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Advanced (Unresectable or Metastatic) MelanomaPhase 3NCT07221734

Study to Compare Pharmacokinetics, Efficacy, Safety, and Immunogenicity of MB11 Versus EU-/US-Opdivo® in Subjects With Previously Untreated Advanced [Unresectable or Metastatic] Melanoma

A Phase 3 study testing MB11 (Proposed Nivolumab Biosimilar), EU-Opdivo® and US- sourced Opdivo® in people with Advanced (Unresectable or Metastatic) Melanoma, run by mAbxience Research S.L. at 86 sites in 13 countries.

Recruiting

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

Sites and contacts
Official record
Search all trials

Trial summary

This is a randomised, multicentre, multinational, double-blind, integrated study to sompare the pharmacokinetics, efficacy, safety, and immunogenicity of MB11 versus Opdivo® in subjects with previously untreated advanced (unresectable or Metastatic) Melanoma Read more about this study

Who is it for?
Ages 18 years and older
What is being tested?
MB11 (Proposed Nivolumab Biosimilar), EU-Opdivo® and US- sourced Opdivo®
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
632 participants
Where
86 sitesin 13 countries
Study dates
29 Dec 2025to Feb 2029
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

  • Age ≥18 years at the time of signing the informed consent (or adulthood where the legalage of majority in the country is established >18 years).
  • Body weight ≥50 kg at baseline.
  • Signed informed consent must be obtained before initiation of any study-specific procedures or treatment.
  • ECOG performance status of 0 or 1.
  • Life expectancy for at least 3 months.
  • Untreated, histologically confirmed advanced unresectable Stage III or Stage IV melanoma, as per AJCC 8th Edition staging system. Prior melanoma systemic therapy for earlier stages is allowed for patients who have been disease-free for at least 1 year after end of therapy, except if therapy included use of prohibited medications. Prior use of immune therapies (adjuvant or neoadjuvant) is not allowed as per Exclusion Criteria #2.
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  • At least 1 measurable disease lesion by CT or MRI per RECIST v1.1 criteria.
  • Tumour tissue from an unresectable or metastatic site of disease, collected within 90 days prior to randomisation, must be available and provided for PD-L1 testing. All samples must be classified as PD-L1 positive (≥1% to <5% or ≥5%). If only the old sample >90 days is available and there is no possibility of having a new biopsy sample, then the subject will be excluded.
  • In the case of prior palliative radiotherapy (on metastatic lesions), this must have been completed at least 2 weeks prior to the study drug administration. No adjuvant radiation therapies are allowed.
  • Any BRAF mutation status is allowed (BRAF-mutated, BRAF wild-type or non-mutated, or BRAF status unknown).
  • Adequate organ function (bone marrow, hepatic, renal, haematologic, endocrine, and coagulation function) should be demonstrated during the screening period. This is defined as:
  • Haematologic function: absolute neutrophil count ≥1.5 × 109/L, platelets 9≥100 × 10 /L, and haemoglobin ≥9 g/dL.
  • Subjects should not have received RBC transfusion prior to 14 days beforescreening labs.
  • Renal function: serum creatinine level ≤1.5 × ULN or calculated CrCl ≥60 mL/min (using the Cockcroft-Gault formula).
  • Liver function: total bilirubin level ≤1.5 × ULN (except subjects with Gilbert Syndrome, who can have total bilirubin <3.0 mg/dL), albumin level ≥LLN, AST/ALT ≤2.5 × ULN (≤5 × ULN for subjects with liver metastases).
  • Endocrine function: TSH within normal limits. If TSH is not within normal limits, the subject may still be eligible if T3 and free T4 are within normal limits.
  • Coagulation: INR and aPTT ≤1.5 × ULN unless the subject is receiving anticoagulant therapy. Subjects on anticoagulant therapy must be on a stable anticoagulation regimen and have an INR not above the target therapeutic range for the 14 days preceding the start of the study drug.
  • Female subjects of childbearing potential and their partners, as well as male subjects with female partners of childbearing potential and their partners, must agree to adhere to the use of a highly effective method of contraception during the study and for at least 5 months after the last dose of nivolumab. Refer to Appendix 15.1 for contraception guidance.
  • Non-fertile females can be included.

Who cannot join

  • Subjects receiving any prior systemic therapy for advanced, unresectable, or metastatic Stage III or Stage IV melanoma (except for palliative radiotherapy, in accordance with Inclusion Criteria #9).
  • Subjects receiving any prior immunotherapy (regardless of the melanoma stage), such as anti-PD-1, anti-PD-L1, anti-PD-L2, anti-CD137, anti-LAG or anti-CTLA-4 therapy (including ipilimumab or any other antibody or drug that specifically targets costimulation of T-cells or immune checkpoints) and/or BRAF-targeted therapy.
  • Participation in another clinical study or treatment with another investigational agent within 4 weeks or 5 elimination half-lives prior to randomisation (whichever is longer)
  • Brain metastases or leptomeningeal metastases. A negative brain imaging of less than 90 days prior to screening is required.
  • Peritoneal melanomatosis.
  • Ocular melanoma, mucosal melanoma and acral lentiginous melanoma.
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  • History of another malignancy or a concurrent malignancy. Exceptions include subjects who have been disease-free for 3 years, or subjects with a history of completely resected non-melanoma skin cancer or successfully treated in situ carcinoma are eligible, for example cervical cancer in situ.
  • Active autoimmune disease that has required systemic treatment in the last 2 years (ie, with use of disease modifying agents, corticosteroids or immunosuppressive drugs). Replacement therapy (eg, thyroxine, insulin or physiological corticosteroid replacement therapy for pituitary or adrenal insufficiency [daily prednisone at a dose of ≤10 mg or equivalent]) is not considered a form of systemic treatment.
  • Subjects with hyperthyroidism or hypothyroidism are excluded but those subjects who are stable on hormone replacement will be allowed.
  • Any diagnosis of immunodeficiency, systemic steroid therapy (replacement therapy outlined in Exclusion Criteria #8, inhaled, intranasal, intraocular, or topical steroids are allowed) or any other form of immunosuppressive therapy within 7 days prior to the first dose of the study drug.
  • Any major surgery (eg, hip or spine surgery) less than 28 days prior to the first dose of the study drug.
  • Having received a solid organ/tissue allogeneic or haematopoietic transplant.
  • History and/or current interstitial lung disease or pneumonitis (non-infectious) requiring oral or IV steroids or another immunosuppressive drug.
  • Any active or previous infection requiring therapy (oral or systemic) within 30 days prior to the first dose of the study drug.
  • Have received or are about to receive a live virus vaccination within 30 days prior to the first dose of the study drug. Seasonal flu and COVID-19 vaccines that do not contain live virus are permitted.
  • Known active TB or untreated latent TB.
  • Positive serology for human immunodeficiency virus (HIV 1/2), hepatitis B (HBsAg positive and/or HBcAb positive, and HBV DNA positive, refer to Section 8.3.2.1) or hepatitis C (HCVAb positive and HCV RNA positive). In addition, subjects with untreated positive serology for Strongyloides spp will be excluded.
  • At the time of signing the informed consent, the subject is a regular user (including "recreational use") of any illicit drug or have a recent history (within the past year) of substance abuse (including alcohol).
  • Be pregnant or lactating or expecting to conceive during the study or up to 5 months after the last dose of the study drug.
  • Immediate family member who is at the research site or sponsoring staff who is directlyninvolved in this study.
  • Inability to comply with protocol procedures and/or any other acute or chronic medical condition that may increase the risk for the subject associated with study participation or study drug administration, that may interfere with the interpretation of study results and, in the judgment of the Investigator, would make the subject inappropriate for entry into this study.

Trial locations and contacts

86 sites in 13 countries. Contact the study team or a site near you to ask about taking part.

86 sites in 13 countries

Ukraine22 sites, 22 recruiting
  • Site 117015

    Chernivtsi

    Recruiting
  • Site 117005

    Ivano-Frankivsk

    Recruiting
  • Site 117001

    Kyiv

    Recruiting
  • Site 117002

    Kyiv

    Recruiting
  • Site 117006

    Kyiv

    Recruiting
  • Site 117007

    Kyiv

    Recruiting
  • Site 117008

    Kyiv

    Recruiting
  • Site 117012

    Kyiv

    Recruiting
  • Site 117013

    Kyiv

    Recruiting
  • Site 117014

    Kyiv

    Recruiting
  • Site 117016

    Kyiv

    Recruiting
  • Site 117017

    Kyiv

    Recruiting
  • Site 117018

    Kyiv

    Recruiting
  • Site 117020

    Kyiv

    Recruiting
  • Site 117021

    Kyiv

    Recruiting
  • Site 117022

    Lutsk

    Recruiting
  • Site 117003

    Ternopil

    Recruiting
  • Site 117004

    Uzhhorod

    Recruiting
  • Site 117010

    Uzhhorod

    Recruiting
  • Site 117019

    Uzhhorod

    Recruiting
  • Site 117009

    Vinnytsia

    Recruiting
  • Site 117011

    Vinnytsia

    Recruiting

Other trials in Ukraine

Brazil17 sites, 17 recruiting
  • Site 103009

    Barretos

    Recruiting
  • Site 103007

    Belo Horizonte

    Recruiting
  • Site 103008

    Belo Horizonte

    Recruiting
  • Site 103002

    Bento Gonçalves

    Recruiting
  • Site 103014

    Blumenau

    Recruiting
  • Site 103012

    Caxias do Sul

    Recruiting
  • Site 103004

    Ijuí

    Recruiting
  • Site 103013

    Jaú

    Recruiting
  • Site 103015

    Lajeado

    Recruiting
  • Site 103010

    Natal

    Recruiting
  • Site 103001

    Porto Alegre

    Recruiting
  • Site 103011

    Ribeirão Preto

    Recruiting
  • Site 103018

    Rio de Janeiro

    Recruiting
  • Site 103017

    Santa Cruz do Sul

    Recruiting
  • Site 103005

    São Caetano do Sul

    Recruiting
  • Site 103016

    São Paulo

    Recruiting
  • Site 103006

    Sorocaba

    Recruiting

Other trials in Brazil

Spain11 sites, 11 recruiting
  • Site 115012

    Barcelona

    Recruiting
  • Site 115007

    Bilbao

    Recruiting
  • Site 115005

    Huelva

    Recruiting
  • Site 115009

    Lleida

    Recruiting
  • Site 115003

    Madrid

    Recruiting
  • Site 115004

    Madrid

    Recruiting
  • Site 15001

    Madrid

    Recruiting
  • Site 115002

    Málaga

    Recruiting
  • Site 115010

    Sabadell

    Recruiting
  • Site 115011

    Seville

    Recruiting
  • Site 115008

    Torrejón de Ardoz

    Recruiting

Other trials in Spain

Turkey (Türkiye)11 sites, 11 recruiting
  • 116009

    Adapazarı

    Recruiting
  • 116013

    Ankara

    Recruiting
  • 116015

    Ankara

    Recruiting
  • 116017

    Ankara

    Recruiting
  • 116002

    Çankaya

    Recruiting
  • 116007

    Çankaya

    Recruiting
  • 116012

    Diyarbakır

    Recruiting
  • 116006

    Eskişehir

    Recruiting
  • 116001

    Istanbul

    Recruiting
  • 116008

    Istanbul

    Recruiting
  • 116005

    Yüreğir

    Recruiting

Other trials in Turkey (Türkiye)

Chile5 sites, 5 recruiting
  • Site 104002

    Independencia

    Recruiting
  • Site 104004

    La Florida

    Recruiting
  • Site 104003

    Providencia

    Recruiting
  • Site 104005

    Providencia

    Recruiting
  • Site 104001

    Viña del Mar

    Recruiting

Other trials in Chile

Peru5 sites, 5 recruiting
  • 109003

    Arequipa

    Recruiting
  • 109001

    Lima

    Recruiting
  • 109002

    Lima

    Recruiting
  • 109004

    Lima

    Recruiting
  • 109005

    Trujillo

    Recruiting

Other trials in Peru

Georgia4 sites, 4 recruiting
  • Site 105002

    Batumi

    Recruiting
  • Site 105001

    Tbilisi

    Recruiting
  • Site 105003

    Tbilisi

    Recruiting
  • Site 105004

    Tbilisi

    Recruiting

Other trials in Georgia

Bosnia and Herzegovina3 sites, 3 recruiting
  • Site 102002

    Banja Luka

    Recruiting
  • Site 102001

    Sarajevo

    Recruiting
  • Site 102003

    Zenica

    Recruiting

Other trials in Bosnia and Herzegovina

Portugal3 sites, 3 recruiting
  • Site 111003

    Funchal

    Recruiting
  • Site 111001

    Lisbon

    Recruiting
  • Site 111002

    Lisbon

    Recruiting

Other trials in Portugal

Italy2 sites, 2 recruiting
  • Site 107002

    Catanzaro

    Recruiting
  • Site 107001

    Siena

    Recruiting

Other trials in Italy

Greece1 site, 1 recruiting
  • Site 106001

    Efkarpia

    Recruiting

Other trials in Greece

Romania1 site, 1 recruiting
  • Site 112001

    Craiova

    Recruiting

Other trials in Romania

Slovakia1 site, 1 recruiting
  • Site 113001

    Banská Bystrica

    Recruiting

Other trials in Slovakia

About this study

Official title: Randomised, Multicentre, Multinational, Double-Blind Integrated Study to Compare the Pharmacokinetics, Efficacy, Safety, and Immunogenicity of MB11 (Proposed Nivolumab Biosimilar) Versus EU-/US-Opdivo® in Subjects With Previously Untreated Advanced (Unresectable or Metastatic) Melanoma (LEON Study)

This is a randomised, multicentre, multinational, double-blind, integrated study to sompare the pharmacokinetics, efficacy, safety, and immunogenicity of MB11 versus Opdivo® in subjects with previously untreated advanced (unresectable or Metastatic) Melanoma

Being tested
MB11 (Proposed Nivolumab Biosimilar), EU-Opdivo®, US- sourced Opdivo®
Medical subject headings
Neoplasm Metastasis, Melanoma

What participants receive

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

  • MB11 (Proposed Nivolumab Biosimilar)Drug

    During fist 12 cycles: 3 mg/kg IV infusion, over 30 minutes, Q2W. On Cycle 13 onwards: 3 mg/kg IV infusion, over 30 minutes, Q2W or 240 mg flat dose Q2W dosing

  • EU-Opdivo®Drug

    During fist 12 cycles: 3 mg/kg IV infusion, over 30 minutes, Q2W. On Cycle 13 onwards: 3 mg/kg IV infusion, over 30 minutes, Q2W or 240 mg flat dose Q2W dosing

  • US- sourced Opdivo®Drug

    During fist 12 cycles: 3 mg/kg IV infusion, over 30 minutes, Q2W. On Cycle 13 onwards: 3 mg/kg IV infusion, over 30 minutes, Q2W or 240 mg flat dose Q2W dosing

Study groups in NCT07221734
Study groupRoleWhat they receive
MB11 (Proposed Nivolumab Biosimilar)ExperimentalNot described
Receives: Drug: MB11 (Proposed Nivolumab Biosimilar)
EU-Opdivo®Active comparatorNot described
Receives: Drug: EU-Opdivo®
US- sourced Opdivo®Active comparatorNot described
Receives: Drug: US- sourced Opdivo®

What is being measured

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

  1. To demonstrate the Pharmacokinetic (PK) bioequivalence between MB11 and EU/ US-Opdivo.

    Area under the concentration-time curve (AUC) between Cycle 1 and Cycle 2 (AUC from time 0 to 504 hours postdose [AUC0-336]. AUC at steady state (AUCss) between Cycle 8 and Cycle 9.

    Measured: Week 1 - Week 24

  2. To demonstrate the efficacy equivalence of MB11 and Opdivo® administered as first-line treatment in adult subjects with untreated, unresectable, or metastatic Stage III or Stage IV melanoma

    Best Overall Response (BOR), prior to permanent treatment discontinuation, prior to use of other anti-cancer therapies and by 24 weeks after Day 1

    Measured: Week 1 - Week 24

Secondary outcomes (6)
  1. To compare the efficacy of MB11 with Opdivo based on other efficacy parameters and timepoints over the study period.

    Progression-free survival (PFS)

    Measured: Week 1 - Week 52

  2. To compare the efficacy of MB11 with Opdivo based on other efficacy parameters and timepoints over the study period.

    Duration of response (DOR)

    Measured: Week 1 - Week 52

  3. To compare the efficacy of MB11 with Opdivo based on other efficacy parameters and timepoints over the study period.

    Overall survival (OS)

    Measured: Week 1 - Week 52

  4. .To compare the PK profile based on other PK parameters and timepoints (not covered by the primary PK endpoints) of MB11 as compared with Opdivo® over the study period.

    Maximum concentration (Cmax), Minimum concentration (Ctrough),

    Measured: Week 1 - Week 52

  5. To assess the safety and tolerability of MB11 as compared with Opdivo®

    Treatment-emergent adverse events (TEAEs)

    Measured: Week 1 - Week 52

  6. To assess the immunogenicity of MB11 as compared with Opdivo®

    Anti-drug antibodies (ADAs) and Neutralizing antibodies (NAbs) in ADA-positive samples

    Measured: Week 1 - Week 52

Timeline

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

  1. First posted28 Oct 2025
  2. Study start29 Dec 2025
  3. Primary completionApr 2027 (estimated)
  4. Study completionFeb 2029 (estimated)

Resources

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
Triple blind
Who is masked
Participant, Care provider, Investigator
Enrolment
632 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07221734
Sponsor's protocol ID
MB11-C-01-25
Status last verified
Oct 2026
First submitted
6 Oct 2025
Last updated
29 Oct 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing MB11 (Proposed Nivolumab Biosimilar), EU-Opdivo® and US- sourced Opdivo® in people with Advanced (Unresectable or Metastatic) Melanoma, run by mAbxience Research S.L. at 86 sites in 13 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 19 inclusion and 21 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 29 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 86 sites in Ukraine, Brazil, Spain, Turkey (Türkiye), Chile and 8 more countries. 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 Susana Millán, PhD (+34917711500, Susana.Millan@mabxience.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

To demonstrate the Pharmacokinetic (PK) bioequivalence between MB11 and EU/ US-Opdivo. (time frame: Week 1 - Week 24). 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 29 Oct 2026.

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