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OncoMatch/Clinical Trials/NCT06008106

Comparing Tunlametinib Capsules and Combination Chemotherapy in Advanced NRAS-mutant Melanoma

Is NCT06008106 recruiting? Yes, currently enrolling (May 2026). This Phase 3 trial studies multiple treatments including tunlametinib and paclitaxel +carboplatin, or temozolomide +cisplatin, or dacarbazine +cisplatin for melanoma.

Phase 3RecruitingShanghai Kechow Pharma, Inc.NCT06008106Data as of May 2026

Treatment: tunlametinib · paclitaxel +carboplatin, or temozolomide +cisplatin, or dacarbazine +cisplatinThis is a multicenter, two-arm, open-label, randomized controlled phase III clinical trial to evaluate the efficacy and safety of tunlametinib capsule in comparison with the combination chemotherapy of investigator's choice in advanced melanoma patients with NRAS mutation who have received immunotherapy before. Subjects were stratified according to the baseline lactate dehydrogenase level and chemotherapy.

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Extracted eligibility criteria

Cancer type

Melanoma

Biomarker criteria

Required: NRAS mutation

Disease stage

Required: Stage III, IV

Performance status

ECOG 0–1(Restricted strenuous activity)

Prior therapy

Must have received: immunotherapy

History of immunotherapy failure or could not tolerate immunotherapy

Cannot have received: chemotherapy

Exception: within 4 weeks before the first administration or within 5 half lives of the drug (whichever is longer)

received chemotherapy, targeted therapy or other study drug treatment within 4 weeks before the first administration or within 5 half lives of the drug (whichever is longer)

Cannot have received: targeted therapy

Exception: within 4 weeks before the first administration or within 5 half lives of the drug (whichever is longer)

received chemotherapy, targeted therapy or other study drug treatment within 4 weeks before the first administration or within 5 half lives of the drug (whichever is longer)

Cannot have received: immunotherapy

Exception: within 4 weeks before the first administration

received immunotherapy and biological therapy within 4 weeks before the first administration

Cannot have received: biological therapy

Exception: within 4 weeks before the first administration

received immunotherapy and biological therapy within 4 weeks before the first administration

Cannot have received: traditional Chinese medicines with anti-tumor activities

Exception: within 2 weeks before the first administration

received traditional Chinese medicines with anti-tumor activities approved by National Medical Products Administration (NMPA) within 2 weeks before the first administration

Cannot have received: MEK inhibitor

Patients who have been previously treated with MEK inhibitors

Lab requirements

Blood counts

Key laboratory tests must be conducted within 7 days before dosing and meet the inclusion criteria

Kidney function

Key laboratory tests must be conducted within 7 days before dosing and meet the inclusion criteria

Liver function

Key laboratory tests must be conducted within 7 days before dosing and meet the inclusion criteria

Cardiac function

Left ventricular ejection fraction (LVEF) ≥ 50% within 7 days before dosing according to echocardiographic findings; ECG Corrected Q-T interval formula (QTcB) < 480 msec during screening

Left ventricular ejection fraction (LVEF) ≥ 50% within 7 days before dosing according to echocardiographic findings. ECG Corrected Q-T interval formula (QTcB) ≥ 480 msec (adjusted by Bazett's formula) during screening, or a history of congenital long QT syndrome. Key laboratory tests must be conducted within 7 days before dosing and meet the inclusion criteria

Structured fields extracted by AI. May contain errors — verify against the official protocol.

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