Recruiting
Phase 3

Lifileucel & Pembrolizumab

Sponsor:

Iovance Biotherapeutics, Inc.

Code:

NCT05727904

Conditions

Metastatic Melanoma

Unresectable Melanoma

Melanoma

Eligibility Criteria

Sex: All

Age: 18 - 70

Healthy Volunteers: Not accepted

Interventions

Lifileucel plus Pembrolizumab

Pembrolizumab with Optional Crossover Period

Study Details

Brief summary:

This is a Phase 3, multicenter, open-label, randomized, parallel group, treatment study to assess the efficacy and safety of lifileucel in combination with pembrolizumab compared with pembrolizumab alone in participants with untreated, unresectable or metastatic melanoma. Participants randomized to the pembrolizumab monotherapy arm who subsequently have a blinded independent central review- verified confirmed progressive disease (PD) will be offered lifileucel monotherapy in an optional crossover period.

Conditions

Metastatic Melanoma

Unresectable Melanoma

Melanoma

Study ID

NCT05727904

Start date

Mar 30, 2023

Status verified date

Jun, 2026

Completion date

Mar 1, 2030

Anticipated

Primary completion date

Mar 1, 2028

Anticipated

Eligibility Criteria

Eligibility Criteria

Sex: All

Age: 18 - 70

Healthy Volunteers: Not accepted

Inclusion Criteria:

1. Participant has a histologically or pathologically confirmed diagnosis of Stage IIIC, IIID, or IV unresectable or metastatic melanoma.
2. In the investigator's assessment, the participant has an Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1 and an estimated life expectancy of > 6 months.
3. Participant is assessed as having at least one resectable lesion (or aggregate lesions) for lifileucel generation.
4. Participant must have at least one measurable disease as defined by RECIST 1.1 following tumor resection.
5. Participants must have adequate organ function.
6. Participants of childbearing potential or those with partners of childbearing potential must be willing to practice an approved method of highly effective birth control.
7. Participants who are > 70 years of age may be allowed to enroll after the investigator discusses with the medical monitor.

Exclusion Criteria:

1. Participant has melanoma of uveal/ocular origin.
2. Participant has symptomatic untreated brain metastases.
3. Participant received more than 1 prior line of therapy.
4. Participant received prior therapy for metastatic disease
5. Participants with a BRAF V600 mutation-positive tumor received prior adjuvant/neoadjuvant ICI therapy only
6. Participant has an active medical illness(es) that, in the opinion of the investigator, would pose increased risks for study participation, such as systemic infections; seizure disorders; coagulation disorders; or other active major medical illnesses of the cardiovascular, respiratory, or immune systems.
7. Participant has any form of primary or acquired immunodeficiency (eg, SCID or AIDS).
8. Participant had another primary malignancy within the previous 3 years (except for those that do not require treatment or were curatively treated >1 year ago, and in the judgment of the investigator do not pose a significant risk of recurrence.)
9. Participant has a history of allogeneic cell or organ transplant.

Other protocol defined inclusion/exclusion criteria could apply.

Study Design

Enrollment

670 participants

Anticipated

Allocation

Randomized

Intervention Model

Parallel Assignment

Primary purpose

Treatment

Interventions and Outcome Measures

Arms

experimental: Arm A

Lifileucel plus Pembrolizumab

active comparator: Arm B

Pembrolizumab alone with Optional Crossover Period

Interventions

Lifileucel plus Pembrolizumab

A tumor sample is resected from each patient for Lifileucel manufacturing. Patients then receive Pembrolizumab followed by the lifileucel regimen which consists of non-myeloablative lymphodepletion, lifileucel infusion followed by IL-2. Patients will then continue to receive Pembrolizumab every 6 weeks until disease progression.

Pembrolizumab with Optional Crossover Period

Patient will receive Pembrolizumab monotherapy every 6 weeks until disease progression. Upon verified confirmed disease progression by the blinded independent review central committee, patients may proceed to lifileucel monotherapy during an optional crossover period if they meet eligibility criteria.

Optional crossover: A tumor sample is resected from each patient for Lifileucel manufacturing. Patients then receive the lifileucel regimen which consists of non-myeloablative lymphodepletion, lifileucel infusion followed by IL-2.

Primary outcome measure

  • Objective Response Rate and Progression Free Survival [ Time Frame: 5 years total duration ]

Central Contacts and Locations

Central contacts

Iovance Biotherapeutics https://www.tilvance-301.com

1-844-845-4682Clinical.Inquiries@iovance.com

Iovance Biotherapeutics Study Team

1-844-845-4682Clinical.Inquiries@iovance.com

Locations

University of Alabama at Birmingham: The Kirklin Clinic

Recruiting

Birmingham, Alabama, United States, 35233

City of Hope

Recruiting

Duarte, California, United States, 91010

USC Norris Comprehensive Cancer Center

Recruiting

Los Angeles, California, United States, 90007

California Pacific Medical Center

Recruiting

San Francisco, California, United States, 94107

University of Colorado Cancer Center

Recruiting

Aurora, Colorado, United States, 80045

Orlando Health Cancer Institute

Recruiting

Orlando, Florida, United States, 32806

National Cancer Institute

Recruiting

Bethesda, Maryland, United States, 20814

Henry Ford Health

Recruiting

Detroit, Michigan, United States, 48202

University of Minnesota

Recruiting

Minneapolis, Minnesota, United States, 55455

Dartmouth-Hitchcock Medical Center (DHMC) - Norris Cotton Cancer Center

Recruiting

Lebanon, New Hampshire, United States, 03756

MD Anderson Cancer Center at Cooper

Recruiting

Camden, New Jersey, United States, 08103

Oncology Hematology Care

Recruiting

Cincinnati, Ohio, United States, 45226

Ohio State University

Recruiting

Columbus, Ohio, United States, 43201

Allegheny Health Network

Recruiting

Pittsburgh, Pennsylvania, United States, 15224

Baptist Cancer Center

Recruiting

Bartlett, Tennessee, United States, 37920

SCRI Oncology Partners

Recruiting

Nashville, Tennessee, United States, 37203

Intermountain Health

Recruiting

Salt Lake City, Utah, United States, 84112

Swedish Cancer Institute

Recruiting

Edmonds, Washington, United States, 98026

Centre hospitalier de l'Université de Montréal

Recruiting

Montreal, Quebec, Canada, H2L 4M1

Princess Margaret Cancer Centre

Recruiting

Toronto, Canada, M5G

More Information

Sponsor

Iovance Biotherapeutics, Inc.

Last update posted

Jun 26, 2026

Last verified

Jun, 2026

Keywords

  • Tumor Infiltrating Lymphocytes
  • TIL
  • Metastatic Melanoma
  • Unresectable Melanoma
  • Cell Therapy
  • Cellular Immuno-therapy
  • IL-2
  • Non-myeloablative lymphodepletion (NMALD)
  • Check point inhibitor
  • Melanoma
  • Lifileucel
  • Stage III Melanoma
  • Stage IV Melanoma
  • Skin cancer
  • Skin cancer types
  • Malignant melanoma
  • Autologous Adoptive Cell Therapy
  • Autologous Adoptive Cell Transfer
  • LN-144
  • Pembrolizumab
  • Pembro
  • Adjuvant/Neo-adjuvant
  • BRAF/MEK
  • ICI
  • BRAF v600
  • Immune checkpoint inhibitor
  • Tumor infiltrating T-cells
  • TILVANCE
  • TILVANCE-301

Trial information was received from ClinicalTrials.gov and was last updated on 2026-09-08. This information was provided to ClinicalTrials.gov by Iovance Biotherapeutics, Inc. on 2026-06-26.