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Adding IL-2 to Tebentafusp to Eradicate Cancer Progression (SILVER)

NCT 07063875

Brief Summary

A recent clinical trial found that after 36 months, patients taking tebentafusp had a median survival of 21.6 months, compared to 16.9 months for those in the control group. Since recruitment for tebentafusp in metastatic uveal melanoma (mUM) has ended, a new trial is starting to test whether adding IL-2 can help overcome resistance to tebentafusp and improve its effectiveness.

This study aims to answer:

  1. Can combining tebentafusp with IL-2 improve tumor response and overall survival?
  2. What are the benefits and side effects of this combination therapy?

All participants will receive both IL-2 and tebentafusp in a 28-day treatment cycle. The dosing schedule is as follows:

Cycle1:

Day1-3 IL-2 Day4 Tebentafusp Day 10 IL-2 Day 11 Tebentafusp Day 17 IL-2 Day 18 Tebentafusp Day 24 IL-2 Day 25 Tebentafusp

Cycle 2 & thereafter Day 1 IL-2 Day 2 Tebentafusp Day 8 IL-2 Day 9 Tebentafusp Day 15 IL-2 Day 16 Tebentafusp Day 22 IL-2 Day 23 Tebentafusp

Intervention / Treatment 

  • Drug: Aldesleukin

Inclusion Criteria:

  1. Histologically or cytologically confirmed metastatic UM or unresectable UM patients
  2. HLA-A*02:01 positive
  3. Eastern Cooperative Oncology Group (ECOG) Performance Status of 0 or 1
  4. RECIST 1.1 defined progression on single-agent Tebentafusp, with no other intervening systemic therapies

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