Research record
Tunlametinib + nivolumab unresolved lead
A remembered real-world combination that MatchMedi tracks carefully without presenting it as proven trial evidence.
What this is
A remembered real-world combination that MatchMedi tracks carefully without presenting it as proven trial evidence.
Why it may come up
- user-provided lived context
- after PD-1/PD-L1 failure
What not to assume
- Lived experience only.
- Must not be treated as standard of care.
- Must not be merged with belvarafenib/cobimetinib/nivolumab evidence.
At a glance
Tunlametinib + nivolumab unresolved lead
- Type
- Targeted therapy
- Mutation result
- NRAS
- Where
- China, Unknown
- Evidence status
- Still unclear
- Last checked
- 2026-05-21
What we know
- User reports this was prescribed after PD-1/PD-L1 failure in Beijing with nivolumab.
- Tunlametinib itself has China NMPA and trial support in NRAS-mutant melanoma that has spread or cannot be removed easily.
- A fresh public search found nearby trial concepts, including binimetinib plus nivolumab and belvarafenib/cobimetinib/nivolumab, but those are not the same as tunlametinib plus nivolumab.
What is unclear
- Exact public trial or publication for tunlametinib plus nivolumab in melanoma is not found.
- The U.S. oncologist's remembered link may have referred to another MEK/RAF plus PD-1 trial, a conference abstract, or a non-U.S. registry record.
Questions to ask
- Can the physician provide the trial record, protocol, or publication?
- Is this local protocol, off-label combination practice, or compassionate access?
- What monitoring plan is used for duration of response and progression?
Timeline
- research-gap2026: Unresolved combination lead
The drug and NRAS context are sourced; the exact nivolumab combination is not yet sourced.
Related trial leads
NCT03973151
Study of HL-085 in NRAS Mutant Advanced Melanoma
Primary early clinical trial record for HL-085/tunlametinib in NRAS-mutant melanoma that has spread or cannot be removed easily.
NCT06008106
Comparing Tunlametinib Capsules and Combination Chemotherapy in Advanced NRAS-mutant Melanoma
Phase III comparator trial after prior immunotherapy; useful for duration-of-response and trial-timing questions.
NCT04375527
Binimetinib and nivolumab in BRAF V600 wild-type melanoma
Supports the broader research concept of MEK inhibitor plus PD-1 inhibitor in melanoma, but not tunlametinib specifically.
NCT04835805
Belvarafenib alone or with cobimetinib or cobimetinib plus nivolumab in NRAS-mutant advanced melanoma
A sourced NRAS melanoma trial lead after anti-PD-1/PD-L1 therapy that may explain a remembered MEK/RAF plus PD-1 trial concept.
Related cohort stories
Lived experience only
Experiences with tunlametinib / HL-085 plus nivolumab after PD-1 failure
A cohort-style thread for families to describe what happened, what they asked, and what they wish they had known. Not a recommendation thread.