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RecruitingNCT06365619NeoRelapseUpdated Oct 1, 2026

Neoadjuvant Ipilimumab/Nivolumab for Patients With Recurrent, High Risk, Resectable Melanoma

A Phase 2 interventional study of Ipilimumab and Nivolumab in Melanoma, sponsored by University of Utah. Recruiting at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-10-01.

Sponsored by University of Utah · Phase 2, Interventional, and Treatment

Updated Oct 1, 2026Start date movedGo to Updates ↓
Phase
Phase 2
Study type
Interventional
Enrollment
25
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

The goal of this clinical trial is to study the impact of Neoadjuvant ipilimumab and nivolumab for melanoma patients that had recurrence during or after adjuvant anti-PD-1 therapy.

Participants will receive 2 cycles of treatment prior to their standard of care surgery. After surgery participants will receive standard of care adjuvant therapy and be followed for response.

02

Conditions studied

  • Melanoma

Browse trials for

03

In context

Melanoma

3,006 studies on the registry are indexed under Melanoma; 519 are open to participants now.

This study's planned enrollment of 25 is below the median of 38 across 2,351 interventional studies indexed under Melanoma.

Browse Melanoma studies →

Lead sponsor

University of Utah is the lead sponsor of 970 studies on the registry; 179 are open to participants now.

Of its 107 completed or terminated interventional studies of FDA-regulated products, 62 (58%) have results posted.

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

  • Subjects aged ≥ 18 years.
  • Histologically confirmed Stage IIIB-D or Stage IV recurrent metastatic melanoma that is resectable or borderline resectable as determined by a Surgical Oncologist.
  • Recurrent disease at eligibility must have been confirmed with biopsy after receiving prior anti-PD1 based systemic therapy (either adjuvant, neoadjuvant, or definitive therapy).
  • ECOG Performance Status ≤ 1.
  • Adequate organ function as defined as:

    • Hematologic:

      • Absolute neutrophil count (ANC) ≥ 1500/mm3
      • Platelet count ≥ 100,000/mm3
      • Hemoglobin ≥ 10 g/dL
    • Hepatic:

      • Total Bilirubin ≤ 1.5x institutional upper limit of normal (ULN)
      • AST(SGOT)/ALT(SGPT) ≤ 3 × institutional ULN

        • Subjects with liver metastases will be allowed to enroll with AST and ALT levels ≤ 5 x ULN.
    • Renal:

      • Estimated creatinine clearance ≥ 50 mL/min by Cockcroft-Gault formula:
  • For subjects of childbearing potential: Negative pregnancy test or evidence of post-menopausal status or evidence of permanent surgical sterilization. The post-menopausal status will be defined as having been amenorrheic for 12 months without an alternative medical cause. The following age-specific requirements apply:

    • Subjects \< 50 years of age:

      • Amenorrheic for ≥ 12 months following cessation of exogenous hormonal treatments; and
      • Luteinizing hormone and follicle-stimulating hormone levels in the post-menopausal range for the institution
    • Subjects ≥ 50 years of age:

      • Amenorrheic for ≥ 12 months following cessation of all exogenous hormonal treatments; or
      • Had radiation-induced menopause with last menses >1 year ago; or
      • Had chemotherapy-induced menopause with last menses >1 year ago
  • Subjects of childbearing potential and subjects with a sexual partner of childbearing potential must agree to use a highly effective method of contraception.
  • Recovery to baseline or ≤ Grade 1 CTCAE v5 from toxicities related to any prior treatments, unless AE(s) are clinically nonsignificant and/or stable on supportive therapy per the treating investigator.
  • Able to provide informed consent and willing to sign an approved consent form that conforms to federal and institutional guidelines.

Exclusion criteria

Exclusion Criteria:

  • Prior exposure to anti-CTLA4 therapy.
  • Receiving other investigational agents currently or within 28 days of study treatment.
  • Prior systemic anti-cancer therapy ≤ 14 days or within five half-lives prior to starting study treatment, whichever is shorter.
  • Prior radiotherapy 45 days prior to the first dose of study treatment.
  • Major surgery 4 weeks prior to starting study drug or who have not fully recovered from major surgery.
  • Active infection requiring the use of systemic antibiotics.
  • Systemic steroid therapy greater than physiologic equivalent (10mg prednisone/day) or any other form of systemic immunosuppressive therapy within 7 days prior to registration.
  • Active secondary malignancy, unless the malignancy is not expected to interfere with the evaluation of safety
  • Known brain metastases or cranial epidural disease.
  • Current evidence of uncontrolled, significant intercurrent illness including, but not limited to, the following conditions:

    • Cardiovascular disorders:

      • Congestive heart failure New York Heart Association Class III or IV, unstable angina pectoris, serious cardiac arrhythmias.
      • Stroke (including transient ischemic attack [TIA]), myocardial infarction (MI), or other ischemic events, or thromboembolic event (eg, deep venous thrombosis, pulmonary embolism) within 3 months before the first dose.
      • QTc prolongation defined as a QTcF > 500 ms.
      • Known congenital long QT.
      • Left ventricular ejection fraction \< 55%.
      • Uncontrolled hypertension defined as ≥ 140/90 as assessed from the mean of three consecutive blood pressure measurements taken over 10 minutes.
    • Any other condition that would, in the Investigator's judgment, contraindicate the subject's participation in the clinical study due to safety concerns or compliance with clinical study procedures (e.g., infection/inflammation, intestinal obstruction, unable to swallow medication, [subjects may not receive the drug through a feeding tube], social/psychological issues, etc.)
  • HIV infection with a detectable viral load within 6 months of the anticipated start of treatment.

    --Note: Subjects on effective antiretroviral therapy with an undetectable viral load within 6 months of the anticipated start of treatment are eligible for this trial.

  • Active infection including tuberculosis (clinical evaluation that includes clinical history, physical examination, radiographic findings, and TB testing in line with local practice), hepatitis B (positive HBV surface antigen (HBsAg) result), or hepatitis C.

    --Note: Subjects with a past or resolved HBV infection (defined as the presence of hepatitis B core antibody [anti-HBc] and absence of HBsAg) are eligible. Subjects positive for hepatitis C (HCV) antibody are eligible only if polymerase chain reaction is negative for HCV RNA.

  • Medical, psychiatric, cognitive, or other conditions that may compromise the subject's ability to understand the subject information, give informed consent, comply with the study protocol or complete the study.
  • Known prior severe hypersensitivity to investigational product (IP) or any component in its formulations (NCI CTCAE v5.0 Grade ≥ 3).
  • Subjects taking prohibited medications as described in Section 6.7.2. A washout period of prohibited medications for a period of at least five half-lives or as clinically indicated should occur before the start of treatment.
05

Study design

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

Study arms

  • Experimental
    Treatment: All Patients

    Neoadjuvant Ipilimumab and Nivolumab

    Drug: Ipilimumab · Drug: Nivolumab

Interventions

  • DrugIpilimumab

    Two cycles of neoadjuvant ipilimumab prior to surgical resection.

  • DrugNivolumab

    two cycles of neoadjuvant nivolumab prior to surgical resection.

06

What researchers measure

Primary outcomes

  1. Rate of pathologic response rate (pCR, mCR/nCR, or pPR) at the time of surgery.

    Assess the pathologic response rate (pRR) at the time of surgery after two doses of neoadjuvant Ipilimumab and Nivolumab for patients with resectable disease that have recurred after receiving systemic anti-PD1 therapy.

    Time frame: 2 months

Secondary outcomes

  1. Frequency of adverse events (AEs) and serious adverse events (SAEs) characterized by type, severity (as defined by the NIH CTCAE, version 5.0), seriousness, duration, and relationship to study treatment.

    Assess the safety and tolerability of Ipilimumab and Nivolumab in the study population.

    Time frame: 2 months

  2. Rate of adverse events that occur within 30 days post-surgery.

    Assess the impact of neoadjuvant ipi/nivo on morbidity of definitive surgery.

    Time frame: 30 days

  3. Rate of Event Free Survival (EFS).

    Assess EFS in the study population.

    Time frame: 11 years

  4. Rate of Overall Survival (OS).

    Assess OS in this study population.

    Time frame: 11 years

  5. Objective response rate (ORR) defined as the proportion of subjects achieving a confirmed PR and CR as defined by RECIST 1.1 prior to surgical resection.

    Determine RECIST 1.1 response rate (confirmed CR and PR) before surgical resection and to evaluate associations between radiographic and pathologic response rate and event free survival/overall survival.

    Time frame: 11 years

07

Study locations

1 of 1 sites recruiting
  • Huntsman Cancer Institute
    Salt Lake City, Utah 84112, United States
    Recruiting
08

References and documents

Publications

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  • Long GV, Hauschild A, Santinami M, Atkinson V, Mandala M, Chiarion-Sileni V, Larkin J, Nyakas M, Dutriaux C, Haydon A, Robert C, Mortier L, Schachter J, Schadendorf D, Lesimple T, Plummer R, Ji R, Zhang P, Mookerjee B, Legos J, Kefford R, Dummer R, Kirkwood JM. Adjuvant Dabrafenib plus Trametinib in Stage III BRAF-Mutated Melanoma. N Engl J Med. 2017 Nov 9;377(19):1813-1823. doi: 10.1056/NEJMoa1708539. Epub 2017 Sep 10. PubMed 28891408 ↗
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  • Weber J, Mandala M, Del Vecchio M, Gogas HJ, Arance AM, Cowey CL, Dalle S, Schenker M, Chiarion-Sileni V, Marquez-Rodas I, Grob JJ, Butler MO, Middleton MR, Maio M, Atkinson V, Queirolo P, Gonzalez R, Kudchadkar RR, Smylie M, Meyer N, Mortier L, Atkins MB, Long GV, Bhatia S, Lebbe C, Rutkowski P, Yokota K, Yamazaki N, Kim TM, de Pril V, Sabater J, Qureshi A, Larkin J, Ascierto PA; CheckMate 238 Collaborators. Adjuvant Nivolumab versus Ipilimumab in Resected Stage III or IV Melanoma. N Engl J Med. 2017 Nov 9;377(19):1824-1835. doi: 10.1056/NEJMoa1709030. Epub 2017 Sep 10. PubMed 28891423 ↗
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Individual participant data

Plan to share: No

09

Updates

1 registry update since Sep 25, 2026
Start date
Jul 2026→Oct 2026
Oct 1, 2026
Show all 1 update
  1. Oct 1, 2026
    Start date Jul 2026→Oct 2026
    + 1 other change: identifiers

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
NCT06365619
Lead sponsor
University of Utah
Responsible party
Sponsor
First posted
Apr 15, 2024
Start date
Oct 2026 (estimated)
Primary completion
Aug 2027 (estimated)
Completion
Aug 2030 (estimated)
Last update
Oct 1, 2026

Study contacts

Kaitlin Stephens
Contact
kaitlin.stephens@hci.utah.edu
801-213-8494
Siwen Hu-Lieskovan, PhD, MD
principal investigator · Huntsman Cancer Institute

Oversight

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

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