Timing of Immunotherapy in Melanoma
About this study
The TIME-NL trial is a multicenter, randomized, open-label clinical trial in the Netherlands to assess the effect of the timing of the first administration of standard-of-care intravenous combination immunotherapy (early morning versus afternoon) in patients with metastatic melanoma. Patients will be randomized 1:1 to start standard-of-care ICI administration either before 10am (early morning arm; arm A) or after 1pm (afternoon arm; arm B). Patients will be stratified according to performance status and study center. The randomized clinical trial will be part of a hybrid design in which data from the randomized clinical trial will be combined with observational data.
- Condition
- Melanoma
- Tested
- Timing of first administration (early morning), Timing of immunotherapy (afternoon)
- Sponsor
- Radboud University Medical Center
Who can join
- Age
- 18 years and older
- Sex
- All sexes
- Healthy volunteers
- Not accepted
Inclusion 8
- Minimum age: 18 years
- Study condition: Melanoma
- Histologically or cytologically confirmed cutaneous melanoma, classified as irresectable (stage III) or metastatic (stage IV) disease.
- At least 18 years of age.
- World Health Organization (WHO) Performance Status 0-1.
- Measurable disease according to RECIST 1.1.
- Starting treatment with standard-of-care combination immunotherapy (ipilimumab+nivolumab) as first line treatment.
- Signed informed consent form
Exclusion 7
- Uveal or mucosal melanoma (unknown primary melanoma is allowed).
- Use of systemic immunosuppressive medications. Inhaled or topical steroids are permitted.
- Use of adrenal replacement medications, e.g. hydrocortisone.
- Use of melatonin agonists.
- Prior systemic therapy for irresectable/metastatic melanoma (prior T-VEC is allowed)
- Prior systemic therapy for resectable melanoma in the last 6 months (neo-adjuvant and adjuvant treatment is allowed if at least 6 months ago).
- Use of investigational drugs.
Where
5 sites, 5 recruiting
Radboudumc
Nijmegen, Netherlands
Amsterdam UMC
Amsterdam, Netherlands
Antoni van Leeuwenhoek
Amsterdam, Netherlands
Leiden UMC
Leiden, Netherlands
ErasmusMC
Rotterdam, Netherlands
Contact
-
Kalijn Bol, MD/PhD
+31243618800 kalijn.bol@radboudumc.nl
-
Mirte Meijerink
Potential match only. Final eligibility is determined by the study team.