- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT07440290
DETERMINE Trial Treatment Arm 07: Dabrafenib in Combination With Trametinib in Adult, Paediatric and Teenage/Young Adult Patients With BRAF V600 Mutation-Positive Cancers. (DETERMINE)
DETERMINE (Determining Extended Therapeutic Indications for Existing Drugs in Rare Molecularly Defined Indications Using a National Evaluation Platform Trial): An Umbrella-Basket Platform Trial to Evaluate the Efficacy of Targeted Therapies in Rare Adult, Paediatric and Teenage/Young Adult (TYA) Cancers With Actionable Genomic Alterations, Including Common Cancers With Rare Actionable Alterations. Treatment Arm 07: Dabrafenib in Combination With Trametinib in Adult, Paediatric and TYA Patients With BRAF V600 Mutation-Positive Cancers.
This clinical trial is looking at two drugs called dabrafenib and trametinib. Dabrafenib and trametinib are approved as standard of care treatment for adult patients with melanoma (a type of skin cancer) or lung cancer and in children with glioma (a type of brain tumour). This means they have gone through clinical trials and been approved by the Medicines and Healthcare products Regulatory Agency (MHRA) in the UK. Dabrafenib and trametinib work in patients with a particular mutation in their cancer known as BRAF V600.
Investigators now wish to find out if they will be useful in treating patients with other cancer types which have the same mutation. If the results are positive, the study team will work with the NHS and the Cancer Drugs Fund to see if these drugs can be routinely accessed for patients in the future.
This trial is part of a trial programme called DETERMINE. The programme will also look at other anti-cancer drugs in the same way, through matching the drug to rare cancer types or ones with specific mutations.
Study Overview
Status
Conditions
- Glioma
- Neoplasms by Histologic Type
- Lymphoproliferative Disorders
- Neoplasms by Site
- Cancer
- Multiple Myeloma
- Colorectal Neoplasms
- Ovarian Neoplasms
- Gastrointestinal Cancer
- Malignant Neoplasm
- Thyroid Carcinoma, Anaplastic
- Laryngeal Neoplasms
- Erdheim-Chester Disease
- Solid Tumour
- Haematological Malignancy
- Langerhans Cell Histiocytosis (LCH)
- Thyroid Carcinoma, Papillary
- Carcinoma, Non-Small Cell-Lung
- Non-Melanoma Skin Cancer (NMSC)
Intervention / Treatment
Detailed Description
DETERMINE Treatment Arm 07 (dabrafenib and trametinib) aims to evaluate the efficacy of dabrafenib and trametinib adult, paediatric and TYA patients with rare* cancers with BRAF V600 mutations or with common cancers where BRAF V600 mutations are considered to be infrequent.
*Rare is defined generally as incidence less than 6 cases in 100,000 patients (includes paediatric and teenagers/young adult cancers) or common cancers with rare alterations.
This treatment arm has a target sample size of 30 evaluable patients. Sub-cohorts may be defined and further expanded to a target of 30 evaluable patients each.
The ultimate aim is to translate positive clinical findings to the NHS (Cancer Drugs Fund) to provide new treatment options for rare adult, paediatric and TYA cancers.
OUTLINE:
Pre-screening: The Molecular Tumour Board makes a treatment recommendation for the patient based on molecularly-defined cohorts (See information on Master Screening Protocol below).
Screening: Consenting patients undergo biopsy and collection of blood samples for research purposes.
Treatment: Patients will receive dabrafenib and trametinib until disease progression without clinical benefit, unacceptable adverse events (AEs) or withdrawal of consent. Patients will also undergo collection of blood samples at various intervals while receiving treatment and at End of Treatment (EoT).
After completion of study treatment, patients are followed up every 3 months for 2 years.
THE DETERMINE TRIAL MASTER (SCREENING) PROTOCOL: Please see DETERMINE Trial Master (Screening) Protocol record (NCT05722886) for information on the DETERMINE Trial Master Protocol and applicable documents.
Study Type
Enrollment (Estimated)
Phase
- Phase 2
- Phase 3
Contacts and Locations
Study Contact
- Name: Aida Sarmiento Castro
- Phone Number: +44 207 242 0200
- Email: determine@cancer.org.uk
Study Locations
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Belfast, United Kingdom, BT9 7AB
- Belfast City Hospital
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Contact:
- Vicky Coyle, Prof
- Email: V.Coyle@qub.ac.uk
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Birmingham, United Kingdom, B4 6NH
- Birmingham Children's Hospital
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Contact:
- Gerard Millen, Dr
- Phone Number: +44 (0)7921843607
- Email: G.Millen@nhs.net
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Birmingham, United Kingdom, B15 2TT
- University Hospital Birmingham
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Contact:
- Gary Middleton, Prof
- Phone Number: +44 (0)121 371 3573
- Email: G.Middleton@bham.ac.uk
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Bristol, United Kingdom, BS2 8ED
- Bristol Haematology and Oncology Centre
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Contact:
- Antony Ng, Dr
- Phone Number: +44 (0)117 342 8044
- Email: Antony.Ng@uhbw.nhs.uk
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Bristol, United Kingdom, BS2 8BJ
- Bristol Royal Hospital for Children
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Contact:
- Antony Ng, Dr
- Phone Number: +44 (0)117 342 8044
- Email: Antony.Ng@uhbw.nhs.uk
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Cambridge, United Kingdom, CB2 OQQ
- Addenbrooke's Hospital
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Contact:
- Bristi Basu, Dr
- Phone Number: +44 (0)1223 596105
- Email: Bristi.Basu@nhs.net
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Cardiff, United Kingdom, CF14 2TL
- Velindre Cancer Centre
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Contact:
- Robert Jones, Dr
- Phone Number: 6327 +44 (0)2920 615888
- Email: Robert.Hugh.Jones@wales.nhs.uk
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Cardiff, United Kingdom, CF14 4XW
- Cardiff Children's Hospital
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Contact:
- Madeline Adams, Dr
- Phone Number: +44 (0)292 184 2285
- Email: Madeline.Adams@wales.nhs.uk
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Edinburgh, United Kingdom, EH4 2XU
- Western General Hospital
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Contact:
- Stefan Symeonides, Dr
- Phone Number: +44 (0)131 651 8500
- Email: Stefan.Symeonides@ed.ac.uk
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Glasgow, United Kingdom, G12 OYN
- The Beatson Hospital
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Contact:
- Patricia Roxburgh, Dr
- Phone Number: +44 (0)141 301 7118
- Email: Patricia.Roxburgh@glasgow.ac.uk
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Glasgow, United Kingdom, G51 4TF
- Royal Hospital for Children Glasgow
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Contact:
- Milind Ronghe, Dr
- Phone Number: +44 (0)141 452 6692
- Email: Milind.Ronghe@ggc.scot.nhs.uk
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Leicester, United Kingdom, LE1 5WW
- Leicester Royal Infirmary
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Contact:
- Harriet Walker, Dr
- Phone Number: +44 (0)116 258 7602
- Email: Harriet.Walter1@nhs.net
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Liverpool, United Kingdom, L14 5AB
- Alder Hey Hospital
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Contact:
- Lisa Howell, Dr
- Phone Number: +44 (0)151 293 3679
- Email: Lisa.Howell@alderhey.nhs.uk
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London, United Kingdom, WC1N 3JH
- Great Ormond Street Hospital
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Contact:
- Darren Hargrave, Dr
- Phone Number: +44 (0)207 813 8525
- Email: Darren.Hargrave@gosh.nhs.uk
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London, United Kingdom, NW1 2BU
- University College London Hospital
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Contact:
- Martin Foster, Prof
- Phone Number: +44 (0)20 3447 5085
- Email: M.Forster@ucl.ac.uk
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London, United Kingdom, SE1 9RT
- Guy's Hopsital
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Contact:
- James Spicer, Dr
- Phone Number: +44 (0)20 7188 4260
- Email: James.Spicer@kcl.ac.uk
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Manchester, United Kingdom, M20 4BX
- The Christie Hospital
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Contact:
- Matthew Krebs, Prof
- Phone Number: +44 (0)161 918 7672
- Email: Matthew.Krebs@nhs.net
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Manchester, United Kingdom, M13 9WL
- Royal Manchester Children's Hospital
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Contact:
- Guy Makin, Dr
- Phone Number: +44 0161 701 8419
- Email: Guy.Makin@mft.nhs.uk
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Metropolitan Borough of Wirral, United Kingdom, CH63 4JY
- Clatterbridge Cancer Centre
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Contact:
- Dan Palmer, Dr
- Phone Number: +44 151 706 4172/ 151 706 4177
- Email: Daniel.Palmer@liverpool.ac.uk
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Newcastle, United Kingdom, NE7 7DN
- Freeman Hospital
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Contact:
- Alastair Greystoke, Dr
- Phone Number: +44 (0)191 2138476
- Email: Greystoke@newcastle.ac.uk
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Newcastle, United Kingdom, NE1 4LP
- Great North Children's Hospital
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Contact:
- Alastair Greystoke, Dr
- Phone Number: +44 (0)191 2138476
- Email: Alastair.Greystoke@newcastle.ac.uk
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Oxford, United Kingdom, OX3 9DU
- John Radcliffe Hospital
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Contact:
- Sarah Pratap, Dr
- Phone Number: +44 (0)1865 235273
- Email: Sarah.Pratap@ouh.nhs.uk
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Oxford, United Kingdom, OX3 7LE
- Churchill Hospital
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Contact:
- Sarah Pratap, Dr
- Phone Number: +44 (0)1865 235273
- Email: Sarah.Pratap@ouh.nhs.uk
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Sheffield, United Kingdom, S10 2SJ
- Weston Park Hospital
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Contact:
- Sarah Danson, Dr
- Phone Number: +44 (0)114 226 5068
- Email: S.Danson@sheffield.ac.uk
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Sheffield, United Kingdom, S10 2TH
- Sheffield's Children's Hospital
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Contact:
- Daniel Yeomanson, Dr
- Phone Number: +44 (0)114 271 7366
- Email: danyeomanson@nhs.net
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Southampton, United Kingdom
- Southampton General Hospital
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Contact:
- Juliet Gray, Prof
- Phone Number: +44 (0)238 120 6639
- Email: Juliet.Gray@uhs.nhs.uk
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Sutton, United Kingdom, SM2 5PT
- The Royal Marsden Hospital
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Contact:
- Lynley Marshall, Dr
- Phone Number: +44 (0)208 661 3678
- Email: LynleyVanessa.Marshall@icr.ac.uk
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
- Child
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
THE PATIENT MUST FULFIL THE ELIGIBILITY CRITERIA WITHIN THE DETERMINE MASTER PROTOCOL (NCT05722886) AND WITHIN THE TREATMENT ARM 07 (DABRAFENIB AND TRAMETINIB) OUTLINED BELOW* *When dabrafenib- and trametinib-specific inclusion/exclusion criteria or precautions below differ from those specified in the Master Protocol, the dabrafenib- and trametinib-specific criteria will take precedence.
Inclusion criteria:
A. Confirmed diagnosis of a malignancy harbouring an oncogenic alteration in BRAF V600, including Langerhans cell histiocytosis, using an analytically validated next-generation sequencing method.
B. Patients ≥1 year old and ≥8 kg in body weight.
C. Women of childbearing potential are eligible provided that they meet the following criteria:
• Have a negative serum or urine pregnancy test before enrolment and;
• Agree to use one form of a non-hormonal highly effective contraception method (a method that can achieve a failure rate of <1% when used consistently and correctly; the requirement for non-hormonal method is because dabrafenib may decrease the efficacy of oral or any systemic hormonal contraceptives), such as: i. intrauterine device (IUD), ii. bilateral tubal occlusion, bilateral tubal ligation (at least six weeks before taking trial treatment), iii. vasectomised partner, iv. total sexual abstinence. Effective from the first administration of dabrafenib and trametinib (whichever is first), throughout the trial and for two weeks following discontinuation of dabrafenib and for 16 weeks following discontinuation of trametinib (whichever is later).
Patients who are breastfeeding must be willing to discontinue breastfeeding from the start of treatment, throughout the trial and for two weeks following discontinuation of dabrafenib and for 16 weeks following discontinuation of trametinib (whichever is later).
D. Male patients with partners who are women of childbearing potential are eligible provided that they agree to the following, from the first administration of dabrafenib and trametinib (whichever is first), throughout the trial and for two weeks after the last administration of dabrafenib and 16 weeks after the last administration of trametinib (whichever is later):
- Agree to take measures not to father children by using a barrier method of contraception (male condom plus spermicide) or to sexual abstinence.
Non-vasectomised male partners with partners who are women of childbearing potential should also be advised of the benefit for their partner of using a highly effective method of contraception, such as:
i. combined (oestrogen and progestogen containing) hormonal contraception associated with inhibition of ovulation [oral, intravaginal or transdermal]), ii. progestogen-only hormonal contraception associated with inhibition of ovulation (oral, injectable or implantable), iii. IUD, iv. intrauterine hormone-releasing system (IUS), v. bilateral tubal occlusion, vi. total sexual abstinence.
- Male patients with pregnant or breastfeeding partners must be advised to use barrier method contraception (male condom) to prevent drug exposure of the foetus or neonate, even if vasectomised.
- Male patients must refrain from donating sperm for the same period.
E. Patients must be able and willing to undergo a fresh tissue biopsy at baseline and blood samples for translational research. Note that for patients with haematological malignancies or neuroblastomas, blood, bone marrow aspiration and/or trephine or lymph node biopsy samples may be taken.
F. Adequate organ function as per haematological and biochemical indices within the ranges defined in the protocol. These measurements should be performed to confirm the patient's eligibility
Exclusion criteria:
A. Diagnosis of one of the following BRAF V600E mutation-positive cancers:
- Colorectal cancer in adult (≥18 years) patients;
- Unresectable or metastatic melanoma in adult (≥18 years) patients;
- Advanced non-small cell lung cancer in adult (≥18 years) patients;
- Gliomas harbouring a BRAF V600E mutation in paediatric (1 to <16 years) or TYA (16 to <18 years) patients.
B. Previous treatment with dabrafenib and trametinib in combination (or other BRAF and MEK inhibitors in combination) for the current indication.
C. Female patients who are pregnant, breastfeeding or planning to become pregnant during the trial or for two weeks following their last dose of dabrafenib or 16 weeks following their last dose of trametinib, whichever is later.
D. Known hypersensitivity to dabrafenib or trametinib or any of the excipients. See the current relevant SmPCs (UK) for the full lists.
E. Patients with a history of retinal vein occlusion.
F. Any impairment of gastrointestinal (GI) function of uncontrolled GI disease that may significantly alter the administration or absorption of dabrafenib and/or trametinib (e.g. history of diverticulitis, metastases to the GI tract, uncontrolled Crohn's disease, uncontrolled ulcerative diseases, uncontrolled nausea, vomiting, diarrhoea, malabsorption syndrome or short gut syndrome).
G. Clinically significant cardiac or cerebrovascular disease as defined by:
- Unstable angina within three months prior to screening;
- Myocardial infarction within three months prior to screening;
- History of documented congestive heart failure (New York Heart Association functional classification III/IV) etc.
Patients with a cerebrovascular event (including stroke or transient ischaemic attack [TIA]) within three months prior to screening.
• Patients with primary central nervous system (CNS) tumours may be considered unless intratumoural bleeding has occurred within two weeks prior to the first dose of dabrafenib and trametinib, and patients with punctate CNS haemorrhages <3 mm may be considered.
H. Patients who were administered a live, attenuated vaccine within 28 days prior to initiation of treatment, or anticipation of need for such a vaccine during investigational medicinal product (IMP) treatment or within six months after the final dose of dabrafenib and trametinib.
I. Known active infections (bacterial, fungal or viral) that would interfere with the assessment of safety or efficacy of dabrafenib and trametinib including human immunodeficiency virus (HIV) positivity. Patients with history of testing positive for HIV infection are eligible provided that each of the following conditions are met:
- CD4 count ≥350/µL;
- Undetectable viral load;
- Receiving antiretroviral therapy (ART) that does not interact with IMP (patients should be on established ART for at least four weeks); and
- No HIV/acquired immune deficiency syndrome associated opportunistic infection in the last 12 months.
J. Any clinically significant concomitant disease or condition (or its treatment) that could interfere with the conduct of the trial (including absorption of oral medications) that would, in the opinion of the Investigator, pose an unacceptable risk to the patient in this trial.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Non-Randomized
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
|---|---|
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Experimental: Treatment Arm 07: Dabrafenib and Trametinib
This dabrafenib and trametinib treatment arm is for adult, paediatric and TYA patients with cancers harbouring BRAF V600 mutations.
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Adult patients (≥18 years) will receive dabrafenib at a dose of 150 mg (two 75 mg tablets) twice daily (total daily dose 300 mg) throughout each 28-day cycle. Paediatric patients (1 to <12 years) will receive dabrafenib dose adjusted by body weight as 10 mg dispersible tablets orally twice daily throughout each 28-day cycle. Paediatric patients (12-15 years) and TYA patients (16 to <18 years) will have the option to receive adult or paediatric dosing. Patients may continue until disease progression without clinical benefit, unacceptable AEs or withdrawal of consent.
Other Names:
Adult patients (≥18 years) will receive trametinib at a daily dose of 2 mg (one 2 mg tablet) orally once daily (total daily dose 2 mg) throughout the 28-day cycle. Paediatric patients (1 to <12 years) receive trametinib at a dose adjusted by body weight as 0.05 mg/m^2 powder for oral solution once daily throughout each 28-day cycle. Paediatric patients (12-15 years) and TYA patients (16 to <18 years) will have the option to receive adult or paediatric dosing. Patients may continue until disease progression without clinical benefit, unacceptable toxicity or withdrawal of consent.
Other Names:
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Objective response (OR)
Time Frame: Disease assessments to be performed up to 24 weeks from the start of trial treatment.
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OR is defined as the confirmed occurrence of either a complete response (CR) or partial response (PR) according to Response Evaluation Criteria in Solid Tumours (RECIST) Version 1.1 criteria (or immune [i]RECIST or standard imaging criteria for specific disease e.g.
Response Evaluation in Neuro Oncology criteria [RANO]).
In patients with leukaemia, OR will be defined as the occurrence of CR, CRi (CR with incomplete neutrophil recovery) or CRp (CR with incomplete platelet recovery).
The trial will report the proportion of patients with an OR and 95% credible interval.
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Disease assessments to be performed up to 24 weeks from the start of trial treatment.
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Durable Clinical Benefit (DCB)
Time Frame: Disease assessments to be performed up to 24 weeks from the start of trial treatment.
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DCB is defined as the absence of disease progression for at least 24 weeks from the start of trial treatment according to RECIST Version 1.1 criteria (or iRECIST or standard imaging criteria for specific disease e.g.
RANO criteria) and, where relevant (e.g. for haematological malignancies), by standard bone marrow response criteria.
Alternative definitions of DCB based on different time points may be pre-specified for particular sub-cohorts if 24 weeks is not clinically relevant.
The trial will report the proportion of patients with a DCB and 95% credible interval.
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Disease assessments to be performed up to 24 weeks from the start of trial treatment.
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Overall Survival time (OS)
Time Frame: Time of death or up to 2 years after the EoT visit.
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OS is defined as the time from date of starting trial treatment to date of death from any cause estimated by the median of the posterior normal probability distribution.
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Time of death or up to 2 years after the EoT visit.
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EQ-5D Standardised Area Under Index Value Curve (EQ5DSAUC) in adult patients
Time Frame: QoL surveys performed prior to inclusion, every cycle (each cycle is 28 days) and at EoT visit (up to 5 years).
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For adult populations, two measures of QoL will be generated from patient completion of the EQ-5D-5L questionnaire.
For each measure, scores based on responses from the questionnaire will be generated at each time point and the area under the curve generated by these scores over time will be calculated and standardised by the time frame.
The trial will report the mean EQ5DSAUC and 95% credible interval.
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QoL surveys performed prior to inclusion, every cycle (each cycle is 28 days) and at EoT visit (up to 5 years).
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Duration of response (DR)
Time Frame: Disease assessment performed every 2 cycles (each cycle is 28 days) and at EoT. After 24 weeks, it can be done every 12 weeks, on discussion with Sponsor. Follow-up visits are every 3 months after last dose, for up to 2 years.
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DR is defined as the time from the date of the first confirmed CR or PR according to RECIST Version 1.1 criteria (or iRECIST) or standard imaging criteria for specific disease.
The trial will report the median DR and 95% credible interval.
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Disease assessment performed every 2 cycles (each cycle is 28 days) and at EoT. After 24 weeks, it can be done every 12 weeks, on discussion with Sponsor. Follow-up visits are every 3 months after last dose, for up to 2 years.
|
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Best percentage change in sum of target lesion/index lesion diameters (PCSD)
Time Frame: Disease assessment performed every 2 cycles (each cycle is 28 days) and at EoT. After 24 weeks, it can be done every 12 weeks, on discussion with Sponsor. Follow-up visits are every 3 months after last dose, for up to 2 years.
|
PCSD is defined as the greatest decrease or least increase in the sum of target lesion diameters (RECIST) or index lesion diameters (iRECIST) as a percentage compared to the baseline measurement.
The trial will report the mean PCSD and 95% credible interval.
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Disease assessment performed every 2 cycles (each cycle is 28 days) and at EoT. After 24 weeks, it can be done every 12 weeks, on discussion with Sponsor. Follow-up visits are every 3 months after last dose, for up to 2 years.
|
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Time to treatment discontinuation (TTD)
Time Frame: From first dose of dabrafenib and trametinib to discontinuation of trial treatment up to 5 years.
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TTD is defined as the time from date of starting trial treatment to date of discontinuing trial treatment, in days estimated by the median of the posterior inverse gamma probability distribution.
The trial will report the median TTD and 95% credible interval.
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From first dose of dabrafenib and trametinib to discontinuation of trial treatment up to 5 years.
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Progression-Free Survival time (PFS)
Time Frame: Disease assessment performed every 2 cycles (each cycle is 28 days) and at EoT. After 24 weeks, it can be done every 12 weeks, on discussion with Sponsor. Follow-up visits are every 3 months after last dose, for up to 2 years.
|
PFS is defined as the time from date of starting trial treatment to date of progression or date of death without a previous progression recorded estimated by the median of the posterior inverse gamma probability distribution.
|
Disease assessment performed every 2 cycles (each cycle is 28 days) and at EoT. After 24 weeks, it can be done every 12 weeks, on discussion with Sponsor. Follow-up visits are every 3 months after last dose, for up to 2 years.
|
|
Time to Progression (TTP)
Time Frame: Disease assessment performed every 2 cycles (each cycle is 28 days) and at EoT. After 24 weeks, it can be done every 12 weeks, on discussion with Sponsor. Follow-up visits are every 3 months after last dose, for up to 2 years.
|
TTP is defined as the time from date of starting trial treatment to date of progression or date of death without recorded progression censored rather than events.
The trial will report the median TTP and 95% credible interval.
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Disease assessment performed every 2 cycles (each cycle is 28 days) and at EoT. After 24 weeks, it can be done every 12 weeks, on discussion with Sponsor. Follow-up visits are every 3 months after last dose, for up to 2 years.
|
|
Growth Modulation Index (GMI)
Time Frame: Disease assessment performed every 2 cycles (each cycle is 28 days) and at EoT. After 24 weeks, it can be done every 12 weeks, on discussion with Sponsor. Follow-up visits are every 3 months after last dose, for up to 2 years.
|
GMI is defined as the ratio of TTP with the trial protocol treatment to TTP on the most recent prior line of therapy.
The trial will report the mean GMI and 95% credible interval.
|
Disease assessment performed every 2 cycles (each cycle is 28 days) and at EoT. After 24 weeks, it can be done every 12 weeks, on discussion with Sponsor. Follow-up visits are every 3 months after last dose, for up to 2 years.
|
|
Occurrence of at least one Suspected Unexpected Serious Adverse Reaction (SUSAR)
Time Frame: From the time of consent until 28 days after last dose of dabrafenib or trametinib (up to 5 years) or until patient starts another anti-cancer therapy, whichever came first. An average time frame will be presented with results entry.
|
The trial will report the number of patients who experience at least one SUSAR to dabrafenib or trametinib.
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From the time of consent until 28 days after last dose of dabrafenib or trametinib (up to 5 years) or until patient starts another anti-cancer therapy, whichever came first. An average time frame will be presented with results entry.
|
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Occurrence of at least one Grade 3, 4 or 5 dabrafenib and/or trametinib related AE
Time Frame: From the time of consent until 28 days after last dose of dabrafenib and/or trametinib (up to 5 years) or until patient starts another anti-cancer therapy, whichever came first. An average time frame will be presented with results entry.
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Number of patients who experience at least one dabrafenib and trametinib related Grade 3, 4 or 5 AE according to National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE) Version 5.0.
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From the time of consent until 28 days after last dose of dabrafenib and/or trametinib (up to 5 years) or until patient starts another anti-cancer therapy, whichever came first. An average time frame will be presented with results entry.
|
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EORTC-QLQ-30-Standardised Area Under Summary Score Curve (QLQSAUC) in adult patients
Time Frame: QoL surveys performed prior to inclusion, every cycle (each cycle is 28 days) and at EoT visit (up to 5 years).
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For adult patients, multiple measures of Quality of Life (QoL) will be generated from patient completion of the European Organisation for Research and Treatment of Cancer QLQ-C30 (EORTC QLQ-C30) questionnaire (15 measures).
For each patient the Summary Score from the questionnaire will be generated at each time point and the area under the curve generated by these scores over time will be calculated and standardised by the time frame.
The trial will report the mean QLQSAUC and 95% credible interval.
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QoL surveys performed prior to inclusion, every cycle (each cycle is 28 days) and at EoT visit (up to 5 years).
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Mean change from baseline in the PedsQL 4.0 Standardised Area Under Total Scale Score Curve (PedSAUC) in paediatric patients
Time Frame: QoL surveys performed prior to inclusion, every cycle (each cycle is 21 days) and at EoT visit (up to 5 years).
|
For paediatric populations, multiple measures of QoL will be generated from patient completion of the PedsQL 4.0 (4 measures).
The Summary Score from the questionnaire will be generated at each time point and the area under the curve generated by these scores over time will be calculated and standardised by the time frame.
The trial will report the mean PedSAUC and the 95% credible interval.
|
QoL surveys performed prior to inclusion, every cycle (each cycle is 21 days) and at EoT visit (up to 5 years).
|
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Mean change from baseline in the PedsQL 4.0 Standardised Area Under total Scale Score Curve (PedsSAUC) in parents of paediatric patients
Time Frame: QoL surveys performed prior to inclusion, every cycle (each cycle is 21 days) and at EoT visit (up to 5 years).
|
For paediatric populations, multiple measures of QoL will be generated from patient's parent completion of the PedsQL 4.0 (4 measures).
The Summary Score from the questionnaire will be generated at each time point and the area under the curve generated by these scores over time will be calculated and standardised by the time frame.
The trial will report the mean PedSAUC and the 95% credible interval.
|
QoL surveys performed prior to inclusion, every cycle (each cycle is 21 days) and at EoT visit (up to 5 years).
|
Collaborators and Investigators
Sponsor
Collaborators
Investigators
- Principal Investigator: Matthew Krebs, The Christie Hospital
Publications and helpful links
Study record dates
Study Major Dates
Study Start (Estimated)
Primary Completion (Estimated)
Study Completion (Estimated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
- Urogenital Diseases
- Genital Diseases
- Endocrine System Diseases
- Vascular Diseases
- Cardiovascular Diseases
- Urogenital Neoplasms
- Female Urogenital Diseases
- Female Urogenital Diseases and Pregnancy Complications
- Intestinal Diseases
- Immune System Diseases
- Respiratory Tract Diseases
- Digestive System Neoplasms
- Digestive System Diseases
- Gastrointestinal Diseases
- Intestinal Neoplasms
- Rectal Diseases
- Genital Diseases, Female
- Lung Diseases
- Hematologic Diseases
- Thyroid Neoplasms
- Endocrine Gland Neoplasms
- Head and Neck Neoplasms
- Neoplasms, Glandular and Epithelial
- Adenocarcinoma
- Respiratory Tract Neoplasms
- Thoracic Neoplasms
- Colonic Diseases
- Lung Neoplasms
- Ovarian Diseases
- Adnexal Diseases
- Genital Neoplasms, Female
- Gonadal Disorders
- Lymphatic Diseases
- Immunoproliferative Disorders
- Carcinoma
- Otorhinolaryngologic Diseases
- Neoplasms, Neuroepithelial
- Neuroectodermal Tumors
- Neoplasms, Germ Cell and Embryonal
- Neoplasms, Nerve Tissue
- Lung Diseases, Interstitial
- Carcinoma, Bronchogenic
- Bronchial Neoplasms
- Neoplasms, Plasma Cell
- Hemostatic Disorders
- Paraproteinemias
- Blood Protein Disorders
- Hemorrhagic Disorders
- Otorhinolaryngologic Neoplasms
- Laryngeal Diseases
- Thyroid Diseases
- Histiocytosis, Non-Langerhans-Cell
- Histiocytosis
- Adenocarcinoma, Papillary
- Hemic and Lymphatic Diseases
- Thyroid Cancer, Papillary
- Neoplasms
- Colorectal Neoplasms
- Hematologic Neoplasms
- Ovarian Neoplasms
- Glioma
- Gastrointestinal Neoplasms
- Carcinoma, Non-Small-Cell Lung
- Multiple Myeloma
- Neoplasms by Histologic Type
- Laryngeal Neoplasms
- Histiocytosis, Langerhans-Cell
- Lymphoproliferative Disorders
- Erdheim-Chester Disease
- Neoplasms by Site
- Thyroid Carcinoma, Anaplastic
- dabrafenib
- trametinib
Other Study ID Numbers
- CRUKD/21/004 - Treatment Arm 7
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
Individual de-identified patient data will be shared with researchers whose proposed use of the data is approved by a review committee of the Sponsor.
Supporting Information:
Study Protocol Statistical Analysis Plan (SAP) Informed Consent Form (ICF)
IPD Sharing Time Frame
IPD Sharing Access Criteria
IPD Sharing Supporting Information Type
- STUDY_PROTOCOL
- SAP
- ICF
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
Clinical Trials on Glioma
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University of California, San FranciscoPacific Pediatric Neuro-Oncology ConsortiumRecruitingPediatric Cancer | Low-grade Glioma | Low Grade Glioma of Brain | Recurrent Low Grade GliomaUnited States
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City of Hope Medical CenterNational Cancer Institute (NCI); Food and Drug Administration (FDA)Active, not recruitingRecurrent Glioblastoma | Recurrent Malignant Glioma | Refractory Malignant Glioma | Recurrent WHO Grade III Glioma | Recurrent WHO Grade II Glioma | Refractory Glioblastoma | Refractory WHO Grade II Glioma | Refractory WHO Grade III GliomaUnited States
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Children's Hospital of PhiladelphiaBlue Earth Diagnostics; Dragon Master FoundationRecruitingGlioma | Low-grade Glioma | Glioma, Malignant | Low Grade Glioma of Brain | Glioma IntracranialUnited States
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Children's Hospital of PhiladelphiaBlue Earth Diagnostics; Dragon Master FoundationRecruitingGlioma | High Grade Glioma | Glioma, Malignant | Diffuse Glioma | Glioma IntracranialUnited States
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ChimerixOncoceutics, Inc.TerminatedGlioblastoma | Diffuse Midline Glioma | H3 K27M Glioma | Thalamic Glioma | Infratentorial Glioma | Basal Ganglia GliomaUnited States
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Ohio State University Comprehensive Cancer CenterRecruitingWHO Grade 3 Glioma | Recurrent Malignant Glioma | WHO Grade 2 Glioma | Recurrent WHO Grade 3 Glioma | Recurrent WHO Grade 4 Glioma | WHO Grade 4 GliomaUnited States
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City of Hope Medical CenterNational Cancer Institute (NCI)Active, not recruitingGlioblastoma | Malignant Glioma | WHO Grade III Glioma | Recurrent Glioma | Refractory GliomaUnited States
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University of California, San FranciscoBeiGene USA, Inc.Active, not recruitingGlioblastoma | Malignant Glioma | Recurrent Glioblastoma | Recurrent WHO Grade III Glioma | WHO Grade III Glioma | IDH2 Gene Mutation | IDH1 Gene Mutation | Low Grade Glioma | Recurrent WHO Grade II Glioma | WHO Grade II GliomaUnited States
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Sabine Mueller, MD, PhDNot yet recruitingGlioblastoma | Diffuse Midline Glioma, H3 K27M-Mutant | High-grade Glioma | High-Grade Glioma (WHO III-IV) | Diffuse Hemispheric Glioma, H3G34 MutantUnited States
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National Cancer Institute (NCI)SuspendedGlioma | High Grade Glioma | Malignant Glioma | Gliomas | Low Grade GliomaUnited States
Clinical Trials on Dabrafenib
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Novartis PharmaceuticalsNo longer available
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Novartis PharmaceuticalsTerminated
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Novartis PharmaceuticalsActive, not recruitingDifferentiated Thyroid Cancer (DTC)United States, China, Canada, Taiwan, Malaysia, Vietnam, Brazil, India, South Korea, Turkey (Türkiye), Argentina
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Novartis PharmaceuticalsCompleted
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JS InnoPharm, LLCSuspended
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Fondazione Melanoma OnlusWithdrawn
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Universitair Ziekenhuis BrusselCompleted
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UNC Lineberger Comprehensive Cancer CenterGlaxoSmithKlineCompletedUnresectable Melanoma | Stage IV Melanoma | Stage III Melanoma | BRAF Mutant MelanomaUnited States
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Leiden University Medical CenterNovartisRecruitingAnaplastic Thyroid CancerNetherlands
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University Medical Center GroningenTerminated