hci.utah.edu
- Recruiting
UCSF Helen Diller Family Comprehensive Cancer Center
San Francisco, California, 94143
Adil Daud, MD, adil.daud@ucsf.edu
- Recruiting
Honor Health Research Institute
Scottsdale, Arizona, 85258
Justin Moser, MD, 480-583-7219, jmoser@honorhealth.com
- Recruiting
Fred Hutchinson Cancer Center
Seattle, Washington, 98109
Sylvia Lee, MD, leesm@uw.edu
- Recruiting
Avera Cancer Institute
Sioux Falls, South Dakota, 57105
Benjamin Solomon, MD, 605-322-6900, Benjamin.Solomon@avera.org
- Recruiting
Stanford Cancer Center
Stanford, California, 94305
Alison Betof Warner, MD, PhD, allison.betof@stanford.edu
- Recruiting
Moffitt Cancer Center
Tampa, Florida, 33612
Lilit Karapetyan, MD, MS, FACP
Germany11 sites, 11 recruiting
- Recruiting
Charite Universitaetsmedizin Berlin KöR
Berlin, 12203
- Recruiting
Universitaetsklinikum Bonn AöR
Bonn, 53127
- Recruiting
Universitatsklinikum Koeln
Cologne, Northrhine-W Estphalia, 50937
- Recruiting
Technische Universitaet Dresden
Dresden, 01307
- Recruiting
Universitaetsklinikum Erlangen AöR
Erlangen, 91054
- Recruiting
Universitaetsklinikum Essen AöR
Essen, 45147
- Recruiting
Goethe University Frankfurt
Frankfurt am Main, 60590
- Recruiting
University Medical Center Hamburg-Eppendorf
Hamburg, 20246
- Recruiting
Universitaetsklinikum Heidelberg AöR
Heidelberg, 69120
- Recruiting
Universitaet Leipzig
Leipzig, 04103
- Recruiting
Universitaetsmedizin der Johannes Gutenberg-Universitaet Mainz KöR
Mainz, 55131
United Kingdom7 sites, 7 recruiting
- Recruiting
Cambridge University Hospitals NHS Foundation Trust, Addenbrooke's Hospital
Cambridge, CB2 0QQ
- Recruiting
Greater Glasgow and Clyde NHS, Beatson West of Scotland Cancer Center
Glasgow, G12 0YN
- Recruiting
Guy's and St Thomas' NHS Foundation Trust, Guy's Hospital
London, SE1 9RT
- Recruiting
The Royal Marsden NHS Foundation Trust
London, SW3 6JJ
- Recruiting
The Christie NHS Foundation Trust
Manchester, M20 4GJ
- Recruiting
Oxford University Hospitals NHS Foundation Trust, Churchill Hospital
Oxford, OX3 7LE
- Recruiting
University of Southampton NHS Foundation Trust, Southampton General Hospital
Southampton, SO16 6YD
Canada4 sites, 4 recruiting
- Recruiting
Cross Cancer Institute, Alberta
Edmonton, Alberta, T6G 1Z2
Matthew Anaka, MD
- Recruiting
Centre hospitalier de l'Université de Montréal (CHUM)
Montreal, Quebec, H2X 0A9
Rahima Jamal, MD
- Recruiting
University Health Network, Princess Margaret Cancer Centre
Toronto, Ontario, M5G 2M9
Marcus Butler, MD, Marcus.Butler@uhn.ca
- Recruiting
BC Cancer - Vancouver
Vancouver, British Columbia, V5Z 4E6
Alison Weppler, MD, 607-877-6000, alison.weppler@phsa.ca
France3 sites, 3 recruiting
- Recruiting
Centre Hospitalier Universitaire De Lille
Lille, 59000
- Recruiting
Assistance Publique Hopitaux De Paris, Hôpital Saint Louis
Paris, 75010
- Recruiting
Institut Gustave Roussy
Villejuif, 94800
Netherlands3 sites, 3 recruiting
- Recruiting
Het Nederlands Kanker Instituut-Antoni van Leeuwenhoek Ziekenhuis Stichting
Amsterdam, 1066 CX
- Recruiting
Universitair Medisch Centrum Groningen
Groningen, 9713 GZ
- Recruiting
Erasmus Universitair Medisch Centrum Rotterdam (Erasmus MC)
Rotterdam, 3015 GD
About this study
Official title: A Prospective, Multicenter, Open-label, Randomized, Actively Controlled, Parallel-group Phase 3 Clinical Trial to Evaluate Efficacy, Safety, and Tolerability of IMA203 Versus Investigator's Choice of Treatment in Patients With Previously Treated, Unresectable or Metastatic Cutaneous Melanoma (ACTengine® IMA203-301)
This clinical trial is a prospective, multicenter, open-label, randomized, actively controlled, parallel-group Phase 3 clinical trial to evaluate the efficacy, safety and tolerability of treatment with IMA203 administered at the recommended phase 2 dose versus investigator's choice of treatment in patients with previously treated, unresectable or metastatic cutaneous melanoma or mucosal melanoma (MM).
For patients interested in additional information on how to participate, please follow this link: https://mytomorrows.com/trials/suprame/en-us/
Read the detailed description
SCREENING: Patient eligibility will be determined by protocol inclusion/exclusion criteria including HLA (human leukocyte antigen) screening. Leukapheresis for potential manufacturing of the IMA203 cellular product may be performed, if patients are positive HLA-A*02:01 or one of its P-group alleles and meet the eligibility criteria for leukapheresis.
MANUFACTURING: IMA203 products will be made from the patients' white blood cells.
TREATMENT- Experimental arm: Lymphodepletion with cyclophosphamide and fludarabine will occur in the days before the IMA203 product infusion to improve the duration of time that IMA203 product stays in the body. The T-cell infusion will be administered at an authorized treatment center.
After the IMA203 product infusion, a low dose of IL-2 will be given subcutaneously for up to 10 days.
TREATMENT- Control arm: Investigator's choice of treatment approved by the respective competent authority (nivolumab plus relatlimab [Opdualag®], lifileucel, nivolumab, pembrolizumab, ipilimumab, or chemotherapy [e.g., dacarbazine, temozolomide, paclitaxel, alb-bound paclitaxel, or paclitaxel plus carboplatin]) as determined by the site investigator in accordance with current respective prescribing information (PI) and/or summary of product characteristics (SmPC).
- Conditions
- Melanoma, Cutaneous Malignant, Mucosal Melanoma
- Being tested
- IMA203, nivolumab plus relatlimab, lifileucel, nivolumab, pembrolizumab
- Medical subject headings
- Melanoma, Cutaneous Malignant
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
IMA203Biological
Also called anzutresgene autoleucel, anzu-cel
one-time administration of IMA203, and adjunctive therapy with low dose interleukin (IL)-2 for up to 10 days, starting approximately 24 h after IMA203 infusion, optional bridging therapy
nivolumab plus relatlimabBiological
Also called Opdualag®
in accordance with current respective prescribing information (PI) and/or summary of product characteristics (SmPC)
lifileucelBiological
Also called AMTAGVI
in accordance with current respective prescribing information (PI) and/or summary of product characteristics (SmPC)
nivolumabBiological
Also called Opdivo®
in accordance with current respective prescribing information (PI) and/or summary of product characteristics (SmPC)
pembrolizumabBiological
Also called Keytruda®
in accordance with current respective prescribing information (PI) and/or summary of product characteristics (SmPC)
ipilimumabBiological
Also called Yervoy
in accordance with current respective prescribing information (PI) and/or summary of product characteristics (SmPC)
DacarbazineDrug
Also called DTIC-Dome
in accordance with current respective prescribing information (PI) and/or summary of product characteristics (SmPC)
temozolomideDrug
Also called Temodar
in accordance with current respective prescribing information (PI) and/or summary of product characteristics (SmPC)
paclitaxelDrug
Also called Taxol
in accordance with current respective prescribing information (PI) and/or summary of product characteristics (SmPC)
paclitaxel plus carboplatinDrug
Also called Carbo/Taxol®
in accordance with current respective prescribing information (PI) and/or summary of product characteristics (SmPC)
Albumin-Bound PaclitaxelDrug
Also called Abraxane®
in accordance with current respective prescribing information (PI) and/or summary of product characteristics (SmPC)
| Study group | Role | What they receive |
|---|---|---|
| Experimental arm | Experimental | Non-myeloablative chemotherapy for lymphodepletion (LD) over 4 days using fludarabine (FLU) and cyclophosphamide (CY), one-time administration of IMA203, and adjunctive therapy with low dose interleukin (IL)-2 for up to 10 days, starting approximately 24 h after IMA203 infusion, optional bridging therapy Receives: Biological: IMA203 |
| Control arm- investigator's choice | Active comparator | Investigator's choice of treatment approved by the respective Competent Authority (nivolumab plus relatlimab [Opdualag®], lifileucel, nivolumab, pembrolizumab, ipilimumab, or chemotherapy [e.g., dacarbazine, temozolomide, paclitaxel, alb-bound paclitaxel, or paclitaxel plus carboplatin]) as determined by the site investigator in accordance with current respective prescribing information (PI) and/or summary of product characteristics (SmPC), optional bridging therapy. Receives: Biological: nivolumab plus relatlimab; Biological: lifileucel; Biological: nivolumab; Biological: pembrolizumab; Biological: ipilimumab; Drug: Dacarbazine; Drug: temozolomide; Drug: paclitaxel; Drug: paclitaxel plus carboplatin; Drug: Albumin-Bound Paclitaxel |
What is being measured
The primary outcome is the main question the study is designed to answer.
Progression-free survival assessed by BICR
progression-free survival (PFS), centrally assessed (by blinded independent central review) using RECIST 1.1
Measured: up to 5 years post first treatment of last patient
Secondary outcomes (9)
Overall survival (OS)
conducted onsite or can be performed by phone
Measured: up to 5 years post first treatment of last patient
Objective response rate (ORR)
complete responses (CR) and partial response (PR) based on best overall response (BOR), locally and centrally (by blinded independent central review) assessed using RECIST 1.1
Measured: up to 5 years post first treatment of last patient
Progression-free survival
Progression-free survival locally assessed using RECIST 1.1
Measured: up to 5 years post first treatment of last patient
Treatment-emergent adverse events (TEAEs)
To evaluate safety and tolerability of treatment with IMA203 compared with control (investigator's choice)
Measured: until 85 days after cell therapy treatment or 30 days after last treatment
Adverse events of special interest (AESIs)
To evaluate safety and tolerability of treatment with IMA203 compared with control (investigator's choice)
Measured: until 85 days after cell therapy treatment or 30 days after last treatment
Treatment-emergent serious adverse events (TESAEs)
To evaluate safety and tolerability of treatment with IMA203 compared with control (investigator's choice)
Measured: until 85 days after cell therapy treatment or 30 days after last treatment
Frequency and duration of dose interruptions, reductions, and discontinuations
To evaluate safety and tolerability of treatment with IMA203 compared with control (investigator's choice)
Measured: up to 5 years post first treatment of last patient
EORTC QLQ-C30
To evaluate the patient-reported quality of life before and after treatment with IMA203 compared with control (investigator's choice)
Measured: up to 5 years post first treatment of last patient
EQ-5D-5L
To evaluate the patient-reported quality of life before and after treatment with IMA203 compared with control (investigator's choice)
Measured: up to 5 years post first treatment of last patient
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted19 Dec 2024
- Study start14 Jan 2025
- Primary completionJan 2028 (estimated)
- Study completion12 Aug 2032 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Melanoma, Cutaneous MalignantStudies of the same condition, open and under way.
- 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 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 450 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Immatics US, Inc.
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Cedrik Britten, M.D., Study director, Immatics US, Inc.
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06743126
- Sponsor's protocol ID
- IMA203-301
- Acronym
- SUPRAME
- Status last verified
- Oct 2026
- First submitted
- 11 Dec 2024
- Last updated
- 30 Oct 2026
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
Study at a glance
From the registry record, last updated by the sponsor on 30 Oct 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Prospective, Multicenter, Open-label, Randomized, Actively Controlled, Parallel-group Phase 3 Clinical Trial to Evaluate Efficacy, Safety, and Tolerability of IMA203 Versus Investigator's Choice of Treatment in Patients With Previously Treated, Unresectable or Metastatic Cutaneous Melanoma (ACTengine® IMA203-301)
- ClinicalTrials.gov ID
- NCT06743126
- Acronym / sponsor ID
- SUPRAME / IMA203-301
- Conditions
- Melanoma, Cutaneous Malignant, Mucosal Melanoma
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Recruiting
- Enrolment
- 450 participants (estimated)
- Lead sponsor
- Immatics US, Inc.Industry (pharma, biotech, devices)
- Study start
- 14 Jan 2025 (actual)
- Primary completion
- Jan 2028 (estimated)
- Study completion
- 12 Aug 2032 (estimated)
- First posted
- 19 Dec 2024 (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 clinical trial is a prospective, multicenter, open-label, randomized, actively controlled, parallel-group Phase 3 clinical trial to evaluate the efficacy, safety and tolerability of treatment with IMA203 administered at the recommended phase 2 dose versus investigator's choice of treatment in patients with previously treated, unresectable or metastatic cutaneous melanoma or mucosal melanoma (MM).
For patients interested in additional information on how to participate, please follow this link: https://mytomorrows.com/trials/suprame/en-us/
Detailed description
SCREENING: Patient eligibility will be determined by protocol inclusion/exclusion criteria including HLA (human leukocyte antigen) screening. Leukapheresis for potential manufacturing of the IMA203 cellular product may be performed, if patients are positive HLA-A*02:01 or one of its P-group alleles and meet the eligibility criteria for leukapheresis.
MANUFACTURING: IMA203 products will be made from the patients' white blood cells.
TREATMENT- Experimental arm: Lymphodepletion with cyclophosphamide and fludarabine will occur in the days before the IMA203 product infusion to improve the duration of time that IMA203 product stays in the body. The T-cell infusion will be administered at an authorized treatment center.
After the IMA203 product infusion, a low dose of IL-2 will be given subcutaneously for up to 10 days.
TREATMENT- Control arm: Investigator's choice of treatment approved by the respective competent authority (nivolumab plus relatlimab [Opdualag®], lifileucel, nivolumab, pembrolizumab, ipilimumab, or chemotherapy [e.g., dacarbazine, temozolomide, paclitaxel, alb-bound paclitaxel, or paclitaxel plus carboplatin]) as determined by the site investigator in accordance with current respective prescribing information (PI) and/or summary of product characteristics (SmPC).
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Experimental arm | Experimental | Biological: IMA203Non-myeloablative chemotherapy for lymphodepletion (LD) over 4 days using fludarabine (FLU) and cyclophosphamide (CY), one-time administration of IMA203, and adjunctive therapy with low dose interleukin (IL)-2 for up to 10 days, starting approximately 24 h after IMA203 infusion, optional bridging therapy |
| Control arm- investigator's choice | Active comparator | Biological: nivolumab plus relatlimab, Biological: lifileucel, Biological: nivolumab, Biological: pembrolizumab, Biological: ipilimumab, Drug: Dacarbazine, Drug: temozolomide, Drug: paclitaxel, Drug: paclitaxel plus carboplatin, Drug: Albumin-Bound PaclitaxelInvestigator's choice of treatment approved by the respective Competent Authority (nivolumab plus relatlimab [Opdualag®], lifileucel, nivolumab, pembrolizumab, ipilimumab, or chemotherapy [e.g., dacarbazine, temozolomide, paclitaxel, alb-bound paclitaxel, or paclitaxel plus carboplatin]) as determined by the site investigator in accordance with current respective prescribing information (PI) and/or summary of product characteristics (SmPC), optional bridging therapy. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (11 listed)
- Pathologically confirmed and documented cutaneous melanoma or mucosal melanoma. CM patients (including acral melanoma and melanoma of unknown primary) and mucosal melanoma patients with unresectable or metastatic disease
- Positive for HLA-A*02:01 or one of its P-group alleles
- Adequate selected organ function per protocol
- Eastern Cooperative Oncology Group (ECOG) performance status 0-1
- Disease progression (resistance, toxicity) on or after at least one PD-1 inhibitor, applied either as monotherapy or in combination with other therapies as treatment for unresectable or metastatic melanoma
Key exclusion criteria (26 listed)
- Uveal melanoma
- History of other malignancies (except for adequately treated basal or squamous cell carcinoma or carcinoma in situ) within the last 3 years
- Serious autoimmune disease Note: At the discretion of the investigator, these patients may be included if their disease is well controlled without the use of immunosuppressive agents.
- History of cardiac conditions as per protocol
- Prior allogenic stem cell transplantation or solid organ transplantation
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 |
|---|---|---|
| IMA203Also: anzutresgene autoleucel, anzu-celone-time administration of IMA203, and adjunctive therapy with low dose interleukin (IL)-2 for up to 10 days, starting approximately 24 h after IMA203 infusion, optional bridging therapy | Biological | Experimental arm |
| nivolumab plus relatlimabAlso: Opdualag®in accordance with current respective prescribing information (PI) and/or summary of product characteristics (SmPC) | Biological | Control arm- investigator's choice |
| lifileucelAlso: AMTAGVIin accordance with current respective prescribing information (PI) and/or summary of product characteristics (SmPC) | Biological | Control arm- investigator's choice |
| nivolumabAlso: Opdivo®in accordance with current respective prescribing information (PI) and/or summary of product characteristics (SmPC) | Biological | Control arm- investigator's choice |
| pembrolizumabAlso: Keytruda®in accordance with current respective prescribing information (PI) and/or summary of product characteristics (SmPC) | Biological | Control arm- investigator's choice |
| ipilimumabAlso: Yervoyin accordance with current respective prescribing information (PI) and/or summary of product characteristics (SmPC) | Biological | Control arm- investigator's choice |
| DacarbazineAlso: DTIC-Domein accordance with current respective prescribing information (PI) and/or summary of product characteristics (SmPC) | Drug | Control arm- investigator's choice |
| temozolomideAlso: Temodarin accordance with current respective prescribing information (PI) and/or summary of product characteristics (SmPC) | Drug | Control arm- investigator's choice |
| paclitaxelAlso: Taxolin accordance with current respective prescribing information (PI) and/or summary of product characteristics (SmPC) | Drug | Control arm- investigator's choice |
| paclitaxel plus carboplatinAlso: Carbo/Taxol®in accordance with current respective prescribing information (PI) and/or summary of product characteristics (SmPC) | Drug | Control arm- investigator's choice |
| Albumin-Bound PaclitaxelAlso: Abraxane®in accordance with current respective prescribing information (PI) and/or summary of product characteristics (SmPC) | Drug | Control arm- investigator's choice |
Primary outcome
Progression-free survival assessed by BICR
Time frame: up to 5 years post first treatment of last patient
progression-free survival (PFS), centrally assessed (by blinded independent central review) using RECIST 1.1
9 secondary outcomes
Overall survival (OS)
Time frame: up to 5 years post first treatment of last patient
Objective response rate (ORR)
Time frame: up to 5 years post first treatment of last patient
Progression-free survival
Time frame: up to 5 years post first treatment of last patient
Treatment-emergent adverse events (TEAEs)
Time frame: until 85 days after cell therapy treatment or 30 days after last treatment
Adverse events of special interest (AESIs)
Time frame: until 85 days after cell therapy treatment or 30 days after last treatment
Treatment-emergent serious adverse events (TESAEs)
Time frame: until 85 days after cell therapy treatment or 30 days after last treatment
Frequency and duration of dose interruptions, reductions, and discontinuations
Time frame: up to 5 years post first treatment of last patient
EORTC QLQ-C30
Time frame: up to 5 years post first treatment of last patient
EQ-5D-5L
Time frame: up to 5 years post first treatment of last patient
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 30 Oct 2026.
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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.
Cedrik Britten, M.D. study director
Immatics US, Inc.
71 sites in 6 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing IMA203, nivolumab plus relatlimab and lifileucel in people with Melanoma, Cutaneous Malignant and Mucosal Melanoma, run by Immatics US, Inc. at 71 sites in 6 countries.
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 11 inclusion and 26 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 30 Oct 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 71 sites in United States, Germany, United Kingdom, Canada, France and 1 more country. 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.
What does this phase mean?
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
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 Immatics US, Inc. (+1 346 204-5400, ctgovinquiries@immatics.com), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Progression-free survival assessed by BICR (time frame: up to 5 years post first treatment of last patient). 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 30 Oct 2026.