Present clinical study will be conducted in China to evaluate the pharmacokinetics (PK) of single and repeat oral doses of dabrafenib alone and dabrafenib and trametinib in combination, the safety profile and the clinical activity of dabrafenib in combination with trametinib in Chinese melanoma subjects with BRAF V600E/K mutation. Approximately 20 evaluable subjects will be enrolled in the study, out of which, the first 10 subjects will be enrolled into cohort A (Part I and II) and remaining 10 subjects will be enrolled in cohort B. Subjects in cohort A (Part I) will receive dabrafenib 150 mg twice daily (BID) and subjects in cohort A (Part II) and Cohort B will receive combination of dabrafenib 150 mg BID and trametinib 2 mg once daily (QD). Study treatment will continue until disease progression, death or unacceptable toxicity. After disease progression, all enrolled subjects will be followed up for overall survival. The study will be completed after all subjects have died or surviving subjects have had at least 5 years of follow-up, whichever occurs first.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Dabrafenib will be provided as 50 mg and 75 mg capsules. Each capsule will contain 50 mg or 75 mg of free base (present as the mesylate salt).
Trametinib study will be provided as 0.5 mg and 2.0 mg tablets. Each tablet will contain 0.5 mg or 2.0 mg of trametinib parent (present as the DMSO solvate)
Composite of PK parameters of dabrafenib and its metabolites following single and repeat dabrafenib (150 mg BID) dose: Cmax,Tmax and AUC(0-tau)
Maximum observed plasma concentration (Cmax), time to Cmax (Tmax) and area under the concentration-time curve over the dosing interval \[AUC(0-tau)\] will be calculated for dabrafenib and its metabolites.
Time frame: At Day 1: Pre dose, 1,2, 3, 4, 6, 8, 12 and 24 h post dose.
A Composite of PK parameters of dabrafenib and its metabolites following single and repeat dabrafenib (150 mg BID) dose : Tmax, Css_min, Css_max, Css_av and AUC(0-tau)
Tmax, minimum concentration at steady state (Css\_min), maximum concentration at steady state (Css\_max), average concentration at steady state (Css\_av), AUC(0-tau) will be calculated for dabrafenib and its metabolites.
Time frame: At Day 21: Pre dose, 1,2, 3, 4, 6, 8, 12 and 24 h post dose.
Accumulation ratio of dabrafenib and its metabolites following single and repeat dabrafenib (150 mg BID) dose
Time frame: At Day 21.
Composite of PK parameters of dabrafenib and its metabolites following single and repeat dabrafenib (150 mg BID) and trametinib (2 mg QD) dose: Cmax, Tmax, AUC(0-tau)
Time frame: At Day 1: Pre dose, 1,2, 3, 4, 6, 8, 12 and 24 h post dose.
Composite of PK parameters of dabrafenib and its metabolites following single and repeat dabrafenib (150 mg BID) and trametinib (2 mg QD) dose : Tmax, Css_min, Css_max, Css_av, AUC(0-tau)
Time frame: At Day 21: Pre dose, 1,2, 3, 4, 6, 8, 12 and 24 h post dose.
Accumulation ratio of dabrafenib and its metabolites following single and repeat dabrafenib (150 mg BID) and trametinib (2 mg QD) dose
Time frame: At Day 21.
Composite of PK parameters of trametinib following single and repeat dabrafenib (150 mg BID) and trametinib (2 mg QD) dose: Cmax, Tmax, AUC(0-tau)
Time frame: At Day 1: Pre dose, 1,2, 3, 4, 6, 8, 12 and 24 h post dose.
Composite of PK parameters of trametinib following single and repeat dabrafenib (150 mg BID) and trametinib (2 mg QD) dose : Tmax, Css_min, Css_max, Css_av, AUC(0-tau)
Time frame: At Day 21: Pre dose, 1,2, 3, 4, 6, 8, 12 and 24 h post dose.
Accumulation ratio of trametinib following single and repeat dabrafenib (150 mg BID) and trametinib (2 mg QD) dose
Time frame: At Day 21.
Effective half-life of trametinib following single and repeat dabrafenib (150 mg BID) and trametinib (2 mg QD) dose
Time frame: At Day 21.
Composite of Physical examination assessment
Physical examination will include assessments of eyes, neurological and cardiovascular systems, lungs, abdomen, head, neck, ears, nose, mouth, throat, thyroid, lymph nodes, extremities, and skin, genitourinary (pelvic) and rectal exams.
Time frame: Up to 30 days of the subject's last dose (assessed up to 5 years).
Composite of Safety and tolerability as assessed by vital signs assessment: blood pressure, temperature and pulse rate
Vital sign measurements will include systolic and diastolic blood pressure, body temperature and pulse rate.
Time frame: Up to 30 days of the subject's last dose (assessed up to 5 years).
Electrocardiogram (ECG) assessment
12-lead ECGs will be obtained at each time point using an ECG machine that automatically to calculate the heart rate and measures PR, QRS, QT and corrected QT interval duration (QTc intervals).
Time frame: Up to 30 days of the subject's last dose (assessed up to 5 years).
Echocardiogram (ECHO) assessment
ECHO assessment will include an evaluation for left ventricular ejection fraction.
Time frame: At week 4, week 8, and then every 8 weeks until treatment discontinuation.
Eye exams assessment
Eye exam will include indirect fundoscopic examination,visual acuity, visual field examination, and tonometry, with special attention to retinal abnormalities.
Time frame: At screening, and when clinical indicated until treatment discontinuation.
Chemistry laboratory values assessment
Time frame: Up to 30 days of the subject's last dose (assessed up to 5 years).
Number of subjects with Adverse events (AEs)
Time frame: Up to 5 years.
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Number of subjects with Serious Adverse events (SAEs)
Time frame: Up to 5 years.
Objective response rate (ORR)
ORR defined as the percentage of subjects with evidence of a confirmed complete response (CR) or partial response (PR) as per Response Evaluation
Time frame: Up to 5 years.
Progression free survival(PFS)
PFS defined as the time from first dose of study treatment until the first date of either objective disease progression or death due to any cause.
Time frame: Up to 5 years.
Overall survival(OS)
OS defined as the interval from first dose of study treatment to the date of death, irrespective of the cause of death; subjects still alive will be censored at the date of the last contact.
Time frame: Up to 5 years.
Hematology laboratory values assessment
Time frame: Up to 30 days of the subject's last dose (assessed up to 5 years).
Urinalysis laboratory values assessment
Time frame: Up to 30 days of the subject's last dose (assessed up to 5 years).