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Brief Title: Study Comparing Investigational Drug HBI-8000 Combined With Nivolumab vs. Nivolumab in Patients With Advanced Melanoma
Official Title: A Multicenter, Randomized, Double-Blind Phase 3 Study of HBI-8000 Combined With Nivolumab Versus Placebo With Nivolumab in Patients With Unresectable or Metastatic Melanoma Not Previously Treated With PD-1 or PD-L1 Inhibitors
Study ID: NCT04674683
Brief Summary: This is a phase 3 study to compare the efficacy and safety of HBI-8000 or Placebo combined with nivolumab on patients with unresectable or metastatic melanoma and eligible patients who are not adolescents or patients with new, progressive brain metastasis will be stratified by PD-L1 expression and LDH level.
Detailed Description: This is a multicenter, randomized, double-blind, placebo-controlled Phase 3 study of HBI-8000 or Placebo combined with nivolumab. Randomization of eligible patients will be stratified by PD-L1 expression (positive, ≥1% expression level versus negative, \<1% expression level) and LDH (normal versus elevated) in the main study. Adults with new, progressive brain metastasis, or adolescents with or without new progressive brain metastasis will be enrolled in a separate, non-randomized, open-label cohort to receive the combination of HBI-8000 and nivolumab. In the main study, eligible patients will be randomized within the appropriate stratum at a 1:1 ratio to the Test arm or the Control arm. Study treatment will be initiated within 3 days of randomization. A treatment cycle consists of 28 days. Patients will be treated with one of the following: Test arm: HBI-8000 30 mg oral BIW + nivolumab IV at specific doses on specific days Control arm: Placebo oral BIW + nivolumab IV at specific doses on specific days The Study Treatment (HBI-8000 or Placebo) is administered approximately 30 minutes after a full meal. The Study Treatment (HBI-8000 or Placebo) will be administered twice a week on the following days of every 28-day cycle: * CxW1: Days 1, 4 * CxW2: Days 8, 11 * CxW3: Days 15, 18 * CxW4: Days 22, 25 Study treatment must commence within 3 days after randomization and continue up to 2 years or until disease progression (confirmed), unacceptable toxicity or patient withdrawal of consent. In addition to Study Treatment, nivolumab is administered at specific doses on specific days as an intravenous infusion over approximately 30 minutes. Nivolumab will be administered on Day 1 of each cycle. For non-randomized cohort for special population, eligible subjects will receive HBI-8000 30 mg oral BIW and nivolumab IV at specific doses on specific days, under the same schedule as described above. For adolescents weighing \< 40 kg, nivolumab will be dosed at specific doses every 4 weeks. Nivolumab will be administered on Day 1 of each cycle.
Minimum Age: 12 Years
Eligible Ages: CHILD, ADULT, OLDER_ADULT
Sex: ALL
Healthy Volunteers: No
Comprehensive Blood and Cancer Center, Bakersfield, California, United States
UC San Diego Moores Cancer Center, La Jolla, California, United States
Innovative Clinical Research Institute (ICRI), Pasadena, California, United States
Emad Ibrahim, MD, INC, Redlands, California, United States
Kaiser Permanente Oncology Research, Riverside, California, United States
California Cancer Associates for Research and Excellence, Inc. (cCARE), San Marcos, California, United States
Boca Raton Regional Hospital, Lynn Cancer Institute, Boca Raton, Florida, United States
Memorial Regional Hospital, Hollywood, Florida, United States
Baptist MD Anderson Cancer Center, Jacksonville, Florida, United States
Orlando Health, Orlando, Florida, United States
Ascension Sacred Heart Medical Oncology, Pensacola, Florida, United States
Moffitt Cancer Center, Tampa, Florida, United States
Goshen Center for Cancer Care, Goshen, Indiana, United States
St. Elizabeth Healthcare, Edgewood, Kentucky, United States
Baptist Health Lexington, Lexington, Kentucky, United States
Frederick Memorial Healthcare System, Frederick, Maryland, United States
St Louis Cancer Care, Bridgeton, Missouri, United States
AMR Kansas City, Kansas City, Missouri, United States
Medisearch Clinical Trials, Saint Joseph, Missouri, United States
St. Vincent - Frontier Cancer Center, Billings, Montana, United States
Levine Cancer Institute, Charlotte, North Carolina, United States
Southeastern Medical Oncology Center, Goldsboro, North Carolina, United States
Gabrail Cancer Center Research, Canton, Ohio, United States
Toledo Clinic Cancer Center, Toledo, Ohio, United States
Thomas Jefferson University Medical Oncology Clinic, Philadelphia, Pennsylvania, United States
AnMed Health, Anderson, South Carolina, United States
Carolina Blood and Cancer Care Associates, Lancaster, South Carolina, United States
Renovatio Clinical, The Woodlands, Texas, United States
Utah Cancer Specialists, Salt Lake City, Utah, United States
Inova Schar Cancer Institute, Fairfax, Virginia, United States
Froedtert Hospital, Medical College of Wisconsin, Milwaukee, Wisconsin, United States
Sydney Adventist Hospital, Wahroonga, New South Wales, Australia
University of the Sunshine Coast, Buderim, Queensland, Australia
University of the Sunshine, Sippy Downs, Queensland, Australia
Icon Cancer Centre Wesley, South Brisbane, Queensland, Australia
Ballarat Health Services, Ballarat, Victoria, Australia
Goulburn Valley Health, Shepparton, Victoria, Australia
Royal Brisband and Women's Hospital, Brisbane, , Australia
Liverpool Hospital, Liverpool, , Australia
Affinity Clinical Research, Nedlands, , Australia
Tweed Hospital, Tweed Heads, , Australia
Calvary Mater Newcastle, Waratah, , Australia
Medical University of Graz Department of Dermatology and Venerology, Graz, , Austria
Univ.-Lkinik für Dermatologie, Venerologie und Allergologie, Innsbruck, , Austria
AZ Klina, Brasschaat, , Belgium
Cliniques Universitaires, Brussels, , Belgium
AZ Maria Middelares, Ghent, , Belgium
Jessa Ziekenhuis, Hasselt, , Belgium
Jessa Ziekenhuis, Hasselt, , Belgium
Hospital de la Citadelle, Liège, , Belgium
Clinique Saint-Pierre, Ottignies, , Belgium
Ensino e Terapia de Inovação Clίnica AMO-ETICA, Salvador, Bahia, Brazil
Hospital Erasto Gaertner - Liga Paranaense de Combate ao Câncer,, Curitiba, Paraná, Brazil
Hospital do Câncer de Londrina, Londrina, Paraná, Brazil
Hospital São Vicente de Paulo, Centro, Rio Grande Do Sul, Brazil
Hospital Bruno Born, Lajeado, Rio Grande Do Sul, Brazil
Centro Gaúcho Integrado de Oncologia, Hematologia, Porto Alegre, Rio Grande Do Sul, Brazil
Hospital de Clίnίcas de Porto Alegre, Santa Cruz Do Sul, Rio Grande Do Sul, Brazil
Oncosite-Centro de Pesquisa Clίnica em Oncologia, São Cristóvão, Rio Grande Do Sul, Brazil
Hopital de Câncer de Barretos-Fundação Pio XII, Barretos, Sao Paulo, Brazil
CEPHO-Centro de Estudos e Pesquisas de Hematologia e Oncologia, Santo André, São Paulo,, Brazil
Fundação Doutor Amaral Carvalho, Jaú, São Paulo, Brazil
Fundação Faculdade Regional de Medicina de São José do Rio Preto, São José Do Rio Preto, São Paulo, Brazil
Instituto do Cancer do Estado de São Paulo - "Octavio Frias de Oliveira"-ICESP, São Paulo, , Brazil
Fakultni nemocnice Olomoue, Olomouc, , Czechia
Fakultni nemocnice Ostrava Kozni oddeleni, Ostrava-Poruba, , Czechia
Fakultni nemocnice Kralovske Vinohrady, Prague, , Czechia
CHU de Besançon - Hôpital Jean MINJOZ, Besançon, , France
Hôpital Ambroise Paré, Boulogne-Billancourt, , France
CHU de Dijon, Service de dermatologie, Dijon, , France
CHU Grenoble Alpes, La Tronche, , France
CHRU Lille - Hôpital Claude Huriez, Clinique de Dermatologie, Lille, , France
Hôpital La Timone, Marseille, , France
Hôpital Saint-Louis, Paris, , France
Centre Hospitalier Lyon Sud, Pierre-Bénite, , France
CHU de Rouen-Hôpital, Rouen, , France
Institut Gustave Roussy, Service de Dermatologie, Villejuif, , France
Charite Universitaetsmedizin Berlin - Campus Charite Mitte, Berlin, , Germany
Vivantes Klinikum Spandau, Dermatologie und Allergologie, Berlin, , Germany
Universitaetsklinikum Carl Gustav Carus TU Dresden, Klinik und Poliklinik f. Dermatologie, Dresden,, , Germany
Helios Klinikum Erfurt, Dermatologie und Allergologie, Erfurt, , Germany
Universitatsklinikum Essen Klinik fur Dermatologie Studienambulanz, Essen, , Germany
Universitaetsklinikum Freiburg, Klinik fuer Dermatologie und Venerologie, Freiburg, , Germany
Universitaetsklinikum Heidelberg, NCT-Dermatoonkologie, Heidelberg, , Germany
Universitaetsklinikum Koeln, Dermatologie und Venerologie,, Koeln, , Germany
Klinik und Poliklinik für Dermatologie, Venerologie und Allergologie, Leipzig, , Germany
Universitaetsklinikum Schleswig Holstein - Campus Luebeck, Luebeck, , Germany
Universitaetsmedizin der Johannes Gutenberg-Universitaet Mainz, Hautklinik, Mainz, , Germany
Universitaetsklinikum Mannheim, Klinik f. Dermatologie, Venerologie, Allergologle,, Mannheim, , Germany
Studienzentrum Dermao-Onkologie, Universitaetsklinikum Tuebingen, Tuebingen, , Germany
Fondazione IRCCS CA'Granda Ospedale Maggiore Policlinico-Oncologia Medica, Milan, Milano, Italy
Fondazione IRCCS Istituto Nazionale dei Tumori, Milan, Milano, Italy
IRCCS Giovanni Paolo II Oncologia Medica, Bari, , Italy
Azienda Ospedaliera Universitaria Policlinico Sant'Orsola Malpighi IRCCS, Bologna, , Italy
Humanitas Istituto Clinico Catanese, U.O. Oncologia Medica, Misterbianco, , Italy
Istituto Nazionale Tumori Fondazione G. Pascale, Oncologia Medica e Terapia Innovativa, Napoli, , Italy
Azienda Ospedaliero Universitaria Policlinico Paolo Giaccone - U.O. Oncologia Medica, Palermo, , Italy
A.O.S. Maria della Misericordia, Oncologia Medica, Perugia, , Italy
Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Roma, , Italy
A.O.U Senese Policlinico Santa Maria alle Scotte-UOC Immunoterapia Oncologica, Siena, , Italy
Policlinico G.B. Rossi-Borgo Roma-Centro Ricerche Cliniche di Verona, Verona, , Italy
Shinshu University Hospital, Matsumoto, Nagano, Japan
National Hospital Organization Osaka National Hospital, Chuo Ku, Osaka, Japan
Shizuoka Cancer Center, Nagaizumi-cho, Sunto-gun, Japan
The Cancer Institute Hospital of JFCR, Koto-Ku, Tokho, Japan
National Hospital Organization Kyushu Cancer Center, Fukuoka, , Japan
Niigata Cancer Center Hospital, Niigata, , Japan
Okayama University Hospital, Okayama, , Japan
Osaka Prefectural Hospital Organization Osaka International Cancer Institute, Osaka, , Japan
National Cancer Center, Goyang-si, Gyeonggi-do, Korea, Republic of
Cha University Bundang Medical Center, Seongnam-si, Gyeonggi-do, Korea, Republic of
Kangbuk Samsung Hospital, Seoul, Gyeonggi-do, Korea, Republic of
Severance Hospital Younsei University Health System,, Seoul, Gyeonggi, Korea, Republic of
Chonnam National University Hwasun Hospital, Hwasun, Jeollanam-do, Korea, Republic of
Chungnam National University Hospital, Daejeon, Jung-gu, Korea, Republic of
Severance Hospital Yonsei University Health System, Seoul, , Korea, Republic of
Auckland City Hospital, Auckland, , New Zealand
Waikato Hospital, Hamilton, , New Zealand
Tauranga Hospital, Tauranga, , New Zealand
Hospial Oncologico, Puerto Rico Medical Center, Rio Piedras, , Puerto Rico
National Cancer Centre, Singapore, , Singapore
The Medical Oncology Centre of Rosebank, Johannesburg, Gauteng, South Africa
Wilgers Oncology Centre, Pretoria, Gauteng, South Africa
Curo Oncology, Pretoria, Gauteng, South Africa
West Rand Oncology Centre Flora Clinic, Roodepoort, Gauteng, South Africa
Excellentis Clinical Trial Consultants, George, Western Cape, South Africa
Cape Town Oncology Trials Cape Gate Oncology Centre, Kraaifontein, Western Cape, South Africa
Cancercare Rondebosch Oncology, Rondebosch, Western Cape, South Africa
Hospital Universitari Vall d'Hebron, Barcelona, , Spain
Hospital Clinic de Barcelona, Barcelona, , Spain
Catalan Institute of Oncology, Barcelona, , Spain
ICO Badalona-Hospital Universitari Germans Trias I Pujol, Barcelona, , Spain
Hospital de la Santa Creu i Sant Pau, Barcelona, , Spain
MD Anderson Cancer Center, Madrid, , Spain
Hospital Universitario Fundación Jimenez Diaz, Madrid, , Spain
Centro Integral Oncologico Clara Campal, Madrid, , Spain
Hospital Universitario Clinico San Carlos, Madrid, , Spain
Hospital Regional Universitario de Málaga, Málaga, , Spain
Hospital Universitario Virgen Macarena, Sevilla, , Spain
Hospital Universitario Miguel Servet, Zaragoza, , Spain
Nuffield Health Wessex Hospital, Eastleigh, Hampshire, United Kingdom
Edinburgh Cancer Center Western General Hospital, Edinburgh, , United Kingdom
Name: John T Ning, MD, PhD
Affiliation: HUYABIO International, LLC.
Role: STUDY_DIRECTOR