The purpose of this study is to assess the efficacy and safety of dabrafenib in combination with trametinib for treating adult patients with locally advanced or metastatic Differentiated Thyroid Cancer (DTC) harboring the BRAFV600E mutation, who are refractory to radioactive iodine (RAI) therapy and have experienced disease progression following one or two prior VEGFR-targeted treatments.
This is a global, multicenter, randomized, double-blind, placebo-controlled phase III study to evaluate the efficacy and safety of dabrafenib plus trametinib in adult patients with locally advanced or metastatic BRAFV600E mutation-positive, differentiated thyroid carcinoma who are refractory to radioactive iodine and have progressed following prior VEGFR targeted therapy. The scientific objective guiding the primary estimand is based on the Progression Free Survival (PFS) as per BIRC assessment using RECIST 1.1 criteria. Patients randomized in the placebo arm for whom disease progression as per RECIST 1.1 is confirmed by Blinded Independent Review Committee (BIRC) and who meet the eligibility criteria outlined in the study protocol will be given the option to crossover to the open-label dabrafenib plus trametinib treatment.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
QUADRUPLE
Enrollment
153
Dabrafenib 150 mg capsule administered orally twice a day (BID)
Trametinib 2 mg tablet administered once a day (QD)
matching placebo tablet for Trametinib 2 mg will be administered orally once a day (QD)
matching placebo capsule for Dabrafenib 150 mg will be administered orally twice a day (BID)
Northwestern University Med School
Chicago, Illinois, United States
Massachusetts General Hospital
Boston, Massachusetts, United States
Novartis Investigative Site
CABA, Buenos Aires, Argentina
Novartis Investigative Site
Rio de Janiero, Rio de Janeiro, Brazil
Novartis Investigative Site
Blumenau, Santa Catarina, Brazil
Progression Free Survival (PFS)
Progression Free Survival (PFS) was defined as the time from the date of randomization to the date of the first documented progression according to RECIST 1.1 based on Blinded Independent Review Committee (BIRC) assessment, or death due to any cause.
Time frame: From randomization to first documented progression or deaths, whichever comes first, assessed up to approximately 2 years
Overall Response Rate (ORR)
Overall Response Rate (ORR) was defined as the proportion of participants with Best Overall Response (BOR) of confirmed Complete Response (CR) or Partial Response (PR), as per Blinded Independent Review Committee (BIRC) assessment and according to RECIST 1.1.
Time frame: From randomization up to approximately 2 years
Overall Survival (OS)
Overall Survival (OS) is defined as the time from the date of randomization to the date of death due to any cause.
Time frame: From randomization to death assessed up to approximately 5 years
Duration of Response (DOR)
Duration of Response (DOR) applied only to patients whose Best Overall Response (BOR) was a confirmed Complete Response (CR) or Partial Response (PR), as determined by the Blinded Independent Review Committee (BIRC) assessment according to RECIST 1.1. The start date was defined as the date of the first documented confirmed CR or PR, and the end date corresponded to the date of the first documented confirmed progression or death from any cause. Patients who remained without progression or death from any cause were censored at the date of their last adequate tumor assessment prior to the initiation of any new antineoplastic therapy.
Time frame: From the start date of the first documented response of complete response or partial response and the date defined as the date of the first documented progression or death due to any cause up to 2 years
Number of participants with Adverse Events (AEs) and Serious Adverse Events (SAEs)
The distribution of adverse events will be conducted through the analysis of frequencies for treatment-emergent adverse events (TEAEs) and serious adverse events (TESAEs), based on the monitoring of relevant clinical and laboratory safety parameters. Treatment-emergent adverse events (TEAEs) in this study will be defined as events that begin after the first dose of study treatment and continue until 30 days after the last dose, or events that are present prior to the first dose and increase in severity based on preferred term within 30 days following the last dose.
Time frame: Throughout study completion, an average 5 years
Number of participants with trametinib associated serous retinopathy ocular events
Standard ophthalmic examinations were performed by an ophthalmologist, and Optical Coherence Tomography (OCT) was conducted at mandated visits. Analysis of the optical coherence tomography data was carried out to evaluate the incidence, type, and severity of trametinib-associated serous retinopathy ocular events.
Time frame: screening, week 4, week 8, week 12, week 20 and every 12 weeks after week 20, up to approximately 2 years
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.
Novartis Investigative Site
São Paulo, São Paulo, Brazil
Novartis Investigative Site
Edmonton, Alberta, Canada
Novartis Investigative Site
London, Ontario, Canada
Novartis Investigative Site
Fuzhou, Fujian, China
Novartis Investigative Site
Zhengzhou, Henan, China
...and 31 more locations