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OncoMatch/Clinical Trials/NCT07750067

Tunlametinib in Combination With Pucotenlimab and Hydroxychloroquine in NRAS Mutant Melanoma

Is NCT07750067 recruiting? Yes, currently enrolling (Sep 2026). This Phase 2 trial studies Tunlametinib + Pucotenlimab + Hydroxychloroquine for melanoma metastatic.

Phase 2RecruitingSun Yat-sen UniversityNCT07750067Data as of Sep 2026Location: China

Treatment: Tunlametinib + Pucotenlimab + HydroxychloroquineThis study evaluates the combination of the autophagy inhibitor hydroxychloroquine (HCQ), the MEK inhibitor tunlametinib, and the anti-PD-1 antibody pucotenlimab in patients with locally advanced or metastatic melanoma. The primary objectives are to assess the objective response rate (ORR) and progression-free survival (PFS). Secondary objectives include evaluating adverse events (type, severity, and incidence), duration of response (DOR), disease control rate (DCR), and overall survival (OS), as well as exploring the molecular mechanisms by which autophagy modulation enhances immunogenicity in mutant melanoma. Further exploratory analyses will examine the mechanisms by which autophagy inhibition enhances tumor sensitivity to PD-1 blockade, thereby establishing experimental and theoretical grounds for refining future clinical approaches.

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Extracted eligibility criteria

Treatments studied

Other

Tunlametinib + Pucotenlimab + Hydroxychloroquine

Cancer type

Melanoma

Biomarker criteria

Required: NRAS mutation

Disease stage

Required: Stage III, IV

Performance status

ECOG 0–2(Ambulatory, capable of self-care)

Prior therapy

Cannot have received: anti-PD-1 therapy

Subjects who have previously received anti-PD-1 antibody

Cannot have received: anti-PD-L1 therapy

Subjects who have previously received anti-PD-L1/PD-L2 antibody therapy

Cannot have received: anti-PD-L2 therapy

Subjects who have previously received anti-PD-L1/PD-L2 antibody therapy

Cannot have received: VEGFR inhibitor

Subjects who have previously received ... VEGFR TKI therapy

Cannot have received: systemic chemotherapy for locally advanced or metastatic disease

Eligible subjects had not received chemotherapy for locally advanced or metastatic disease

Lab requirements

Blood counts

ANC ≥ 1.5×10^9/L, PLT ≥ 100×10^9/L, HB ≥ 9 g/dL (no transfusion within 14 days)

Kidney function

serum creatinine ≤1.5x ULN; creatinine clearance >50 mL/min (Cockcroft-Gault); urine protein ≤ 1+ or 24h protein ≤ 1g

Liver function

Serum total bilirubin (TBIL) ≤ 1.5x ULN; AST and ALT ≤2.5x ULN

Adequate bone marrow function: ANC≥ 1.5×10^9/L, PLT≥ 100×10^9/L, HB≥ 9 g/dL (no transfusion within 14 days). Serum total bilirubin (TBIL) ≤ 1.5x ULN. AST and ALT ≤2.5x ULN. Serum creatinine ≤1.5x ULN. Creatinine clearance >50 mL/min (Cockcroft-Gault). Urine protein ≤ 1+ or 24h protein ≤ 1g.

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

Frequently asked questions

Is NCT07750067 currently recruiting?

Yes, this trial is currently recruiting patients.

Are there prior therapy exclusions?

Yes. Prior anti-PD-1 therapy, anti-PD-L1 therapy, anti-PD-L2 therapy disqualifies patients from enrollment.

Does this trial require NRAS?

Yes, NRAS mutation is a required biomarker for enrollment.

What disease stage is eligible?

Stage III or IV is required.

Could you qualify for this trial?

Enter your biomarker results to see how this trial's eligibility criteria match your specific cancer profile.

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