ClinicalTrials.gg
CompletedNCT03472586Updated Jul 7, 2026Results posted

Ipilimumab and Nivolumab With Immunoembolization in Treating Participants With Metastatic Uveal Melanoma in the Liver

A Phase 2 interventional study of Ipilimumab and Nivolumab in Metastatic Malignant Neoplasm in the Liver, Metastatic Uveal Melanoma and Stage IV Uveal Melanoma AJCC v7, sponsored by Sidney Kimmel Comprehensive Cancer Center at Thomas Jefferson University. Completed at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-07-07.

Sponsored by Sidney Kimmel Comprehensive Cancer Center at Thomas Jefferson University · Phase 2, Interventional, and Treatment

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Phase
Phase 2
Study type
Interventional
Enrollment
14
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Where this study stands

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

Among 17 studies testing ipilimumab in Uveal Melanoma — 1 open to participants now, 3 under way, none of them phase 3. Ipilimumab · Uveal Melanoma.

Enrollment
12th of 15
14 · median 24
Started
2018
with 1 other
Phase 2
8 of 17
none open now
Registered
11th of 17
by date

Among the 17 studies testing ipilimumab in Uveal Melanoma, this one is the 12th largest by enrollment of the 15 interventional ones that give a count, is one of 2 that started in 2018, is one of 8 in phase 2, and was the 11th registered.

Uveal Melanoma

281 studies on the registry are indexed under Uveal Melanoma; 50 are open to participants now.

Browse Uveal Melanoma studies →

Open to participants now

1 of the 17 studies testing ipilimumab in Uveal Melanoma is open now, in 1 country. Recruiting first, the newest first:

By country, each count listing its studies:

About ipilimumab

Ipilimumab: first FDA approval 2011 (YERVOY), first EMA approval 2011. What it is approved for, and how studies give it, is on its page →

Who these studies take

Of the 42 Uveal Melanoma studies recruiting now, 35 (83%) set no upper age limit and 4 (10%) stop at 75 or younger; 3 take children under 18; 1 takes healthy volunteers.

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

The full table on the hub →

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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 17 studies testing ipilimumab in Uveal Melanoma, or all of them as a file.
02

Study summary

This phase II trial studies ipilimumab and nivolumab with immunoembolization in treating patients with uveal melanoma that has spread to the liver. Immunotherapy with monoclonal antibodies, such as ipilimumab and nivolumab, may help the body's immune system attack the cancer, and may interfere with the ability of tumor cells to grow and spread. Immunoembolization may kill tumor cells due to loss of blood supply and develop an immune response against tumor cells. Giving ipilimumab and nivolumab with immunoembolization may work better in treating patients with uveal melanoma.

Read the detailed description

PRIMARY OBJECTIVES:

I. Determine the clinical benefit of treatment with immunoembolization (IEMBO) in combination with ipilimumab and nivolumab.

SECONDARY OBJECTIVES:

I. Determine all treatment and immune related toxicities. II. Determine progression free survival. III. Determine overall survival.

03

Conditions studied

  • Metastatic Malignant Neoplasm in the Liver
  • Metastatic Uveal Melanoma
  • Stage IV Uveal Melanoma AJCC v7

Browse trials for

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

  • confirmed uveal melanoma in the liver; patients must have at least one measurable liver metastasis that is >= 10 mm in longest diameter by computed tomography (CT) scan or magnetic resonance imaging (MRI)
  • The total volume of the tumors must be less than 50% of the liver volume
  • Willingness and ability to give
  • Agreement to access or agreement for tumor biopsy prior to treatment
  • (ECOG) performance status of 0, or 1
  • Serum creatinine =\< 2.0 mg/dl
  • Granulocyte count >= 1000/mm\^3
  • count >= 100,000/mm\^3
  • =\< 2.0 mg/ml
  • Albumin >= 3.0 g/dl
  • (PT)/partial thromboplastin time (PTT) less than 1.5 times normal
  • (AST) and alanine aminotransferase (ALT) less than 3 x (ULN)
  • Alkaline phosphatase less than 1.5 times ULN (grade 1)
  • Women must not be pregnant or breast-feeding
  • Women of must use at least two other accepted and effective methods of and/or to abstain from sexual intercourse for at least 23 weeks after the last dose of nivolumab and/or ipilimumab and sexually active males must use at least two other accepted and effective methods of contraception and/or to abstain from sexual intercourse for at least 31 weeks after the last dose of nivolumab and/or ipilimumab

Exclusion criteria

Exclusion Criteria:

  • Failure to meet any of the criteria set forth in the inclusion criteria section
  • Previous systemic exposure to antibody or anti-PD1 antibody
  • Previous liver-directed treatments including chemoembolization, radiosphere, hepatic arterial perfusion, or drug-eluting beads; liver resection and focal ablation are permitted
  • Presence of symptomatic liver failure including ascites and hepatic encephalopathy
  • Presence of untreated ; if patients have had previous treatment for the brain metastasis, an MRI or CT scan of the brain must confirm the stabilization of the brain metastasis for more than 2 months
  • Presence of uncontrolled hypertension or congestive heart failure, or acute myocardial infarction within 6 months of entry
  • Presence of any other medical complication that implies survival of less than six months
  • Uncontrolled severe bleeding tendency or active gastrointestinal (GI) bleeding
  • Significant allergic reaction to contrast dye or granulocyte-macrophage colony-stimulating (GM-CSF)
  • treatments within 4 weeks prior to embolization, unless prednisone =\< 5 mg or equivalent
  • Pregnancy or breast-feeding women
  • Patients with active hepatitis with serum glutamic-oxaloacetic transaminase () and serum glutamate pyruvate transaminase (SGPT) equal or greater than 5 times normal
  • Biliary obstruction, biliary stent or prior biliary surgery except cholecystectomy
  • Positive for known (HIV) Infection
  • Uncontrolled or previous known pulmonary fibrosis
  • Active infection
  • Auto-immune disease including inflammatory bowel disease, lupus, rheumatoid arthritis, but not including hypothyroidism or psoriasis if condition has been stable for 2 months or greater
Terms in these criteria, in plain language(17)

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.

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.

Biopsy and archival tissue

A biopsy takes a small piece of tissue to examine. “Archival tissue” is a sample already taken, for example at diagnosis, and kept by the hospital.

Whether a stored sample will do depends on when it was taken, how much there is and what the study needs. Ask whether the study accepts your stored sample or needs a new biopsy.

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.

Platelets

Blood cells that help blood clot. Too few raises the risk of bleeding and bruising. A usual adult range is about 150–400 × 10⁹/L (150,000–400,000 per µL); each lab has its own reference range.

Bilirubin

A yellow substance made when red blood cells are broken down, which the liver clears. A high level can mean a problem with the liver or the bile ducts.

Criteria often allow more for people with Gilbert’s syndrome, a harmless inherited condition that raises bilirubin.

INR, PT and aPTT (clotting tests)

Blood tests of how long blood takes to clot. The INR is the prothrombin time (PT) put on a common scale; about 1 is usual for someone not taking a blood thinner.

Criteria often make an exception for people on a blood thinner such as warfarin, whose INR is raised on purpose.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

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.

Brain metastases

Cancer deposits in the brain from a cancer that started elsewhere in the body (CNS metastases include the spinal cord).

Studies differ: some leave out any brain metastases, some accept ones treated and stable for some weeks. Check what this study allows.

Immunosuppression

A weakened immune system. It can come from an illness, such as HIV or some blood cancers, or from medicines that turn the immune system down, for example after an organ transplant or for an autoimmune disease; steroids at higher doses count.

Read whether the line is about a condition or about medicines, and which medicines and doses it means.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

COPD

Chronic obstructive pulmonary disease: long-term lung disease that makes it hard to breathe out, including emphysema and chronic bronchitis.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
14 participants (actual)

Study arms

  • Experimental
    Treatment (ipilimumab, nivolumab, immunoembolization)

    Patients receive ipilimumab IV over 30 minutes and nivolumab IV over 30 minutes on day 1. Patients also undergo immunoembolization on day 2. Cycles repeat every 3 weeks for 12 weeks in the absence of disease progression or unacceptable toxicity. Patients with complete response, partial response, or stable disease may receive nivolumab IV on day 1 and undergo immunoembolization on day 2. Cycles repeat every 28 days in the absence of disease progression or unacceptable toxicity. The interval between treatments may be extended up to every 6 weeks at the discretion of the treating physician.

    Biological: Ipilimumab · Biological: Nivolumab · Drug: Embolization Therapy

Interventions

  • BiologicalIpilimumab

    Given IV

    Also known as: Anti-Cytotoxic T-Lymphocyte-Associated Antigen-4 Monoclonal Antibody, BMS-734016, MDX-010, 720801, 477202-00-9, 732442

  • BiologicalNivolumab

    Given IV

    Also known as: 946414-94-4, BMS-936558, ONO-4538, Opdivo

  • DrugEmbolization Therapy

    Undergo immunoembolization

06

What researchers measure

Primary outcomes

  1. Hepatic Metastasis Stabilization Rate by Response Criteria (Response Evaluation Criteria in Solid Tumors [RECIST] 1.1)

    Defined as complete response + partial response + stable disease. Rated by Response Evaluation Criteria in Solid Tumors version 1.1. The estimate of the hepatic metastasis stabilization rate will be presented with corresponding 95% confidence intervals. The method of Atkinson and Brown will be used to adjust for the two-stage design.

    Time frame: At the end of 4th treatment cycle (Day 84 +/- 3 days). Cycles are 21 days.

Secondary outcomes

  1. Number of Participants With Adverse Events

    Graded by National Cancer Institute Common Terminology Criteria for Adverse Events version 4.0. Toxicity rates will be estimated with corresponding 95% confidence intervals.

    Time frame: Up to 1 year

  2. Progression Free Survival (PFS)

    Progression is defined using Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0), as a 20% increase in the sum of the longest diameter of target lesions, or a measurable increase in a non-target lesion, or the appearance of new lesions. Will be estimated using the Kaplan-Meier method.

    Time frame: From the start of the treatment to confirmation of progression of disease, assessed up to 1 year

  3. Overall Survival

    Will be estimated using the Kaplan-Meier method.

    Time frame: up to 2 years

07

Results

Posted Nov 29, 2023

Participant flow

Participant flow — Overall Study
MilestoneTreatment (Ipilimumab, Nivolumab, Immunoembolization)
Started14
Completed1
Not completed13
Withdrew: Physician decision6
Withdrew: Death6
Withdrew: Adverse event1

Outcome measures

PrimaryHepatic Metastasis Stabilization Rate by Response Criteria (Response Evaluation Criteria in Solid Tumors [RECIST] 1.1)

Defined as complete response + partial response + stable disease. Rated by Response Evaluation Criteria in Solid Tumors version 1.1. The estimate of the hepatic metastasis stabilization rate will be presented with corresponding 95% confidence intervals. The method of Atkinson and Brown will be used to adjust for the two-stage design.

Time frame:
At the end of 4th treatment cycle (Day 84 +/- 3 days). Cycles are 21 days.
Reported as:
Count of participants · Participants
Hepatic Metastasis Stabilization Rate by Response Criteria (Response Evaluation Criteria in Solid Tumors [RECIST] 1.1)
ParticipantsTreatment (Ipilimumab, Nivolumab, Immunoembolization)
Complete response0
Partial response0
Stable Disease8
Progressive disease5
Not Evaluated1
SecondaryNumber of Participants With Adverse Events

Graded by National Cancer Institute Common Terminology Criteria for Adverse Events version 4.0. Toxicity rates will be estimated with corresponding 95% confidence intervals.

Time frame:
Up to 1 year
Reported as:
Number · Proportion of Participants
Number of Participants With Adverse Events
Proportion of ParticipantsTreatment (Ipilimumab, Nivolumab, Immunoembolization)
Number of Participants With Adverse Events1.00 (0.77 to 1)
SecondaryProgression Free Survival (PFS)

Progression is defined using Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0), as a 20% increase in the sum of the longest diameter of target lesions, or a measurable increase in a non-target lesion, or the appearance of new lesions. Will be estimated using the Kaplan-Meier method.

Time frame:
From the start of the treatment to confirmation of progression of disease, assessed up to 1 year
Reported as:
Median · months
Progression Free Survival (PFS)
monthsTreatment (Ipilimumab, Nivolumab, Immunoembolization)
Progression Free Survival (PFS)4.53 (2.56 to 6.67)
SecondaryOverall Survival

Will be estimated using the Kaplan-Meier method.

Time frame:
up to 2 years
Reported as:
Median · months
Overall Survival
monthsTreatment (Ipilimumab, Nivolumab, Immunoembolization)
Overall Survival21.55 (10.48 to 23.29)

Adverse events

Collected over The adverse event reporting period for this trial begins when the patient receives the first treatment and ends 3 months after completion or withdrawal from the study. Treatment period is maximum of 2 years, thus reporting period is maximum of 27 months.. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Treatment (Ipilimumab, Nivolumab, Immunoembolization)13/14 (92.9%)1/14 (7.1%)14/14 (100%)
Most frequent serious events
Most frequent serious events
EventTreatment (Ipilimumab, Nivolumab, Immunoembolization)
grade 3 thromboembolic event that resulted in a hospitalizationVascular disorders1/14
hepatic hemorrhage - grade 3Hepatobiliary disorders1/14
Dyspnea - Grade 5Respiratory, thoracic and mediastinal disorders1/14
DeathRespiratory, thoracic and mediastinal disorders1/14
Dyspnea - Grade 3Respiratory, thoracic and mediastinal disorders1/14
Paresthesia - Grade 1Vascular disorders1/14
Diarrhea - grade 3Gastrointestinal disorders1/14
Colitis - grade 3Gastrointestinal disorders1/14
Most frequent other events
Showing 10 of 130
Most frequent other events
EventTreatment (Ipilimumab, Nivolumab, Immunoembolization)
Pericardial Effusion - Grade 0Cardiac disorders14/14
Hyperthyroidism - Grade 0Endocrine disorders14/14
Hypothyroidism - Grade 0Endocrine disorders14/14
Blurred vision - Grade 0Eye disorders14/14
Decreased vision - grade 0Eye disorders14/14
Abdominal bloating - Grade 0Gastrointestinal disorders14/14
Abdominal distension - Grade 0Gastrointestinal disorders14/14
Colitis - Grade 0Gastrointestinal disorders14/14
Constipation - Grade 0Gastrointestinal disorders14/14
Diarrhea - Grade 0Gastrointestinal disorders14/14

Baseline characteristics

Age, Categorical
Age, Categorical(Participants)Treatment (Ipilimumab, Nivolumab, Immunoembolization)
<=18 years0
Between 18 and 65 years9
>=65 years5
Sex: Female, Male
Sex: Female, Male(Participants)Treatment (Ipilimumab, Nivolumab, Immunoembolization)
Female5
Male9
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)Treatment (Ipilimumab, Nivolumab, Immunoembolization)
Hispanic or Latino2
Not Hispanic or Latino12
Unknown or Not Reported0
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Treatment (Ipilimumab, Nivolumab, Immunoembolization)
American Indian or Alaska Native0
Asian0
Native Hawaiian or Other Pacific Islander0
Black or African American0
White12
More than one race0
Unknown or Not Reported2
08

Study locations

1 site
  • Sidney Kimmel Comprehensive Cancer Center at Thomas Jefferson University
    Philadelphia, Pennsylvania 19107, United States
09

References and documents

10

Timeline

Tracking 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 May 2018 to primary completion in Dec 2022, 55 months.

Results were first posted in Nov 2023, 10 months after primary completion.

Of 39 non-industry phase 2 interventional studies under Uveal Melanoma, half reached primary completion within 55 months of starting (the median), counting those still running; a quarter within 37 and three quarters within 95. This study's 55 months is close to that.

Counting every sponsor, half of 46 studies reached it within 52 months; a quarter within 37 and three quarters within 84.

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

Registered
Mar 14, 2018
First posted
Mar 21, 2018
StartActual
May 2, 2018
Primary completionActual
Dec 31, 2022
CompletionActual
Dec 31, 2024
Results first posted
Nov 29, 2023
Last update
Jul 7, 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.
No changes since tracking began. The registry record was last updated on Jul 7, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT03472586
Lead sponsor
Sidney Kimmel Comprehensive Cancer Center at Thomas Jefferson University
Responsible party
Sponsor
First posted
Mar 21, 2018
Start date
May 2, 2018
Primary completion
Dec 31, 2022
Completion
Dec 31, 2024
Results posted
Nov 29, 2023
Last update
Jul 7, 2026

Study contacts

Marlana Orloff, MD
principal investigator · Sidney Kimmel Comprehensive Cancer Center at Thomas Jefferson University

Oversight

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

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

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Studies of the drugs tested here: Ipilimumab · Nivolumab

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