Overview
Sponsor-declared trial summary
Advanced (unresectable/metastatic) melanoma
Key facts
- Sponsor
- H e x a l AG
- Participant type
- Patients
- Age range
- 18-64 years, 65+ years
- Gender
- Male and Female
- Therapeutic area
- Diseases [C] - Neoplasms [C04]
- Trial duration
- 28 Mar 2025 → 23 Jan 2026
- Decision date (initial)
- 2024-07-22
- Transition trial
- No
- Low-intervention
- No
- Rare-disease indication
- No
- Vulnerable population
- Yes
External identifiers
- EU CT number
- 2023-507865-24-00
- ClinicalTrials.gov
- NCT06587451
Trial design
CTIS Part I — objectives, methods, condition coding
Conditions and MedDRA coding
Advanced (unresectable/metastatic) melanoma
| Version | Level | Code | Term | System organ class |
|---|---|---|---|---|
| 21.1 | PT | 10027480 | Metastatic malignant melanoma | 100000004864 |
Sponsors and contacts
Sponsor organisations, regulatory contacts, third parties
H e x a l AG
- Sponsor organisation
- H e x a l AG
- Address
- Industriestrasse 25
- City
- Holzkirchen
- Postcode
- 83607
- Country
- Germany
Scientific contact point
- Organisation
- H e x a l AG
- Contact name
- Biosimilar Clinical Trials Information Point
Public contact point
- Organisation
- H e x a l AG
- Contact name
- Biosimilar Clinical Trials Information Point
Locations
11 EU/EEA countries · 57 investigational sites
By country
| Country | MS status | Planned subjects | Sites |
|---|---|---|---|
| Bulgaria | Ended | 12 | 2 |
| Czechia | Ended | 12 | 3 |
| Germany | Ended | 39 | 5 |
| Greece | Ended | 22 | 2 |
| Hungary | Ended | 9 | 1 |
| Italy | Ended | 76 | 11 |
| Lithuania | Ended | 9 | 3 |
| Poland | Ended | 14 | 3 |
| Portugal | Ended | 13 | 4 |
| Romania | Ended | 38 | 9 |
| Spain | Ended | 58 | 14 |
| Rest of world
Philippines, Georgia, Korea, Republic of, Malaysia, United States, Argentina, Mexico, Serbia, Colombia, Thailand, Peru, South Africa, Chile, Brazil, Taiwan, Turkey
|
— | 511 | — |
Investigational sites
Country notifications
Trial-start, recruitment-start, end and early-termination notifications submitted per Member State
| Country | Trial start | Trial end | Recruitment start | Recruitment end | Early termination |
|---|---|---|---|---|---|
| Greece | 2025-04-09 | 2025-04-09 | 2025-07-10 | ||
| Italy | 2025-03-28 | 2025-03-28 | 2025-07-10 | ||
| Lithuania | 2025-05-13 | 2025-05-13 | 2025-07-10 | ||
| Poland | 2025-06-13 | 2025-06-13 | 2025-07-10 | ||
| Portugal | 2025-06-02 | 2025-06-02 | 2025-07-10 | ||
| Romania | 2025-06-12 | 2025-06-12 | 2025-07-10 | ||
| Spain | 2025-04-23 | 2025-04-23 | 2025-07-10 |
Oversight and notifications
Regulatory notifications under CTR Articles 38, 52, 53, 54 and 77
Temporary halts 7 · Art. 38 CTR
Temporary halt TH-91514
- Halt date
- 2025-07-10
- Member states concerned
- Portugal
- Publication date
- 2025-07-23
- Reason
- Sponsor decision
- Explanation
- In light of the evolving regulatory landscape and project specific feedback, which indicate that major Health Authorities (including the EMA) are moving towards a streamlined biosimilar clinical development, without comparative efficacy studies, Sandoz took a strategic decision and is winding down its CJPB898A12301 clinical study.
- Follow-up measures
- All patients currently in screening or randomized will complete the induction phase with the combination treatment of nivolumab plus ipilimumab within the study. Subsequently, Sandoz will ensure that patients will continue to receive treatment with nivolumab in the maintenance phase for up to one year. In countries/sites where no patients are currently enrolled, the study will be terminated.
- Benefit-risk balance changed
- No
- Treatment stopped
- No
Temporary halt TH-91513
- Halt date
- 2025-07-10
- Member states concerned
- Poland
- Publication date
- 2025-07-23
- Reason
- Sponsor decision
- Explanation
- In light of the evolving regulatory landscape and project specific feedback, which indicate that major Health Authorities (including the EMA) are moving towards a streamlined biosimilar clinical development, without comparative efficacy studies, Sandoz took a strategic decision and is winding down its CJPB898A12301 clinical study.
- Follow-up measures
- All patients currently in screening or randomized will complete the induction phase with the combination treatment of nivolumab plus ipilimumab within the study. Subsequently, Sandoz will ensure that patients will continue to receive treatment with nivolumab in the maintenance phase for up to one year. In countries/sites where no patients are currently enrolled, the study will be terminated.
- Benefit-risk balance changed
- No
- Treatment stopped
- No
Temporary halt TH-91512
- Halt date
- 2025-07-10
- Member states concerned
- Lithuania
- Publication date
- 2025-07-23
- Reason
- Sponsor decision
- Explanation
- In light of the evolving regulatory landscape and project specific feedback, which indicate that major Health Authorities (including the EMA) are moving towards a streamlined biosimilar clinical development, without comparative efficacy studies, Sandoz took a strategic decision and is winding down its CJPB898A12301 clinical study.
- Follow-up measures
- All patients currently in screening or randomized will complete the induction phase with the combination treatment of nivolumab plus ipilimumab within the study. Subsequently, Sandoz will ensure that patients will continue to receive treatment with nivolumab in the maintenance phase for up to one year. In countries/sites where no patients are currently enrolled, the study will be terminated.
- Benefit-risk balance changed
- No
- Treatment stopped
- No
Temporary halt TH-91511
- Halt date
- 2025-07-10
- Member states concerned
- Italy
- Publication date
- 2025-07-23
- Reason
- Sponsor decision
- Explanation
- In light of the evolving regulatory landscape and project specific feedback, which indicate that major Health Authorities (including the EMA) are moving towards a streamlined biosimilar clinical development, without comparative efficacy studies, Sandoz took a strategic decision and is winding down its CJPB898A12301 clinical study.
- Follow-up measures
- All patients currently in screening or randomized will complete the induction phase with the combination treatment of nivolumab plus ipilimumab within the study. Subsequently, Sandoz will ensure that patients will continue to receive treatment with nivolumab in the maintenance phase for up to one year. In countries/sites where no patients are currently enrolled, the study will be terminated.
- Benefit-risk balance changed
- No
- Treatment stopped
- No
Temporary halt TH-91510
- Halt date
- 2025-07-10
- Member states concerned
- Greece
- Publication date
- 2025-07-23
- Reason
- Sponsor decision
- Explanation
- In light of the evolving regulatory landscape and project specific feedback, which indicate that major Health Authorities (including the EMA) are moving towards a streamlined biosimilar clinical development, without comparative efficacy studies, Sandoz took a strategic decision and is winding down its CJPB898A12301 clinical study.
- Follow-up measures
- All patients currently in screening or randomized will complete the induction phase with the combination treatment of nivolumab plus ipilimumab within the study. Subsequently, Sandoz will ensure that patients will continue to receive treatment with nivolumab in the maintenance phase for up to one year. In countries/sites where no patients are currently enrolled, the study will be terminated.
- Benefit-risk balance changed
- No
- Treatment stopped
- No
Temporary halt TH-91507
- Halt date
- 2025-07-10
- Member states concerned
- Spain
- Publication date
- 2025-07-23
- Reason
- Sponsor decision
- Explanation
- In light of the evolving regulatory landscape and project specific feedback, which indicate that major Health Authorities (including the EMA) are moving towards a streamlined biosimilar clinical development, without comparative efficacy studies, Sandoz took a strategic decision and is winding down its CJPB898A12301 clinical study.
- Follow-up measures
- All patients currently in screening or randomized will complete the induction phase with the combination treatment of nivolumab plus ipilimumab within the study. Subsequently, Sandoz will ensure that patients will continue to receive treatment with nivolumab in the maintenance phase for up to one year. In countries/sites where no patients are currently enrolled, the study will be terminated.
- Benefit-risk balance changed
- No
- Treatment stopped
- No
Temporary halt TH-91515
- Halt date
- 2025-07-10
- Member states concerned
- Romania
- Publication date
- 2025-07-23
- Reason
- Sponsor decision
- Explanation
- In light of the evolving regulatory landscape and project specific feedback, which indicate that major Health Authorities (including the EMA) are moving towards a streamlined biosimilar clinical development, without comparative efficacy studies, Sandoz took a strategic decision and is winding down its CJPB898A12301 clinical study.
- Follow-up measures
- All patients currently in screening or randomized will complete the induction phase with the combination treatment of nivolumab plus ipilimumab within the study. Subsequently, Sandoz will ensure that patients will continue to receive treatment with nivolumab in the maintenance phase for up to one year. In countries/sites where no patients are currently enrolled, the study will be terminated.
- Benefit-risk balance changed
- No
- Treatment stopped
- No
Application history
9 submissions — initial application plus substantial / non-substantial modifications
| # | Type | Code | Submitted | Reference MS | Conclusion | Decision date |
|---|---|---|---|---|---|---|
| 1 | INITIAL | IN | 2024-03-25 | Lithuania | Acceptable with conditions 2024-07-15
|
2024-07-17 |
| 2 | SUBSTANTIAL MODIFICATION | SM-1 | 2024-10-15 | Lithuania | Acceptable 2025-01-17
|
2025-01-17 |
| 3 | SUBSTANTIAL MODIFICATION | SM-2 | 2025-02-25 | Acceptable | 2025-03-24 | |
| 4 | SUBSTANTIAL MODIFICATION | SM-4 | 2025-02-25 | Acceptable | 2025-03-25 | |
| 5 | SUBSTANTIAL MODIFICATION | SM-3 | 2025-02-26 | Acceptable | 2025-04-28 | |
| 6 | SUBSTANTIAL MODIFICATION | SM-5 | 2025-03-03 | Acceptable | 2025-05-14 | |
| 7 | SUBSTANTIAL MODIFICATION | SM-6 | 2025-03-05 | Acceptable | 2025-04-09 | |
| 8 | SUBSTANTIAL MODIFICATION | SM-7 | 2025-04-29 | Acceptable | 2025-06-10 | |
| 9 | SUBSTANTIAL MODIFICATION | SM-10 | 2025-10-08 | Lithuania | Acceptable 2025-11-26
|
2025-11-26 |