- ICH GCP
- Registr klinických studií v USA
- Klinická studie NCT01597908
Dabrafenib Plus Trametinib vs Vemurafenib Alone in Unresectable or Metastatic BRAF V600E/K Cutaneous Melanoma (COMBI-v)
A Phase III, Randomised, Open-label Study Comparing the Combination of the BRAF Inhibitor, Dabrafenib and the MEK Inhibitor, Trametinib to the BRAF Inhibitor Vemurafenib in Subjects With Unresectable (Stage IIIc) or Metastatic (Stage IV) BRAF V600E/K Mutation Positive Cutaneous Melanoma
Přehled studie
Postavení
Podmínky
Intervence / Léčba
Detailní popis
Screening/Subject eligibility: Subjects with histologically confirmed cutaneous melanoma that was either unresectable or metastatic (Stages IIIC or IV), were screened for eligibility. Eligible subjects were BRAF V600E or V600K mutation positive. Subjects who had prior systemic anti-cancer treatment in the advanced or metastatic setting were not eligible although prior systemic treatment in the adjuvant setting was allowed.
Randomization: A total of 704 subjects were randomized in a ratio of 1:1 to receive combination therapy (352 subjects) or vemurafenib treatment (352 subjects). Subjects were stratified by LDH level (> the ULN versus =< ULN) and BRAF mutation (V600E versus V600K).
Study treatment: Dabrafenib and trametinib were administered orally at their recommended doses of 150 mg b.i.d. and 2.0 mg once daily, respectively. Subjects randomized in the combination therapy arm received both the agents. Subjects randomized in the vemurafenib arm received vemurafenib at the recommended dose of 960 mg orally b.i.d. Subjects in both the arms continued treatment until disease progression, death, unacceptable toxicity, or withdrawal of consent. The protocol was amended on 07-Aug-2014 which allowed subjects who were still receiving vemurafenib to cross over to the dabrafenib and trametinib combination arm, including those subjects who were still receiving vemurafenib monotherapy treatment after disease progression. A washout period of a minimum of 7 days was considered prior to initiating dabrafenib in combination with trametinib. Subjects who experienced disease progression on the vemurafenib monotherapy arm, discontinued vemurafenib monotherapy, and subsequently received another anticancer therapy were ineligible for cross over to the dabrafenib and trametinib combination arm.
Follow-up/Study closure: After study treatment discontinuation, subjects were followed for survival and disease progression as applicable. This study completed once all the subjects had at least the 5-years of follow-up.
Typ studie
Zápis (Aktuální)
Fáze
- Fáze 3
Kontakty a umístění
Studijní místa
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Ciudad Autonoma de Buenos Aires, Argentina, C1121ABE
- Novartis Investigative Site
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San Miguel de Tucuman, Argentina, T4000IAK
- Novartis Investigative Site
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Santa Fe, Argentina, 3000
- Novartis Investigative Site
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Buenos Aires
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Capital Federal, Buenos Aires, Argentina, C1426ANZ
- Novartis Investigative Site
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Río Negro
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Viedma, Río Negro, Argentina, R8500ACE
- Novartis Investigative Site
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Santa Fe
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Rosario, Santa Fe, Argentina, S2000KZE
- Novartis Investigative Site
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New South Wales
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North Sydney, New South Wales, Austrálie, 2060
- Novartis Investigative Site
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Westmead, New South Wales, Austrálie, 2145
- Novartis Investigative Site
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Queensland
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Greenslopes, Queensland, Austrálie, 4120
- Novartis Investigative Site
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Herston, Queensland, Austrálie, 4029
- Novartis Investigative Site
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South Brisbane, Queensland, Austrálie, 4101
- Novartis Investigative Site
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South Australia
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Woodville, South Australia, Austrálie, 5011
- Novartis Investigative Site
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Victoria
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Box Hill, Victoria, Austrálie, 3128
- Novartis Investigative Site
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Melbourne, Victoria, Austrálie, 3004
- Novartis Investigative Site
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Western Australia
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Nedlands, Western Australia, Austrálie, 6009
- Novartis Investigative Site
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Brasschaat, Belgie, 2930
- Novartis Investigative Site
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Brussel, Belgie, 1090
- Novartis Investigative Site
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Brussels, Belgie, 1200
- Novartis Investigative Site
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Gent, Belgie, 9000
- Novartis Investigative Site
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Kortrijk, Belgie, 8500
- Novartis Investigative Site
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Leuven, Belgie, 3000
- Novartis Investigative Site
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Namur, Belgie, 5000
- Novartis Investigative Site
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Wilrijk, Belgie, 2610
- Novartis Investigative Site
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Sao Paulo - SP, Brazílie, 01323-900
- Novartis Investigative Site
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Rio Grande Do Sul
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Ijui, Rio Grande Do Sul, Brazílie, 98700-000
- Novartis Investigative Site
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Santa Catarina
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Itajai, Santa Catarina, Brazílie, 88301-215
- Novartis Investigative Site
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Arhus C, Dánsko, 8000
- Novartis Investigative Site
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Herlev, Dánsko, 2730
- Novartis Investigative Site
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Odense, Dánsko, 5000 C
- Novartis Investigative Site
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Helsinki, Finsko, 00029
- Novartis Investigative Site
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Jyvaskyla, Finsko, 40620
- Novartis Investigative Site
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Tampere, Finsko, 33520
- Novartis Investigative Site
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Turku, Finsko, 20520
- Novartis Investigative Site
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Bordeaux, Francie, 33075
- Novartis Investigative Site
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Grenoble, Francie, 38043
- Novartis Investigative Site
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Lille, Francie, 59037
- Novartis Investigative Site
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Marseille cedex 5, Francie, 13385
- Novartis Investigative Site
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Montpellier cedex 5, Francie, 34295
- Novartis Investigative Site
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Nantes, Francie, 44093
- Novartis Investigative Site
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Nice, Francie, 06202
- Novartis Investigative Site
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Paris Cedex 10, Francie, 75475
- Novartis Investigative Site
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Reims Cedex, Francie, 51092
- Novartis Investigative Site
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Rennes Cedex, Francie, 35042
- Novartis Investigative Site
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Villejuif cedex, Francie, 94805
- Novartis Investigative Site
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Amsterdam, Holandsko, 1066 CX
- Novartis Investigative Site
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Amsterdam, Holandsko, 1081 HV
- Novartis Investigative Site
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Groningen, Holandsko, 9713 GZ
- Novartis Investigative Site
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Leeuwarden, Holandsko, 8934 AD
- Novartis Investigative Site
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Leiden, Holandsko, 2333 ZA
- Novartis Investigative Site
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Rotterdam, Holandsko, 3015 GD
- Novartis Investigative Site
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Co.Cork, Irsko
- Novartis Investigative Site
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Dublin, Irsko, 7
- Novartis Investigative Site
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Dublin, Irsko, 9
- Novartis Investigative Site
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Dublin, Irsko, 4
- Novartis Investigative Site
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Galway, Irsko
- Novartis Investigative Site
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Campania
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Napoli, Campania, Itálie, 80131
- Novartis Investigative Site
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Lazio
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Roma, Lazio, Itálie, 00167
- Novartis Investigative Site
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Liguria
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Genova, Liguria, Itálie, 16132
- Novartis Investigative Site
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Lombardia
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Bergamo, Lombardia, Itálie, 24128
- Novartis Investigative Site
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Milano, Lombardia, Itálie, 20133
- Novartis Investigative Site
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Milano, Lombardia, Itálie, 20141
- Novartis Investigative Site
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Toscana
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Pisa, Toscana, Itálie, 56126
- Novartis Investigative Site
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Veneto
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Padova, Veneto, Itálie, 35128
- Novartis Investigative Site
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Jerusalem, Izrael
- Novartis Investigative Site
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Ramat Gan, Izrael, 52621
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Quebec, Kanada, G1R 2J6
- Novartis Investigative Site
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Alberta
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Calgary, Alberta, Kanada, T2N 4N2
- Novartis Investigative Site
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British Columbia
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Kelowna, British Columbia, Kanada, V1Y 5L3
- Novartis Investigative Site
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Vancouver, British Columbia, Kanada, V5Z 4E6
- Novartis Investigative Site
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Manitoba
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Winnipeg, Manitoba, Kanada, R3E 0V9
- Novartis Investigative Site
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Nova Scotia
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Halifax, Nova Scotia, Kanada, B3H 2Y9
- Novartis Investigative Site
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Ontario
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Kingston, Ontario, Kanada, K7L 5P9
- Novartis Investigative Site
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Oshawa, Ontario, Kanada, L1G 2B9
- Novartis Investigative Site
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Ottawa, Ontario, Kanada, K1H 8L6
- Novartis Investigative Site
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Toronto, Ontario, Kanada, M5G 2M9
- Novartis Investigative Site
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Toronto, Ontario, Kanada, M4N 3M5
- Novartis Investigative Site
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Quebec
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Montreal, Quebec, Kanada, H2L 4M1
- Novartis Investigative Site
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Goyang-si, Gyeonggi-Do, Korejská republika, 410-769
- Novartis Investigative Site
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Seoul, Korejská republika, 03080
- Novartis Investigative Site
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Seoul, Korejská republika, 135-710
- Novartis Investigative Site
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Budapest, Maďarsko, H-1122
- Novartis Investigative Site
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Budapest, Maďarsko, 1062
- Novartis Investigative Site
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Debrecen, Maďarsko, 4032
- Novartis Investigative Site
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Gyor, Maďarsko, H-9024
- Novartis Investigative Site
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Kaposvar, Maďarsko, 7400
- Novartis Investigative Site
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Miskolc, Maďarsko, 3526
- Novartis Investigative Site
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Szeged, Maďarsko, 6720
- Novartis Investigative Site
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Kristiansand, Norsko, 4604
- Novartis Investigative Site
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Lorenskog, Norsko, 1478
- Novartis Investigative Site
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Oslo, Norsko, 0310
- Novartis Investigative Site
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Christchurch, Nový Zéland, 8011
- Novartis Investigative Site
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Newtown, Wellington, Nový Zéland, 6002
- Novartis Investigative Site
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Baden-Wuerttemberg
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Heidelberg, Baden-Wuerttemberg, Německo, 69120
- Novartis Investigative Site
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Heilbronn, Baden-Wuerttemberg, Německo, 74078
- Novartis Investigative Site
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Mannheim, Baden-Wuerttemberg, Německo, 68167
- Novartis Investigative Site
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Tuebingen, Baden-Wuerttemberg, Německo, 72076
- Novartis Investigative Site
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Bayern
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Erlangen, Bayern, Německo, 91054
- Novartis Investigative Site
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Muenchen, Bayern, Německo, 80337
- Novartis Investigative Site
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Muenchen, Bayern, Německo, 80804
- Novartis Investigative Site
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Muenchen, Bayern, Německo, 80802
- Novartis Investigative Site
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Nuernberg, Bayern, Německo, 90419
- Novartis Investigative Site
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Regensburg, Bayern, Německo, 93053
- Novartis Investigative Site
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Wuerzburg, Bayern, Německo, 97080
- Novartis Investigative Site
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Niedersachsen
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Buxtehude, Niedersachsen, Německo, 21614
- Novartis Investigative Site
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Hannover, Niedersachsen, Německo, 30625
- Novartis Investigative Site
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Nordrhein-Westfalen
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Bonn, Nordrhein-Westfalen, Německo, 53127
- Novartis Investigative Site
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Essen, Nordrhein-Westfalen, Německo, 45122
- Novartis Investigative Site
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Koeln, Nordrhein-Westfalen, Německo, 50937
- Novartis Investigative Site
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Rheinland-Pfalz
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Ludwigshafen, Rheinland-Pfalz, Německo, 67063
- Novartis Investigative Site
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Mainz, Rheinland-Pfalz, Německo, 55131
- Novartis Investigative Site
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Sachsen
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Dresden, Sachsen, Německo, 01307
- Novartis Investigative Site
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Leipzig, Sachsen, Německo, 04103
- Novartis Investigative Site
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Sachsen-Anhalt
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Magdeburg, Sachsen-Anhalt, Německo, 39120
- Novartis Investigative Site
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Schleswig-Holstein
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Kiel, Schleswig-Holstein, Německo, 24105
- Novartis Investigative Site
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Luebeck, Schleswig-Holstein, Německo, 23538
- Novartis Investigative Site
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Thueringen
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Erfurt, Thueringen, Německo, 99089
- Novartis Investigative Site
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Gera, Thueringen, Německo, 07548
- Novartis Investigative Site
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Gdansk, Polsko, 80-215
- Novartis Investigative Site
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Konin, Polsko, 62-500
- Novartis Investigative Site
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Poznan, Polsko, 60-693
- Novartis Investigative Site
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Warszawa, Polsko, 02-781
- Novartis Investigative Site
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Graz, Rakousko, A-8036
- Novartis Investigative Site
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Innsbruck, Rakousko, 6020
- Novartis Investigative Site
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Salzburg, Rakousko, A-5020
- Novartis Investigative Site
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Wien, Rakousko, 1090
- Novartis Investigative Site
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Wien, Rakousko, A-1030
- Novartis Investigative Site
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Chelyabinsk, Ruská Federace, 454087
- Novartis Investigative Site
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Magnitogorsk, Ruská Federace, 455001
- Novartis Investigative Site
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Moscow, Ruská Federace, 115478
- Novartis Investigative Site
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Moscow, Ruská Federace, 143423
- Novartis Investigative Site
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Nizhniy Novgorod, Ruská Federace, 603081
- Novartis Investigative Site
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Ryazan, Ruská Federace, 390011
- Novartis Investigative Site
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St. Petersburg, Ruská Federace, 197758
- Novartis Investigative Site
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Cambridge, Spojené království, CB2 0QQ
- Novartis Investigative Site
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Glasgow, Spojené království, G12 0YN
- Novartis Investigative Site
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London, Spojené království, NW3 2QG
- Novartis Investigative Site
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London, Spojené království, SE1 7EH
- Novartis Investigative Site
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Manchester, Spojené království, M20 4BX
- Novartis Investigative Site
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Southampton, Spojené království, SO16 6YD
- Novartis Investigative Site
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Swansea, Spojené království, SA2 8QA
- Novartis Investigative Site
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Alabama
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Birmingham, Alabama, Spojené státy, 35243
- Novartis Investigative Site
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Arizona
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Gilbert, Arizona, Spojené státy, 85234
- Novartis Investigative Site
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California
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Beverly Hills, California, Spojené státy, 90211
- Novartis Investigative Site
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San Francisco, California, Spojené státy, 94115
- Novartis Investigative Site
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Vallejo, California, Spojené státy, 94589
- Novartis Investigative Site
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Colorado
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Aurora, Colorado, Spojené státy, 80010
- Novartis Investigative Site
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Florida
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Jacksonville, Florida, Spojené státy, 32204
- Novartis Investigative Site
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Miami Beach, Florida, Spojené státy, 33140
- Novartis Investigative Site
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Orlando, Florida, Spojené státy, 32804
- Novartis Investigative Site
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Georgia
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Atlanta, Georgia, Spojené státy, 30322
- Novartis Investigative Site
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Atlanta, Georgia, Spojené státy, 30341
- Novartis Investigative Site
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Iowa
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Iowa City, Iowa, Spojené státy, 52242
- Novartis Investigative Site
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Michigan
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Ann Arbor, Michigan, Spojené státy, 48109
- Novartis Investigative Site
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Minnesota
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Fridley, Minnesota, Spojené státy, 55432
- Novartis Investigative Site
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Missouri
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Saint Louis, Missouri, Spojené státy, 63110
- Novartis Investigative Site
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Nevada
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Las Vegas, Nevada, Spojené státy, 89148
- Novartis Investigative Site
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New Jersey
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Hackensack, New Jersey, Spojené státy, 07601
- Novartis Investigative Site
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New Brunswick, New Jersey, Spojené státy, 08901
- Novartis Investigative Site
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New York
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New York, New York, Spojené státy, 10029
- Novartis Investigative Site
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North Carolina
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Chapel Hill, North Carolina, Spojené státy, 27599-7600
- Novartis Investigative Site
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Charlotte, North Carolina, Spojené státy, 28204
- Novartis Investigative Site
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Durham, North Carolina, Spojené státy, 27710
- Novartis Investigative Site
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Ohio
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Cincinnati, Ohio, Spojené státy, 45219
- Novartis Investigative Site
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Columbus, Ohio, Spojené státy, 43210
- Novartis Investigative Site
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Oregon
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Bend, Oregon, Spojené státy, 97701
- Novartis Investigative Site
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Portland, Oregon, Spojené státy, 97213
- Novartis Investigative Site
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Portland, Oregon, Spojené státy, 97239
- Novartis Investigative Site
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South Carolina
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Charleston, South Carolina, Spojené státy, 29425
- Novartis Investigative Site
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Greenville, South Carolina, Spojené státy, 29605
- Novartis Investigative Site
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Tennessee
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Nashville, Tennessee, Spojené státy, 37232
- Novartis Investigative Site
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Texas
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Dallas, Texas, Spojené státy, 75246
- Novartis Investigative Site
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Utah
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Salt Lake City, Utah, Spojené státy, 84106
- Novartis Investigative Site
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Salt Lake City, Utah, Spojené státy, 84112-5550
- Novartis Investigative Site
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Vermont
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Burlington, Vermont, Spojené státy, 05403
- Novartis Investigative Site
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Virginia
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Charlottesville, Virginia, Spojené státy, 22903
- Novartis Investigative Site
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Wisconsin
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Milwaukee, Wisconsin, Spojené státy, 53226
- Novartis Investigative Site
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Tainan, Tchaj-wan, 704
- Novartis Investigative Site
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Taipei, Tchaj-wan, 100
- Novartis Investigative Site
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Taoyuan, Tchaj-wan, 333
- Novartis Investigative Site
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Dnipropetrovsk, Ukrajina, 49102
- Novartis Investigative Site
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Donetsk, Ukrajina, 83092
- Novartis Investigative Site
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Kharkiv, Ukrajina, 61070
- Novartis Investigative Site
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Kyiv, Ukrajina, 03022
- Novartis Investigative Site
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Lviv, Ukrajina, 79031
- Novartis Investigative Site
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Sumy, Ukrajina, 40005
- Novartis Investigative Site
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Uzhgorod, Ukrajina, 88017
- Novartis Investigative Site
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Olomouc, Česko, 775 20
- Novartis Investigative Site
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Ostrava, Česko, 708 52
- Novartis Investigative Site
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Praha 10, Česko, 100 34
- Novartis Investigative Site
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Praha 2, Česko, 128 08
- Novartis Investigative Site
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Zlin, Česko, 76275
- Novartis Investigative Site
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Barcelona, Španělsko, 08036
- Novartis Investigative Site
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Hospitalet de Llobregat, Barcelona, Španělsko, 08907
- Novartis Investigative Site
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Las Palmas De Gran Canaria, Španělsko, 35016
- Novartis Investigative Site
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Madrid, Španělsko, 28007
- Novartis Investigative Site
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Madrid, Španělsko, 28050
- Novartis Investigative Site
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Palma de Mallorca, Španělsko, 07010
- Novartis Investigative Site
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Pamplona, Španělsko, 31008
- Novartis Investigative Site
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Valencia, Španělsko, 46014
- Novartis Investigative Site
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Valencia, Španělsko, 46009
- Novartis Investigative Site
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Linkoping, Švédsko, SE-581 85
- Novartis Investigative Site
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Umea, Švédsko, SE-901 85
- Novartis Investigative Site
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Basel, Švýcarsko, 4031
- Novartis Investigative Site
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Lausanne, Švýcarsko, 1011
- Novartis Investigative Site
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Zurich, Švýcarsko, 8091
- Novartis Investigative Site
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Kritéria účasti
Kritéria způsobilosti
Věk způsobilý ke studiu
Přijímá zdravé dobrovolníky
Pohlaví způsobilá ke studiu
Popis
Key Inclusion Criteria:
- >= 18 years of age
- Stage IIIc or Stage IV BRAF V600E/K cutaneous melanoma
- Measurable disease according to RECIST 1.1
- Women of childbearing potential with negative serum pregnancy test prior to randomisation
- Eastern Cooperative Oncology Group (ECOG) Performance Status of 0 or 1
- Adequate baseline organ function
Key Exclusion Criteria:
- Any prior use of a BRAF or MEK inhibitor
- Prior systemic anti-cancer treatment in the advanced or metastatic setting; prior systemic treatment in the adjuvant setting is allowed
- History of another malignancy (except subjects who have been disease free for 3 years or with a history of completely resected non-melanoma skin cancer)
- Known HIV, HBV, HCV infection (except chronic or cleared HBV and HCV infection which will be allowed)
- Brain metastases (except if all known lesions were previously treated with surgery or stereotactic radiosurgery and lesions, if still present, are confirmed stable for >= 12 weeks prior to randomisation or if no longer present are confirmed no evidence of disease for >= 12 weeks, and are asymptomatic with no corticosteroid requirements for >= 4 weeks prior to randomisation, and no enzyme inducing anticonvulsants for >= 4 weeks prior to randomisation
- History or evidence of cardiovascular risk (LVEF < LLN; QTcB >= 480 msec; blood pressure or systolic >=140 mmHg or diastolic >= 90 mmHg which cannot be controlled by anti-hypertensive therapy)
- History or current evidence/risk of retinal vein occlusion (RVO) or central serous retinopathy (CSR)
Studijní plán
Jak je studie koncipována?
Detaily designu
- Primární účel: Léčba
- Přidělení: Randomizované
- Intervenční model: Paralelní přiřazení
- Maskování: Žádné (otevřený štítek)
Zbraně a zásahy
Skupina účastníků / Arm |
Intervence / Léčba |
|---|---|
|
Experimentální: Dabrafenib plus Trametinib
BRAF inhibitor plus MEK inhibitor
|
Dabrafenib 150 mg twice daily orally
Ostatní jména:
Trametinib 2 mg once daily orally
Ostatní jména:
|
|
Aktivní komparátor: Vemurafenib
BRAF inhibitor
|
Vemurafenib 960 mg twice daily orally
Ostatní jména:
|
Co je měření studie?
Primární výstupní opatření
Měření výsledku |
Popis opatření |
Časové okno |
|---|---|---|
|
Overall Survival (OS)
Časové okno: From the date of randomization until date of death due to any cause (up to approximately 6 years)
|
Overall Survival (OS) was defined as the interval of time between the date of randomization and the date of death due to any cause.
For patients who did not die, OS was censored at the date of last contact.
|
From the date of randomization until date of death due to any cause (up to approximately 6 years)
|
Sekundární výstupní opatření
Měření výsledku |
Popis opatření |
Časové okno |
|---|---|---|
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Progression-Free Survival (PFS), as Assessed by the Investigator
Časové okno: From randomization until the earliest date of disease progression (PD) or death due to any cause (up to approximately 6 years)
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Progression-free survival (PFS) was defined as the interval of time between the date of randomization and the first documented occurrence of disease progression or death due to any cause.
PFS for investigator-assessed response was summarized per Response Evaluation Criteria in Solid Tumors (RECIST), Version 1.1, which is a set of published rules defining when cancer patients improve (respond), stay the same (stabilize), or worsen (progress) during treatment.
Disease progression was defined as at least a 20% increase in the sum of the diameters of target lesions with an absolute increase of at least 5 millimeters (mm) or the appearance of at least 1 new lesion, or the worsening of non-target lesions significant enough to require study treatment discontinuation.
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From randomization until the earliest date of disease progression (PD) or death due to any cause (up to approximately 6 years)
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Overall Response Rate (ORR) During Randomized Phase, as Assessed by the Investigator
Časové okno: From randomization until the first documented complete response or partial response (up to approximately 6 years)
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Overall response was defined as the percentage of confirmed responders (complete response [CR] + partial response [PR] per RECIST, Version 1.1) as summarized by Investigator assessment.
CR was defined as the disappearance of all evidence of target lesions.
PR was defined as at least a 30% reduction from Baseline in the sum of the longest diameter (LD) of all target lesions.
Data were reported as those participants with measureable disease at Baseline.
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From randomization until the first documented complete response or partial response (up to approximately 6 years)
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Duration of Response (DOR), as Assessed by the Investigator
Časové okno: From the time of the first documented response (CR or PR) until disease progression (up to approximately 6 years)
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Duration of Response (DOR) was defined as the time from the first documented evidence of a CR (disappearance of all evidence of target lesions) or a PR (at least a 30% reduction from Baseline in the sum of the longest diameter of all target lesions) until disease progression or death due to any cause.
PD was defined as at least a 20% increase in the sum of the diameters of target lesions with an absolute increase of at least 5 mm or the appearance of at least1 new lesion, or the worsening of non-target lesions significant enough to require study treatment discontinuation.
Data were summarized per RECIST, Version 1.1.
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From the time of the first documented response (CR or PR) until disease progression (up to approximately 6 years)
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Spolupracovníci a vyšetřovatelé
Sponzor
Publikace a užitečné odkazy
Obecné publikace
- Schadendorf D, Robert C, Dummer R, Flaherty KT, Tawbi HA, Menzies AM, Banerjee H, Lau M, Long GV. Pyrexia in patients treated with dabrafenib plus trametinib across clinical trials in BRAF-mutant cancers. Eur J Cancer. 2021 Aug;153:234-241. doi: 10.1016/j.ejca.2021.05.005. Epub 2021 Jul 2.
- Robert C, Grob JJ, Stroyakovskiy D, Karaszewska B, Hauschild A, Levchenko E, Chiarion Sileni V, Schachter J, Garbe C, Bondarenko I, Gogas H, Mandala M, Haanen JBAG, Lebbe C, Mackiewicz A, Rutkowski P, Nathan PD, Ribas A, Davies MA, Flaherty KT, Burgess P, Tan M, Gasal E, Voi M, Schadendorf D, Long GV. Five-Year Outcomes with Dabrafenib plus Trametinib in Metastatic Melanoma. N Engl J Med. 2019 Aug 15;381(7):626-636. doi: 10.1056/NEJMoa1904059. Epub 2019 Jun 4.
- Long GV, Grob JJ, Nathan P, Ribas A, Robert C, Schadendorf D, Lane SR, Mak C, Legenne P, Flaherty KT, Davies MA. Factors predictive of response, disease progression, and overall survival after dabrafenib and trametinib combination treatment: a pooled analysis of individual patient data from randomised trials. Lancet Oncol. 2016 Dec;17(12):1743-1754. doi: 10.1016/S1470-2045(16)30578-2. Epub 2016 Nov 16.
- Grob JJ, Amonkar MM, Karaszewska B, Schachter J, Dummer R, Mackiewicz A, Stroyakovskiy D, Drucis K, Grange F, Chiarion-Sileni V, Rutkowski P, Lichinitser M, Levchenko E, Wolter P, Hauschild A, Long GV, Nathan P, Ribas A, Flaherty K, Sun P, Legos JJ, McDowell DO, Mookerjee B, Schadendorf D, Robert C. Comparison of dabrafenib and trametinib combination therapy with vemurafenib monotherapy on health-related quality of life in patients with unresectable or metastatic cutaneous BRAF Val600-mutation-positive melanoma (COMBI-v): results of a phase 3, open-label, randomised trial. Lancet Oncol. 2015 Oct;16(13):1389-98. doi: 10.1016/S1470-2045(15)00087-X.
- Robert C, Karaszewska B, Schachter J, Rutkowski P, Mackiewicz A, Stroiakovski D, Lichinitser M, Dummer R, Grange F, Mortier L, Chiarion-Sileni V, Drucis K, Krajsova I, Hauschild A, Lorigan P, Wolter P, Long GV, Flaherty K, Nathan P, Ribas A, Martin AM, Sun P, Crist W, Legos J, Rubin SD, Little SM, Schadendorf D. Improved overall survival in melanoma with combined dabrafenib and trametinib. N Engl J Med. 2015 Jan 1;372(1):30-9. doi: 10.1056/NEJMoa1412690. Epub 2014 Nov 16.
Termíny studijních záznamů
Hlavní termíny studia
Začátek studia (Aktuální)
Primární dokončení (Aktuální)
Dokončení studie (Aktuální)
Termíny zápisu do studia
První předloženo
První předloženo, které splnilo kritéria kontroly kvality
První zveřejněno (Odhad)
Aktualizace studijních záznamů
Poslední zveřejněná aktualizace (Aktuální)
Odeslaná poslední aktualizace, která splnila kritéria kontroly kvality
Naposledy ověřeno
Více informací
Termíny související s touto studií
Klíčová slova
Další relevantní podmínky MeSH
- Novotvary podle histologického typu
- Novotvary
- Neuroektodermální nádory
- Novotvary, zárodečné buňky a embryonální
- Novotvary, nervová tkáň
- Neuroendokrinní nádory
- Nevi a melanomy
- Melanom
- Molekulární mechanismy farmakologického působení
- Inhibitory enzymů
- Antineoplastická činidla
- Inhibitory proteinkinázy
- Trametinib
- Dabrafenib
- Vemurafenib
Další identifikační čísla studie
- 116513
- CDRB436B2302 (Jiný identifikátor: Novartis)
- 2011-006088-23 (Číslo EudraCT)
Plán pro data jednotlivých účastníků (IPD)
Plánujete sdílet data jednotlivých účastníků (IPD)?
Popis plánu IPD
Novartis is committed to sharing with qualified external researchers, access to patient-level data and supporting clinical documents from eligible studies. These requests are reviewed and approved by an independent review panel on the basis of scientific merit. All data provided is anonymized to respect the privacy of patients who have participated in the trial in line with applicable laws and regulations.
This trial data availability is according to the criteria and process described on www.clinicalstudydatarequest.com.
Informace o lécích a zařízeních, studijní dokumenty
Studuje lékový produkt regulovaný americkým FDA
Studuje produkt zařízení regulovaný americkým úřadem FDA
Tyto informace byly beze změn načteny přímo z webu clinicaltrials.gov. Máte-li jakékoli požadavky na změnu, odstranění nebo aktualizaci podrobností studie, kontaktujte prosím register@clinicaltrials.gov. Jakmile bude změna implementována na clinicaltrials.gov, bude automaticky aktualizována i na našem webu .
Klinické studie na Melanom
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National Cancer Institute (NCI)Aktivní, ne náborSlizniční melanom | Anální melanom | Melanom močového měchýře | Cervikální melanom | Melanom jícnu | Melanom žlučníku | Slizniční melanom ústní dutiny | Slizniční melanom penisu | Rektální melanom | Recidivující slizniční melanom | Sinonazální slizniční melanom | Uretrální melanom | Vaginální melanom | Vulvární melanom | Melanom sliznice hlavy a krku a další podmínkySpojené státy, Kanada
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University of Southern CaliforniaNational Cancer Institute (NCI)DokončenoRecidivující melanom | Melanom fáze IV | Slizniční melanom | Melanom řasnatého tělíska a cévnatky, střední/velký | Melanom řasnatého tělíska a cévnatky, malá velikost | Melanom duhovky | Metastatický nitrooční melanom | Recidivující nitrooční melanom | Nitrooční melanom stadia IV | Melanom stadia IIIA | Melanom... a další podmínkySpojené státy
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National Cancer Institute (NCI)DokončenoRecidivující melanom | Melanom stadia IIIA | Melanom stadia IIIB | Melanom stadia IIIC | Melanom stadia IIB | Melanom stadia IIC | Melanom stadia IA | Melanom stadia IB | Melanom stadia IIASpojené státy
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Fudan UniversityZatím nenabíráme
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Mayo ClinicNational Cancer Institute (NCI)DokončenoRecidivující melanom | Melanom fáze IV | Melanom stadia IIIA | Melanom stadia IIIB | Melanom stadia IIIC | Melanom stadia IIB | Melanom stadia IIC | Melanom stadia IIASpojené státy
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Emory UniversityGenentech, Inc.Aktivní, ne náborStupeň IV kožní melanom | Stádium IIIB kožní melanom | Stádium IIIC kožní melanom | Neresekovatelný melanom | Melanom fáze III | Stádium IIIA kožní melanom | Kožní melanom, stadium III | Kožní melanom, stadium IVSpojené státy
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National Cancer Institute (NCI)DokončenoMelanom fáze IV | Melanom řasnatého tělíska a cévnatky, střední/velký | Melanom duhovky | Melanom stadia IIIA | Melanom stadia IIIB | Melanom stadia IIIC | Extraokulární extenzní melanom | Melanom stadia IIB | Melanom stadia IICSpojené státy
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MelanomaPRO, RussiaNáborKlinické výsledky a biomarkery u pacientů s melanomem stadia 0-IV v reálné klinické praxi (ISABELLA)Melanom | Melanom (kůže) | Melanom stadium IV | Melanom stadium III | Melanom, stadium II | Melanom, Uveal | Melanom na místě | Melanom, očníRuská Federace
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Rutgers, The State University of New JerseyNational Cancer Institute (NCI); University of VirginiaDokončenoStádium IIIB kožní melanom | Stádium IIIC kožní melanom | Stupeň III kožní melanom | Melanom kůže stadia IIA | Melanom kůže stadia IIB | Kožní melanom stadia IIC | Stádium IIIA kožní melanom | Stádium IA kožní melanom | Stádium IB kožní melanom | Stádium 0 kožní melanom | Stádium I kožní melanom | Melanom kůže IISpojené státy
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Emory UniversityNational Cancer Institute (NCI)NáborMetastatický kožní melanom | Neresekovatelný kožní melanom | Kožní melanom klinického stadia IV AJCC v8 | Neresekovatelný slizniční melanom | Pokročilý kožní melanom | Metastatický slizniční melanom | Pokročilý slizniční melanom | Metastatický akrální melanom | Neresekovatelný akrální melanom | Pokročilý akrální...Spojené státy
Klinické studie na Dabrafenib
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Cancer Research UKUniversity of Manchester; University of Birmingham; Novartis Pharmaceuticals... a další spolupracovníciZatím nenabírámeGliom | Novotvary podle histologického typu | Lymfoproliferativní poruchy | Novotvary podle místa | Rakovina | Mnohočetný myelom | Kolorektální novotvary | Novotvary vaječníků | Gastrointestinální rakovina | Maligní novotvar | Karcinom štítné žlázy, anaplastický | Novotvary hrtanu | Erdheim-Chesterova choroba | Pevný... a další podmínkySpojené království
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Novartis PharmaceuticalsJiž není k dispozici
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Novartis PharmaceuticalsUkončeno
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Novartis PharmaceuticalsDokončeno
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Universitair Ziekenhuis BrusselDokončeno
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University Medical Center GroningenUkončeno
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GlaxoSmithKlineDokončeno
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Leiden University Medical CenterNovartisNáborAnaplastická rakovina štítné žlázyHolandsko
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JS InnoPharm, LLCPozastavenoSolidní nádorySpojené státy