This is a multicenter, 2-arm open-label, randomized comparative phase II study. The objective of this trial is to prospectively evaluate whether a sequential approach with an induction period of 12 weeks with encorafenib + binimetinib followed by combination immunotherapy with nivolumab + ipilimumab improves progression free survival compared to combination immunotherapy nivolumab + ipilimumab alone in patients with BRAF V600 mutation-positive unresectable or metastatic melanoma.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
271
nivolumab 3 mg/kg q3w + ipilimumab 1 mg/kg q3w for 4 injections followed by nivolumab 480 mg IV q4w until completion of 2 years total treatment or progression.
encorafenib 450 mg QD + binimetinib 45 mg BID orally for 12 weeks
University Hospitals Copenhagen - Herlev Hospital - University Copenhagen
Herlev, Denmark
Odense University Hospital
Odense, Denmark
Helsinki University Central Hospital - Dept of Oncology
Helsinki, Finland
Tampere University Hospital
Tampere, Finland
CHU Amiens - Hopital Sud
Amiens, France
Progression Free Survival (PFS)
PRS is defined as the time from the date of randomization until the first date of progression, or until date of death (whatever the cause), whichever occurs first. Progression will be assessed according to the RECIST criteria (version 1.1)
Time frame: 4.1 years from first patient in
Overall Survival (OS)
OS is defined as the time from the date of randomization to the date of death, whatever the cause.
Time frame: 6 years from first patient in
Complete Response (CR) rate
CR will be assessed according to the RECIST criteria (version 1.1)
Time frame: 4.1 years from first patient in
Time to Complete Response (CR)
Time to CR is defined as the time from the date of randomization until the occurrence of first CR.
Time frame: 4.1 years from first patient in
Duration of Complete Response (CR)
Duration of CR will be measured from the time measurement criteria for CR are first met until the first date that recurrence is objectively documented.
Time frame: 4.1 years from first patient in
Best overall response rate
Best overall response will be assessed according to the RECIST criteria (version 1.1)
Time frame: 4.1 years from first patient in
Time to best response
Time to best response is defined as the time from the date of randomization until the occurrence of the best response (CR or PR, whichever comes first). CR and PR will be assessed according to the RECIST criteria (version 1.1)
Time frame: 4.1 years from first patient in
Duration of best response
Best response duration will be measured from the time measurement criteria for CR/PR (whichever is first recorded) are first met until the first date that recurrent or progressive disease is objectively documented. CR and PR will be assessed according to the RECIST criteria (version 1.1)
Time frame: 4.1 years from first patient in
Occurrence of adverse events
This study will use the International Common Terminology Criteria for Adverse Events (CTCAE), version 4.0, for adverse event reporting.
Time frame: 4.1 years from first patient in
Progression-free survival 2 (PFS2)
PFS2 is defined as the time from randomization to second objective disease progression, or death from any cause, whichever first. The second objective disease progression will be assessed according to the RECIST criteria (version 1.1)
Time frame: 4.1 years from first patient in
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CHRU de Besançon - Hopital Jean Minjoz
Besançon, France
CHU de Bordeaux - Groupe Hospitalier Saint-André - Hopital Saint-Andre
Bordeaux, France
Centre Jean Perrin
Clermont-Ferrand, France
CHU de Dijon - Centre Georges-François-Leclerc
Dijon, France
CHU de Grenoble - La Tronche - Hôpital A. Michallon
Grenoble, France
...and 28 more locations