Description:
This is a multicenter Phase 1b, open-label study to evaluate the pharmacokinetic, safety and
efficacy of binimetinib and encorafenib co-administered to adolescent patients with BRAF
V600-mutant advanced/metastatic melanoma. The study consists of a Safety Run-in Phase to
determine the RDE (recommended dose in expansion), followed by an Expansion Phase.
Title
- Brief Title: Study of the Combination of Binimetinib and Encorafenib in Adolescent Patients With Unresectable or Metastatic BRAF V600-mutant Melanoma
- Official Title: A Multicenter, Open-label Phase 1b Study of the Combination of Binimetinib and Encorafenib in Adolescent Patients With Unresectable or Metastatic BRAF V600-mutant Melanoma
Clinical Trial IDs
- ORG STUDY ID:
ARRAY-162-115
- SECONDARY ID:
C4221011
- NCT ID:
NCT03878719
Conditions
Interventions
Drug | Synonyms | Arms |
---|
binimetinib | | Expansion Phase |
encorafenib | | Expansion Phase |
Purpose
This is a multicenter Phase 1b, open-label study to evaluate the pharmacokinetic, safety and
efficacy of binimetinib and encorafenib co-administered to adolescent patients with BRAF
V600-mutant advanced/metastatic melanoma. The study consists of a Safety Run-in Phase to
determine the RDE (recommended dose in expansion), followed by an Expansion Phase.
Trial Arms
Name | Type | Description | Interventions |
---|
Safety Run-in Phase | Experimental | binimetinib taken twice daily (BID) and
encorafenib taken once daily (QD)
Dose levels by patient body surface area (BSA) for binimetinib and encorafenib tablets/capsules are specified in the protocol. | |
Expansion Phase | Experimental | binimetinib taken twice daily (BID) and
encorafenib taken once daily (QD)
Dose levels by patient body surface area (BSA) for binimetinib and encorafenib tablets/capsules and pediatric formulations are specified in the protocol. | |
Eligibility Criteria
Key Inclusion Criteria:
Patients must meet all of the following criteria to be eligible for enrollment in the
study.
- Histologically confirmed diagnosis of locally advanced, unresectable or metastatic
cutaneous melanoma or unknown primary melanoma American Joint Committee on Cancer
Stage IIIB, IIIC, or IV.
- Presence of BRAF V600E or V600K mutation in tumor tissue as determined by a local or
central laboratory
- Adequate cardiac function:
- Left ventricular ejection fraction (LVEF) ≥ 50% as determined by ECHO or
multi-gated acquisition (MUGA) scan and above the institutional lower limit of
normal (LLN);
- Triplicate average baseline QTcF value ≤ 450 ms.
- Adequate bone marrow, organ function, and laboratory parameters:
- Absolute neutrophil count (ANC) ≥ 1.5 × 10⁹/L;
- Hemoglobin ≥ 9 g/dL with or without transfusions;
- Platelets ≥ 75 × 10⁹/L without transfusions;
- Aspartate aminotransferase (AST) and/or alanine aminotransferase (ALT) ≤ 2.5 ×
upper limit of normal (ULN); in patients with liver metastases ≤ 5 × ULN;
- Total bilirubin ≤ 1.5 × ULN;
- Creatinine ≤ 1.5 × institutional ULN for age, or calculated creatinine clearance
≥ 70 mL/min/1.73 m² (following Schwartz formula).
- Adequate performance status at Screening:
- Patients < 16 years old: Lansky Performance Scale score ≥ 80
- Patients 16 to 17 years old: Karnofsky Performance Scale score ≥ 80
Key Exclusion Criteria:
Patients meeting any of the following criteria are not eligible for enrollment in the
study.
- Uveal or mucosal melanoma.
- Brain metastases that are uncontrolled or symptomatic, require steroids, are
potentially life-threatening or have required radiation within 28 days prior to
starting study drug.
- History or current evidence of retinal vein occlusion (RVO) or current risk factors
for RVO
- Prior therapy with a BRAF inhibitor (e.g., dabrafenib, vemurafenib) and/or a MEK
inhibitor (e.g., trametinib, cobimetinib).
- Impaired cardiovascular function or clinically significant cardiovascular disease,
including any of the following:
- History of acute coronary syndromes (including myocardial infarction, unstable
angina, coronary artery bypass grafting, coronary angioplasty or stenting) < 6
months prior to screening,
- Symptomatic chronic heart failure, history or current evidence of clinically
significant cardiac arrhythmia and/or conduction abnormality < 6 months prior to
screening except atrial fibrillation and paroxysmal supraventricular tachycardia.
- Concurrent neuromuscular disorder associated with elevated creatine kinase (CK)
- Uncontrolled arterial hypertension despite medical treatment
- Presence of BRAFʷͭ or indeterminate melanoma in tumor tissue.
Maximum Eligible Age: | 17 Years |
Minimum Eligible Age: | 12 Years |
Eligible Gender: | All |
Healthy Volunteers: | No |
Primary Outcome Measures
Measure: | Pharmacokinetic (PK) parameter (time to reach the maximum observed plasma concentration Cmax [Tmax]) for binimetinib |
Time Frame: | Day 1 and Day 15 of Cycle 1, 28 day cycles |
Safety Issue: | |
Description: | |
Secondary Outcome Measures
Measure: | Incidence and severity of adverse events (AEs) |
Time Frame: | From informed consent up to 30 days following last dose of study drug |
Safety Issue: | |
Description: | |
Measure: | Incidence of dose-limiting toxicities (DLTs) |
Time Frame: | Duration of treatment for safety run-in phase, approximately 6 months, 28 day cycles |
Safety Issue: | |
Description: | |
Measure: | Palatability score for the pediatric formulations as assessed by an age-appropriate questionnaire for binimetinib |
Time Frame: | Through Cycle 3 Day 1 in patients receiving the pediatric formulations in the Expansion Phase, 28 day cycles |
Safety Issue: | |
Description: | Five-point Hedonic scale from 1 to 5, 5=really good |
Measure: | Palatability score for the pediatric formulations as assessed by an age-appropriate questionnaire for encorafenib |
Time Frame: | Through Cycle 3 Day 1 in patients receiving the pediatric formulations in the Expansion Phase, 28 day cycles |
Safety Issue: | |
Description: | Five-point Hedonic scale from 1 to 5, 5=really good |
Measure: | Objective response rate (ORR) assessed by the investigator, based on Response Criteria Evaluation in Solid Tumors (RECIST) v1.1 |
Time Frame: | Duration of treatment, approximately 6 months, 28 day cycles |
Safety Issue: | |
Description: | |
Measure: | Duration of response (DOR) |
Time Frame: | Duration of treatment, approximately 6 months, 28 day cycles |
Safety Issue: | |
Description: | |
Measure: | Time to response |
Time Frame: | Duration of treatment, approximately 6 months, 28 day cycles |
Safety Issue: | |
Description: | |
Measure: | Progression-free survival (PFS) |
Time Frame: | Duration of treatment, approximately 6 months, 28 day cycles |
Safety Issue: | |
Description: | |
Measure: | One-year survival rate |
Time Frame: | From first dose up to 1 year after treatment initiation |
Safety Issue: | |
Description: | |
Measure: | Change from baseline bone age and the difference in bone age and chronological age |
Time Frame: | Duration of treatment, approximately 6 months, 28 day cycles |
Safety Issue: | |
Description: | |
Measure: | Change from Baseline in bone densitometry based on dual energy X-ray absorptiometry (DEXA) scan. |
Time Frame: | Duration of treatment, approximately 6 months, 28 day cycles |
Safety Issue: | |
Description: | |
Measure: | Change from Baseline in calcium-phosphorus product (Ca × P) |
Time Frame: | Duration of treatment, approximately 6 months, 28 day cycles |
Safety Issue: | |
Description: | |
Details
Phase: | Phase 1 |
Primary Purpose: | Interventional |
Overall Status: | Recruiting |
Lead Sponsor: | Pfizer |
Trial Keywords
- Adolescent
- BRAF V600K
- BRAF V600E
Last Updated
May 14, 2021