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IMA203

Phase 3

Melanoma, Cutaneous Malignant | Monoclonal antibody | Oncology |Immatics N.V.|Last Updated: Aug 18, 2026

Success Probability

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Market & Valuation

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Trial Design

RandomizedACTIVE_CONTROLLEDDMC
Total Trials1
Total Enrollment360

FDA Designations

RMAT

Clinical trial landscape

IMA203 · 2 trials · 3 indications

Phase 3 1Phase 1 1
NCT06743126SUPRAME-ACTengine® IMA203 vs. Investigator's Choice of Treatment in Previously Treated, Unresectable or Metastatic Cutaneous MelanomaMelanoma, Cutaneous Malignant
RECRUITING360 Analytics
PHASE3RECRUITING
SUPRAME-ACTengine® IMA203 vs. Investigator's Choice of Treatment in Previously Treated, Unresectable or Metastatic Cutaneous Melanoma
Melanoma, Cutaneous MalignantUnlock trial analytics

Study Endpoints

Primary Endpoints

Progression-free survival assessed by BICR
up to 5 years post first treatment of last patient

progression-free survival (PFS), centrally assessed (by blinded independent central review) using RECIST 1.1

Number of participants with dose-limiting toxicities (DLTs)
one year post infusion of IMA203

Number of DLTs will be used to determine the maximum tolerated dose (MTD) and/or recommended dose for extension (RDE) after treatment with IMA203 product in combination with mRNA-4203

Number of treatment emergent adverse events (AEs), AEs of special interest, serious AEs (SAEs), changes in laboratory parameters and vital signs, and frequency of dose interruptions, reductions and discontinuations
one year post infusion of IMA203

Used to evaluate safety and tolerability of treatment with IMA203 in combination with mRNA-4203

Secondary Endpoints

Overall survival (OS)
up to 5 years post first treatment of last patient
Objective response rate (ORR)
up to 5 years post first treatment of last patient
Progression-free survival
up to 5 years post first treatment of last patient
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Study Design & Arms

AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Experimental armEXPERIMENTALNon-myeloablative chemotherapy for lymphodepletion (LD) over 4 days using fludarabine (FLU) and cyclophosphamide (CY), one-time administration of IMA203, and adjunctive therapy with low dose interleukin (IL)-2 for up to 10 days, starting approximately 24 h after IMA203 infusion, optional bridging therapy
Control arm- investigator's choiceACTIVE_COMPARATORInvestigator's choice of treatment approved by the respective Competent Authority (nivolumab plus relatlimab \[Opdualag®\], lifileucel, nivolumab, pembrolizumab, ipilimumab, or chemotherapy \[e.g., dacarbazine, temozolomide, paclitaxel, alb-bound paclitaxel, or paclitaxel plus carboplatin\]) as determined by the site investigator in accordance with current respective prescribing information (PI) and/or summary of product characteristics (SmPC), optional bridging therapy.
IMA203 with mRNA-4203 in participants with metastatic cutaneous melanoma or synovial sarcomaEXPERIMENTALThis is a non-comparative, open-label trial with different cohorts investigating IMA203 in combination with mRNA-4203.

Interventions

NameTypeDescription
IMA203BIOLOGICALone-time administration of IMA203, and adjunctive therapy with low dose interleukin (IL)-2 for up to 10 days, starting approximately 24 h after IMA203 infusion, optional bridging therapy
nivolumab plus relatlimabBIOLOGICALin accordance with current respective prescribing information (PI) and/or summary of product characteristics (SmPC)
lifileucelBIOLOGICALin accordance with current respective prescribing information (PI) and/or summary of product characteristics (SmPC)
nivolumabBIOLOGICALin accordance with current respective prescribing information (PI) and/or summary of product characteristics (SmPC)
pembrolizumabBIOLOGICALin accordance with current respective prescribing information (PI) and/or summary of product characteristics (SmPC)
ipilimumabBIOLOGICALin accordance with current respective prescribing information (PI) and/or summary of product characteristics (SmPC)
DacarbazineDRUGin accordance with current respective prescribing information (PI) and/or summary of product characteristics (SmPC)
temozolomideDRUGin accordance with current respective prescribing information (PI) and/or summary of product characteristics (SmPC)
paclitaxelDRUGin accordance with current respective prescribing information (PI) and/or summary of product characteristics (SmPC)
paclitaxel plus carboplatinDRUGin accordance with current respective prescribing information (PI) and/or summary of product characteristics (SmPC)
Albumin-Bound PaclitaxelDRUGin accordance with current respective prescribing information (PI) and/or summary of product characteristics (SmPC)
mRNA-4203BIOLOGICALmRNA-4203 will be administered starting on Day 15 after IMA203 infusion at the earliest. mRNA-4203 will be given for 12 cycles (28 day cycle length); during Cycle 1 it will be given on Day 1 and Day 15 and in Cycles 2-12 it will be given on Day 1.
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites71

Inclusion Criteria: * Pathologically confirmed and documented cutaneous melanoma- CM patients (including acral melanoma and melanoma of unknown primary) with unresectable or metastatic disease * HLA-A\*02:01 positive * Adequate selected organ function per protocol * Eastern Cooperative Oncology Gro...

Countries:United StatesCanadaFranceGermanyNetherlandsUnited Kingdom
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Recent Changes (Last 90 Days)

LOWAug 18, 2026NCT06743126lastUpdatePostDate: changed
LOWAug 18, 2026NCT06743126lastUpdatePostDate: changed
LOWJun 10, 2026NCT06743126lastUpdatePostDate: changed
LOWJun 10, 2026NCT06743126lastUpdatePostDate: changed

Frequently asked questions about IMA203

What is IMA203 used for?

IMA203 is an investigational monoclonal antibody being developed for the treatment of cutaneous melanoma, including unresectable or metastatic forms. It is also being studied in combination with mRNA-4203 for cutaneous melanoma and synovial sarcoma. IMA203 is not yet approved and is currently in clinical development.

What does IMA203 target?

IMA203 is a monoclonal antibody designed to target PRAME, a tumor-associated antigen. PRAME is expressed in various cancers, including melanoma and synovial sarcoma. By targeting PRAME, IMA203 aims to direct the immune system against cancer cells that express this antigen.

Who makes IMA203?

IMA203 is being developed by Immatics N.V., a biopharmaceutical company. Immatics is publicly traded on the Nasdaq under the ticker symbol IMTX. The company is conducting clinical trials to evaluate the safety and efficacy of IMA203 in patients with certain types of cancer.

What phase is IMA203 in?

IMA203 is currently in Phase 1 clinical trials. One trial is a Phase 1 study combining IMA203 with mRNA-4203, while another trial, SUPRAME, is listed as Phase 3 but is still recruiting. IMA203 has received a Regenerative Medicine Advanced Therapy (RMAT) designation from the FDA.

What clinical trials is IMA203 in?

IMA203 is being studied in two clinical trials. NCT06743126, the SUPRAME trial, is a Phase 3 study in previously treated unresectable or metastatic cutaneous melanoma with 360 participants. NCT06946225 is a Phase 1 trial combining IMA203 with mRNA-4203 in cutaneous melanoma and synovial sarcoma with 15 participants.

Is IMA203 the same as ACTengine IMA203?

Yes, IMA203 is also referred to as ACTengine IMA203. The clinical trials use the name ACTengine IMA203 to describe the therapy. This naming reflects the platform used to generate the engineered T cell receptor therapy, which is part of the ACTengine approach developed by Immatics.