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Safety and Efficacy of IMCgp100 Versus Investigator Choice in Advanced Uveal Melanoma

A Phase II Randomized, Open-label, Multi-center Study of the Safety and Efficacy of IMCgp100 Compared With Investigator Choice in HLA-A*0201 Positive Patients With Previously Untreated Advanced Uveal Melanoma

Status
Completed
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT03070392
Enrollment
378
Registered
2017-03-03
Start date
2017-10-16
Completion date
2025-09-17
Last updated
2026-03-17

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Uveal Melanoma

Keywords

Melanoma, Uveal Cancer, IMCgp100, Immunotherapy, Tebentafusp, Ocular Melanoma, Eye Melanoma, Uveal Melanoma, Gp100, TCR, Dacarbazine, Ipilimumab, Pembrolizumab, Bispecific T cell receptor fusion protein, ImmTAC, Immune mobilizing monoclonal T cell receptor against cancer, Kimmtrak

Brief summary

To evaluate the overall survival of HLA-A\*0201 positive adult patients with previously untreated advanced UM receiving IMCgp100 compared to Investigator's Choice of dacarbazine, ipilimumab, or pembrolizumab.

Detailed description

This Phase II study is designed to evaluate the safety and efficacy of IMCgp100 compared with Investigator's Choice (dacarbazine, ipilimumab or pembrolizumab) in HLA-A\*0201 positive adult patients with advanced UM treated in the first line setting with no prior systemic or liver-directed chemo-, radio- or immune-therapy administered in the advanced setting (prior surgical resection of liver metastases and adjuvant systemic therapy are acceptable). Comparison of the IMCgp100 efficacy results in this Phase II study will be made with the concurrently randomized arm (Investigator's Choice) with a primary endpoint of overall survival (OS) and secondary efficacy endpoints of progression-free survival (PFS), objective response rate (ORR), duration of response (DOR), and disease control rate (DCR).

Interventions

BIOLOGICALIMCgp100

IMCgp100 is to be administered at 20 mcg cycle 1 day1, then 30 mcg cycle 1 day 8, then 68 mcg cycle 1 day 15 and weekly thereafter by IV infusion over 15 minutes until confirmed disease progression or unacceptable toxicity

DRUGDacarbazine

Dacarbazine is to be administered at 1,000 mg/m2 of body surface area IV infusion every 3 weeks until disease progression or unacceptable toxicity

BIOLOGICALIpilimumab

Ipilimumab is to be administered at 3 mg/kg IV infusion over 90 minutes every 3 weeks for a total of 4 treatments

BIOLOGICALPembrolizumab

Pembrolizumab is to be administered at 2 mg/kg IV infusion up to a maximum of 200 mg administered Intravenously over 30 minutes every 3 weeks or 200 mg fixed dose administered intravenously every 3 weeks where approved locally until confirmed disease progression or unacceptable toxicity

Sponsors

Immunocore Ltd
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
18 Years to 99 Years
Healthy volunteers
No

Inclusion criteria

1. Male or female participants age ≥ 18 years of age at the time of informed consent 2. Ability to provide and understand written informed consent prior to any study procedures 3. Histologically or cytologically confirmed metastatic UM 4. Must meet the following criteria related to prior treatment: * No prior systemic therapy in the metastatic or advanced setting including chemotherapy, immunotherapy, or targeted therapy * No prior regional, liver-directed therapy including chemotherapy, radiotherapy, or embolization * Prior surgical resection of oligometastatic disease is allowed * Prior neoadjuvant or adjuvant therapy is allowed provided administered in the curative setting in participants with localized disease. Participants may not be re-treated with an Investigator's Choice therapy that was administered as adjuvant or neoadjuvant treatment. Additionally, participants who have received nivolumab as prior adjuvant/neoadjuvant treatment should not receive pembrolizumab as Investigator's Choice therapy. 5. HLA A\*0201 positive by central assay 6. Eastern Cooperative Oncology Group (ECOG) Performance Status of 0 or 1 at Screening 7. Participants have measurable disease or non-measurable disease according to RECIST v1.1 8. All other relevant medical conditions must be well-managed and stable, in the opinion of the investigator, for at least 28 days prior to first administration of study drug

Exclusion criteria

1. Out-of-range laboratory values 2. History of severe hypersensitivity reactions (eg, anaphylaxis) to other biologic drugs or monoclonal antibodies 3. Clinically significant cardiac disease or impaired cardiac function, 4. Presence of symptomatic or untreated central nervous system (CNS) metastases, or CNS metastases that require doses of corticosteroids within the prior 3 weeks to study Day 1. Participants with brain metastases are eligible if lesions have been treated with localized therapy and there is no evidence of PD for at least 4 weeks by magnetic resonance imaging (MRI) prior to the first dose of study drug 5. Active infection requiring systemic antibiotic therapy. Participants requiring systemic antibiotics for infection must have completed therapy at least 1 week prior to the first dose of study drug 6. Known history of human immunodeficiency virus infection (HIV). Testing for HIV status is not necessary unless clinically indicated 7. Active hepatitis B virus (HBV) or hepatitis C virus (HCV) infection per institutional protocol. Testing for HBV or HCV status is not necessary unless clinically indicated or the patient has a history of HBV or HCV infection 8. Malignant disease, other than that being treated in this study. Exceptions to this exclusion include the following: malignancies that were treated curatively and have not recurred within 2 years prior to study treatment; completely resected basal cell and squamous cell skin cancers; any malignancy considered to be indolent and that has never required therapy; and completely resected carcinoma in situ of any type 9. Any medical condition that would, in the investigator's or Sponsor's judgment, prevent the participants participation in the clinical study due to safety concerns, compliance with clinical study procedures or interpretation of study results 10. Participants receiving systemic steroid therapy or any other systemic immunosuppressive medication at any dose level, as these may interfere with the mechanism of action of study treatment. Local steroid therapies (eg, otic, ophthalmic, intra-articular, or inhaled medications) are acceptable 11. History of adrenal insufficiency 12. History of interstitial lung disease 13. History of pneumonitis that required corticosteroid treatment or current pneumonitis 14. History of colitis or inflammatory bowel disease 15. Major surgery within 2 weeks of the first dose of study drug (minimally invasive procedures such as bronchoscopy, tumor biopsy, insertion of a central venous access device, and insertion of a feeding tube are not considered major surgery and are not exclusionary) 16. Radiotherapy within 2 weeks of the first dose of study drug, with the exception of palliative radiotherapy to a limited field, such as for the treatment of bone pain or a focally painful tumor mass 17. Use of hematopoietic colony-stimulating growth factors (e.g., G-CSF, GM-CSF, M-CSF) ≤ 2 weeks prior to start of study drug. An erythroid-stimulating agent is allowed as long as it was initiated at least 2 weeks prior to the first dose of study treatment and the patient is not red blood cell transfusion dependent 18. Pregnant, likely to become pregnant, or lactating women (where pregnancy is defined as the state of a female after conception and until the termination of gestation) 19. Women of childbearing potential who are sexually active with a non-sterilized male partner, defined as all women physiologically capable of becoming pregnant, unless they are using highly effective contraception during study treatment (defined in Section 6.7), and must agree to continue using such precautions for 6 months after the final dose of investigational product; cessation of birth control after this point should be discussed with a responsible physician. Highly effective methods of contraception are described in Section 6.7 20. Male participants must be surgically sterile or use double barrier contraception methods from enrollment through treatment and for 6 months following administration of the last dose of study drug 21. Participant who are in an institution due to official or judicial order. 22. Participant who are the investigator or any subinvestigator, research assistant, pharmacist, study coordinator, or other staff thereof, directly involved in the conduct of the study. 23. Contraindication for treatment with Investigator's Choice alternatives (dacarbazine, ipilimumab and pembrolizumab) as per applicable labelling. Participant may have a contraindication to 1 or 2 of the choices if he/she is a candidate for dosing with at least 1 Investigator's Choice and meets all other study eligibility criteria.

Design outcomes

Primary

MeasureTime frameDescription
Efficacy: Overall SurvivalFrom randomization to the data cut off date of 13-Oct-2020; median follow-up duration was 14.1 months.Overall survival is defined as the time from randomization to date of death due to any cause.

Secondary

MeasureTime frameDescription
Safety: Number of Participants With Treatment Emergent Adverse EventsSafety was assessed from informed consent through 90 days after end of treatment, up to 36 months.Safety was defined as the number of participants with treatment emergent adverse events, including laboratory abnormalities, ECG changes, and/or physical examination findings.
Efficacy: Progression Free Survival (PFS)PFS was assessed every 3 months from randomization until disease progression or death, up to 36 months.Progression free survival (PFS) is defined as the time from randomization to the date of progression (RECIST v1.1) or death due to any cause.
Quality-of-Life: Change From Baseline in EQ-5D,5L Domain ScoresEQ-5D,5L was assessed at baseline (Cycle 1 Day 1) and on Day 1 of every other cycle to Cycle 5 Day 1, every fourth cycle thereafter, beginning with Cycle 9 Day 1 and End of Treatment (EOT), up to 36 months. Each cycle is 21 days.General health status was assessed using the EQ-5D,5L questionnaire, which includes five dimensions (5D): mobility, self-care, usual activities, pain/discomfort, and anxiety/depression. Each dimension has 3 scoring levels, where 1 indicates a better health state (no problems) and 3 indicates a worse health state. A positive change indicates improvement.
Quality-of-life: Change From Baseline in EQ-5D Visual Analogue Score (VAS)EQ-5D,5L VAS was assessed at baseline (Cycle 1 Day 1) and on Day 1 of every other cycle to Cycle 5 Day 1, every fourth cycle thereafter, beginning with Cycle 9 Day 1 and End of Treatment (EOT), up to 36 months. Each cycle is 21 days.The EQ-5D VAS score records the participant's self-rated health on a vertical visual analogue scale, with 0 being the worst imaginable health state and 100 being the best imaginable health state. A positive change indicates improvement.
Quality-of-Life: Change From Baseline in EORTC QLQ-C30 Global Health StatusEORTC QLQ-C30 was assessed at baseline (Cycle 1 Day 1) and on Day 1 of every other cycle to Cycle 5 Day 1, every fourth cycle thereafter, beginning with Cycle 9 Day 1 and End of Treatment (EOT), up to 36 months. Each cycle is 21 days.Global health status and quality of life was assessed using the EORTC QLQ-C30 questionnaire. The score range for the EORTC QLQ-C30 is from 0 to 100, with higher scores indicating better functioning and better global health status and health-related quality of life. A positive change indicates improvement.
Pharmacokinetics (PK): Tebentafusp ConcentrationPK concentrations were assessed at pre-dose, end of infusion and anytime in the 12 to 24 hour window after completion of the infusion in Cycle 1 on Days 1, 8 and 15.Serum PK concentrations of tebentafusp were collected over time.
Efficacy: Objective Response Rate (ORR)ORR will be assessed after every participant has had at least 3 assessments, conducted every 3 months, up to 5.5 years.Objective response rate (ORR) is defined as the proportion of patients achieving an objective response (RECIST v1.1).
Efficacy: Duration of Response (DOR)DOR will be assessed every 3 months from randomization until disease progression, assessed up to 5.5 years.Duration of response (DOR) is defined as the time from first documented objective response (RECIST v1.1) until the date of documented disease progression.
Efficacy: Disease Control Rate (DCR)DCR will be assessed every 3 months from randomization until disease progression, up to 5.5 years.Disease control rate (DCR) is defined as the proportion of patients with either an objective response or stable disease (RECIST v1.1)
Pharmacokinetics: Frequency of Anti-IMCgp100 Antibody FormationApproximately 5 assessments will be performed between first dose of IMCgp100 and end of treatment, assessed up to 5.5 years.

Countries

Australia, Belgium, Canada, France, Germany, Italy, Netherlands, Poland, Russia, Spain, Switzerland, Ukraine, United Kingdom, United States

Contacts

STUDY_DIRECTORImmunocore Medical Information

Immunocore Ltd

Participant flow

Recruitment details

A total of 378 patients were randomly assigned (2:1) to Tebentafusp (n=252) or Investigator's Choice (n=126) at 58 sites in 14 countries.

Pre-assignment details

The data cut-off date for this analysis was 13 October 2020. Combining participants into a single group as part of the Investigator's Choice arm was pre-specified as part of the study design.

Participants by arm

ArmCount
Tebentafusp
Tebentafusp administered at 20 mcg at Cycle 1 Day 1, 30 mcg at Cycle 1 Day 8, and 68 mcg at Cycle 1 Day 15 by IV infusion and weekly thereafter.
252
Investigator's Choice
1 of 3 Investigator's Choice options: Systemic Dacarbazine, Ipilimumab or Pembrolizumab. Dacarbazine: administered at 1,000 mg/m2 of body surface area IV infusion every 3 weeks until disease progression or unacceptable toxicity; Ipilimumab: administered at 3 mg/kg IV infusion over 90 minutes every 3 weeks for a total of 4 treatments; Pembrolizumab: administered at 2 mg/kg IV infusion up to a maximum of 200 mg administered Intravenously over 30 minutes every 3 weeks or 200 mg fixed dose administered intravenously every 3 weeks where approved locally until confirmed disease progression or unacceptable toxicity.
126
Total378

Baseline characteristics

CharacteristicTebentafuspTotalInvestigator's Choice
Age, Continuous61.3 Years
STANDARD_DEVIATION 11.9
62.1 Years
STANDARD_DEVIATION 11.6
63.6 Years
STANDARD_DEVIATION 10.7
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants1 Participants1 Participants
Race (NIH/OMB)
Asian
0 Participants0 Participants0 Participants
Race (NIH/OMB)
Black or African American
0 Participants0 Participants0 Participants
Race (NIH/OMB)
More than one race
0 Participants0 Participants0 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants0 Participants0 Participants
Race (NIH/OMB)
Unknown or Not Reported
30 Participants48 Participants18 Participants
Race (NIH/OMB)
White
222 Participants329 Participants107 Participants
Sex: Female, Male
Female
124 Participants188 Participants64 Participants
Sex: Female, Male
Male
128 Participants190 Participants62 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
84 / 24557 / 111
other
Total, other adverse events
245 / 245102 / 111
serious
Total, serious adverse events
69 / 24526 / 111

Outcome results

Primary

Efficacy: Overall Survival

Overall survival is defined as the time from randomization to date of death due to any cause.

Time frame: From randomization to the data cut off date of 13-Oct-2020; median follow-up duration was 14.1 months.

Population: The Intent-to-treat (ITT) Analysis Set comprises all participants assigned to treatment analyzed by the treatment assignment whether or not the participant received the assigned treatment. Combining participants into a single group as part of the Investigator's Choice arm was pre-specified as part of the study design; therefore, data per different treatments were not analyzed.

ArmMeasureValue (MEDIAN)
TebentafuspEfficacy: Overall Survival21.7 Months
Investigator's ChoiceEfficacy: Overall Survival16.0 Months
p-value: <0.000195% CI: [0.37, 0.71]Log Rank
Secondary

Efficacy: Disease Control Rate (DCR)

Disease control rate (DCR) is defined as the proportion of patients with either an objective response or stable disease (RECIST v1.1)

Time frame: DCR will be assessed every 3 months from randomization until disease progression, up to 5.5 years.

Secondary

Efficacy: Duration of Response (DOR)

Duration of response (DOR) is defined as the time from first documented objective response (RECIST v1.1) until the date of documented disease progression.

Time frame: DOR will be assessed every 3 months from randomization until disease progression, assessed up to 5.5 years.

Secondary

Efficacy: Objective Response Rate (ORR)

Objective response rate (ORR) is defined as the proportion of patients achieving an objective response (RECIST v1.1).

Time frame: ORR will be assessed after every participant has had at least 3 assessments, conducted every 3 months, up to 5.5 years.

Secondary

Efficacy: Progression Free Survival (PFS)

Progression free survival (PFS) is defined as the time from randomization to the date of progression (RECIST v1.1) or death due to any cause.

Time frame: PFS was assessed every 3 months from randomization until disease progression or death, up to 36 months.

Population: The Intent-to-treat (ITT) Analysis Set comprises all participants assigned to treatment analyzed by the treatment assignment whether or not the participant received the assigned treatment. Combining participants into a single group as part of the Investigator's Choice arm was pre-specified as part of the study design; therefore, data per different treatments were not analyzed.

ArmMeasureValue (MEDIAN)
TebentafuspEfficacy: Progression Free Survival (PFS)3.3 Months
Investigator's ChoiceEfficacy: Progression Free Survival (PFS)2.9 Months
p-value: 0.013995% CI: [0.58, 0.94]Log Rank
Secondary

Pharmacokinetics: Frequency of Anti-IMCgp100 Antibody Formation

Time frame: Approximately 5 assessments will be performed between first dose of IMCgp100 and end of treatment, assessed up to 5.5 years.

Secondary

Pharmacokinetics (PK): Tebentafusp Concentration

Serum PK concentrations of tebentafusp were collected over time.

Time frame: PK concentrations were assessed at pre-dose, end of infusion and anytime in the 12 to 24 hour window after completion of the infusion in Cycle 1 on Days 1, 8 and 15.

Population: The PK Analysis Set included participants in the Safety Analysis Set who had at least 1 measurable PK concentration and who had relevant date, time, and dosing data for the sample.

ArmMeasureGroupValue (GEOMETRIC_MEAN)Dispersion
TebentafuspPharmacokinetics (PK): Tebentafusp ConcentrationCycle 1 Day 1 - 12 to 24 hours post-infusion505.100 pg/mLGeometric Coefficient of Variation 0.7
TebentafuspPharmacokinetics (PK): Tebentafusp ConcentrationCycle 1 Day 1 - End of Infusion4201.929 pg/mLGeometric Coefficient of Variation 0.6
TebentafuspPharmacokinetics (PK): Tebentafusp ConcentrationCycle 1 Day 8 - End of Infusion5787.139 pg/mLGeometric Coefficient of Variation 0.4
TebentafuspPharmacokinetics (PK): Tebentafusp ConcentrationCycle 1 Day 8 - 12 to 24 hours post-infusion738.602 pg/mLGeometric Coefficient of Variation 0.7
TebentafuspPharmacokinetics (PK): Tebentafusp ConcentrationCycle 1 Day 15 - End of Infusion13715.914 pg/mLGeometric Coefficient of Variation 0.5
TebentafuspPharmacokinetics (PK): Tebentafusp ConcentrationCycle 1 Day 15 - 12 to 24 hours post-infusion1685.354 pg/mLGeometric Coefficient of Variation 0.6
Secondary

Quality-of-Life: Change From Baseline in EORTC QLQ-C30 Global Health Status

Global health status and quality of life was assessed using the EORTC QLQ-C30 questionnaire. The score range for the EORTC QLQ-C30 is from 0 to 100, with higher scores indicating better functioning and better global health status and health-related quality of life. A positive change indicates improvement.

Time frame: EORTC QLQ-C30 was assessed at baseline (Cycle 1 Day 1) and on Day 1 of every other cycle to Cycle 5 Day 1, every fourth cycle thereafter, beginning with Cycle 9 Day 1 and End of Treatment (EOT), up to 36 months. Each cycle is 21 days.

Population: The Intent-to-treat (ITT) Analysis Set comprises all participants assigned to treatment analyzed by the treatment assignment whether or not the participant received the assigned treatment. Combining participants into a single group as part of the Investigator's Choice arm was pre-specified as part of the study design; therefore, data per different treatments were not analyzed.

ArmMeasureGroupValue (MEAN)Dispersion
TebentafuspQuality-of-Life: Change From Baseline in EORTC QLQ-C30 Global Health StatusBaseline Cycle 176.108 Units on a scaleStandard Deviation 20.233
TebentafuspQuality-of-Life: Change From Baseline in EORTC QLQ-C30 Global Health StatusChange at Cycle 30.952 Units on a scaleStandard Deviation 16.274
TebentafuspQuality-of-Life: Change From Baseline in EORTC QLQ-C30 Global Health StatusChange at Cycle 5-1.152 Units on a scaleStandard Deviation 20.797
TebentafuspQuality-of-Life: Change From Baseline in EORTC QLQ-C30 Global Health StatusChange at Cycle 9-2.193 Units on a scaleStandard Deviation 19.577
TebentafuspQuality-of-Life: Change From Baseline in EORTC QLQ-C30 Global Health StatusChange at Cycle 13-5.625 Units on a scaleStandard Deviation 17.641
TebentafuspQuality-of-Life: Change From Baseline in EORTC QLQ-C30 Global Health StatusChange at Cycle 17-10.185 Units on a scaleStandard Deviation 28.087
TebentafuspQuality-of-Life: Change From Baseline in EORTC QLQ-C30 Global Health StatusChange at Cycle 210.758 Units on a scaleStandard Deviation 18.429
TebentafuspQuality-of-Life: Change From Baseline in EORTC QLQ-C30 Global Health StatusChange at Cycle 25-2.381 Units on a scaleStandard Deviation 27.936
TebentafuspQuality-of-Life: Change From Baseline in EORTC QLQ-C30 Global Health StatusChange at Cycle 29-8.333 Units on a scaleStandard Deviation 19.72
TebentafuspQuality-of-Life: Change From Baseline in EORTC QLQ-C30 Global Health StatusChange at EOT-10.417 Units on a scaleStandard Deviation 20.911
Investigator's ChoiceQuality-of-Life: Change From Baseline in EORTC QLQ-C30 Global Health StatusChange at Cycle 250.00 Units on a scaleStandard Deviation 0
Investigator's ChoiceQuality-of-Life: Change From Baseline in EORTC QLQ-C30 Global Health StatusBaseline Cycle 174.872 Units on a scaleStandard Deviation 20.439
Investigator's ChoiceQuality-of-Life: Change From Baseline in EORTC QLQ-C30 Global Health StatusChange at Cycle 17-4.167 Units on a scaleStandard Deviation 6.972
Investigator's ChoiceQuality-of-Life: Change From Baseline in EORTC QLQ-C30 Global Health StatusChange at Cycle 3-0.238 Units on a scaleStandard Deviation 14.919
Investigator's ChoiceQuality-of-Life: Change From Baseline in EORTC QLQ-C30 Global Health StatusChange at EOT-10.539 Units on a scaleStandard Deviation 23.148
Investigator's ChoiceQuality-of-Life: Change From Baseline in EORTC QLQ-C30 Global Health StatusChange at Cycle 5-10.227 Units on a scaleStandard Deviation 22.557
Investigator's ChoiceQuality-of-Life: Change From Baseline in EORTC QLQ-C30 Global Health StatusChange at Cycle 21-4.167 Units on a scaleStandard Deviation 5.893
Investigator's ChoiceQuality-of-Life: Change From Baseline in EORTC QLQ-C30 Global Health StatusChange at Cycle 9-8.333 Units on a scaleStandard Deviation 13.176
Investigator's ChoiceQuality-of-Life: Change From Baseline in EORTC QLQ-C30 Global Health StatusChange at Cycle 290.00 Units on a scaleStandard Deviation 0
Investigator's ChoiceQuality-of-Life: Change From Baseline in EORTC QLQ-C30 Global Health StatusChange at Cycle 13-10.185 Units on a scaleStandard Deviation 16.017
Secondary

Quality-of-Life: Change From Baseline in EQ-5D,5L Domain Scores

General health status was assessed using the EQ-5D,5L questionnaire, which includes five dimensions (5D): mobility, self-care, usual activities, pain/discomfort, and anxiety/depression. Each dimension has 3 scoring levels, where 1 indicates a better health state (no problems) and 3 indicates a worse health state. A positive change indicates improvement.

Time frame: EQ-5D,5L was assessed at baseline (Cycle 1 Day 1) and on Day 1 of every other cycle to Cycle 5 Day 1, every fourth cycle thereafter, beginning with Cycle 9 Day 1 and End of Treatment (EOT), up to 36 months. Each cycle is 21 days.

Population: The Intent-to-treat (ITT) Analysis Set comprises all participants assigned to treatment analyzed by the treatment assignment whether or not the participant received the assigned treatment. Combining participants into a single group as part of the Investigator's Choice arm was pre-specified as part of the study design; therefore, data per different treatments were not analyzed.

ArmMeasureGroupValue (MEAN)Dispersion
TebentafuspQuality-of-Life: Change From Baseline in EQ-5D,5L Domain ScoresSelf-care - Change at Cycle 30.0 Units on a scaleStandard Deviation 0.49
TebentafuspQuality-of-Life: Change From Baseline in EQ-5D,5L Domain ScoresMobility - Baseline Cycle 11.2 Units on a scaleStandard Deviation 0.62
TebentafuspQuality-of-Life: Change From Baseline in EQ-5D,5L Domain ScoresMobility - Change at Cycle 3-0.1 Units on a scaleStandard Deviation 0.66
TebentafuspQuality-of-Life: Change From Baseline in EQ-5D,5L Domain ScoresMobility - Change at Cycle 50.0 Units on a scaleStandard Deviation 0.73
TebentafuspQuality-of-Life: Change From Baseline in EQ-5D,5L Domain ScoresMobility - Change at Cycle 90.0 Units on a scaleStandard Deviation 0.91
TebentafuspQuality-of-Life: Change From Baseline in EQ-5D,5L Domain ScoresMobility - Change at Cycle 13-0.1 Units on a scaleStandard Deviation 0.6
TebentafuspQuality-of-Life: Change From Baseline in EQ-5D,5L Domain ScoresMobility - Change at Cycle 170.3 Units on a scaleStandard Deviation 0.57
TebentafuspQuality-of-Life: Change From Baseline in EQ-5D,5L Domain ScoresMobility - Change at Cycle 210.0 Units on a scaleStandard Deviation 0.58
TebentafuspQuality-of-Life: Change From Baseline in EQ-5D,5L Domain ScoresMobility - Change at Cycle 250.1 Units on a scaleStandard Deviation 0.64
TebentafuspQuality-of-Life: Change From Baseline in EQ-5D,5L Domain ScoresMobility - Change at Cycle 290.0 Units on a scaleStandard Deviation 0.5
TebentafuspQuality-of-Life: Change From Baseline in EQ-5D,5L Domain ScoresMobility - Change at EOT0.3 Units on a scaleStandard Deviation 0.73
TebentafuspQuality-of-Life: Change From Baseline in EQ-5D,5L Domain ScoresSelf-care - Baseline Cycle 11.1 Units on a scaleStandard Deviation 0.45
TebentafuspQuality-of-Life: Change From Baseline in EQ-5D,5L Domain ScoresUsual activities - Baseline Cycle 11.2 Units on a scaleStandard Deviation 0.53
TebentafuspQuality-of-Life: Change From Baseline in EQ-5D,5L Domain ScoresSelf-care - Change at Cycle 50.0 Units on a scaleStandard Deviation 0.42
TebentafuspQuality-of-Life: Change From Baseline in EQ-5D,5L Domain ScoresSelf-care - Change at Cycle 90.0 Units on a scaleStandard Deviation 0.58
TebentafuspQuality-of-Life: Change From Baseline in EQ-5D,5L Domain ScoresSelf-care - Change at Cycle 130.1 Units on a scaleStandard Deviation 0.52
TebentafuspQuality-of-Life: Change From Baseline in EQ-5D,5L Domain ScoresSelf-care - Change at Cycle 170.1 Units on a scaleStandard Deviation 0.68
TebentafuspQuality-of-Life: Change From Baseline in EQ-5D,5L Domain ScoresSelf-care - Change at Cycle 210.0 Units on a scaleStandard Deviation 0
TebentafuspQuality-of-Life: Change From Baseline in EQ-5D,5L Domain ScoresSelf-care - Change at Cycle 250.0 Units on a scaleStandard Deviation 0
TebentafuspQuality-of-Life: Change From Baseline in EQ-5D,5L Domain ScoresSelf-care - Change at Cycle 290.0 Units on a scaleStandard Deviation 0
TebentafuspQuality-of-Life: Change From Baseline in EQ-5D,5L Domain ScoresSelf-care - Change at EOT0.1 Units on a scaleStandard Deviation 0.6
TebentafuspQuality-of-Life: Change From Baseline in EQ-5D,5L Domain ScoresUsual activities - Change at Cycle 30.2 Units on a scaleStandard Deviation 0.59
TebentafuspQuality-of-Life: Change From Baseline in EQ-5D,5L Domain ScoresUsual activities - Change at Cycle 50.1 Units on a scaleStandard Deviation 0.61
TebentafuspQuality-of-Life: Change From Baseline in EQ-5D,5L Domain ScoresUsual activities - Change at Cycle 90.2 Units on a scaleStandard Deviation 0.87
TebentafuspQuality-of-Life: Change From Baseline in EQ-5D,5L Domain ScoresUsual activities - Change at Cycle 130.3 Units on a scaleStandard Deviation 0.79
TebentafuspQuality-of-Life: Change From Baseline in EQ-5D,5L Domain ScoresUsual activities - Change at Cycle 170.5 Units on a scaleStandard Deviation 0.8
TebentafuspQuality-of-Life: Change From Baseline in EQ-5D,5L Domain ScoresUsual activities - Change at Cycle 210.3 Units on a scaleStandard Deviation 0.48
TebentafuspQuality-of-Life: Change From Baseline in EQ-5D,5L Domain ScoresUsual activities - Change at Cycle 250.3 Units on a scaleStandard Deviation 0.46
TebentafuspQuality-of-Life: Change From Baseline in EQ-5D,5L Domain ScoresUsual activities - Change at Cycle 290.2 Units on a scaleStandard Deviation 0.44
TebentafuspQuality-of-Life: Change From Baseline in EQ-5D,5L Domain ScoresUsual activities - Change at EOT0.4 Units on a scaleStandard Deviation 0.77
TebentafuspQuality-of-Life: Change From Baseline in EQ-5D,5L Domain ScoresPain/Discomfort - Baseline Cycle 11.5 Units on a scaleStandard Deviation 0.71
TebentafuspQuality-of-Life: Change From Baseline in EQ-5D,5L Domain ScoresPain/Discomfort - Change at Cycle 30.0 Units on a scaleStandard Deviation 0.75
TebentafuspQuality-of-Life: Change From Baseline in EQ-5D,5L Domain ScoresPain/Discomfort - Change at Cycle 50.0 Units on a scaleStandard Deviation 0.65
TebentafuspQuality-of-Life: Change From Baseline in EQ-5D,5L Domain ScoresPain/Discomfort - Change at Cycle 90.1 Units on a scaleStandard Deviation 0.73
TebentafuspQuality-of-Life: Change From Baseline in EQ-5D,5L Domain ScoresPain/Discomfort - Change at Cycle 130.1 Units on a scaleStandard Deviation 0.51
TebentafuspQuality-of-Life: Change From Baseline in EQ-5D,5L Domain ScoresPain/Discomfort - Change at Cycle 170.4 Units on a scaleStandard Deviation 0.85
TebentafuspQuality-of-Life: Change From Baseline in EQ-5D,5L Domain ScoresPain/Discomfort - Change at Cycle 210.2 Units on a scaleStandard Deviation 0.55
TebentafuspQuality-of-Life: Change From Baseline in EQ-5D,5L Domain ScoresPain/Discomfort - Change at Cycle 250.0 Units on a scaleStandard Deviation 0.53
TebentafuspQuality-of-Life: Change From Baseline in EQ-5D,5L Domain ScoresPain/Discomfort - Change at Cycle 290.1 Units on a scaleStandard Deviation 0.6
TebentafuspQuality-of-Life: Change From Baseline in EQ-5D,5L Domain ScoresPain/Discomfort - Change at EOT0.2 Units on a scaleStandard Deviation 0.87
TebentafuspQuality-of-Life: Change From Baseline in EQ-5D,5L Domain ScoresAnxiety/Depression - Baseline Cycle 11.8 Units on a scaleStandard Deviation 0.94
TebentafuspQuality-of-Life: Change From Baseline in EQ-5D,5L Domain ScoresAnxiety/Depression - Change at Cycle 3-0.2 Units on a scaleStandard Deviation 0.77
TebentafuspQuality-of-Life: Change From Baseline in EQ-5D,5L Domain ScoresAnxiety/Depression - Change at Cycle 5-0.2 Units on a scaleStandard Deviation 0.74
TebentafuspQuality-of-Life: Change From Baseline in EQ-5D,5L Domain ScoresAnxiety/Depression - Change at Cycle 9-0.3 Units on a scaleStandard Deviation 0.8
TebentafuspQuality-of-Life: Change From Baseline in EQ-5D,5L Domain ScoresAnxiety/Depression - Change at Cycle 13-0.4 Units on a scaleStandard Deviation 0.77
TebentafuspQuality-of-Life: Change From Baseline in EQ-5D,5L Domain ScoresAnxiety/Depression - Change at Cycle 17-0.4 Units on a scaleStandard Deviation 0.85
TebentafuspQuality-of-Life: Change From Baseline in EQ-5D,5L Domain ScoresAnxiety/Depression - Change at Cycle 21-0.5 Units on a scaleStandard Deviation 0.88
TebentafuspQuality-of-Life: Change From Baseline in EQ-5D,5L Domain ScoresAnxiety/Depression - Change at Cycle 25-0.4 Units on a scaleStandard Deviation 0.74
TebentafuspQuality-of-Life: Change From Baseline in EQ-5D,5L Domain ScoresAnxiety/Depression - Change at Cycle 29-0.6 Units on a scaleStandard Deviation 0.88
TebentafuspQuality-of-Life: Change From Baseline in EQ-5D,5L Domain ScoresAnxiety/Depression - Change at EOT0.3 Units on a scaleStandard Deviation 0.94
Investigator's ChoiceQuality-of-Life: Change From Baseline in EQ-5D,5L Domain ScoresPain/Discomfort - Change at Cycle 251.0 Units on a scale
Investigator's ChoiceQuality-of-Life: Change From Baseline in EQ-5D,5L Domain ScoresUsual activities - Baseline Cycle 11.3 Units on a scaleStandard Deviation 0.55
Investigator's ChoiceQuality-of-Life: Change From Baseline in EQ-5D,5L Domain ScoresUsual activities - Change at Cycle 170.2 Units on a scaleStandard Deviation 0.41
Investigator's ChoiceQuality-of-Life: Change From Baseline in EQ-5D,5L Domain ScoresMobility - Baseline Cycle 11.3 Units on a scaleStandard Deviation 0.55
Investigator's ChoiceQuality-of-Life: Change From Baseline in EQ-5D,5L Domain ScoresAnxiety/Depression - Change at Cycle 290.5 Units on a scaleStandard Deviation 0.71
Investigator's ChoiceQuality-of-Life: Change From Baseline in EQ-5D,5L Domain ScoresMobility - Change at Cycle 30.1 Units on a scaleStandard Deviation 0.47
Investigator's ChoiceQuality-of-Life: Change From Baseline in EQ-5D,5L Domain ScoresUsual activities - Change at Cycle 210.0 Units on a scaleStandard Deviation 0
Investigator's ChoiceQuality-of-Life: Change From Baseline in EQ-5D,5L Domain ScoresMobility - Change at Cycle 50.3 Units on a scaleStandard Deviation 0.65
Investigator's ChoiceQuality-of-Life: Change From Baseline in EQ-5D,5L Domain ScoresPain/Discomfort - Change at Cycle 290.5 Units on a scaleStandard Deviation 0.71
Investigator's ChoiceQuality-of-Life: Change From Baseline in EQ-5D,5L Domain ScoresMobility - Change at Cycle 90.0 Units on a scaleStandard Deviation 0.55
Investigator's ChoiceQuality-of-Life: Change From Baseline in EQ-5D,5L Domain ScoresUsual activities - Change at Cycle 250.0 Units on a scaleStandard Deviation 0
Investigator's ChoiceQuality-of-Life: Change From Baseline in EQ-5D,5L Domain ScoresMobility - Change at Cycle 130.3 Units on a scaleStandard Deviation 0.87
Investigator's ChoiceQuality-of-Life: Change From Baseline in EQ-5D,5L Domain ScoresAnxiety/Depression - Change at Cycle 13-0.1 Units on a scaleStandard Deviation 0.6
Investigator's ChoiceQuality-of-Life: Change From Baseline in EQ-5D,5L Domain ScoresMobility - Change at Cycle 170.2 Units on a scaleStandard Deviation 0.41
Investigator's ChoiceQuality-of-Life: Change From Baseline in EQ-5D,5L Domain ScoresUsual activities - Change at Cycle 290.0 Units on a scaleStandard Deviation 0
Investigator's ChoiceQuality-of-Life: Change From Baseline in EQ-5D,5L Domain ScoresMobility - Change at Cycle 210.5 Units on a scaleStandard Deviation 0.71
Investigator's ChoiceQuality-of-Life: Change From Baseline in EQ-5D,5L Domain ScoresPain/Discomfort - Change at EOT0.4 Units on a scaleStandard Deviation 1.1
Investigator's ChoiceQuality-of-Life: Change From Baseline in EQ-5D,5L Domain ScoresMobility - Change at Cycle 250.0 Units on a scaleStandard Deviation 0
Investigator's ChoiceQuality-of-Life: Change From Baseline in EQ-5D,5L Domain ScoresUsual activities - Change at EOT0.5 Units on a scaleStandard Deviation 0.87
Investigator's ChoiceQuality-of-Life: Change From Baseline in EQ-5D,5L Domain ScoresMobility - Change at Cycle 290.0 Units on a scaleStandard Deviation 0
Investigator's ChoiceQuality-of-Life: Change From Baseline in EQ-5D,5L Domain ScoresPain/Discomfort - Change at Cycle 210.0 Units on a scaleStandard Deviation 0
Investigator's ChoiceQuality-of-Life: Change From Baseline in EQ-5D,5L Domain ScoresMobility - Change at EOT0.4 Units on a scaleStandard Deviation 0.99
Investigator's ChoiceQuality-of-Life: Change From Baseline in EQ-5D,5L Domain ScoresAnxiety/Depression - Change at Cycle 250.0 Units on a scale
Investigator's ChoiceQuality-of-Life: Change From Baseline in EQ-5D,5L Domain ScoresSelf-care - Baseline Cycle 11.1 Units on a scaleStandard Deviation 0.29
Investigator's ChoiceQuality-of-Life: Change From Baseline in EQ-5D,5L Domain ScoresPain/Discomfort - Baseline Cycle 11.5 Units on a scaleStandard Deviation 0.73
Investigator's ChoiceQuality-of-Life: Change From Baseline in EQ-5D,5L Domain ScoresSelf-care - Change at Cycle 30.0 Units on a scaleStandard Deviation 0.26
Investigator's ChoiceQuality-of-Life: Change From Baseline in EQ-5D,5L Domain ScoresAnxiety/Depression - Baseline Cycle 11.7 Units on a scaleStandard Deviation 0.89
Investigator's ChoiceQuality-of-Life: Change From Baseline in EQ-5D,5L Domain ScoresSelf-care - Change at Cycle 50.0 Units on a scaleStandard Deviation 0
Investigator's ChoiceQuality-of-Life: Change From Baseline in EQ-5D,5L Domain ScoresPain/Discomfort - Change at Cycle 30.1 Units on a scaleStandard Deviation 0.73
Investigator's ChoiceQuality-of-Life: Change From Baseline in EQ-5D,5L Domain ScoresSelf-care - Change at Cycle 90.0 Units on a scaleStandard Deviation 0
Investigator's ChoiceQuality-of-Life: Change From Baseline in EQ-5D,5L Domain ScoresAnxiety/Depression - Change at Cycle 170.0 Units on a scaleStandard Deviation 0
Investigator's ChoiceQuality-of-Life: Change From Baseline in EQ-5D,5L Domain ScoresSelf-care - Change at Cycle 130.1 Units on a scaleStandard Deviation 0.33
Investigator's ChoiceQuality-of-Life: Change From Baseline in EQ-5D,5L Domain ScoresPain/Discomfort - Change at Cycle 50.2 Units on a scaleStandard Deviation 0.72
Investigator's ChoiceQuality-of-Life: Change From Baseline in EQ-5D,5L Domain ScoresSelf-care - Change at Cycle 170.0 Units on a scaleStandard Deviation 0
Investigator's ChoiceQuality-of-Life: Change From Baseline in EQ-5D,5L Domain ScoresAnxiety/Depression - Change at Cycle 3-0.3 Units on a scaleStandard Deviation 0.55
Investigator's ChoiceQuality-of-Life: Change From Baseline in EQ-5D,5L Domain ScoresSelf-care - Change at Cycle 210.0 Units on a scaleStandard Deviation 0
Investigator's ChoiceQuality-of-Life: Change From Baseline in EQ-5D,5L Domain ScoresPain/Discomfort - Change at Cycle 9-0.1 Units on a scaleStandard Deviation 0.73
Investigator's ChoiceQuality-of-Life: Change From Baseline in EQ-5D,5L Domain ScoresSelf-care - Change at Cycle 250.0 Units on a scaleStandard Deviation 0
Investigator's ChoiceQuality-of-Life: Change From Baseline in EQ-5D,5L Domain ScoresAnxiety/Depression - Change at EOT0.2 Units on a scaleStandard Deviation 1.07
Investigator's ChoiceQuality-of-Life: Change From Baseline in EQ-5D,5L Domain ScoresSelf-care - Change at Cycle 290.0 Units on a scaleStandard Deviation 0
Investigator's ChoiceQuality-of-Life: Change From Baseline in EQ-5D,5L Domain ScoresPain/Discomfort - Change at Cycle 130.1 Units on a scaleStandard Deviation 0.93
Investigator's ChoiceQuality-of-Life: Change From Baseline in EQ-5D,5L Domain ScoresSelf-care - Change at EOT0.1 Units on a scaleStandard Deviation 0.56
Investigator's ChoiceQuality-of-Life: Change From Baseline in EQ-5D,5L Domain ScoresAnxiety/Depression - Change at Cycle 50.0 Units on a scaleStandard Deviation 0.61
Investigator's ChoiceQuality-of-Life: Change From Baseline in EQ-5D,5L Domain ScoresUsual activities - Change at Cycle 30.1 Units on a scaleStandard Deviation 0.73
Investigator's ChoiceQuality-of-Life: Change From Baseline in EQ-5D,5L Domain ScoresPain/Discomfort - Change at Cycle 170.3 Units on a scaleStandard Deviation 0.52
Investigator's ChoiceQuality-of-Life: Change From Baseline in EQ-5D,5L Domain ScoresUsual activities - Change at Cycle 50.2 Units on a scaleStandard Deviation 0.61
Investigator's ChoiceQuality-of-Life: Change From Baseline in EQ-5D,5L Domain ScoresAnxiety/Depression - Change at Cycle 210.0 Units on a scaleStandard Deviation 0
Investigator's ChoiceQuality-of-Life: Change From Baseline in EQ-5D,5L Domain ScoresUsual activities - Change at Cycle 90.1 Units on a scaleStandard Deviation 0.53
Investigator's ChoiceQuality-of-Life: Change From Baseline in EQ-5D,5L Domain ScoresAnxiety/Depression - Change at Cycle 90.1 Units on a scaleStandard Deviation 0.77
Investigator's ChoiceQuality-of-Life: Change From Baseline in EQ-5D,5L Domain ScoresUsual activities - Change at Cycle 130.1 Units on a scaleStandard Deviation 0.6
Secondary

Quality-of-life: Change From Baseline in EQ-5D Visual Analogue Score (VAS)

The EQ-5D VAS score records the participant's self-rated health on a vertical visual analogue scale, with 0 being the worst imaginable health state and 100 being the best imaginable health state. A positive change indicates improvement.

Time frame: EQ-5D,5L VAS was assessed at baseline (Cycle 1 Day 1) and on Day 1 of every other cycle to Cycle 5 Day 1, every fourth cycle thereafter, beginning with Cycle 9 Day 1 and End of Treatment (EOT), up to 36 months. Each cycle is 21 days.

Population: The Intent-to-treat (ITT) Analysis Set comprises all participants assigned to treatment analyzed by the treatment assignment whether or not the participant received the assigned treatment. Combining participants into a single group as part of the Investigator's Choice arm was pre-specified as part of the study design; therefore, data per different treatments were not analyzed.

ArmMeasureGroupValue (MEAN)Dispersion
TebentafuspQuality-of-life: Change From Baseline in EQ-5D Visual Analogue Score (VAS)Baseline Cycle 181.0 Units on a scaleStandard Deviation 16.36
TebentafuspQuality-of-life: Change From Baseline in EQ-5D Visual Analogue Score (VAS)Change at Cycle 30.4 Units on a scaleStandard Deviation 14.69
TebentafuspQuality-of-life: Change From Baseline in EQ-5D Visual Analogue Score (VAS)Change at Cycle 50.6 Units on a scaleStandard Deviation 15.61
TebentafuspQuality-of-life: Change From Baseline in EQ-5D Visual Analogue Score (VAS)Change at Cycle 9-0.9 Units on a scaleStandard Deviation 19.81
TebentafuspQuality-of-life: Change From Baseline in EQ-5D Visual Analogue Score (VAS)Change at Cycle 13-2.0 Units on a scaleStandard Deviation 16.48
TebentafuspQuality-of-life: Change From Baseline in EQ-5D Visual Analogue Score (VAS)Change at Cycle 17-10.2 Units on a scaleStandard Deviation 20.93
TebentafuspQuality-of-life: Change From Baseline in EQ-5D Visual Analogue Score (VAS)Change at Cycle 21-1.8 Units on a scaleStandard Deviation 14.52
TebentafuspQuality-of-life: Change From Baseline in EQ-5D Visual Analogue Score (VAS)Change at Cycle 25-13.6 Units on a scaleStandard Deviation 19.43
TebentafuspQuality-of-life: Change From Baseline in EQ-5D Visual Analogue Score (VAS)Change at Cycle 290.0 Units on a scaleStandard Deviation 9.25
TebentafuspQuality-of-life: Change From Baseline in EQ-5D Visual Analogue Score (VAS)Change at EOT-10.1 Units on a scaleStandard Deviation 22.53
Investigator's ChoiceQuality-of-life: Change From Baseline in EQ-5D Visual Analogue Score (VAS)Change at Cycle 25-4.0 Units on a scale
Investigator's ChoiceQuality-of-life: Change From Baseline in EQ-5D Visual Analogue Score (VAS)Baseline Cycle 180.4 Units on a scaleStandard Deviation 18.31
Investigator's ChoiceQuality-of-life: Change From Baseline in EQ-5D Visual Analogue Score (VAS)Change at Cycle 17-8.5 Units on a scaleStandard Deviation 33.82
Investigator's ChoiceQuality-of-life: Change From Baseline in EQ-5D Visual Analogue Score (VAS)Change at Cycle 3-0.8 Units on a scaleStandard Deviation 14.28
Investigator's ChoiceQuality-of-life: Change From Baseline in EQ-5D Visual Analogue Score (VAS)Change at EOT-11.7 Units on a scaleStandard Deviation 21.4
Investigator's ChoiceQuality-of-life: Change From Baseline in EQ-5D Visual Analogue Score (VAS)Change at Cycle 5-0.7 Units on a scaleStandard Deviation 14.38
Investigator's ChoiceQuality-of-life: Change From Baseline in EQ-5D Visual Analogue Score (VAS)Change at Cycle 21-1.0 Units on a scaleStandard Deviation 5.66
Investigator's ChoiceQuality-of-life: Change From Baseline in EQ-5D Visual Analogue Score (VAS)Change at Cycle 9-3.3 Units on a scaleStandard Deviation 13.3
Investigator's ChoiceQuality-of-life: Change From Baseline in EQ-5D Visual Analogue Score (VAS)Change at Cycle 29-2.0 Units on a scaleStandard Deviation 1.41
Investigator's ChoiceQuality-of-life: Change From Baseline in EQ-5D Visual Analogue Score (VAS)Change at Cycle 13-2.6 Units on a scaleStandard Deviation 8.37
Secondary

Safety: Number of Participants With Treatment Emergent Adverse Events

Safety was defined as the number of participants with treatment emergent adverse events, including laboratory abnormalities, ECG changes, and/or physical examination findings.

Time frame: Safety was assessed from informed consent through 90 days after end of treatment, up to 36 months.

Population: The Safety Analysis Set includes all randomized participants who received at least 1 full or partial dose of tebentafusp or investigator's choice. Combining participants into a single group as part of the Investigator's Choice arm was pre-specified as part of the study design; therefore, data per different treatments were not analyzed.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
TebentafuspSafety: Number of Participants With Treatment Emergent Adverse Events245 Participants
Investigator's ChoiceSafety: Number of Participants With Treatment Emergent Adverse Events105 Participants

Source: ClinicalTrials.gov · Data processed: Apr 19, 2026