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Active, not recruiting Phase 3

A Clinical Trial of Three Study Medicines (Encorafenib, Binimetinib, and Pembrolizumab) in Patients With Advanced or Metastatic Melanoma

NCT04657991 · tracked via the Priya Life Science France tracker
Sponsor
Phase
Phase 3
Started
2021-01-15
Last updated
2026-09-03

Condition(s) studied

Melanoma

Investigational drug(s) / intervention(s)

Encorafenib →Binimetinib →Pembrolizumab →

Encorafenib: Encorafenib

Binimetinib: Binimetinib

Pembrolizumab: Pembrolizumab

Study summary

The purpose of this study is to learn about the effects of three study medicines (encorafenib, binimetinib, and pembrolizumab) given together for the treatment of melanoma that:

* is advanced or metastatic (spread to other parts of the body);
* has a certain type of abnormal gene called "BRAF"; and
* has not received prior treatment.

All participants in this study will receive pembrolizumab at the study clinic once every 3 weeks as an intravenous (IV) infusion (given directly into a vein). In addition, half of the participants will take encorafenib and binimetinib orally (by mouth) at home every day.

Participants may receive pembrolizumab for up to two years. Those participants taking encorafenib and binimetinib can continue until their melanoma is no longer responding. The study team will monitor how each participant is doing with the study treatment during regular visits at the study clinic.

Eligibility

Sex
ALL
Min age
18 Years
Max age
—
Healthy volunteers
No
Inclusion Criteria: * Male or female participants ≥ 18 years at the time of informed consent. * Participants who are willing and able to comply with all scheduled visits, treatment plan, laboratory tests, lifestyle considerations, and other study procedures. * Histologically confirmed unresectable (Stage IIIB, IIIC, or IIID) or metastatic (Stage IV) cutaneous melanoma, according to the AJCC 8th edition. * Presence of at least 1 measurable lesion as detected by radiological and/or photographic methods according to RECIST v1.1. * ECOG performance status 0 or 1. * Documented evidence of a BRAF V600E or V600K mutation in melanoma tumor tissue as previously determined by either PCR or NGS-based local laboratory assay (eg, US FDA-approved test, CE-marked \[European conformity\] in vitro diagnostic in EU countries, or equivalent), obtained during the course of normal clinical care, in a CLIA- or similarly certified laboratory. * Submission of adequate tumor tissue (archival or newly obtained; block or slides to the sponsor central laboratory(ies) during the screening period and prior to enrollment (SLI)/randomization (Phase 3). * Have not received prior first-line systemic therapy for metastatic or unresectable locally advanced melanoma. * Adequate bone marrow function, hepatic and renal function. * Capable of giving signed informed consent. Exclusion Criteria * Other medical or psychiatric condition including recent (within the past year) or active suicidal ideation/behavior or laboratory abnormality that may increase the risk of study participation or, in the investigator's judgment, make the participant inappropriate for the study (including, but not limited to, a participant who is rapidly progressing or has clinically significant tumor related symptoms, in the judgment of the investigator). * Mucosal or ocular melanoma. * Diagnosis of immunodeficiency or an active autoimmune disease that required systemic treatment in the past 2 years (ie, with use of disease modifying agents, corticosteroids, or immunosuppressive drugs). * Clinically significant multiple or severe drug allergies, intolerance to topical corticosteroids, or severe post-treatment hypersensitivity reactions (including, but not limited to, erythema multiforme major, linear IgA dermatosis, toxic epidermal necrolysis, and exfoliative dermatitis). * Unable to swallow, retain, and absorb oral medications. * Impairment of GI function or disease which may significantly alter the absorption of oral study intervention (eg, uncontrolled nausea, vomiting or diarrhea, malabsorption syndrome, including malabsorption syndrome secondary to prior GI surgery). * Clinically significant cardiovascular diseases, * History of thromboembolic or cerebrovascular events ≤ 12 weeks prior to enrollment (SLI)/randomization (Phase 3). Examples include transient ischemic attacks, cerebrovascular accidents, hemodynamically significant (ie, massive or sub-massive) deep vein thrombosis or pulmonary emboli. * History or current evidence of RVO or current risk factors for RVO (eg, uncontrolled glaucoma or ocular hypertension, history of hyperviscosity or hypercoagulability syndromes) * Concurrent neuromuscular disorder that is associated with the potential of elevated CK (eg, inflammatory myopathies, muscular dystrophy, amyotrophic lateral sclerosis, spinal muscular atrophy). * Current noninfectious pneumonitis or history of noninfectious pneumonitis requiring steroids, or history of radiation pnuemonitis * Evidence of HBV or HCV infection. * Known history of a positive test for HIV or known AIDS. * Any active infection requiring systemic therapeutic treatment within 2 weeks prior to enrollment (SLI)/ randomization (Phase 3). * Participants with prior or current symptomatic brain metastasis, leptomeningeal disease or other active CNS metastases. * Concurrent or previous other malignancy within 2 years of study entry, except curatively treated basal or squamous cell skin cancer, prostate intraepithelial neoplasm, carcinoma in-situ of the cervix, Bowen's disease and Gleason ≤ 6 prostate cancer. Participants with a history of other curatively treated cancers must be reviewed with the sponsor or designee prior to entering the study. * Participants who previously received and subsequently discontinued encorafenib and/or binimetinib and/or anti-PD-1/-L1 due to severe toxicity. * For participants in the SLI only: Current use or anticipated need for food or drugs that are known moderate or strong CYP3A4 inhibitors during screening and through the DLT-evaluation period * Participant has not recovered to Grade ≤ 1 from toxic effects of prior therapy and/or complications from prior surgical intervention before enrollment (SLI)/ randomization (Phase 3). * Receipt of protocol defined medications or treatments outside of required intervals before enrollment (SLI)/randomization (Phase 3): * Previous administration with an investigational drug ≤ 6 months prior to enrollment (SLI)/randomization (Phase 3). * Known sensitivity or contraindication to any component of study intervention (encorafenib, binimetinib and pembrolizumab), or their excipients. * Pregnant, confirmed by a positive β-hCG laboratory test result, or is breastfeeding (lactating). * Investigator site staff or Pfizer employees directly involved in the conduct of the study, site staff otherwise supervised by the investigator, and their respective family members.

Primary outcome measure(s)

  • Safety Lead In (SLI): Incidence of Dose Limiting Toxicities (DLTs) — First 2 Cycles of Treatment (cycles are 21 days)
    A DLT is defined as any adverse event or laboratory value that is assessed as unrelated to disease, disease progression, intercurrent illness or concomitant medications/therapies occurring within the first 2 cycles of treatment.
  • Phase 3: Objective Response (OR) by Blinded Independent Central Review (BICR) — Time from the date of randomization until documented PD, start of subsequent anticancer therapy, or death due to any cause (approximately every 9 weeks).
    OR is defined as confirmed Best Overall response (BOR) of either CR or PR as determined by BICR assessment per RECIST 1.1

Trial sites (151)

FacilityCityRegionStatus
AdventHealth Hematology and Oncology Orlando Florida
AdventHealth Orlando Infusion Center Orlando Florida
AdventHealth Orlando, Investigational Drug Services Orlando Florida
The University of Kansas Clinical Research Center Fairway Kansas
The University of Kansas Cancer Center - Overland Park Overland Park Kansas
KU Eye Center Prairie Village Kansas
The University of Kansas Cancer Center - Investigational Drug Services Westwood Kansas
The University of Kansas Cancer Center Westwood Kansas
Massachusetts General Hospital Boston Massachusetts
Ophthalmic Consultants of Boston Inc (OCB) Boston Massachusetts
University of Cincinnati Medical Center Cincinnati Ohio
West Chester Hospital West Chester Ohio
Tennessee Oncology, PLLC Dickson Tennessee
Tennessee Oncology PLLC Franklin Tennessee
Tennessee Oncology PLLC Gallatin Tennessee
Tenessee Oncology, PLLC Hendersonville Tennessee
Tennessee Oncology PLLC Hermitage Tennessee
University of Tennessee Medical Center Knoxville Tennessee
Tennessee Oncology PLLC Lebanon Tennessee
Tennessee Oncology PLLC Murfreesboro Tennessee
Tennessee Oncology PLLC Nashville Tennessee
Tennessee Oncology, PLLC Nashville Tennessee
Tennessee Oncology PLLC Nashville Tennessee
Tennessee Oncology PLLC Nashville Tennessee
Tennessee Oncology, PLLC Nashville Tennessee
Tennessee Oncology, PLLC Shelbyville Tennessee
Tennessee Oncology PLLC Smyrna Tennessee
Instituto Alexander Fleming CABA Buenos Aires
Clinica Viedma S. A Viedma Río Negro Province
Medizinische Universität Graz Graz Austria
Cliniques universitaires Saint-Luc Brussels Belgium
Instituto de Oncologia do Paraná - IOP Matriz Mateus Leme Curitiba Paraná
Instituto de Oncologia do Paraná - IOP Oncoville Curitiba Paraná
Instituto Nacional de Câncer José Alencar Gomes da Silva - INCA Rio de Janeiro Rio de Janeiro
Hospital de Clínicas de Passo Fundo Passo Fundo Rio Grande do Sul
Hospital de Clinicas de Porto Alegre Porto Alegre Rio Grande do Sul
Fundação Pio XII - Hospital de Câncer de Barretos Barretos São Paulo
Hospital Sírio-Libanês - Unidade Bela Vista São Paulo Brazil
Complex Oncology Center - Plovdiv EOOD Plovdiv Bulgaria
Medical Center Nadezhda Clinical EOOD Sofia Bulgaria

+ 111 more sites — see the full list on the official registry below.

Official registry record

This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.

View NCT04657991 on ClinicalTrials.gov ↗ ← All trials in France