ClinicalTrials.gg
CompletedNCT03348891MELANFαUpdated Nov 10, 2026

TNF in Melanoma Patients Treated With Immunotherapy

An interventional study of Tumor biopsy specimens and blood samples in Melanoma, sponsored by Institut Claudius Regaud. Completed at 3 sites in France. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-11-10.

Sponsored by Institut Claudius Regaud · Not applicable, Interventional, and Other

Updated Nov 10, 2026Results publication addedGo to Updates ↓

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Phase
Not applicable
Study type
Interventional
Enrollment
60
Allocation
Non-randomized
Ages
18 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-14

Among 362 studies in Melanoma with a site in France — 47 open to participants now, 92 under way, 21 of them phase 3. Melanoma · France.

Enrollment
201st of 301
60 · median 138
Started
2018
with 25 others
No phase
44 of 362
9 open now
Registered
192nd of 362
by date

Among the 362 studies in Melanoma with a site in France, this one is the 201st largest by enrollment of the 301 interventional ones that give a count, is one of 26 that started in 2018, is one of 44 with no phase, and was the 192nd registered.

Melanoma

3,372 studies on the registry are indexed under Melanoma; 580 are open to participants now.

Browse Melanoma studies →

Open to participants now

47 of the 362 studies in Melanoma with a site in France are open now. Recruiting first, the newest first:

42 more — sign in →

All 47 open studies →

A study can be open while its sites in France have not opened yet or have stopped. Only those recruiting at a site in France →

Who these studies take

Of the 468 Melanoma studies recruiting now, 381 (81%) set no upper age limit and 49 (10%) stop at 75 or younger; 47 take children under 18; 29 take healthy volunteers.

This study: 18 Years and older · all sexes · no healthy volunteers.

The full table on the hub →

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02

Study summary

This trial is a translational proof-of-concept, open-label, prospective cohort study of 60 patients aiming to identify the clinical markers and/or biomarkers associated with therapeutic response to immune checkpoints inhibitors, in patients with advanced melanoma.

The study will be conducted on a population of patients treated with ICI in the context of routine care, separated in two subgroups:

  • Subgroup 1: patients treated with anti-PD-1 alone (nivolumab or pembrolizumab)
  • Subgroup 2: patients treated with the combined treatment anti-PD-1+anti-CTLA-4 (nivolumab + ipilimumab)

For each included patient, blood samples will be collected during baseline visit and during treatment period (at Week 6 Day 1 and Week 12 Day 1).

If feasible, tumor biopsy (of primary tumor or metastasis) will be performed during baseline and on Week 12 Day 1 visit (predose). If tumor biopsy is not feasible, available archived tumor specimen (frozen or FFPE block) may be collected for the study.

All included patients will be followed-up for tumor status and/or survival status every 3 months until a maximum duration of 1 year from the first study dose.

03

Conditions studied

  • Melanoma

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Keywords

  • Melanoma
  • TNF
  • Immune checkpoints
  • Tumor-infiltrating lymphocytes
  • Cytokines
  • Circulating leukocytes
04

Who can participate

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

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. Age ≥18 years at the time of study entry.
  2. Patient with -proven and/or unresectable melanoma (stage IIIc-IV, M1a-c as per AJCC 2009), including mucosal melanoma.
  3. Patient for which a treatment with (nivolumab alone, pembrolizumab alone or nivolumab + ipilimumab) has been decided.
  4. Subjects are included regardless of BRAFV600 mutation status. BRAFV600 mutation status must be documented.
  5. Patient must be naïve to immune checkpoint inhibitor treatment for locally advanced and/or metastatic disease (i.e., no prior treatment with ICI and current treatment with ICI not yet started).
  6. Performance status 0-2.
  7. of at least 3 months.
  8. Patient able to participate and willing to give prior to performance of any study-related procedures and to comply with the study protocol.
  9. Patient affiliated to a Social Health Insurance in France.

Exclusion criteria

Exclusion Criteria:

  1. Patient pregnant, or breast-feeding.
  2. Uveal melanoma.
  3. Any condition with sampling procedures required by the protocol.
  4. Any psychological, familial, geographic or social situation, according to the judgment of investigator, potentially preventing the provision of or compliance to study procedure.
  5. Any current severe or uncontrolled disease, including, but not limited to ongoing or active infection.
  6. Patient who has forfeited his/her freedom by administrative or legal award or who is under guardianship.
Terms in these criteria, in plain language(7)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Histologically or cytologically confirmed

The diagnosis was confirmed by looking at a sample under a microscope: tissue from a biopsy or surgery (histology), or cells from a fluid or needle sample (cytology).

Your pathology report is the document that shows this.

Metastases

Cancer that has spread from where it began to other parts of the body. “Metastatic” cancer is cancer that has spread this way.

PD-1, PD-L1 and checkpoint inhibitors

PD-1, PD-L1 and CTLA-4 are proteins that act as brakes on the immune system. Checkpoint inhibitors, such as pembrolizumab or nivolumab, block them so the immune system can attack a cancer.

PD-L1 can also be measured in a tumour sample. Some scores count stained tumour cells only (TPS); others also count certain immune cells (CPS). The study names the score and the minimum it uses.

ECOG performance status

A scale of how much an illness limits everyday activity. For people being assessed to join a study, scores run from 0 (fully active) to 4; lower is more active.

0
Fully active, no restrictions.
1
Limited in strenuous activity, but walking and able to do light work, such as housework or office work.
2
Walking and able to look after yourself, but unable to work; up and about more than half of waking hours.
3
Able to look after yourself only in part; in bed or a chair more than half of waking hours.
4
Unable to look after yourself at all; in bed or a chair all day.

Studies most often ask for 0–1 or 0–2. Your doctor gives the score; the WHO scale uses the same steps. The full scale also has 5, which records death.

Life expectancy

The study doctor’s estimate of how long someone is likely to live. Criteria use it so that people can stay in the study long enough for it to answer its question.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

05

Study design

Phase
Not applicable
Primary purpose
Other
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
60 participants (actual)

Study arms

  • Other
    Subgroup 1

    Patients treated with anti-PD-1 alone (nivolumab or pembrolizumab)

    Other: Tumor biopsy specimens and blood samples

  • Other
    Subgroup 2

    Patients treated with the combined treatment anti-PD-1+anti-CTLA-4 (nivolumab + ipilimumab)

    Other: Tumor biopsy specimens and blood samples

Interventions

  • OtherTumor biopsy specimens and blood samples

    Tumor biopsy specimens (if feasible) and blood samples will be collected at Baseline, Week 6 Day 1 (blood sample only) and Week 12 Day 1.

This study also gives Pembrolizumab, Nivolumab, Ipilimumab. No intervention listed here names it: that was found by reading the record.

06

What researchers measure

Primary outcomes

  1. The primary endpoint is the discriminant capacity to predict progression at 12 weeks evaluated using RECIST V1.1 criteria.

    Time frame: 12 weeks per patient

Secondary outcomes

  1. Objective response (i.e. complete or partial response) will be defined using RECIST V1.1 criteria at week 12.

    Time frame: 12 weeks per patient

  2. Response duration is defined as the time from objective response until progression according to investigator judgment, or death.

    Time frame: 12 months per patient

  3. Progression Free Survival is defined as the time from inclusion until progression according to investigator judgment, or death, whichever occurs first.

    Time frame: 12 months per patient

  4. Immune related adverse event will be evaluated using National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE) Version 4.03.

    Time frame: 12 weeks per patient

07

Study locations

3 sites
  • CHRU Claude HURIEZ
    Lille, France
  • CHU Montpellier Saint-Eloi
    Montpellier, France
  • Institut Universitaire du Cancer de Toulouse - Oncopole
    Toulouse, 31059, France
08

References and documents

Publications

  • Virazels M, Lusque A, Brayer S, Genais M, Dufau C, Milhes J, Filleron T, Pages C, Sibaud V, Mortier L, Dereure O, Ayyoub M, Fabre A, Andrieu-Abadie N, Pancaldi V, Colacios C, Meyer N, Segui B, Montfort A. TNF signature in advanced melanoma patients treated with immune checkpoint inhibitors: Results from the MELANFalpha clinical study. Int J Cancer. 2025 Aug 1;157(3):534-548. doi: 10.1002/ijc.35416. Epub 2025 Mar 18. PubMed 40098565 ↗
  • Dufau C, Genais M, Mucher E, Jung B, Garcia V, Montfort A, Tosolini M, Clarke CJ, Medin JA, Levade T, Delord JP, Meyer N, Pancaldi V, Andrieu-Abadie N, Segui B. Ceramide metabolism alterations contribute to Tumor Necrosis Factor-induced melanoma dedifferentiation and predict resistance to immune checkpoint inhibitors in advanced melanoma patients. Front Immunol. 2024 Jul 29;15:1421432. doi: 10.3389/fimmu.2024.1421432. eCollection 2024. PubMed 39136013 ↗
09

Timeline

1 registry update since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Sep 2018 to primary completion in Mar 2021, 29 months.

Of 219 non-industry interventional studies with no phase under Melanoma, half reached primary completion within 39 months of starting (the median), counting those still running; a quarter within 20 and three quarters within 62. This study's 29 months is below that.

Counting every sponsor, half of 227 studies reached it within 38 months; a quarter within 20 and three quarters within 62.

How these figures are worked out, and which studies are left out of them.

Registered
Nov 16, 2017
First posted
Nov 21, 2017
StartActual
Sep 5, 2018
Primary completionActual
Mar 3, 2021
CompletionActual
Nov 22, 2021
Last update
Nov 10, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
Publications
Results publication added: Dufau C, Genais M, Mucher E, Jung B, Garcia V, Montfort A, Tosolini M, Clarke CJ, Medin JA, Levade T, Delord JP, Meyer N, Pancaldi V, Andrieu-Abadie N, Segui B… PubMed 39136013 ↗
Nov 10, 2026
Show all 1 update
  1. Nov 10, 2026
    Publications Results publication added: Dufau C, Genais M, Mucher E, Jung B, Garcia V, Montfort A, Tosolini M, Clarke CJ, Medin JA, Levade T, Delord JP, Meyer N, Pancaldi V, Andrieu-Abadie N, Segui B… PubMed 39136013 ↗
    + 1 other change: verification date

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT03348891
Responsible party
Sponsor
First posted
Nov 21, 2017
Start date
Sep 5, 2018
Primary completion
Mar 3, 2021
Completion
Nov 22, 2021
Last update
Nov 10, 2026

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Nov 2026. You cannot join it, but the record below documents what was studied.

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Discussion

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