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Locally Advanced or Metastatic NRAS Mutant MelanomaPhase 1/2NCT01781572

A Phase Ib/II Study of LEE011 in Combination With MEK162 in Patients With NRAS Mutant Melanoma

A Phase 1/2 study testing LEE011 and MEK162 in people with Locally Advanced or Metastatic NRAS Mutant Melanoma, run by Pfizer at 17 sites in 5 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

In the phase Ib, the primary purpose is to establish the maximum tolerated dose (MTD)(s)/recommended phase ll dose (RP2D) and schedule of LEE011 and MEK162 orally administered combination. Read more about this study

Who is it for?
Ages 18 years and older
What is being tested?
LEE011 and MEK162
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
102 participants
Where
17 sitesin 5 countries
Study dates
Jun 2013to 20 Feb 2018
Phase
Phase 1/2
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Patients must have an Eastern Cooperative Oncology Group (ECOG) performance status of 0 - 1.
  • Patients enrolled into phase Ib may be enrolled with evaluable disease only. Patients enrolled into the phase II expansion must have at least one measurable lesion as defined by RECIST 1.1 criteria for solid tumors.
  • Patients must have adequate organ function, as defined by the following parameter
  • Absolute Neutrophil Count (ANC) ≥ 1.5 x 109/L.
  • Hemoglobin (Hgb) ≥ 9 g/dL.
  • Platelets ≥ 75 x 109/L without transfusions within 21 days before 1st treatment.
Show all 10Show fewer
  • PT/INR and aPTT ≤ 1.5 ULN.
  • Serum creatinine ≤1.5 ULN.
  • Serum total bilirubin ≤ 1.5 x upper limit of normal (ULN).
  • AST and ALT ≤ 3 x ULN, except in patients with tumor involvement of the liver who must have AST and ALT ≤ 5 x ULN.

Who cannot join

  • Presence of any brain metastases detected by MRI or CT with i.v. contrast of the brain at screening.
  • Uncontrolled arterial hypertension despite medical treatment
  • Impaired cardiac function or clinically significant cardiac diseases, including any of the following:
  • Left ventricular ejection fraction (LVEF) < 50% as determined by multiple gated acquisition scan (MUGA) or echocardiogram (ECHO).
  • Congenital long QT syndrome or family history of unexpected sudden cardiac death.
  • QTcF corrected with Frederica's or Bazett's formula QTcB >450 ms for males and >470 ms for females on screening ECG.
Show all 21Show fewer
  • Angina pectoris ≤ 3 months prior to starting study drug
  • Acute myocardial infarction ≤ 3 months prior to starting study drug
  • Clinically significant resting bradycardia
  • History or presence of ventricular tachyarrhythmia
  • Unstable atrial fibrillation (ventricular response >100 bpm)
  • Complete left bundle branch block
  • Right bundle branch block and left anterior hemi block (bifascicular block)
  • Obligate use of a cardiac pacemaker or implantable cardioverter defibrillator
  • Any other clinically significant heart disease
  • Patients who are currently receiving treatment with agents that are known to cause QTc prolongation in humans.
  • Patients who have neuromuscular disorders that are associated with elevated CK (e.g., inflammatory myopathies, muscular dystrophy, amyotrophic lateral sclerosis, spinal muscular atrophy) or elevated baseline CK levels (≥ Grade 2)
  • Patients who are currently receiving treatment with agents that are metabolized predominantly through CYP3A4 and that have a narrow therapeutic window.
  • Patients with concurrent severe and/or uncontrolled concurrent medical conditions that could compromise participation in the study (i.e. uncontrolled diabetes mellitus, clinically significant pulmonary disease, clinically significant neurological disorder, active or uncontrolled infection).
  • History or current evidence of retinal vein occlusion (RVO) or current risk factors for RVO (e.g. uncontrolled glaucoma or ocular hypertension, history of hyperviscosity or hypercoagulability syndromes).
  • Other protocol related inclusion/exclusion criteria may apply.

Trial locations and contacts

17 sites in 5 countries.

17 sites in 5 countries

United States7 sites
  • Karmanos Cancer Institute Dept of Oncology

    Detroit, Michigan, 48201

  • University of Texas/MD Anderson Cancer Center Dept of Onc.

    Houston, Texas, 77030-4009

  • Vanderbilt University Medical Center SC - Dept of Oncology .

    Nashville, Tennessee, 37232

  • Memorial Sloan Kettering Cancer Center Dept Oncology

    New York, New York, 10021

  • Columbia University Medical Center- New York Presbyterian Onc Dept.

    New York, New York, 10032

  • University of California, Dept of Oncology

    San Francisco, California, 94101

  • California Pacific Medical Center Onc Dept

    San Francisco, California, 94120-7999

Other trials in United States

Germany4 sites
  • Pfizer Investigative Site 1050

    Essen, 45147

  • Pfizer Investigative Site 1053

    Gera, 07548

  • Pfizer Investigative Site 1052

    Hanover, 30625

  • Pfizer Investigative Site 1051

    München, 80336

Other trials in Germany

Australia3 sites
  • Pfizer Investigator Site 1001

    East Melbourne, Victoria

  • Pfizer Investigative Site 1003

    North Sydney, New South Wales, 2060

  • Pfizer Investigative Site 1002

    Westmead, New South Wales, 2145

Other trials in Australia

Netherlands2 sites
  • Pfizer Investigative Site 1150

    Nijmegen, 6525 GA

  • Pfizer Investigative Site 1151

    Utrecht, The Netherlands, 3508 GA

Other trials in Netherlands

Italy1 site
  • Pfizer Investigative Site 1101

    Naples, 80131

Other trials in Italy

About this study

Official title: A Phase Ib/II, Multicenter, Open Label, Study of LEE011 in Combination With MEK162 in Adult Patients With NRAS Mutant Melanoma

In the phase Ib, the primary purpose is to establish the maximum tolerated dose (MTD)(s)/recommended phase ll dose (RP2D) and schedule of LEE011 and MEK162 orally administered combination. Once the MTD(s)/RP2D have been determined for each tested schedule, additional patients will be enrolled in the phase II portion of the study at the RP2D on the chosen schedule in order to assess the anti-tumor activity of the combination in addition to continued evaluation of safety.

Being tested
LEE011, MEK162

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • LEE011Drug

    LEE011 will be administered orally once daily

  • MEK162Drug

    MEK162 will be administered orally twice daily

Study groups in NCT01781572
Study groupRoleWhat they receive
Phase IbExperimentalThe phase Ib is the dose escalation part where successive cohorts of 3-6 newly enrolled patients receiving various dose pairs considering the recommendation from an adaptive BLRM incorporating the EWOC principle until MTD(s)/RP2D is defined. If multiple alternate dosing schedules are explored in parallel, the allocation of patients will proceed in an alternating fashion. Approximately 40 patients are expected to be treated during the phase Ib part of the study. Dosing Schedule 1: MEK162 administered orally twice daily on a continuous dosing schedule. LEE011 administered orally once daily for 21 days followed by a 1 week break (28-day cycle). Dosing Schedule 2: MEK162 administered orally twice daily and LEE011 administered orally once daily for 3 weeks followed by a 1 week break (28-day cycle). Dosing Schedule 3: MEK162 administered orally twice daily and LEE011 administered once daily for 2 weeks followed by a 1 week break (21-day cycle).
Receives: Drug: LEE011; Drug: MEK162
Phase IIExperimentalThe Phase II part will begin once the MTD(s)/RP2D have been determined in the Phase Ib in order to assess antitumor activity of the LEE011and MEK162 combination. Patients enrolled in the Phase II part of the study are required to have measurable disease. Approximately 40 patients will be treated in this part. Phase II part will begin at the RP2D on the chosen schedule in order to assess antitumor activity of the LEE011 and MEK162 combination.
Receives: Drug: LEE011; Drug: MEK162

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Number of Dose Limiting Toxicities (Phase Ib)

    To estimate the maximum tolerate doses (MTDs) and/or identify the RP2D and schedule of LEE011 and MEK162 combination. A dose-limiting toxicity (DLT) was defined as an AE or clinically significant abnormal laboratory value assessed as unrelated to disease, disease progression, inter-current illness, or concomitant medications that occurred within the first cycle of treatment with ribociclib and binimetinib.

    Measured: first 28 days of treatment

  2. Objective Response Rate (ORR) (Phase II)

    ORR is the proportion of patients with best overall response of complete response (CR) or partial response (PR) by month 2 assessed according to RECIST 1.1 criteria. ORR is done to describe the anti-tumor activity of LEE011 and MEK162 combination. The primary analysis of the ORR was based on the Investigator's assessment of overall lesion responses per RECIST 1.1.

    Measured: Approximately 12 months after the FPFV

Secondary outcomes (26)
  1. Plasma Concentration-time Profile (AUCtau) of LEE011 (Phase Ib)

    To Characterize the PK profiles of LEE011 as well as any other significant metabolites identified (Phase Ib).

    Measured: Cycle 1 Day 1

  2. Plasma Concentration-time Profile (AUCtau) of MEK162 (Phase Ib)

    To Characterize the PK profiles of MEK162 as well as any other significant metabolites identified (Phase Ib).

    Measured: Cycle 1 Day 1

  3. Plasma Concentration-time Profile (AUCtau,ss) of LEE011 (Phase Ib)

    To Characterize the PK profiles of LEE011 as well as any other significant metabolites identified (Phase Ib).

    Measured: For the 28-day schedule the steady-state parameter time frame was Cycle 1 Day 21, and for the 21-day schedule the steady-state parameter time frame was Cycle 1 Day 14

  4. Plasma Concentration-time Profile (AUCtau,ss) of MEK162 (Phase Ib)

    To Characterize the PK profiles of MEK162 as well as any other significant metabolites identified (Phase Ib).

    Measured: For the 28-day schedule the steady-state parameter time frame was Cycle 1 Day 21, and for the 21-day schedule the steady-state parameter time frame was Cycle 1 Day 14

  5. Plasma Concentration-time Profile (Cmin,ss) of LEE011 (Phase Ib)

    To Characterize the PK profiles of LEE011 as well as any other significant metabolites identified (Phase Ib).

    Measured: For the 28-day schedule the steady-state parameter time frame was predose on Cycle 1 Day 21, and for the 21-day schedule the steady-state parameter time frame was predose on Cycle 1 Day 14

  6. Plasma Concentration-time Profile (Cmin,ss) of MEK162 (Phase Ib)

    To Characterize the PK profiles of MEK162 as well as any other significant metabolites identified (Phase Ib).

    Measured: For the 28-day schedule the steady-state parameter time frame was predose on Cycle 1 Day 21, and for the 21-day schedule the steady-state parameter time frame was predose on Cycle 1 Day 14

  7. Plasma Concentration-time Profile (Cmax) of LEE011 (Phase Ib)

    To Characterize the PK profiles of LEE011 as well as any other significant metabolites identified (Phase Ib).

    Measured: Cycle 1 Day 1

  8. Plasma Concentration-time Profile (Cmax) of MEK162 (Phase Ib)

    To Characterize the PK profiles of MEK162 as well as any other significant metabolites identified (Phase Ib).

    Measured: Cycle 1 Day 1

  9. Plasma Concentration-time Profile (Cmax,ss) of LEE011 (Phase Ib)

    To Characterize the PK profiles of LEE011 as well as any other significant metabolites identified (Phase Ib).

    Measured: For the 28-day schedule the steady-state parameter time frame was Cycle 1 Day 21, and for the 21-day schedule the steady-state parameter time frame was Cycle 1 Day 14

  10. Plasma Concentration-time Profile (Cmax,ss) of MEK162 (Phase Ib)

    To Characterize the PK profiles of MEK162 as well as any other significant metabolites identified (Phase Ib).

    Measured: For the 28-day schedule the steady-state parameter time frame was Cycle 1 Day 21, and for the 21-day schedule the steady-state parameter time frame was Cycle 1 Day 14

  11. Plasma Concentration-time Profile (Tmax) of LEE011 (Phase Ib)

    To Characterize the PK profiles of LEE011 as well as any other significant metabolites identified (Phase Ib).

    Measured: Cycle 1 Day 1

  12. Plasma Concentration-time Profile (Tmax) of MEK162 (Phase Ib)

    To Characterize the PK profiles of MEK162 as well as any other significant metabolites identified (Phase Ib).

    Measured: Cycle 1 Day 1

  13. Plasma Concentration-time Profile (Tmax,ss) of LEE011 (Phase Ib)

    To Characterize the PK profiles of LEE011 as well as any other significant metabolites identified (Phase Ib).

    Measured: For the 28-day schedule the steady-state parameter time frame was Cycle 1 Day 21, and for the 21-day schedule the steady-state parameter time frame was Cycle 1 Day 14

  14. Plasma Concentration-time Profile (Tmax,ss) of MEK162 (Phase Ib)

    To Characterize the PK profiles of MEK162 as well as any other significant metabolites identified (Phase Ib).

    Measured: For the 28-day schedule the steady-state parameter time frame was Cycle 1 Day 21, and for the 21-day schedule the steady-state parameter time frame was Cycle 1 Day 14

  15. Plasma Concentration-time Profile (Accumulation Ratio, Racc_AUC) of LEE011 (Phase Ib)

    To Characterize the PK profiles of LEE011 as well as any other significant metabolites identified (Phase Ib).

    Measured: For the 28-day schedule the steady-state parameter time frame was Cycle 1 Day 21, and for the 21-day schedule the steady-state parameter time frame was Cycle 1 Day 14

  16. Plasma Concentration-time Profile (Accumulation Ratio, Racc_AUC) of MEK162 (Phase Ib)

    To Characterize the PK profiles of MEK162 as well as any other significant metabolites identified (Phase Ib).

    Measured: For the 28-day schedule the steady-state parameter time frame was Cycle 1 Day 21, and for the 21-day schedule the steady-state parameter time frame was Cycle 1 Day 14

  17. Plasma Concentration-time Profile (T1/2,ss) of LEE011 (Phase Ib)

    To Characterize the PK profiles of LEE011 as well as any other significant metabolites identified (Phase Ib).

    Measured: For the 28-day schedule the steady-state parameter time frame was Cycle 1 Day 21, and for the 21-day schedule the steady-state parameter time frame was Cycle 1 Day 14

  18. Plasma Concentration-time Profile (T1/2,ss) of MEK162 (Phase Ib)

    To Characterize the PK profiles of MEK162 as well as any other significant metabolites identified (Phase Ib).

    Measured: For the 28-day schedule the steady-state parameter time frame was Cycle 1 Day 21, and for the 21-day schedule the steady-state parameter time frame was Cycle 1 Day 14

  19. Plasma Concentration-time Profile (CL/F) of LEE011 (Phase Ib)

    To Characterize the PK profiles of LEE011 as well as any other significant metabolites identified (Phase Ib).

    Measured: Cycle 1 Day 1

  20. Plasma Concentration-time Profile (CL/F) of MEK162 (Phase Ib)

    To Characterize the PK profiles of MEK162 as well as any other significant metabolites identified (Phase Ib).

    Measured: Cycle 1 Day 1

  21. Number of Participants With Adverse Drug Reactions

    Safety and tolerability will be characterized through the incidence and severity of adverse drug reactions, serious adverse drug reactions, changes in hematology and chemistry values, vital signs, electrocardiograms (ECGs), dose interruptions, dose reduction and dose intensity.

    Measured: Approximately 12 months after FPFV

  22. Duration of Response (DoR) - Phase 2

    To assess clinical safety as per RECIST 1.1. Evaluation will occur continuously throughout the trial until progression, or death due to underlying cancer.

    Please note: As clinicaltrials.gov only allows numerical data entry, the value of 999 indicates "not estimable" for confidence interval.

    Measured: Approximately 12 months after the FPFV

  23. Time to Progression (TTP) - Phase 2

    To assess clinical safety as per RECIST 1.1. Evaluation will occur continuously throughout the trial until progression, or death due to underlying cancer.

    Measured: Approximately 12 months after the FPFV

  24. Progression Free Survival (PFS) - Phase 1b and Phase 2

    To assess clinical safety as per RECIST 1.1. Evaluation will occur continuously throughout the trial until progression, or death due to underlying cancer.

    In the Phase 1b part, patients were combined for purposes of PFS analyses based on schedule received, since too few patients received any individual dose level to allow for valid PFS estimates within the respective dose levels. This is how the data were analyses and presented for the clinical study report.

    Measured: Approximately 12 months after the FPFV

  25. Overall Survival (OS) - Phase ll

    To assess clinical safety as per RECIST 1.1. Evaluation will occur continuously throughout the trial until progression, or death due to underlying cancer.

    Measured: Approximately 12 months after the FPFV

  26. Best Overall Response (BOR) - Phase II

    To assess clinical safety according to RECIST 1.1. Evaluation will occur continuously throughout the trial until progression, or death due to underlying cancer.

    Measured: Approximately 12 months after the FPFV

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted1 Feb 2013 (estimated)
  2. Study startJun 2013
  3. Primary completion15 Jan 2018
  4. Study completion20 Feb 2018

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 1/2
Primary purpose
Treatment
Allocation
Non-randomised
Intervention model
Single group
Masking
None (open label)
Enrolment
102 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01781572
Sponsor's protocol ID
CMEK162X2114
Other IDs
C4211005
Status last verified
Nov 2020
First submitted
24 Jan 2013
Last updated
7 Dec 2020
Data monitoring committee
No

Publications

  • Schuler M, Zimmer L, Kim KB, Sosman JA, Ascierto PA, Postow MA, De Vos FYFL, van Herpen CML, Carlino MS, Johnson DB, Berking C, Reddy MB, Harney AS, Berlin JD, Amaria RN. Phase Ib/II Trial of Ribociclib in Combination with Binimetinib in Patients with NRAS-mutant Melanoma. Clin Cancer Res. 2022 Jul 15;28(14):3002-3010. doi: 10.1158/1078-0432.CCR-21-3872.

    PubMed 35294522

Questions about this trial

What is this clinical trial studying?

A Phase 1/2 study testing LEE011 and MEK162 in people with Locally Advanced or Metastatic NRAS Mutant Melanoma, run by Pfizer at 17 sites in 5 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 10 inclusion and 21 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 7 Dec 2020. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 17 sites in United States, Germany, Australia, Netherlands, Italy. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this combined phase mean?

Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 12 Aug 2020). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Number of Dose Limiting Toxicities (Phase Ib) (time frame: first 28 days of treatment). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT01781572, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 7 Dec 2020.

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