ClinicalTrials.gg
CompletedNCT06320353Updated Jul 15, 2026

Study сomparing the Efficacy and Safety of RPH-075 and Keytruda® in Patients With Unresectable or Metastatic Skin Melanoma

A Phase 3 interventional study of RPH-075 and Keytruda® in Skin Melanoma, sponsored by R-Pharm. Completed at 36 sites in Russia. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-07-15.

Sponsored by R-Pharm · Phase 3, Interventional, and Treatment

From the registry’s dates

  • Registered 5 months after the study started (first participant enrolled Sep 2023, registered Mar 2024).
Phase
Phase 3
Study type
Interventional
Enrollment
266
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 22 studies in Melanoma with a site in Russia — 3 open to participants now, 9 under way, 4 of them phase 3. Melanoma · Russia.

Enrollment
12th of 21
266 · median 300
Started
2023
with 4 others
Phase 3
10 of 22
none open now
Registered
19th of 22
by date
Lead sponsor
2 of 22
R-Pharm

Among the 22 studies in Melanoma with a site in Russia, this one is the 12th largest by enrollment of the 21 interventional ones, is one of 5 that started in 2023, is one of 10 in phase 3, and was the 19th registered.

By phase

22 studies; the count open now beside each. This study's row is marked.

Phase 3this study10 · 0 open
Phase 24 · 1 open
Phase 13 · 0 open
No phase1 · 0 open
Observational1 · 0 open
Phase 1/21 · 1 open
Phase 2/31 · 0 open
Phase 41 · 1 open

By the year they started

First in 2006; this study’s year is marked. 5 started in 2023.

Size and results

Median enrollment 300 across the 21 interventional studies, 100,000 across the 1 observational. Of the 13 that completed or were terminated, 7 (54%) have results posted.

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02

Study summary

The goal of this double-blind, randomized study is to establish the equivalence of the efficacy, safety and immunogenicity of the drugs RPH-075 (international nonproprietary name (INN) is pembrolizumab) and Keytruda® (INN is pembrolizumab) when used in patients with unresectable or metastatic skin melanoma first or second line therapy in a monotherapy regimen.

The main task is to evaluate and compare the effectiveness of RPH-075 and Keytruda® drugs when used in patients with unresectable or metastatic skin melanoma as a 1 or 2 line therapy in monotherapy regimen, according to the objective response rate (ORR) parameter for up to 24 weeks of therapy.

Read the detailed description

This study will include the following periods:

  1. Screening period (before the first administration of the test drug). Before being included in the study, patients will be provided with complete information about this clinical trial, its objectives, as well as the risks associated with participating in it, as set out in the patient information sheet.

    After the patient signs the Informed consent Form (IF), he will be examined as part of the screening period, at the end of which the researcher will decide whether or not the patient can be randomized into the study.

  2. Main period (days: 1 - 168) Patients who meet the selection criteria will be randomized in a 1:1 ratio to one of the two study groups: RPH-075 and Keytruda®.

    Patients will receive pembrolizumab (RPH-075 or Keytruda®) in a monotherapy regimen, at a dose of 200 mg, intravenously, with a frequency of once every 3 weeks (3 weeks - 1 cycle).

    Therapy within the Main Study period will continue until (whichever comes first):

    • 24 weeks (8 cycles, 168 days);
    • disease progression (according to the Immune-Related Response Evaluation Criteria In Solid Tumors (iRECIST)/clinical progression);
    • the development of phenomena of intolerable toxicity.

    The assessment of tumor response to the therapy at this step will be carried out every 12 weeks.

  3. Continued therapy period (days: 169 - 365) During the period of continued therapy, all patients will receive therapy with RPH-075, including those patients who received therapy with Keytruda® during the Main Study Period. Pembrolizumab will be administered intravenously, at a dose of 200 mg, with a frequency of once every 3 weeks. In case of significant AEs, pembrolizumab therapy may be postponed for up to 12 weeks.

    Therapy within the period of continued therapy will be carried out until (whichever comes first):

    • a period of up to 1 year;
    • before the disease progression (according to the criteria of iRECIST /clinical progression);
    • the development of phenomena of intolerable toxicity.

    The assessment of tumor response to the therapy at this step will be carried out every 12 weeks.

  4. The period of further treatment (days: 366-730]) Participants in this period will be patients who, after 1 year of therapy, will have a stabilization of the disease or a tumor response to therapy. The decision to switch to this period wil be made by the researcher. If, according to the decision of the researcher, the patient will not be recommended to switch to this period, then the patient goes into the Follow-up Period.

    During the the period of further treatment patients will receive therapy with RPH-075 according to the same scheme as in the period of Continued therapy.

    Therapy within the Period will be carried out until (whichever comes first):

    • a total period of up to 2 years; all examinations will be carried out within the framework of routine clinical practice;
    • before the disease progression;
    • the development of phenomena of intolerable toxicity. All examinations necessary for the patient, including radiation diagnostics, and concomitant therapy during the Period will be carried out within the framework of routine clinical practice and through the healthcare system, with the exception of visits where therapy will be administered (every 3 weeks). Also, during these visits, data on the AEs and occurrence of events (progression) will be collected.
  5. Follow-up period (FU)

For patients who will have completed their planned participation, namely:

  • The period of further treatment,
  • The period of continued therapy (those patients who will not be transferred during the pre-treatment Period),

one follow-up visit (FU-visit) will be scheduled 28 ± 3 days after the last administration.

For patients who will complete therapy ahead of schedule (within the Main period or the Period of continued therapy), due to the progression of the disease or the development of intolerant toxicity phenomena, FU visits will be conducted with a multiplicity of 1 every 12 weeks until the Day 365 of the study.

All examinations and concomitant therapy during the Follow-up Period will be provided through the health care system (as a part of routine clinical practice), with the exception of a radiation diagnostic visit conducting to assess the response (every 12 weeks).

The total expected duration of the study is approximately 3 years. The expected duration of participation of each subject is approximately 26 months (about 2 years).

03

Conditions studied

  • Skin Melanoma

Keywords

  • cancer
  • melanoma
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. A voluntarily signed and dated form (ICF) of the patient.
  2. verified (there are documented results of relevant studies, in the absence of previous studies results, verification will be performed in the central laboratory) skin melanoma (patients with uveal melanoma or melanoma of the mucous membranes are not included in the study).
  3. The following patient populations:

    with skin melanoma:

    • newly diagnosed, previously untreated, unresectable (stage III) or (stage IV) (the drug will be used as a therapy);
    • unresectable or metastatic, with progression during or after systemic antitumor therapy of the 1st line (the drug will be used as a therapy of the 2nd line);
    • with progression after previously performed /adjuvant therapy, provided that the therapy was completed in a time exceeding 5 half-lives of the drug used, before randomization (the drug will be used as a 1-line therapy);
  4. The (ECOG) score 0-2.
  5. The presence of measurable control tumor foci (at least 1 focus), according to the (RECIST) 1.1, confirmed by the conclusion of the Blinded Independent Central Response Assessment Committee.
  6. Absence or resolution of toxic effects of previous therapy or negative consequences of surgical operations up to ≤ 2 grade according to (CTCAE) 5.0, with the exception of chronic / irreversible adverse events that do not affect the safety parameters of the studied therapy (for example, alopecia).
  7. is at least 12 weeks from the date of randomization (according to the Researcher assessment).
  8. Consent of female participants capable of childbirth, defined as all women with the physiological ability to conceive (with the exception of women with the final cessation of menstruation, which should be determined retrospectively after 12 months of natural amenorrhea, i.e. amenorrhea with an appropriate clinical status, for example, a suitable age), to use highly effective methods of , starting with from the moment of signing the informed consent form and throughout the study (for at least 28 days after the last infusion of pembrolizumab) as well as the presence of a negative pregnancy test result (chorionic gonadotropin test). Consent of sexually active male participants in a clinical trial to use highly effective methods of contraception, starting from the moment of signing the informed consent form and throughout the study (for at least 28 days after the last infusion of pembrolizumab).

Exclusion criteria

Exclusion Criteria:

  1. Severe concomitant diseases, with life-threatening, acutely developing complications of the underlying disease (including massive pleural, pericardial or peritoneal effusion requiring aspiration, requiring intervention, pulmonary lymphangitis).
  2. in the central nervous system, progressing or accompanied by clinical symptoms (for example, cerebral edema, spinal cord compression) or requiring the use of glucocorticosteroids (GCS) and/or anticonvulsants in doses specified in criterion No. 6; Patients with can be included in the study if they receive adequate therapy (surgery or radiotherapy) and are stabilized by imaging studies for at least 4 weeks before the expected date of randomization into the study.
  3. Concomitant diseases that are ongoing at the time of the screening examination and that increase the patient's risk of developing adverse events during the use of study therapy:

    • stable exertional angina of functional class III-IV, unstable angina, or a history of myocardial infarction suffered less than 1 month before the expected date of randomization into the study;
    • rhythm disturbances (patients with asymptomatic atrial fibrillation can be included in the study provided the ventricular rhythm is controlled);
    • chronic heart failure of classes III-IV according to the (NYHA) classification;
    • uncontrolled arterial hypertension (systolic blood pressure above 150 mmHg or diastolic blood pressure above 90 mmHg during antihypertensive therapy);
    • severe respiratory failure;
    • any other concomitant disease or condition that significantly increases the risk of developing adverse event (AE) during the study, in the opinion of the Investigator.
  4. Systemic diseases in the active phase (including, but not limited to: systemic lupus erythematosus (SLE), Crohn's disease, ulcerative colitis (UC), systemic scleroderma, inflammatory myopathy, mixed forms of connective tissue diseases, overlap syndrome, etc.), requiring systemic therapy for 2 years before expected date of randomization into the study.
  5. Endocrine disorders that cannot be compensated for by regular hormone replacement therapy or other standard therapy at a constant dose for 28 days before the expected date of randomization into the study.
  6. The need for therapy with GCS and any other drugs that have an effect (at a dose equivalent to the daily use of prednisolone at a dose of >10 mg); the use of inhaled/topical drugs GCS is allowed; patients receiving Janus kinase (JAK) inhibitor therapy for coronavirus infection can be included in the study provided that JAK inhibitor therapy has been completed for at least 1.5 months. Before randomization, patients treated with anti-IL-6 drugs can be included in the study, provided that at least 5 half-lives of the anti-Interleukin 6 (IL-6) drug have passed before the expected date of randomization into the study.
  7. Hematological disorders:

    • neutrophils \< 1.5 x 10\^9 /L,
    • \< 100 x 10\^9 /L,
    • \< 90 g/L.
  8. Renal dysfunction:

    • creatinine > 1.5 × (ULN) or \< 45 ml/min.
  9. Impaired liver function :

    • ≥ 1.5 × ULN (except for patients with Gilbert's syndrome, whose total bilirubin values should not exceed 50 mmol/L),
    • (AST) or Alanine aminotransferase (ALT) ≥ 2.5 × ULN (5 × ULN for patients with liver metastases),
    • Alkaline phosphatase ≥ 5 × ULN
  10. Conducting surgical treatment less than 28 days, radiation therapy less than 14 days before the expected date of randomization into the study.
  11. Uveal melanoma or melanoma of the mucous membranes.
  12. Possibility of radical removal of all metastatic foci.
  13. Conducting 2 or more lines of systemic antitumor therapy for the underlying disease. (Prior therapy with targeted drugs (Serine/threonine-protein kinase B-raf (BRAF)/Mitogen-activated protein kinase (MEK) inhibitors, c-KIT (CD117) inhibitors) is allowed as therapy)
  14. Previous therapy with pembrolizumab and other anti- Programmed cell death 1 ()/PD-L1/Programmed Cell Death 1 Ligand 2 (PD-L2) drugs.
  15. The presence of another oncological pathology that is progressing or requires antitumor therapy (including hormonal) within 5 years before signing the ICF, with the exception of radically removed cervical carcinoma in situ, radically removed breast cancer in situ or radically removed basal cell/ squamous cell skin carcinoma.
  16. Conditions that limit the patient's ability to comply with the requirements of the protocol (dementia, neurological or psychiatric disorders, drug and alcohol addiction, etc.).
  17. Concurrent participation in other interventional clinical trials, participation in other clinical trials less than 30 days before signing the ICF (provided the patient has received at least one administration of experimental therapy), as well as previous participation in this clinical trial (provided the patient has received at least one administration of the drug RPH-075).
  18. Acute infectious diseases or activation of chronic infectious diseases less than 28 days before the expected date of randomization into the study.
  19. Active , , human immunodeficiency viruses () infection.
  20. Therapy with during the period 30 days before the expected date of randomization into the study. For patients receiving therapy with approved severe-acute-respiratory-syndrome-related coronavirus 2 (SARS-CoV2) vaccines, instructions for use and/or local requirements should be followed. The use of the Sputnik V vaccine is acceptable, provided that at least 7 days have passed from the moment of administration of the second component of the vaccine to the first administration of the study drug).
  21. History of interstitial lung disease (non-infectious nature)/pneumonitis requiring the use of therapy, current pneumonitis/Interstitial lung disease (ILD).
  22. Impossibility of intravenous administration of the study drug.
  23. Impossibility of intravenous contrast.
  24. (grade 3 or more) to any of the components of the drug RPH-075/Keytruda®.
  25. History of hypersensitivity to monoclonal antibody drugs.
  26. Pregnancy or breastfeeding.
  27. The presence of any other significant concomitant diseases or conditions that could, in the reasonable opinion of the study physician, adversely affect the patient's participation and well-being in the study and/or distort the evaluation of the study results.
Terms in these criteria, in plain language(28)

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.

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.

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.

Line of therapy

A line of therapy is one course of treatment, which may combine several drugs. First-line is the first course given; second-line follows when that stops working or is not tolerated.

“Two prior lines” means two courses that count separately under the study’s rules — not simply two drugs. Ask the study team if you are unsure how yours are counted.

Adjuvant and neoadjuvant

Neoadjuvant treatment is given before the main treatment (usually surgery), often to shrink a tumour. Adjuvant treatment is given after it, to lower the chance of the cancer coming back.

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.

RECIST

The standard rules for measuring tumours on CT or MRI scans, to tell whether a cancer is shrinking, stable or growing during treatment.

“Measurable disease per RECIST 1.1” usually means at least one tumour 10 mm or more at its longest on a CT scan, or a lymph node 15 mm or more across its short axis.

CTCAE grade

The US National Cancer Institute’s scale of how severe an adverse event is — any unwanted medical event during a study, such as a symptom, an illness or an abnormal test result, whether or not a treatment caused it. Whether it did is judged separately.

1
Mild.
2
Moderate.
3
Severe.
4
Life-threatening.
5
Death due to the event.

“Side effects of earlier treatment resolved to grade 1 or less” means they have settled to mild or gone.

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.

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.

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.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

NYHA class (heart failure)

The New York Heart Association’s four classes of how much heart failure limits physical activity.

I
No limits: ordinary activity causes no undue tiredness or breathlessness.
II
Slight limits: comfortable at rest, ordinary activity causes symptoms.
III
Marked limits: comfortable at rest, less than ordinary activity causes symptoms.
IV
Symptoms even at rest; any activity makes them worse.

Studies set their own limit — many outside heart failure leave out class III–IV, while heart failure studies may ask for a particular class. Check the class this study names.

Autoimmune disease

A condition in which the immune system attacks the body’s own tissues, such as rheumatoid arthritis, lupus, psoriasis, type 1 diabetes or inflammatory bowel disease.

Immunotherapy studies often leave out active autoimmune disease, and some name exceptions, such as thyroid disease on replacement hormone. Check the exceptions this study lists.

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.

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.

Hemoglobin (Hb)

The protein in red blood cells that carries oxygen. A low level is anaemia, which can cause tiredness and breathlessness. Measured in g/dL or g/L (9 g/dL is 90 g/L).

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.

GFR and eGFR (kidney filtering)

GFR (glomerular filtration rate) is how much blood the kidneys filter each minute. It is usually estimated from a blood test — eGFR, by formulas such as CKD-EPI or MDRD — and some studies ask for it to be measured directly instead. Usually given in mL/min/1.73 m².

Check the method, the units and the minimum the study states. A value of 90 or above is in the normal-or-high range, but kidney damage can show in other tests too.

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.

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.

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.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

Hepatitis C tests

Hepatitis C is a virus that infects the liver. An HCV antibody test can stay positive after an infection has cleared (and is occasionally positive without one); an HCV RNA test shows whether the virus is there now.

After treatment, hepatitis C counts as cured when HCV RNA is still undetectable 12 weeks or more after the treatment ended. Studies often accept people cured this way.

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.

Live vaccines

Vaccines made with a weakened form of the germ, such as measles–mumps–rubella (MMR), chickenpox and yellow fever. They can be risky when the immune system is weakened. Flu injections are not live; the nasal flu spray is.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
266 participants (actual)

Study arms

  • Experimental
    RPH-075

    Pembrolizumab will be administered as an intravenous infusion every 3 weeks, at a fixed dose of 200 mg, for 30 minutes (it is permissible, but not desirable, to carry out an infusion in the range from 25 to 40 minutes). Premedication before administration of pembrolizumab is not mandatory.

    Drug: RPH-075

  • Active comparator
    Keytruda®

    Pembrolizumab will be administered as an intravenous infusion every 3 weeks, at a fixed dose of 200 mg, for 30 minutes (it is permissible, but not desirable, to carry out an infusion in the range from 25 to 40 minutes). Premedication before administration of pembrolizumab is not mandatory.

    Drug: Keytruda®

Interventions

  • DrugRPH-075

    100 mg/4 mL (25 mg/mL) concentrate for solution for infusions in a single-dose vial The required volume (8 ml) of the Drug concentrate solution should be withdrawn from the vials and transferred into an intravenous bag containing 0.9% Sodium Chloride Injection or 5% Dextrose Injection. (The final concentration of the diluted solution should be between 1 mg/mL to 10 mg/mL.)

    Also known as: pembrolizumab, Arfleyda

  • 100 mg/4 mL (25 mg/mL) concentrate for solution for infusions in a single-dose vial The required volume (8 ml) of the Drug concentrate solution should be withdrawn from the vials and transferred into an intravenous bag containing 0.9% Sodium Chloride Injection or 5% Dextrose Injection. (The final concentration of the diluted solution should be between 1 mg/mL to 10 mg/mL.)

    Also known as: pembrolizumab

06

What researchers measure

Primary outcomes

  1. The objective response rate (ORR)

    The objective response rate parameter (ORR) is the percentage of patients in a particular group who experienced a complete or partial tumor response to therapy during treatment, according to the criteria of Response Evaluation Criteria In Solid Tumours (RECIST) 1.1. The complete response (CR) is the disappearance of all control lesions, confirmed by Computed tomography (CT) data for at least 4 weeks; the short diameter of any lymph node previously considered pathological (control or non-control) should be \< 10 mm. The partial response (PR) is a decrease in the sum of the diameters of the control foci by 30% or more for at least 4 weeks, compared with the initial sum of the diameters of the foci (at screening).

    Time frame: up to 24 weeks

Secondary outcomes

  1. The disease control rate (DCR)

    DCR is the percentage of patients in a particular group who, during therapy, experienced a complete or partial tumor response to therapy, or disease stabilization, in accordance with RECIST 1.1 criteria. Stabilization means no decrease in the sum of the diameters of control lesions sufficient to qualify as a PR, or an increase in the sum of diameters of control lesions that can be regarded as disease progression (DP), compared with the smallest sum of diameters recorded during observation. DP is an increase in the sum of the diameters of control lesions by 20% or more relative to the smallest sum of diameters of control lesions recorded during observation (in this case, its absolute increase should be at least 5 mm), or the appearance of one or more new lesions.

    Time frame: up to 24 weeks

  2. The time to response (TTR)

    TTR is the time from the start of study therapy to the first documented objective tumor response to therapy, according to RECIST 1.1 criteria. The complete response (CR) is the disappearance of all control lesions, confirmed by Computed tomography (CT) data for at least 4 weeks; the short diameter of any lymph node previously considered pathological (control or non-control) should be \< 10 mm. The partial response (PR) is a decrease in the sum of the diameters of the control foci by 30% or more for at least 4 weeks, compared with the initial sum of the diameters of the foci (at screening).

    Time frame: from the start of study therapy to the first tumor response to therapy, up to 24 weeks

  3. The Duration of response (DOR)

    DOR is the time from the first documented objective tumor response to therapy (according to RECIST 1.1 criteria) to disease progression according to RECIST 1.1 criteria or death from any cause. Disease progression is an increase in the sum of the diameters of control lesions by 20% or more relative to the smallest sum of diameters of control lesions recorded during observation (in this case, its absolute increase should be at least 5 mm), or the appearance of one or more new lesions. DP is an increase in the sum of the diameters of control lesions by 20% or more relative to the smallest sum of diameters of control lesions recorded during observation (in this case, its absolute increase should be at least 5 mm), or the appearance of one or more new lesions.

    Time frame: from the first tumor response to therapy to the disease progression, up to 24 weeks

  4. The Progression-free survival (PFS)

    Progression-free survival will be expressed as a level (%) of 6-month PFS. PFS is the time from randomization to disease progression according to RECIST 1.1 criteria or death from any cause. The PFS parameter assessment in this study is based on CT or Magnetic resonance imaging (MRI) data.

    Time frame: up to 12 months

07

Study locations

36 sites
  • Federal State Budgetary Institution "National Medical Research Center of Radiology" of the Ministry of Health of the Russian Federation
    Obninsk, Kaluga Oblast 249036, Russia
  • State Budgetary Healthcare Institution "Clinical Oncological Dispensary No. 1" of the Ministry of Health of the Krasnodar Territory
    Krasnodar, Krasnodar Territory 350040, Russia
  • Regional Budgetary Healthcare Institution "Kursk Oncological Research and Clinical Center named after G.E. Ostroverkhov"
    Kislino, Kursk Oblast 305524, Russia
  • State Budgetary Healthcare Institution of the city of Moscow "Moscow City Oncological Hospital No. 62 of the Department of Health of the City of Moscow"
    Istra, Moscow Oblast 143515, Russia
  • The State budgetary healthcare Institution of the Stavropol Territory "Pyatigorsk Interdistrict Oncological Dispensary"
    Pyatigorsk, Stavropol Territory 357502, Russia
  • The State Autonomous Healthcare Institution of the Sverdlovsk region "Sverdlovsk Regional Oncological Dispensary"
    Yekaterinburg, Sverdlovsk Oblast 620036, Russia
  • State Autonomous Healthcare Institution Republican Clinical Oncological Dispensary of the Ministry of Health of the Republic of Bashkortostan
    Ufa, The Republic of Bashkortostan 450054, Russia
  • State Autonomous Healthcare Institution "Republican Clinical Oncological Dispensary of the Ministry of Health of the Republic of Tatarstan named after Professor M.Z.Segal"
    Kazan', The Republic of Tatarstan 420029, Russia
  • Budgetary Healthcare Institution of the Udmurt Republic "Sergey Grigoryevich Primushko Republican Clinical Oncological Dispensary of the Ministry of Health of the Udmurt Republic"
    Izhevsk, Udmurt Republic 426009, Russia
  • State Budgetary Healthcare Institution of the Arkhangelsk region "Arkhangelsk Clinical Oncological Dispensary"
    Arkhangelsk, 163045, Russia
  • State Budgetary Healthcare Institution "Regional Oncological Dispensary"
    Irkutsk, 664035, Russia
  • Regional budgetary healthcare institution "Ivanovo Regional Oncological Dispensary"
    Ivanovo, 153040, Russia
  • Kaluga Region State Budgetary Healthcare Institution "Kaluga Regional Clinical Oncological Dispensary"
    Kaluga, 248007, Russia
  • State Budgetary healthcare Institution "Kuzbass Clinical Oncological Dispensary named after M.S. Rappoport"
    Kemerovo, 650036, Russia
  • Regional State Budgetary Healthcare Institution "Krasnoyarsk Regional Clinical Oncological Dispensary named after A.I. Kryzhanovsky"
    Krasnoyarsk, 660133, Russia
  • State Budgetary Institution of healthcare of the city of Moscow "Moscow Multidisciplinary Clinical Center "Kommunarka" of the Department of Healthcare of the City of Moscow"
    Moscow, 108814, Russia
  • Federal State Budgetary Institution "N.N. Blokhin National Medical Research Center of Oncology" of the Ministry of Health of the Russian Federation
    Moscow, 115478, Russia
  • State Budgetary Healthcare Institution of the city of Moscow "City Clinical Oncological Hospital No. 1 of the Department of Health of the City of Moscow"
    Moscow, 117152, Russia
  • Federal State Autonomous Education Insitution of High Education the First Moscow State Medical University named after I.M. Sechenov of Ministry of Healthcare of Russian Federation (Sechenov University)
    Moscow, 119991, Russia
  • Branch Office of "Hadassah Medical Ltd"
    Moscow, 121205, Russia
  • "Moscow Center for Rehabilitation Treatment" LLC
    Moscow, 121552, Russia
  • Medsi Group of Companies JSC
    Moscow, 123056, Russia
  • "Research lab" LLC
    Moscow, 127521, Russia
  • State Budgetary Healthcare Institution of the Nizhny Novgorod region "Nizhny Novgorod Regional Clinical Oncological Dispensary"
    Nizhny Novgorod, 603126, Russia
  • State Budgetary Healthcare Institution of the Novosibirsk region "Novosibirsk Regional Clinical Oncological Dispensary"
    Novosibirsk, 630108, Russia
  • Budgetary healthcare institution of the Omsk region "Clinical Oncological Dispensary"
    Omsk, 644013, Russia
  • State Budgetary Healthcare Institution of the Perm Territory "Perm Regional Oncological Dispensary"
    Perm, 614066, Russia
  • State Budgetary Healthcare Institution Leningrad Regional Clinical Hospital
    Saint Petersburg, 188300, Russia
  • Private healthcare institution "Clinical Hospital "Russian Railways-Medicine" of the city of St. Petersburg"
    Saint Petersburg, 195271, Russia
  • "Euro Cityclinic" LLC
    Saint Petersburg, 197022, Russia
  • St. Petersburg State Budgetary Healthcare Institution "City Clinical Oncological Dispensary"
    Saint Petersburg, 197022, Russia
  • State Budgetary Healthcare Institution "Samara Regional Clinical Oncological Dispensary"
    Samara, 443031, Russia
  • State Healthcare Institution "Regional Clinical Oncological Dispensary"
    Saratov, 410053, Russia
  • Regional State Budgetary Healthcare Institution "Smolensk Regional Oncological Clinical Dispensary"
    Smolensk, 214000, Russia
  • Siberian State Medical University of the Ministry of Healthcare of Russian Federation
    Tomsk, 634050, Russia
  • The State Autonomous healthcare Institution of the Tyumen region "Multidisciplinary clinical Medical Center "Medical City"
    Tyumen, 625041, Russia
08

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 Sep 2023 to primary completion in Aug 2024, 10 months.

Of 64 industry-sponsored phase 3 interventional studies under Melanoma, half reached primary completion within 37 months of starting (the median), counting those still running; a quarter within 25 and three quarters within 49. This study's 10 months is below that.

Counting every sponsor, half of 95 studies reached it within 47 months; a quarter within 30 and three quarters within 94.

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

Registered
Mar 13, 2024
First posted
Mar 20, 2024
StartActual
Sep 27, 2023
Primary completionActual
Aug 7, 2024
CompletionActual
Mar 2, 2026
Last update
Jul 15, 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 15, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT06320353
Lead sponsor
R-Pharm
Collaborators
Data Management 365, Exacte Labs LLC, Federal State Budgetary Institution of the Central Research Institute of Epidemiology of Rospotrebnadzor
Responsible party
Sponsor
First posted
Mar 20, 2024
Start date
Sep 27, 2023
Primary completion
Aug 7, 2024
Completion
Mar 2, 2026
Last update
Jul 15, 2026

Study contacts

Mikhail Samsonov
study director · R-Pharm

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 Jul 2026. You cannot join it, but the record below documents what was studied.

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