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OncoMatch/Clinical Trials/NCT06414590

Neoadjuvant Tebentafusp for Uveal Melanoma

Is NCT06414590 recruiting? Yes, currently enrolling (May 2026). This Phase 2 trial studies Tebentafusp-Tebn for locally advanced unresectable uveal melanoma.

Phase 2RecruitingThomas Jefferson UniversityNCT06414590Data as of May 2026

Treatment: Tebentafusp-TebnThis phase II trial tests how well tebentafusp works to shrink tumors prior to primary treatment with surgery or radiation in patients with uveal (eye) melanoma that has spread to nearby tissue or lymph nodes (locally advanced) or that cannot be removed by surgery (unresectable). Tebentafusp is a drug that binds to melanoma tumor cells as well as immune cells called T-cells. This binding causes an immune response against the melanoma cells, which leads to tumor cell death. Tebentafusp has been approved for the treatment of locally advanced and unresectable uveal melanoma. Giving tebentafusp before primary treatment with surgery or radiation may help shrink the tumor, prevent the disease from spreading, or reduce the likelihood that patients will require total eye removal (called enucleation).

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Extracted eligibility criteria

Cancer type

Melanoma

Biomarker criteria

Required: HLA-A A*02:01 positive

Participants must be HLA-A*02:01 positive

Performance status

ECOG 0–1(Restricted strenuous activity)

Prior therapy

No prior treatment (treatment-naive required)
Max 0 prior lines

Cannot have received: (Tebentafusp)

Previous treatment with Tebentafusp

Lab requirements

Blood counts

Absolute neutrophil count < 1.0 x 10^9 /L; Absolute lymphocyte count < 0.5 x 10^9 /L; Platelet count < 100 x 10^9 /L; Hemoglobin < 9.0 g/dL

Kidney function

Serum creatinine > 1.5 x ULN and/or creatinine clearance < 50 mL/minute

Liver function

Total bilirubin >1.5 mg/dL (or 1.3 x ULN); Alanine aminotransferase > 1.5 x ULN; Aspartate aminotransferase > 1.5 x ULN; Albumin < 3.0 g/dl

Cardiac function

Left Ventricular Ejection Fraction <50%; QTcF > 470 msec on screening ECG or congenital long QT syndrome; Acute myocardial infarction or unstable angina pectoris < 6 months to Screening; Clinically significant and/or uncontrolled heart disease such as congestive heart failure (NYHA grade ≥ 2), uncontrolled hypertension, or clinically significant arrhythmia uncontrolled with medical treatment

Patients with any out-of-range laboratory values defined as: Serum creatinine > 1.5 x ULN and/or creatinine clearance < 50 mL/minute; Albumin < 3.0 g/dl; Total bilirubin >1.5 mg/dL (or 1.3 x ULN); Alanine aminotransferase > 1.5 x ULN; Aspartate aminotransferase > 1.5 x ULN; Absolute neutrophil count < 1.0 x 10^9 /L; Absolute lymphocyte count < 0.5 x 10^9 /L; Platelet count < 100 x 10^9 /L; Hemoglobin < 9.0 g/dL; Uncorrectable abnormal potassium, magnesium, corrected calcium or phosphate abnormality of NCI CTCAE v5.0 > grade 1; Morning cortisol < lower limit of normal (unless the patient has asymptomatic adrenal insufficiency and is receiving stable replacement doses)

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

US trial sites

  • Sidney Kimmel Cancer Center at Thomas Jefferson University · Philadelphia, Pennsylvania
  • Wills Eye Hospital · Philadelphia, Pennsylvania

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