Study of Adjuvant Darovasertib and Crizotinib in Participants With Primary Non-metastatic Uveal Melanoma
A Randomized, Phase 3, Open-label Study of Adjuvant Darovasertib and Crizotinib in Participants With Primary Non-metastatic Uveal Melanoma
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
This study will enroll participants who are at high-risk for metastatic disease and who have completed primary local therapy (i.e., plaque brachytherapy, proton beam radiation, or enucleation) for their UM without evidence of active local or metastatic disease after this treatment.
The Treatment Arm will have participants who have completed PLT and will receive darovasertib + crizotinib.
The Observation Arm participants will not receive darovasertib + crizotinib but will be observed and followed for disease recurrence and survival (Control Arm)
Participants in both arms will be followed for up to five years to assess longer term outcomes such as tumor recurrence and survival.
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Phase
Phase
- Phase 3
Contacts and Locations
Study Contact
Study Contact
- Name: IDEAYA Clinical Trials
- Phone Number: +1-855-433-2246
- Email: IDEAYAClinicalTrials@ideayabio.com
Study Contact Backup
- Name: Holger Thurm
- Email: hthurm@ideayabio.com
Study Locations
-
-
Ontario
-
Toronto, Ontario, Canada, M5G 2M9
- Recruiting
- Princess Margaret Cancer Centre
-
Contact:
- Marcus Butler, MD
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Primary Uveal Melanoma, classified as high-risk of relapse (AJCC Stage II or Stage 3)
- Completed primary local therapy (enucleation, proton beam therapy, plaque brachytherapy)
- ECOG performance status of 0 or 1
- Adequate organ function
- Age 18 or older
- Written informed consent and ability to comply
- Primary local therapy completed within 120 days before C1D1/randomization.
- Contraception requirements
Exclusion Criteria:
- Previous systemic treatment for Uveal Melanoma
- Clinical or radiological evidence of metastatic UM
- Concurrent malignant disease with the following exceptions: malignancies that were treated curatively and have not recurred within 2 years prior to randomization, completely resected basal cell and squamous cell skin cancers, any malignancy considered to be indolent and never required systemic therapy, and any type of carcinoma in situ receiving curative therapy (resection)
- Known AIDS related illness
- History of interstitial lung disease, active pneumonitis, or history of noninfectious pneumonitis requiring steroids
- History of syncope may be exclusionary, but will be reviewed on a case-by-case basis
- Active Hepatitis B or C infection
- Any gastrointestinal condition (eg, inflammatory bowel disease, major gastric or intestinal surgery) that could affect absorption or ability to swallow
- Females who are pregnant or breastfeeding
- Impaired cardiac function
- History of stroke within the last 6 months of randomization
- Ongoing use of medication use for infections, other antineoplastic therapies, or other prohibited medications, including medications that interact with the metabolism of darovasertib+crizotinib
- allergy to mammalian meat products or gelatin
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Treatment
Participant Group/Arm: Treatment combination dose of IDE196 + crizotinib will be tested
|
Oral, selectively targets key proteins
Oral small molecule
|
|
No Intervention: Observation
Participant Group/Arm: Observation Standard of care observation & follow-up (no treatment)
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Median relapse-free survival
Time Frame: Approximately 5 years
|
Time to local recurrence or metastatic disease per Blinded Independent Central Response Evaluation Criteria in Solid Tumors version 1.1 (RECIST v1.1)
|
Approximately 5 years
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Median metastasis-free survival
Time Frame: Approximately 5 years
|
Median MFS, defined as the time from randomization to the date of metastatic disease (outside of the eye or orbit) by BICR per RECIST v 1.1
|
Approximately 5 years
|
|
Overall survival
Time Frame: Approximately 5 years
|
Overall survival with darovasertib + crizotinib versus observation in participants who have completed PLT for primary UM with no evidence of metastatic disease who are at high-risk for recurrence
|
Approximately 5 years
|
|
Median UM specific survival
Time Frame: Approximately 5 years
|
Median UM specific survival defined as the time from randomization to the date of death due to UM
|
Approximately 5 years
|
|
Median metastasis-free survival
Time Frame: Approximately 5 years
|
Median MFS, defined as the time from randomization to the date of metastatic disease (outside of the eye or orbit) as assessed by investigator
|
Approximately 5 years
|
|
Safety, and severity of occurrence of adverse events (AEs) as defined by the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE) V6.0 or later
Time Frame: Approximately 3 years
|
To assess safety and tolerability of darovasertib + crizotinib in participants who have completed PLT for primary UM
|
Approximately 3 years
|
|
Change from baseline over time and across Treatment Arms as measured by the European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire Core-30 (QLQ-C30)
Time Frame: Approximately 5 years
|
Compare quality of life outcomes of darovasertib + crizotinib versus observation in participants who have completed PLT for primary UM
|
Approximately 5 years
|
|
Recurrence-free suvival
Time Frame: Approximately 5 years
|
Compare RFS of darovasertib + crizotinib versus observation in participants who have completed PLT for primary UM with no evidence of metastatic disease and who are at high-risk for recurrence
|
Approximately 5 years
|
|
Metastasis-Free Survival
Time Frame: Approximately 5 years
|
Compare MFS of darovasertib + crizotinib versus observation in participants who have completed PLT for primary UM with no evidence of metastatic disease and who are at high-risk for recurrence
|
Approximately 5 years
|
|
Median Local Recurrence-Free Survival
Time Frame: Approximately 5 years
|
Compare local RFS (LRFS) of darovasertib + crizotinib versus observation in participants who have completed PLT for primary UM with no evidence of metastatic disease and who are at high-risk for recurrence
|
Approximately 5 years
|
|
Change from baseline over time and across Treatment Arms as measured by European Quality of Life Questionnaire EQ-5D-5L.
Time Frame: [Time Frame: Approximately 5 years]
|
Compare quality of life outcomes of darovasertib + crizotinib versus observation in participants who have completed PLT for primary UM
|
[Time Frame: Approximately 5 years]
|
|
Change from baseline over time and across Treatment Arms as measured by EORTC Oncology Quality of Life Questionnaire Ophthalmic-30 (EORTC QLQ-OPT30)
Time Frame: [Time Frame: Approximately 5 years]
|
Compare quality of life outcomes of darovasertib + crizotinib versus observation in participants who have completed PLT for primary UM
|
[Time Frame: Approximately 5 years]
|
Collaborators and Investigators
Sponsor
Sponsor
Study record dates
Study Major Dates
Study Start (Estimated)
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
- Neoplasms by Site
- Neoplasms
- Neoplasms by Histologic Type
- Eye Diseases
- Neuroectodermal Tumors
- Neoplasms, Germ Cell and Embryonal
- Neoplasms, Nerve Tissue
- Neuroendocrine Tumors
- Nevi and Melanomas
- Eye Neoplasms
- Uveal Diseases
- Melanoma
- Uveal Neoplasms
- Uveal Melanoma
- Pyridines
- Heterocyclic Compounds, 1-Ring
- Heterocyclic Compounds
- Piperidines
- Aminopyridines
- Crizotinib
Other Study ID Numbers
Other Study ID Numbers
- IDE196-011
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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