MElanoma Research Lymph Node Prediction Implementation National_001 (MERLIN_001)
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The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Know the risks and potential benefits of clinical studies and talk to your health care provider before participating. Read our disclaimer for details. |
ClinicalTrials.gov Identifier: NCT04759781 |
Recruitment Status :
Recruiting
First Posted : February 18, 2021
Last Update Posted : January 19, 2022
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Condition or disease |
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Melanoma |
Study Type : | Observational |
Estimated Enrollment : | 2130 participants |
Observational Model: | Cohort |
Time Perspective: | Prospective |
Official Title: | A Prospective Registry Study of a Primary Melanoma Gene-signature to Predict Sentinel Node (SN) Status and Determine Its Prognostic Value for More Accurate Staging of SN-negative Melanoma Patients. |
Actual Study Start Date : | August 25, 2021 |
Estimated Primary Completion Date : | December 2023 |
Estimated Study Completion Date : | April 2028 |

- Negative Predictive Value (NPV) [ Time Frame: 2 years after inclusion ]The predictive capability of the Merlin Assay to identify newly diagnosed primary cutaneous melanoma patients who have a low risk of presenting with a positive sentinel lymph node.
- Positive Predictive Value (PPV) [ Time Frame: 2 years after inclusion ]The predictive capability of the Merlin Assay to identify newly diagnosed primary cutaneous melanoma patients who have a low risk of presenting with a positive sentinel lymph node.
- Sensitivity and Specificity. [ Time Frame: 2 years after inclusion ]The predictive capability of the Merlin Assay to identify newly diagnosed primary cutaneous melanoma patients who have a low risk of presenting with a positive sentinel lymph node.
- 3-5 year Recurrence-Free Survival (RFS) [ Time Frame: 3-5 years after patient inclusion ]Time between the date of sentinel lymph node biopsy procedure and the date of first melanoma recurrence (loco-regional or distant metastasis) or date of death (whatever the cause), whichever occurs first.
- 3-5 year Distant Metastasis-Free Survival (DMFS) [ Time Frame: 3-5 years after patient inclusion ]Time between the date of sentinel lymph node biopsy procedure and the date of first distant metastasis or date of death (whatever the cause), whichever occurs first.
- 3-5 year Overall Survival (OS) [ Time Frame: 3-5 years after patient inclusion ]Time between the date of sentinel lymph node biopsy procedure and the date of death (whatever the cause).

Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the contacts provided below. For general information, Learn About Clinical Studies.
Ages Eligible for Study: | 18 Years and older (Adult, Older Adult) |
Sexes Eligible for Study: | All |
Accepts Healthy Volunteers: | No |
Sampling Method: | Probability Sample |
Inclusion Criteria:
- Newly diagnosed patients with invasive malignant melanoma of the skin (AJCC 8th edition staging guidelines) elected to undergo sentinel lymph node biopsy per the treating physician's recommendation.
- Male or female, age ≥18 years.
Exclusion Criteria:
- Full primary melanoma pathology report unavailable.
- Documented clinically apparent nodal metastases at diagnosis.
- Distant metastatic disease (M1a,b,c,d) clinically present at primary diagnosis
- Any prior or concurrent primary invasive melanoma mapping to the same draining lymph node basin(s).
- Documented history of another (prior or concurrent) primary invasive melanoma of T1b or greater at any site within the last 5 years.
- Previous surgery in or radiation therapy to the draining lymph node basin(s) of the current primary melanoma.
- Ocular, vulvar, perianal or mucosal melanomas or melanocytic tumors of uncertain malignant potential (MELTUMP) or atypical Spitz tumors.

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT04759781
Contact: Dennie Tempel, PhD | +31107200326 | D.Tempel@skylinedx.com | |
Contact: Ashley van der Spek, MSc | +31107200326 | a.vanderspek@skylinedx.com |
United States, Florida | |
Moffitt Cancer Center | Recruiting |
Tampa, Florida, United States, 33612 | |
Contact: Vernon K. Sondak, MD | |
United States, Georgia | |
Emory University School of Medicine | Recruiting |
Atlanta, Georgia, United States, 30322 | |
Contact: Michael C. Lowe, MD/MA | |
United States, Kentucky | |
University of Kentucky | Recruiting |
Lexington, Kentucky, United States, 40506 | |
Contact: Erin E. Burke, MD | |
University of Louisville | Recruiting |
Louisville, Kentucky, United States, 40292 | |
Contact: Michael E. Egger, MD/MPH | |
United States, Michigan | |
University of Michigan | Recruiting |
Ann Arbor, Michigan, United States, 48109 | |
Contact: Christina V. Angeles, MD | |
United States, Minnesota | |
Mayo Clinic | Recruiting |
Rochester, Minnesota, United States, 55905 | |
Contact: Tina J. Hieken, MD | |
United States, New York | |
Memorial Sloan Kettering Cancer Center | Recruiting |
New York, New York, United States, 10065 | |
Contact: Edmund K. Bartlett, MD | |
United States, Utah | |
Huntsman Cancer Institute | Recruiting |
Salt Lake City, Utah, United States, 84112 | |
Contact: John R. Hyngstrom, MD |
Principal Investigator: | Vernon K. Sondak, MD | Moffitt Cancer Center | |
Principal Investigator: | Tina J. Hieken, MD | Mayo Clinic | |
Principal Investigator: | Michael E. Egger, MD, MPH | University of Louisville |
Responsible Party: | SkylineDx |
ClinicalTrials.gov Identifier: | NCT04759781 |
Other Study ID Numbers: |
MERLIN_001 |
First Posted: | February 18, 2021 Key Record Dates |
Last Update Posted: | January 19, 2022 |
Last Verified: | January 2022 |
Individual Participant Data (IPD) Sharing Statement: | |
Plan to Share IPD: | No |
Studies a U.S. FDA-regulated Drug Product: | No |
Studies a U.S. FDA-regulated Device Product: | No |
prospective study gene expression melanoma Merlin assay |
Melanoma Neuroendocrine Tumors Neuroectodermal Tumors Neoplasms, Germ Cell and Embryonal |
Neoplasms by Histologic Type Neoplasms Neoplasms, Nerve Tissue Nevi and Melanomas |