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CompletedNCT02626065PAIRUpdated Sep 15, 2025

Immune Modulation Study in Patients With Metastatic Melanoma Treated With Anti-PD1 Monoclonal Antibodies

A Phase 4 interventional study of blood sampling and Nivolumab in Metastatic Melanoma, sponsored by Hospices Civils de Lyon. Completed at 1 site in France. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2025-09-15.

Sponsored by Hospices Civils de Lyon · Phase 4, Interventional, and Other

From the registry’s dates

  • Registered 7 months after the study started (first participant enrolled Apr 2015, registered Dec 2015).
Phase
Phase 4
Study type
Interventional
Enrollment
32
Allocation
Non-randomized
Ages
18 Years and older
Sex
All
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Study summary

This is an open mono-centric prospective non-randomized study in patients with metastatic melanoma treated with Anti-PD1 monoclonal antibodies (Nivolumab). The aim of the study is to identify the immune cells modulations differences between patients who present a complete, partial or stable response and patients who have non-response to the therapy in order to establish an improving response rate strategy.

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Conditions studied

  • Metastatic Melanoma

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Keywords

  • Melanoma
  • Anti-PD1 monoclonal antibodies
  • Immune modulation
  • BRAF
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In context

Melanoma

3,006 studies on the registry are indexed under Melanoma; 520 are open to participants now.

This study's enrollment of 32 is below the median of 38 across 2,351 interventional studies indexed under Melanoma.

Browse Melanoma studies →

Lead sponsor

Hospices Civils de Lyon is the lead sponsor of 1,826 studies on the registry; 439 are open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Men and women aged ≥ 18 years
  • Patient with metastatic or unresectable melanoma
  • Anti-PD1 monoclonal antibodies treatment indication
  • Patient affiliated to a social security regime
  • Signed Written Informed Consent.
  • agree with the storage of his biological samples
  • Women of childbearing potential must as mentioned in the summary of product characteristics (SPC) using two effective methods of contraception during treatment, and men whose partner is of childbearing potential must use effective contraception during treatment. For all patients treated men and women, contraception should be continued during the four months following the discontinuation of nivolumab.

Exclusion criteria

Exclusion Criteria:

  • development of haematological tumor during treatment
  • Patients requiring concomitant chronic treatment with systemic corticosteroids or other immunosuppressive agents
  • Patients with autoimmune disease.
  • Patient with Occular melanoma
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Study design

Phase
Phase 4
Primary purpose
Other
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
32 participants (actual)

Study arms

  • Experimental
    Nivolumab, patients with BRAF mutation

    Nivolumab (dose equal to 3mg/kg), 10 mg/ml solution for infusion. injection of Nivolumab every two weeks from day 0 and until relapse, toxicity motivating withdrawal or temporary suspension of treatment or up to 54 weeks. Blood sampling at different time

    Biological: blood sampling · Drug: Nivolumab

  • Experimental
    Nivolumab, patients with BRAF wild type

    Nivolumab (dose equal to 3mg/kg), 10 mg/ml solution for infusion. injection of Nivolumab every two weeks from day 0 and until relapse, toxicity motivating withdrawal or temporary suspension of treatment or up to 54 weeks. Blood sampling at different time

    Biological: blood sampling · Drug: Nivolumab

Interventions

  • Biologicalblood sampling

    Blood samples (44mL) will be taken before starting treatment with Nivolumab and at week 2, week 12, week 54 or at relapse (before week 54)

  • DrugNivolumab

    injection of Nivolumab every two weeks from day 0 and until relapse, toxicity motivating withdrawal or temporary suspension of treatment or up to 54 weeks.

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What researchers measure

Primary outcomes

  1. change the absolute number of dendritic cells before treatment and on treatment

    absolute number / mm 3 of dendritic cells

    Time frame: before treatment (week 0), at week 2, at week 12, at week 54 or at relapse (before 54 weeks)

  2. change the percentage of cells producing cytokines in dendritic cells before treatment and on treatment

    % of cells producing cytokines in dendritic cells

    Time frame: before treatment (week 0), at week 2, at week 12, at week 54 or at relapse (before 54 weeks)

  3. change the absolute number of subpopulations of T lymphocytes before treatment and on treatment

    absolute number / mm 3 of different subpopulations of T lymphocyte

    Time frame: before treatment (week 0), at week 2, at week 12, at week 54 or at relapse (before 54 weeks)

  4. change the absolute number of monocytes before treatment and on treatment

    absolute number / mm 3 of monocytes

    Time frame: before treatment (week 0), at week 2, at week 12, at week 54 or at relapse (before 54 weeks)

  5. change the percentage of cells producing cytokines in subpopulations of T lymphocytes before treatment and on treatment

    % of cells producing cytokines in subpopulations of T lymphocytes

    Time frame: before treatment (week 0), at week 2, at week 12, at week 54 or at relapse (before 54 weeks)

  6. change the percentage of cells producing cytokines in monocytes before treatment and on treatment

    % of cells producing cytokines in monocytes

    Time frame: before treatment (week 0), at week 2, at week 12, at week 54 or at relapse (before 54 weeks)

Secondary outcomes

  1. correlation between biological parameters and progression-free survival

    absolute number / mm 3 of different population of cells and % of cells producing cytokines in the different population of cells will be correlated with the progression free survival

    Time frame: progression between the date of first injection of immunotherapy and week 54 based on RECIST and ir-RECIST criterion

  2. correlation between biological parameters on overall survival

    absolute number / mm 3 of different population of cells and % of cells producing cytokines in the different population of cells will be correlated with the overall survival

    Time frame: death between the date of first injection of immunotherapy and week 54

  3. Identify predictive factors of overall response rate at week 12 based on RECIST and ir-RECIST criteria

    predictive factors like histological and cytological initial tumor type, initial immunological status will be evaluated at inclusion and correlated with the response

    Time frame: response evaluation at week 12

  4. impact of treatments received prior to inclusion in the study on the biological parameters before and on treatment

    absolute number / mm 3 of different population of cells and % of cells producing cytokines in the different population of cells will be correlated with treatments received prior to inclusion

    Time frame: antitumor treatment received from diagnosis of melanoma to inclusion

  5. correlation between the occurrence of autoimmune side effects and the biological parameters before and on treatment

    absolute number / mm 3 of different population of cells and % of cells producing cytokines in the different population of cells will be correlated with autoimmune side effects, based on CTCAE classification

    Time frame: occurence of autoimmune side effects from day 0 to week 54

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Study locations

1 site
  • Centre Hospitalier Lyon Sud
    Pierre-Bénite, 69310, France
08

References and documents

Publications

  • Dalle S, Verronese E, N'Kodia A, Bardin C, Rodriguez C, Andrieu T, Eberhardt A, Chemin G, Hasan U, Le-Bouar M, Caramel J, Amini-Adle M, Bendriss-Vermare N, Dubois B, Caux C, Menetrier-Caux C. Modulation of blood T cell polyfunctionality and HVEM/BTLA expression are critical determinants of clinical outcome in anti-PD1-treated metastatic melanoma patients. Oncoimmunology. 2024 Jun 26;13(1):2372118. doi: 10.1080/2162402X.2024.2372118. eCollection 2024. PubMed 38939518 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 15, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT02626065
Lead sponsor
Hospices Civils de Lyon
Responsible party
Sponsor
First posted
Dec 10, 2015
Start date
Apr 23, 2015
Primary completion
Dec 28, 2017
Completion
Dec 28, 2017
Last update
Sep 15, 2025

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

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