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ASCO 2026 | Neoadjuvant CTLA-4, PD-1, and LAG-3 blockade improves NPS in melanoma

Ahmad Tarhini, MD, PhD, Moffit Cancer Center, Tampa, FL, discusses the improvement in neuropathy-free survival (NPS) rates in a Phase II trial (NCT06295159) of neoadjuvant ipilimumab, nivolumab, and relatlimab in resectable melanoma. A new expansion cohort has been initiated to further validate these findings and a Phase III study is also warranted to prospectively confirm these results. This interview took place during the 2026 American Society of Clinical Oncology (ASCO) Meeting in Chicago, IL.

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Transcript

This is certainly an improvement in the field as we see the improvement in the NPS rates up to 74% or so. And therefore, as a next step, we have now started a new expansion cohort to further validate these data. But we believe also considering definitive testing in the context of a randomized phase 3 study is warranted. So clearly we have to test this prospectively in a randomized setting, but that is promising...

This is certainly an improvement in the field as we see the improvement in the NPS rates up to 74% or so. And therefore, as a next step, we have now started a new expansion cohort to further validate these data. But we believe also considering definitive testing in the context of a randomized phase 3 study is warranted. So clearly we have to test this prospectively in a randomized setting, but that is promising.

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