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IMCgp100

Phase 2

Uveal Melanoma | Small molecule | Oncology |Immunocore Holdings plc|Last Updated: Mar 17, 2026

Success Probability

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Trial Design

RandomizedCONTROLLEDDMCBiomarker
Total Trials2
Total Enrollment524

FDA Designations

No designations recorded

Clinical trial landscape

IMCgp100 · 3 trials · 2 indications

Phase 2 1Phase 1 2
NCT03070392Safety and Efficacy of IMCgp100 Versus Investigator Choice in Advanced Uveal MelanomaUveal Melanoma
COMPLETED378 Analytics
PHASE2COMPLETED
Safety and Efficacy of IMCgp100 Versus Investigator Choice in Advanced Uveal Melanoma
Uveal MelanomaUnlock trial analytics

Study Endpoints

Primary Endpoints

Efficacy: Overall Survival
From randomization to the data cut off date of 13-Oct-2020; median follow-up duration was 14.1 months.

Overall survival is defined as the time from randomization to date of death due to any cause.

Number of Participants With a Dose Limiting Toxicity (DLT) in Phase 1
Up to 49 months

Number of participants with a dose limiting toxicity, defined as an adverse event (AE) or abnormal laboratory value assessed as having a suspected relationship to study drug, and unrelated to disease, disease progression, inter-current illness, or concomitant medications that occurs within the first cycle of treatment and meets any of the pre-specified criteria.

Objective Response Rate in Phase 2
Up to 38 months

Objective response rate (ORR) is defined as the percentage of participants with measurable disease with at least 1 visit response of complete response (CR) or partial response (PR) that is confirmed at least 4 weeks later, as defined in RECIST v.1.1 and assessed by an independent central review (ICR). The denominator in the calculation of the ORR is the number of participants in the full analysis set with measurable disease at baseline.

Maximum Tolerated Dose (MTD) of IMCgp100 Administered Weekly (Dose Escalation Part)
Day 1, Day 2, Day 3, Day 4, Day 5, Day 6, Day 7, Day 8

The maximum tolerated dose (MTD) for IMCgp100 administered by weekly dosing was determined based on the frequency of dose-limiting toxicity (DLT) occurring during Days 1 to 8. Participants presented at MTD in the dose escalation phase. Abbreviations: ng/kg=nanograms/kilogram

MTD of IMCgp100 Administered Daily (Dose Escalation Part)
Day 1, Day 2, Day 3, Day 4, Day 5, Day 6, Day 7, Day 8

The MTD for IMCgp100 administered by daily dosing was determined based on the frequency of DLT occurring during Days 1 to 8. The 50 mcg dose was the RP2D for daily dosing, as the MTD was not achieved. Abbreviations: mcg=micrograms

Number of Participants Reporting Treatment-Emergent Adverse Events (TEAEs)
Day 1 (first dose), 30 days after the last dose

Treatment-emergent adverse events (TEAEs) were defined as adverse events (AEs) with an onset date after the date of first dose and within 30 days after the last administration of study medication in either treatment arm. AEs with missing date of onset were considered treatment emergent.

Number of Participants Experiencing Clinically Significant Laboratory Parameters (Hematology)
28 months

Laboratory parameters included clinical chemistry, hematology, and urinalysis. For hematology, this included red cell count, hemoglobin, hematocrit, mean cell volume, mean corpuscular hemoglobin, mean corpuscular hemoglobin concentration, platelet count, white blood cell count, leukocyte differential count (percentage or absolute), prothrombin time, and activated partial tissue thromboplastin time. Clinically significant findings were defined as such in the opinion of the investigator occurring at any time on treatment from normal pre-dose.

Number of Participants Experiencing ≥Grade 3 Severity in Laboratory Parameters (Hematology)
28 months

Laboratory parameters included clinical chemistry, hematology, and urinalysis. For hematology, this included red cell count, hemoglobin, hematocrit, mean cell volume, mean corpuscular hemoglobin, mean corpuscular hemoglobin concentration, platelet count, white blood cell count, leukocyte differential count (percentage or absolute), prothrombin time, and activated partial tissue thromboplastin time. Laboratory parameter abnormalities were graded by the investigator using Common Terminology Criteria for Adverse Events (CTCAE) v 4.0 at any time on treatment from normal pre-dose. Grade refers to the severity of the AE. The CTCAE displays Grades 1 through 5 with unique clinical descriptions of severity for each AE based on this general guideline: Grade 1: mild, Grade 2: moderate, Grade 3: severe, Grade 4: life-threatening, and Grade 5: death.

Number of Participants Experiencing Clinically Significant Laboratory Parameters (Clinical Chemistry)
28 months

Laboratory parameters included clinical chemistry, hematology, and urinalysis. Clinical chemistry parameters included calcium, phosphorus, magnesium, albumin, bilirubin, alanine aminotransferase (ALT), aspartate aminotransferase (AST), alkaline phosphatase, lactate dehydrogenase, sodium, potassium, bicarbonate, creatinine, chloride, glucose, urea, uric acid, and C-reactive protein. Clinically significant findings were defined as such in the opinion of the investigator occurring at any time on treatment from normal pre-dose.

Number of Participants Experiencing ≥Grade 3 Severity in Laboratory Parameters (Clinical Chemistry)
28 months

Laboratory parameters included clinical chemistry, hematology, and urinalysis. Clinical chemistry parameters included calcium, phosphorus, magnesium, albumin, bilirubin, alanine aminotransferase (ALT), aspartate aminotransferase (AST), alkaline phosphatase, lactate dehydrogenase, sodium, potassium, bicarbonate, creatinine, chloride, glucose, urea, uric acid, and C-reactive protein. Laboratory parameter abnormalities were graded by the investigator using CTCAE v 4.0 at any time on treatment from normal pre-dose. Grade refers to the severity of the AE. The CTCAE displays Grades 1 through 5 with unique clinical descriptions of severity for each AE based on this general guideline: Grade 1: mild, Grade 2: moderate, Grade 3: severe, Grade 4: life-threatening, and Grade 5: death.

Number of Participants Experiencing Clinically Significant Electrocardiograms (ECGs)
28 months

Twelve lead ECGs were obtained after the participant has rested in a supine position for at least 5 minutes. Clinically significant findings were defined as such in the opinion of the investigator or designated physician occurring at any time on treatment from normal pre-dose.

Number of Participants Experiencing Clinically Significant Vital Signs
28 months

Vital signs included temperature, blood pressure, respiration rate, and heart rate. Measurements were made after the participant had been resting supine for a minimum of 5 minutes. Blood pressure and heart rate were measured using a recording device with an appropriate cuff size. Temperature and respiration rate were measured as per clinical practice. Clinically significant findings were defined as such in the opinion of the investigator occurring at any time on treatment from normal pre-dose.

Number of Participants Experiencing Clinically Significant Physical Examination Results (Weight Decrease)
28 months

Physical examination included weight, a record of skin pigmentation, and photographic record of any vitiligo if present. Clinically significant findings were defined as such in the opinion of the investigator occurring at any time on treatment from normal pre-dose.

Number of Participants Experiencing ≥Grade 3 Severity in Physical Examination Results (Skin Pigmentation)
28 months

Physical examination included weight, a record of skin pigmentation, and photographic record of any vitiligo if present. Abnormalities were graded by the investigator using CTCAE v 4.0 at any time on treatment from normal pre-dose. Grade refers to the severity of the AE. The CTCAE displays Grades 1 through 5 with unique clinical descriptions of severity for each AE based on this general guideline: Grade 1: mild, Grade 2: moderate, Grade 3: severe, Grade 4: life-threatening, and Grade 5: death.

Secondary Endpoints

Safety: Number of Participants With Treatment Emergent Adverse Events
Safety was assessed from informed consent through 90 days after end of treatment, up to 36 months.
Efficacy: Progression Free Survival (PFS)
PFS was assessed every 3 months from randomization until disease progression or death, up to 36 months.
Quality-of-Life: Change From Baseline in EQ-5D,5L Domain Scores
EQ-5D,5L was assessed at baseline (Cycle 1 Day 1) and on Day 1 of every other cycle to Cycle 5 Day 1, every fourth cycle thereafter, beginning with Cycle 9 Day 1 and End of Treatment (EOT), up to 36 months. Each cycle is 21 days.
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Study Design & Arms

AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
IMCgp100 (tebentafusp, Kimmtrak)EXPERIMENTALBiologic:IMCgp100 (Soluble gp 100-specific T cell receptor with anti - CD3 scFV: IMCgp100)
Investigator's ChoiceACTIVE_COMPARATOR1 of 3 Investigator's Choice options: Systemic Dacarbazine 1 of 3 Investigator's Choice options: Systemic Ipilimumab 1 of 3 Investigator's Choice options: Systemic Pembrolizumab
Dose escalationEXPERIMENTALDose escalation cohorts of the intra-patient escalation regimen.
Dose expansionEXPERIMENTALDose expansion cohort with the recommended phase 2 dose of the intra-patient dose escalation regimen.
IMCgp100 weekly dosing regimenEXPERIMENTALWeekly intravenous (IV) infusions of IMCgp100 over treatment cycles of 8 weeks each.
IMCgp100 daily dosing regimenEXPERIMENTALDaily IV infusions of IMCgp100 administered on days 1 to 4 and days 22 to 25 of a six-week treatment cycle.

Interventions

NameTypeDescription
IMCgp100BIOLOGICALIMCgp100 is to be administered at 20 mcg cycle 1 day1, then 30 mcg cycle 1 day 8, then 68 mcg cycle 1 day 15 and weekly thereafter by IV infusion over 15 minutes until confirmed disease progression or unacceptable toxicity
DacarbazineDRUGDacarbazine is to be administered at 1,000 mg/m2 of body surface area IV infusion every 3 weeks until disease progression or unacceptable toxicity
IpilimumabBIOLOGICALIpilimumab is to be administered at 3 mg/kg IV infusion over 90 minutes every 3 weeks for a total of 4 treatments
PembrolizumabBIOLOGICALPembrolizumab is to be administered at 2 mg/kg IV infusion up to a maximum of 200 mg administered Intravenously over 30 minutes every 3 weeks or 200 mg fixed dose administered intravenously every 3 weeks where approved locally until confirmed disease progression or unacceptable toxicity
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Eligibility Criteria

Age Range18 Years to 99 Years
SexALL
Healthy VolunteersNo
Study Sites57

Inclusion Criteria 1. Male or female participants age ≥ 18 years of age at the time of informed consent 2. Ability to provide and understand written informed consent prior to any study procedures 3. Histologically or cytologically confirmed metastatic UM 4. Must meet the following criteria related ...

Countries:United StatesAustraliaBelgiumCanadaFranceGermanyItalyNetherlandsPolandRussiaSpainSwitzerlandUkraineUnited Kingdom
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Frequently asked questions about IMCgp100

What is IMCgp100 used for?

IMCgp100 is an investigational bispecific biologic being studied for the treatment of uveal melanoma and malignant melanoma. It has been evaluated in clinical trials for patients with these advanced forms of melanoma, which are cancers that develop in the eye or skin.

Who makes IMCgp100?

IMCgp100 is being developed by Immunocore Holdings plc, a biopharmaceutical company. The company's stock is traded under the ticker symbol IMCR. Immunocore has conducted clinical trials of IMCgp100 in multiple countries including the United States and the United Kingdom.

What phase is IMCgp100 in?

IMCgp100 has completed Phase 1 and Phase 2 clinical trials. It is an investigational drug that has not been approved by regulatory authorities. The completed trials evaluated the drug in patients with malignant melanoma and uveal melanoma, with the Phase 2 trial being a controlled study.

What clinical trials is IMCgp100 in?

IMCgp100 has been studied in three completed clinical trials. NCT01211262 was a Phase 1 study in malignant melanoma with 84 participants. NCT02570308 was a Phase 1 study in uveal melanoma with 146 participants. NCT03070392 was a Phase 2 trial comparing IMCgp100 to investigator choice in advanced uveal melanoma with 378 participants.

How does IMCgp100 work?

IMCgp100 is a bispecific targeted biologic designed to engage the immune system against melanoma cells. It is being studied in oncology for the treatment of uveal melanoma and malignant melanoma. The drug is designed to target and redirect T cells to attack tumor cells expressing specific antigens.