Single Arm Trial of Tumor-Treating Fields in Combination With Nivolumab and Ipilimumab in Metastatic Uveal Melanoma

Study Overview
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Brief Summary
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Tumor Treating Fields targeted to liver metastases may improve outcomes for patients with metastatic uveal melanoma treated with immune checkpoint inhibitors.

Detailed Description
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Uveal melanoma is the most common ocular malignancy for adults and despite effective therapies, roughly 50% of patients will develop metastatic disease. Currently there is no therapy to improve the prognosis of patients with metastatic disease and these patients are usually treated with regimens used for cutaneous melanoma. Tumor Treating Fields is a new type of anti-cancer therapy approved by the FDA for use in glioblastoma multiforme and mesothelioma. TTF has been shown to activate the STING pathway leading to increased levels of dendritic cells in regional lymph nodes.

Official Title
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Single Arm Trial of Tumor-Treating Fields in Combination With Nivolumab and Ipilimumab in Metastatic Uveal Melanoma

Conditions
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Uveal Melanoma

Intervention / Treatment
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* Device: Novocure Optune
* Drug: Opdivo
* Drug: Yervoy


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Patient has histologically or cytologically confirmed metastatic uveal melanoma with predominant liver involvement Age 18 years or older and willing and able to provide informed consent WOCBP must have a negative serum pregnancy test documented with 72 hours of first administration of drug Sexually active and WOCBP, patient and partner must agree to use adequate contraception Normal organ and marrow function ECOG 0-1 Life expectancy of 3 months or greater Exclusion Criteria: History of previous grade 3, life threatening immune related adverse event (irAE) from prior checkpoint inhibitor therapy Prior treatment with anti cytotoxic T-Lymphocyte-Associated protein 4 (CTLA-4) therapy within 90 days of C1D1 of study treatment Prior anti-cancer therapy (systemic, regional or radiation) within 2 weeks of C1D1 of study treatment AEs from prior anticancer therapies that have not resolved to grade 1 or less, other than endocrine related irAEs for which patients are on appropriate replacement therapy (ie hypothyroidism, adrenal insufficiency, type 1 diabetes) History of or active autoimmune disease requiring systemic corticosteroid or immunosuppressive therapy. (Patients who have limited autoimmune disease not requiring systemic therapy or autoimmune disease that is unlikely to recur, such as ulcerative colitis s/p colectomy, will be allowed to enroll.) Serious medical risk factors involving any of the major organ systems such that the Investigator considers it unsafe for the patient to receive an experimental research drug. Patient is unwilling or unable to comply with study procedures Patients with implanted pacemaker, defibrillator, nerve stimulator or other active electronic medical devices; sensitive to conductive hydrogels used on electrocardiogram (ECG) stickers or transcutaneous electrical nerve stimulation (TENS) electrodes typically used for TTFields studies.

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 100 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Intervention Model: Single Group Assignment
Interventional Model Description: Tumor-Treating Fields in Combination with Immunotherapy
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: TTF Plus Chemotherapy<br>Novacure Optune with Opdivo and Yervoy | Device: Novocure Optune<br>* Novacure Optune with Opdivo and Yervoy<br>Drug: Opdivo<br>* Novacure Optune with Opdivo and Yervoy<br>* Other names: Nivolumab;Drug: Yervoy<br>* Novacure Optune with Opdivo and Yervoy<br>* Other names: Ipilimumab;|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Overall Response Rate | evaluate the overall response rate of patients with mUM treated with TTF in combination with nivolumab and ipilimumab. | from the initiation of study treatment and through study completion, up to 1 year | 
| Overall Safety | Evaluate the safety of TTF in combination with nivolumab and ipilimumab (Number of patients who developed grade 3 treatment-related adverse events as assessed by CTCAE v5) | From the initiation of study treatment and through study completion, up to 1 year | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Overall Survival Rate | to assess the median progression free survival and overall survival of treated patients. | From initiation of study treatment until date of death from any cause, up to 100 months |