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Looking for participantsPhase2/Phase3

Safety and Efficacy of EIK1001 in Combo With Pembro Versus Placebo and Pembro as First-Line Therapy in Patients With Advanced Melanoma.

Sponsor: Eikon Therapeutics

NCT ID: NCT06697301

View on ClinicalTrials.gov ↗

At a glance

What the study gets you
Access to the study treatment being tested
Type of study
Interventional (receives a drug or procedure)
Time in hospital
In-person visits at study sites — visit count not specified by the sponsor
Drug or intervention
EIK1001 (drug), Pembrolizumab (KEYTRUDA® ) (drug)
How long the study runs
Study runs about 187 months (dates as stated)
About the drug or intervention
EIK1001 — drug: EIK1001 is a Toll-like receptor 7/8 (TLR 7/8) dual agonist. · Pembrolizumab (KEYTRUDA® ) — drug: Pembrolizumab is a PD-1 inhibitor.
Patient visit burden
Not specified by the sponsor

In plain English

This study looks at whether EIK1001, given together with pembrolizumab, is safe and works better than pembrolizumab with a placebo (a dummy drug) in adults with advanced melanoma (a serious skin cancer) who have not yet had treatment for advanced disease. Pembrolizumab is a standard treatment for this type of cancer. The study is funded by Eikon Therapeutics.

Who can take part

  • Aged 18 or over, with a life expectancy of at least 3 months
  • Have Stage 3 (cannot be removed by surgery) or Stage 4 melanoma that has spread, and be able to have standard pembrolizumab treatment
  • Have at least one tumour that can be measured on a scan (CT or MRI)
  • Have had their BRAF gene tested, or agree to testing during screening
  • Have finished any radiotherapy at least 2 weeks before starting study treatment
  • Be reasonably well and active (performance status of 0 to 1 on a commonly used scale)
  • Have healthy enough blood, liver, kidney and other organ function on recent tests
  • Not be pregnant or breastfeeding, and agree to use contraception or avoid heterosexual activity during the study and for 120 days after the last dose (this applies to women who can become pregnant, and to men with partners who can become pregnant)
  • Be able and willing to give written informed consent

Who may not be able to

  • Melanoma that started in the eye
  • Having had any systemic (whole-body) treatment for advanced melanoma before (earlier treatment before the cancer came back may be allowed if certain conditions are met)
  • Having had a severe side effect (Grade 3 or worse) during previous anti-PD-1 treatment
  • Recent participation in another clinical trial of an experimental medicine
  • Major surgery in the last 3 weeks
  • A live vaccine in the last 30 days
  • Another cancer in the last 5 years, unless fully treated with no signs of it returning
  • Active cancer spread to the brain or cancer in the lining of the brain, unless already treated and stable for at least 4 weeks
  • A heart rhythm problem shown on a heart trace (ECG)
  • Active autoimmune disease needing treatment in the past 2 years (some mild conditions are allowed)
  • Regular steroid or other immune-suppressing medicine use (some exceptions, like asthma inhalers, are allowed)
  • A history of lung inflammation needing steroids, or current lung inflammation
  • An active infection needing treatment
  • Uncontrolled HIV (well-controlled HIV is allowed), or hepatitis B or C showing active virus
  • A medical or mental health condition, or drug or alcohol use, that would interfere with taking part
  • Pregnancy, breastfeeding, or planning to have a baby during the study
  • Taking certain medicines that strongly affect how the body processes drugs (CYP3A4 and CYP1A2)

What taking part involves

  • • Being given either EIK1001 plus pembrolizumab, or a placebo (dummy drug) plus pembrolizumab — which group you are in is decided by chance
  • • Regular study visits for treatment, scans and blood tests

Time commitment: Not stated — ask the trial team (details of how long treatment lasts, how many visits, and how the drugs are given are not stated in the data above).

Plain-English summary (AI-generated) from registry data. Not eligibility advice — only the trial team can confirm whether you can take part. Use the eligibility checker to see how your health profile matches this trial.

Type of study
Testing a treatment
Ages
18 Years and over
Who
All
Number of participants
740
Started
2025-05-22
Last checked
2026-05

Plain English Summary

What is this study?

  • • Testing a new treatment for advanced melanoma
  • • Phase2/Phase3 - 740 participants
  • • The study is for patients with advanced melanoma who are eligible for standard therapy with Pembrolizumab

Who can take part?

  • • Ages 18 Years and over
  • • Diagnosed with advanced melanoma

Where?

  • • Belfast - Belfast City Hospital, Belfast Health and Social Care Trust
  • • London - Guy's and St Thomas' NHS Foundation Trust
  • • London - Sarah Cannon Research Institute London
  • • Southampton - University Hospital Southampton

This is a simplified summary. Always discuss with your doctor before making any decisions.

About This Trial

The study is for patients with advanced melanoma who are eligible for standard therapy with Pembrolizumab.

More detail

This is a Multicenter, Randomized, Double-Blind, Active Comparator-Controlled, Adaptive Phase 2/3 Study to Evaluate the Safety and Efficacy of EIK1001 and Pembrolizumab Versus Placebo and Pembrolizumab as First-Line Therapy in Participants with Advanced Melanoma. The study includes dose optimization and expansion parts.

Advanced Melanoma

How this trial compares with your answers

Answer 2 more questions to improve match

What we know so far

Condition· Matched your search
Age· Tell us your age for better matching
Gender· Tell us your sex for better matching

Still need:

  • • Tell us your age for better matching
  • • Tell us your sex for better matching

Preliminary match based on your answers. Full eligibility requires on-site assessment including medical history, physical exam, and lab tests. This does not guarantee enrolment.

Eligibility at a Glance

Key info

  • Age: 18 Years and over
  • Who can join: All genders
  • How fit you need to be: ECOG 0 or better

Biomarkers mentioned

BRAFHave a negativeis a positive

What the study is looking for

  • ✓To be eligible for inclusion in this study, participants must:
  • ✓Be ≥ 18 years of age on the day of signing of agreement to take part.
  • ✓Have a expected to live at least 3 $2.
  • ✓Have confirmed by testing a sample Stage 3 (unresectable) or Stage 4 that has spread melanoma per AJCC 8th...
  • ✓Have at least 1 lesion with cancer that can be measured on scans at Baseline by CT or MRI according to Response Evaluation Criteria in...

Who cannot take part

  • ✗A participant is excluded from the study if any of the following criteria apply:
  • ✗Has melanoma of ocular origin.
  • ✗Is currently enrolled in or has recently participated in a study of an IMP and received an IMP within 4 weeks or 5...
  • ✗Prior to the 1St dose of EIK1001 or placebo, the prospective participant has received treatment that goes through your whole body for advanced...
  • ✗Experienced a ≥ Grade 3 AE while receiving prior anti PD 1 therapy.
See the full criteria
Inclusion Criteria: To be eligible for inclusion in this study, participants must: * Be ≥ 18 years of age on the day of signing of informed consent. * Have a life expectancy of at least 3 months. * Have histologically or cytologically confirmed Stage 3 (unresectable) or Stage 4 metastatic melanoma per AJCC 8th ed. and be eligible for standard therapy with pembrolizumab. * Have at least 1 lesion with measurable disease at Baseline by CT or MRI according to Response Evaluation Criteria in Solid Tumors (RECIST) 1.1 by assessment of local site Investigator/radiologist. * Have known BRAF V600 mutation status or consent to BRAF V600 mutation testing per local institutional standards during the screening period * Have completed prior radiotherapy at least 2 weeks prior to study treatment administration. * Have an ECOG Performance Status of 0 to 1. * Have adequate organ and marrow function as defined by normal CBC, coagulation, serum chemistry and liver function tests on specimens collected within 10 days of treatment start. * Have a negative serum pregnancy test within 72 hours prior to receiving the first dose of study medication (applies to women of childbearing potential \[WOCBP\]). * Be willing to use either 2 adequate methods of contraception, 1 adequate method plus a hormonal method of contraception, or be willing to abstain from heterosexual activity throughout the study (Visit 1 to 120 days after the last dose of study therapy; applies to WOCBP who are not menopausal for \> 2 years, post-hysterectomy/oophorectomy, or surgically sterilized). * Agree to use an approved adequate contraceptive method throughout the study (Visit 1 to 120 days after the last dose of study therapy; applies to sexually active male participants with a partner who is WOCBP). * Be willing and able to provide written, informed consent for the study. Exclusion Criteria: A participant is excluded from the study if any of the following criteria apply: * Has melanoma of ocular origin. * Is currently enrolled in or has recently participated in a study of an IMP and received an IMP within 4 weeks or 5 half-lives (whichever is shorter) of administration of EIK1001 or placebo. * Prior to the 1St dose of EIK1001 or placebo, the prospective participant has received systemic therapy for advanced melanoma. * Note: prior adjuvant or neoadjuvant melanoma therapies (such as anti-PD-1 or anti CTLA 4 therapies or BRAF/MEK inhibitors) are permitted if all related AEs have either returned to Baseline or stabilized, with a minimum of 6 months between the last dose of prior therapy and documented disease progression. * Experienced a ≥ Grade 3 AE while receiving prior anti PD 1 therapy. * Has had major surgery (\< 3 weeks prior to the first dose). * Has received a live-virus vaccination within 30 days of the first dose of study treatment. * Has a known history of prior malignancy, unless the participant has undergone potentially curative therapy with no evidence of disease recurrence for 5 years. * Has known active CNS metastases and/or carcinomatous meningitis. Participants with previously treated brain metastases may participate if they are clinically stable for at least 4 weeks with no evidence of new or enlarging brain metastases. There must be no need for immunosuppressive doses of glucocorticoids for at least 2 weeks prior to study treatment administration. * There is a mean resting QTcF \> 470 ms on triplicate electrocardiograms. * There is active autoimmune disease that has required systemic treatment in the past 2 years. The following autoimmune conditions are permitted: Type 1 diabetes, hypothyroidism (on hormone replacement), or- vitiligo, psoriasis and alopecia as long as no systemic treatment is required. * There is either chronic treatment with systemic steroids, other immunosuppressive medication, or either of these has been administered within 14 days of start of study treatment. * Note: Participants with asthma that require intermittent use of bronchodilators, inhaled steroids, or local steroid injections are eligible. Steroid replacement for adrenal insufficiency is also permitted. * There is a history of (noninfectious) pneumonitis/interstitial lung disease that required steroids or has current pneumonitis/ interstitial lung disease. * There are any active infections requiring therapy. * There is uncontrolled human immunodeficiency virus (HIV) infection. HIV-infected participants with well-controlled HIV may enroll. * There is a positive test result for hepatitis B virus (HBV) or HCV indicating presence of virus (it is expected that all participants will have been serologically tested for hepatitis B in advance of this study, with HBsAG, anti-HBc IgG, and anti-HBs as per ASCO 2020 Provisional Clinical Opinion \[PCO\] on universal Serologic testing for hepatitis B at the onset of anticancer therapy; screening should also include an anti-HCV test prior to start of cancer treatment: * There is a history or clinical evidence of any condition, therapy, or laboratory abnormality that might confound the results of the study or interfere with the participant's participation for the full duration of the study * Known psychiatric or substance abuse disorder that would interfere with cooperation with study requirements. * There is a known history of regular illicit drug use and/or recent history (within the last year) of substance abuse (including alcohol). * Participant is pregnant, breastfeeding, or planning to conceive or father children within the projected duration of the study. * Participant is currently receiving medications known to be strong inhibitors or inducers of CYP3A4 and CYP1A2.

Where Is This Study? (4 UK sites)

Belfast City Hospital, Belfast Health and Social Care Trust

Belfast BT9 7AB, United Kingdom

Recruiting
Site contact (verified)
Bode OladipoPrincipal Investigator

Guy's and St Thomas' NHS Foundation Trust

London SE1 9RT, United Kingdom

Recruiting
Site contact (verified)
Alvin LeePrincipal Investigator

Sarah Cannon Research Institute London

London W1G6AD, United Kingdom

Recruiting
Site contact (verified)
Anja WilliamsPrincipal Investigator

University Hospital Southampton

Southampton SO32 2DA, United Kingdom

Recruiting
Site contact (verified)
Matthew WheaterPrincipal Investigator

How to Get in Touch

Krishna Kaza, Director Clinical Study Management

Sponsor contact

CONTACT

+1 (516) 675-6163 Kazak@eikontx.com
Data sourced from ClinicalTrials.gov · Last verified: 2026-05