Overview
Sponsor-declared trial summary
Cutaneous Melanoma, Relapsed/Refractory, Locally Advanced Unresectable Melanoma (Stage IIIB, IIIC, or IIID), Metastatic Cutaneous Melanoma (Stage IV)
Evaluate the antitumor activity of acasunlimab as monotherapy and in combination with pembrolizumab.
Key facts
- Sponsor
- Genmab A/S
- Participant type
- Patients
- Age range
- 18-64 years, 65+ years
- Gender
- Male and Female
- Therapeutic area
- Diseases [C] - Neoplasms [C04]
- Trial duration
- completed 5 May 2026
- Decision date (initial)
- 2025-10-27
- Transition trial
- No
- Low-intervention
- No
- Rare-disease indication
- No
- Vulnerable population
- No
- Funding sources
- Genmab A/S
External identifiers
- EU CT number
- 2025-520468-16-00
- ClinicalTrials.gov
- NCT06984328
Trial design
CTIS Part I — objectives, methods, condition coding
Main objective
Scope: Efficacy, Therapy, Safety
Evaluate the antitumor activity of acasunlimab as monotherapy and in combination with pembrolizumab.
Conditions and MedDRA coding
Cutaneous Melanoma, Relapsed/Refractory, Locally Advanced Unresectable Melanoma (Stage IIIB, IIIC, or IIID), Metastatic Cutaneous Melanoma (Stage IV)
| Version | Level | Code | Term | System organ class |
|---|---|---|---|---|
| 21.1 | PT | 10025650 | Malignant melanoma | 100000004864 |
Study design 1 period
| # | Title | Allocation | Blinding | Roles blinded | Arms |
|---|---|---|---|---|---|
| 1 | Treatment period Subjects will be randomized 1:1 to receive either:
Acasunlimab + Pembrolizumab (arm A)
Acasunlimab (Arm B)
|
Randomised Controlled | None |
Regulatory references
- Plan to share IPD
- No
| EU CT number | Title | Sponsor |
|---|---|---|
| 2024-512998-27-00 | A Prospective, Open-Label, Randomized, Phase 3 Trial of Acasunlimab (GEN1046) in Combination With Pembrolizumab Versus Docetaxel in Subjects With PD-L1 Positive Metastatic Non-Small Cell Lung Cancer After Treatment With a PD-1/PD-L1 Inhibitor and Platinum-Containing Chemotherapy (ABBIL1TY NSCLC-06) | Genmab A/S |
Eligibility criteria
Principal inclusion / exclusion criteria as submitted by sponsor
Inclusion criteria 6
- Subjects ≥ 18 years of age with histologically or cytologically confirmed diagnosis of relapsed/refractory, locally advanced unresectable (Stage IIIB, IIIC, or IIID) or metastatic (Stage IV) cutaneous melanoma.
- Subject must have radiographic progression on or following ≥ 1 prior systemic therapy according to local and international guidelines, including a programmed cell death protein 1 blocking antibody (anti-PD-1) treatment or combination treatment containing an anti-PD-1.
- Subject must have received a minimum of 2 cycles of an approved anti PD-1 as monotherapy or combination therapy, containing an anti-PD-1.
- Neoadjuvant and/or adjuvant systemic therapy count as the first line of prior systemic therapy if there is documented disease progression ≤ 6 months after completion of therapy.
- Subjects with a BRAF V600 mutation should have received prior BRAF-directed therapy (with or without a MEK inhibitor) prior to enrollment in the study, unless deemed not clinically indicated by the Investigator due to concurrent medical condition or prior toxicity.
- Subject has an Eastern Cooperative Oncology Group performance status of 0 or 1 within 7 days prior to Cycle 1 Day 1.
Exclusion criteria 2
- Subjects with non-cutaneous or acral melanoma.
- Subjects with newly identified or known unstable or symptomatic central nervous system metastases or history of carcinomatous meningitis.
Endpoints
Primary and secondary outcome measures (English text)
Primary endpoints 1
- Objective response rate (ORR) assessed by the investigator per Response Evaluation Criteria in Solid Tumors (RECIST) v1.1
Investigational products
Investigational medicinal products (IMPs), comparators, placebo, auxiliary
Test 2
PRD6822274 · Product
- Active substance
- Acasunlimab
- Pharmaceutical form
- SOLUTION FOR INFUSION
- Route of administration
- INTRAVENUS USE
- Max daily dose
- 100 mg milligram(s)
- Max total dose
- 0 mg milligram(s)
- Max treatment duration
- 36 Week(s)
- Authorisation status
- Not Authorised
- MA holder
- GENMAB
- Paediatric formulation
- No
- Orphan designation
- No
KEYTRUDA 25 mg/mL concentrate for solution for infusion
PRD4323105 · Product
- Active substance
- Pembrolizumab
- Substance synonyms
- Lambrolizumab, MK-3475, SCH-900475, BAT3306, Pabolizumab, FYB206, ABP 234
- Pharmaceutical form
- SOLUTION FOR INFUSION
- Route of administration
- SOLUTION FOR INFUSION
- Max daily dose
- 400 mg milligram(s)
- Max total dose
- 2400 mg milligram(s)
- Max treatment duration
- 36 Week(s)
- Authorisation status
- Authorised
- ATC code
- L01FF02 — -
- Marketing authorisation
- EU/1/15/1024/002
- MA holder
- MERCK SHARP & DOHME B.V.
- MA country
- EU
- Paediatric formulation
- No
- Orphan designation
- No
- Modified vs. Marketing Authorisation
- No
Sponsors and contacts
Sponsor organisations, regulatory contacts, third parties
Genmab A/S
- Sponsor organisation
- Genmab A/S
- Address
- Carl Jacobsens Vej 30
- City
- Valby
- Postcode
- 2500
- Country
- Denmark
Scientific contact point
- Organisation
- Genmab A/S
- Contact name
- Jacob Vemb Hansen - Genmab A/S
Public contact point
- Organisation
- Genmab A/S
- Contact name
- Genmab Trial Information - Genmab A/S
Third parties 7
| Organisation | City, country | Duties |
|---|---|---|
| IQVIA Limited ORG-100008655
|
Livingston, United Kingdom | Laboratory analysis |
| PPD Development LP ORG-100011560
|
Richmond, United States | Laboratory analysis |
| Celerion Inc. ORG-100029202
|
Lincoln, United States | Laboratory analysis |
| Fortrea Development Limited ORG-100009463
|
Maidenhead, United Kingdom | Code 8 |
| Perceptive Informatics Inc. ORG-100013171
|
Burlington, United States | Other |
| Icon Clinical Research Limited ORG-100008322
|
Dublin 18, Ireland | On site monitoring, Code 12, Code 13, Code 2, Code 5, Data management, E-data capture, Code 8 |
| 4g Clinical LLC ORG-100042775
|
Wellesley, United States | Interactive response technologies (IRT) |
Locations
4 EU/EEA countries · 36 investigational sites
By country
| Country | MS status | Planned subjects | Sites |
|---|---|---|---|
| France | Ended | 26 | 9 |
| Germany | Ended | 68 | 12 |
| Netherlands | Ended | 16 | 5 |
| Spain | Ended | 19 | 10 |
| Rest of world
United States, Australia
|
— | 37 | — |
Investigational sites
Results and documents
Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial
Documents 37 files
Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.
| Type | Title | Version |
|---|---|---|
| Protocol (for publication) | D1_Protocol_2025-520468-16_redacted_Amendment 1 | 2.0 |
| Recruitment arrangements (for publication) | K1_DE_Recruitment Procedure | 1.0 |
| Recruitment arrangements (for publication) | K1_ES_Recruitment Procedure | 1.1 |
| Recruitment arrangements (for publication) | K1_FR_Recruitment Procedure_Bilingual | 1.1 |
| Recruitment arrangements (for publication) | K1_NL_Recruitment Procedure | 1.2 |
| Recruitment arrangements (for publication) | K2_DE_Recruitment Material_Appointment Reminder Card_Bilingual | 1.0 |
| Recruitment arrangements (for publication) | K2_DE_Recruitment Material_HCP Factsheet_Bilingual | 1.0 |
| Recruitment arrangements (for publication) | K2_DE_Recruitment Material_HCP Factsheet_Study Schema_Bilingual | 1 |
| Recruitment arrangements (for publication) | K2_DE_Recruitment Material_HCP Letter_Bilingual | 1.0 |
| Recruitment arrangements (for publication) | K2_DE_Recruitment Material_Study Visit Guide_Bilingual | 1.0 |
| Recruitment arrangements (for publication) | K2_ES_Recruitment Material_HCP Factsheet_Bilingual | 1.0 |
| Recruitment arrangements (for publication) | K2_ES_Recruitment Material_HCP Factsheet_Study-Schema_Bilingual | 1 |
| Recruitment arrangements (for publication) | K2_ES_Recruitment Material_HCP Letter_Bilingual | 1.0 |
| Recruitment arrangements (for publication) | K2_FR_Recruitment Material_Appointment Reminder Card_French | 1.0 |
| Recruitment arrangements (for publication) | K2_FR_Recruitment Material_HCP Factsheet_French | 1.0 |
| Recruitment arrangements (for publication) | K2_FR_Recruitment Material_HCP Letter_French | 1.0 |
| Recruitment arrangements (for publication) | K2_FR_Recruitment Material_Study Visit Guide_French | 1.0 |
| Recruitment arrangements (for publication) | K2_NL_Recruitment Material_HCP Factsheet_Bilingual | 1.0 |
| Recruitment arrangements (for publication) | K2_NL_Recruitment Material_HCP Letter_Bilingual | 1.0 |
| Subject information and informed consent form (for publication) | L1_DE_SIS-ICF_Main_German_redacted | 1.1 |
| Subject information and informed consent form (for publication) | L1_DE_SIS-ICF_Pregnant Partner_German_redacted | 1.0 |
| Subject information and informed consent form (for publication) | L1_DE_SIS-ICF_Scout_German | 1.0 |
| Subject information and informed consent form (for publication) | L1_ES_SIS-ICF_Main_Spanish_redacted | 2.2 |
| Subject information and informed consent form (for publication) | L1_ES_SIS-ICF_Scout_Spanish | 1.0 |
| Subject information and informed consent form (for publication) | L1_FR_SIS-ICF_Main_French_redacted | 1.1 |
| Subject information and informed consent form (for publication) | L1_FR_SIS-ICF_Pregnant partner_French | 1.0 |
| Subject information and informed consent form (for publication) | L1_FR_SIS-ICF_Pregnant patient_French | 1.0 |
| Subject information and informed consent form (for publication) | L1_FR_SIS-ICF_Scout_French | 1.0 |
| Subject information and informed consent form (for publication) | L1_NL_SIS-ICF_Main_Dutch_redacted | 1.2 |
| Subject information and informed consent form (for publication) | L1_NL_SIS-ICF_PP_Dutch | 1.0 |
| Summary of Product Characteristics (SmPC) (for publication) | E2_SmPC_Keytruda | 1 |
| Synopsis of the protocol (for publication) | D1_Lay Protocol Summary_2025-520468-16 | 1.0 |
| Synopsis of the protocol (for publication) | D1_Lay Protocol Summary_2025-520468-16_Dutch | 1.0 |
| Synopsis of the protocol (for publication) | D1_Lay Protocol Summary_2025-520468-16_French | 1.0 |
| Synopsis of the protocol (for publication) | D1_Lay Protocol Summary_2025-520468-16_Spanish | 1.0 |
| Synopsis of the protocol (for publication) | D1_Protocol Synopsis_2025-520468-16_French | 2.0 |
| Synopsis of the protocol (for publication) | D1_Protocol Synopsis_2025-520468-16_Spanish_Amendment 1 | 2.0 |
Application history
1 submissions — initial application plus substantial / non-substantial modifications
| # | Type | Code | Submitted | Reference MS | Conclusion | Decision date |
|---|---|---|---|---|---|---|
| 1 | INITIAL | IN | 2025-06-27 | Spain | Acceptable 2025-10-20
|
2025-10-23 |