MelanomaPhase 3NCT04657991
A Clinical Trial of Three Study Medicines (Encorafenib, Binimetinib, and Pembrolizumab) in Patients With Advanced or Metastatic Melanoma
A Phase 3 study testing Encorafenib, Binimetinib and Pembrolizumab in people with Melanoma, run by Pfizer at 151 sites in 27 countries.
Trial summary
The purpose of this study is to learn about the effects of three study medicines (encorafenib, binimetinib, and pembrolizumab) given together for the treatment of melanoma that: is advanced or metastatic (spread to other parts of the body); has a certain type of abnormal gene called "BRAF"; and has not received prior… Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Melanoma
- What is being tested?
- Encorafenib, Binimetinib and Pembrolizumab
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 257 participants
- Where
- 151 sitesin 27 countries
- Study dates
- 15 Jan 2021to 30 Oct 2026
- Phase
- Phase 3
- Are there results?
- Not yet: the study is under way
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
- Male or female participants ≥ 18 years at the time of informed consent.
- Participants who are willing and able to comply with all scheduled visits, treatment plan, laboratory tests, lifestyle considerations, and other study procedures.
- Histologically confirmed unresectable (Stage IIIB, IIIC, or IIID) or metastatic (Stage IV) cutaneous melanoma, according to the AJCC 8th edition.
- Presence of at least 1 measurable lesion as detected by radiological and/or photographic methods according to RECIST v1.1.
- ECOG performance status 0 or 1.
- Documented evidence of a BRAF V600E or V600K mutation in melanoma tumor tissue as previously determined by either PCR or NGS-based local laboratory assay (eg, US FDA-approved test, CE-marked [European conformity] in vitro diagnostic in EU countries, or equivalent), obtained during the course of normal clinical care, in a CLIA- or similarly certified laboratory.
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- Submission of adequate tumor tissue (archival or newly obtained; block or slides to the sponsor central laboratory(ies) during the screening period and prior to enrollment (SLI)/randomization (Phase 3).
- Have not received prior first-line systemic therapy for metastatic or unresectable locally advanced melanoma.
- Adequate bone marrow function, hepatic and renal function.
- Capable of giving signed informed consent.
Who cannot join
- Other medical or psychiatric condition including recent (within the past year) or active suicidal ideation/behavior or laboratory abnormality that may increase the risk of study participation or, in the investigator's judgment, make the participant inappropriate for the study (including, but not limited to, a participant who is rapidly progressing or has clinically significant tumor related symptoms, in the judgment of the investigator).
- Mucosal or ocular melanoma.
- Diagnosis of immunodeficiency or an active autoimmune disease that required systemic treatment in the past 2 years (ie, with use of disease modifying agents, corticosteroids, or immunosuppressive drugs).
- Clinically significant multiple or severe drug allergies, intolerance to topical corticosteroids, or severe post-treatment hypersensitivity reactions (including, but not limited to, erythema multiforme major, linear IgA dermatosis, toxic epidermal necrolysis, and exfoliative dermatitis).
- Unable to swallow, retain, and absorb oral medications.
- Impairment of GI function or disease which may significantly alter the absorption of oral study intervention (eg, uncontrolled nausea, vomiting or diarrhea, malabsorption syndrome, including malabsorption syndrome secondary to prior GI surgery).
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- Clinically significant cardiovascular diseases,
- History of thromboembolic or cerebrovascular events ≤ 12 weeks prior to enrollment (SLI)/randomization (Phase 3). Examples include transient ischemic attacks, cerebrovascular accidents, hemodynamically significant (ie, massive or sub-massive) deep vein thrombosis or pulmonary emboli.
- History or current evidence of RVO or current risk factors for RVO (eg, uncontrolled glaucoma or ocular hypertension, history of hyperviscosity or hypercoagulability syndromes)
- Concurrent neuromuscular disorder that is associated with the potential of elevated CK (eg, inflammatory myopathies, muscular dystrophy, amyotrophic lateral sclerosis, spinal muscular atrophy).
- Current noninfectious pneumonitis or history of noninfectious pneumonitis requiring steroids, or history of radiation pnuemonitis
- Evidence of HBV or HCV infection.
- Known history of a positive test for HIV or known AIDS.
- Any active infection requiring systemic therapeutic treatment within 2 weeks prior to enrollment (SLI)/ randomization (Phase 3).
- Participants with prior or current symptomatic brain metastasis, leptomeningeal disease or other active CNS metastases.
- Concurrent or previous other malignancy within 2 years of study entry, except curatively treated basal or squamous cell skin cancer, prostate intraepithelial neoplasm, carcinoma in-situ of the cervix, Bowen's disease and Gleason ≤ 6 prostate cancer. Participants with a history of other curatively treated cancers must be reviewed with the sponsor or designee prior to entering the study.
- Participants who previously received and subsequently discontinued encorafenib and/or binimetinib and/or anti-PD-1/-L1 due to severe toxicity.
- For participants in the SLI only: Current use or anticipated need for food or drugs that are known moderate or strong CYP3A4 inhibitors during screening and through the DLT-evaluation period
- Participant has not recovered to Grade ≤ 1 from toxic effects of prior therapy and/or complications from prior surgical intervention before enrollment (SLI)/ randomization (Phase 3).
- Receipt of protocol defined medications or treatments outside of required intervals before enrollment (SLI)/randomization (Phase 3):
- Previous administration with an investigational drug ≤ 6 months prior to enrollment (SLI)/randomization (Phase 3).
- Known sensitivity or contraindication to any component of study intervention (encorafenib, binimetinib and pembrolizumab), or their excipients.
- Pregnant, confirmed by a positive β-hCG laboratory test result, or is breastfeeding (lactating).
- Investigator site staff or Pfizer employees directly involved in the conduct of the study, site staff otherwise supervised by the investigator, and their respective family members.
Trial locations and contacts
151 sites in 27 countries.
151 sites in 27 countries
United States27 sites
Massachusetts General Hospital
Boston, Massachusetts, 02114
Ophthalmic Consultants of Boston Inc (OCB)
Boston, Massachusetts, 02114
University of Cincinnati Medical Center
Cincinnati, Ohio, 45219
Tennessee Oncology, PLLC
Dickson, Tennessee, 37055
The University of Kansas Clinical Research Center
Fairway, Kansas, 66205
Tennessee Oncology PLLC
Franklin, Tennessee, 37067
Tennessee Oncology PLLC
Gallatin, Tennessee, 37066
Tenessee Oncology, PLLC
Hendersonville, Tennessee, 37075
Tennessee Oncology PLLC
Hermitage, Tennessee, 37076
University of Tennessee Medical Center
Knoxville, Tennessee, 37920
Tennessee Oncology PLLC
Lebanon, Tennessee, 37090
Tennessee Oncology PLLC
Murfreesboro, Tennessee, 37129
Tennessee Oncology PLLC
Nashville, Tennessee, 37203
Tennessee Oncology, PLLC
Nashville, Tennessee, 37203
Tennessee Oncology PLLC
Nashville, Tennessee, 37205
Tennessee Oncology PLLC
Nashville, Tennessee, 37207
Tennessee Oncology, PLLC
Nashville, Tennessee, 37211
AdventHealth Hematology and Oncology
Orlando, Florida, 32804
AdventHealth Orlando Infusion Center
Orlando, Florida, 32804
AdventHealth Orlando, Investigational Drug Services
Orlando, Florida, 32804
The University of Kansas Cancer Center - Overland Park
Overland Park, Kansas, 66210
KU Eye Center
Prairie Village, Kansas, 66208
Tennessee Oncology, PLLC
Shelbyville, Tennessee, 37160
Tennessee Oncology PLLC
Smyrna, Tennessee, 37167
West Chester Hospital
West Chester, Ohio, 45069
The University of Kansas Cancer Center - Investigational Drug Services
Westwood, Kansas, 66205
The University of Kansas Cancer Center
Westwood, Kansas, 66205
Germany22 sites
Charité Universitaetsmedizin Berlin - Campus Mitte
Berlin, 10117
Universitätsklinikum Bonn
Bonn, North Rhine-Westphalia, 53127
Universitaetsklinikum Carl Gustav Carus, Technischen Universitaet Dresden
Dresden, Saxony, 01307
HELIOS Klinikum Erfurt
Erfurt, 99089
Universitätsklinikum Essen (AöR)
Essen, 45147
SRH Wald-Klinikum Gera
Gera, Thuringia, 07548
Universitaetsklinikum Halle - Universitaetsklinik und Poliklinik fuer Dermatologie und Venerologie
Halle, 06120
Universitaetsklinikum Hamburg-Eppendorf
Hamburg, 20246
Medizinische Hochschule Hannover
Hanover, 30625
Universitätsklinikum Heidelberg
Heidelberg, 69120
Universitaetsklinikum Schleswig-Holstein Campus Kiel
Kiel, Schleswig-Holstein, 24105
Universitätsklinikum Leipzig
Leipzig, Saxony, 04103
Zentrum fuer Radiologie und Nuklearmedizin am Johannisplatz
Leipzig, 04103
Universitätsklinikum Schleswig-Holstein
Lübeck, Schleswig-Holstein, 23538
Universitätsmedizin Johannes Gutenberg Universität Mainz
Mainz, Rhineland-Palatinate, 55131
Johannes Wesling Klinikum Minden
Minden, North Rhine-Westphalia, 32429
Klinik und Poliklinik für Dermatologie und Allergologie
München, Bavaria, 80337
University Hospital Muenster
Münster, 48149
Fachklinik Hornheide
Münster, 48157
Klinikum Nürnberg Nord
Nuremberg, 90419
Universitätsklinikum Regensburg
Regensburg, 93053
Universitaetsklinikum Tuebingen
Tübingen, Baden-Wurttemberg, 72076
Spain17 sites
CHUAC-Hospital Teresa Herrera
A Coruña, 15006
ICO-Badalona Hospital Germans Trias i Pujol
Badalona, Barcelona, 08916
Hospital Universitari Vall D'Hebron, Servicio de Oncología Médica
Barcelona, 08035
Hospital Clinic Barcelona
Barcelona, 08036
Hospital de la Santa Creu i Sant Pau
Barcelona, 08041
Hospital Universitario Reina Sofía
Córdoba, 14004
Hospital Clinico Universitario Virgen de la Arrixaca
El Palmar, Murcia, 30120
Complejo Hospitalario de Jaen
Jaén, 23007
Hospital Universitario Arnau de Vilanova
Lleida, 25198
Hospital Universitario Ramón y Cajal
Madrid, 28034
Hospital Universitario Puerta de Hierro Majadahonda
Majadahonda, Madrid, 28222
Hospital Regional Universitario de Malaga - Hospital Civil
Málaga, 29011
Hospital Universitario Marqués de Valdecilla
Santander, Cantabria, 39008
Hospital Universitario Virgen Macarena
Seville, 41009
Hospital Universitario Virgen del Rocio
Seville, 41013
Fundacion Instituto Valenciano de Oncologia
Valencia, 46009
Hospital Universitario Miguel Servet
Zaragoza, 50009
Italy14 sites
Istituto Tumori Giovanni Paolo II
Bari, 70124
Istituto di Candiolo IRCCS - Fondazione del Piemonte per l'Oncologia
Candiolo, Torino, 10060
IRCCS Azienda Ospedaliera Metropolitana (IRCCS AOM)
Genova, 16132
Fondazione IRCCS Istituto Nazionale dei Tumori
Milan, MI, 20133
Istituto Europeo di Oncologia IRCCS
Milan, 20141
Istituto Nazionale Tumori IRCCS "Fondazione G. Pascale"
Naples, 80131
Istituto Oncologico Veneto IOV - IRCCS
Padova, 35128
AO di Perugia - Ospedale S. Maria della Misericordia, S.C Oncologia Medica
Perugia, 06132
Istituto Dermopatico dell'Immacolata (IDI-IRCCS)
Roma, RM, 00167
Istituto Nazionale Tumori Regina Elena
Roma, 00144
Istituti Fisioterapici Ospitalieri
Rome, ROMA, 00144
Dipartimento di Medicina e Chirurgia dell' Universita
San Sisto, Perugia, 06132
A.O.U.S. Policlinico "Le Scotte"
Siena, SI, 53100
Azienda Sanitaria Universitaria Friuli Centrale
Udine, Friuli Venezia Giulia, 33100
Brazil7 sites
Fundação Pio XII - Hospital de Câncer de Barretos
Barretos, São Paulo, 14784-400
Instituto de Oncologia do Paraná - IOP Matriz Mateus Leme
Curitiba, Paraná, 80520-174
Instituto de Oncologia do Paraná - IOP Oncoville
Curitiba, Paraná, 82305-100
Hospital de Clínicas de Passo Fundo
Passo Fundo, Rio Grande do Sul, 99010-260
Hospital de Clinicas de Porto Alegre
Porto Alegre, Rio Grande do Sul, 90035-903
Instituto Nacional de Câncer José Alencar Gomes da Silva - INCA
Rio de Janeiro, Rio de Janeiro, 20220-410
Hospital Sírio-Libanês - Unidade Bela Vista
São Paulo, 01308-050
Hungary7 sites
Semmelweis Egyetem
Budapest, 1085
Orszagos Onkologiai Intezet
Budapest, 1122
Debreceni Egyetem Klinikai Kozpont
Debrecen, 4032
University of Debrecen
Debrecen, 4032
Pécsi Tudományegyetem Klinikai Központ
Pécs, Baranya, 7632
Szent-Gyorgyi Albert Klinikai Kozpont
Szeged, 6720
Jász-Nagykun-Szolnok Megyei Hetényi Géza Kórház
Szolnok, Jász-Nagykun-Szolnok, 5004
Mexico5 sites
ONCARE Viaducto Nápoles
Benito Juárez, Mexico City, 03810
Preparaciones Oncológicas S.C.
León, Guanajuato, 37178
BRCR Global Mexico - CDMX
Mexico City, 01120
I Can Oncology Center S.A. de C.V.
Monterrey, Nuevo León, 64710
Boca Clinical Trials Mexico Sc.
Puebla City, 72160
Slovakia5 sites
Onkologicky ustav sv. Alzbety, s.r.o.
Bratislava, 812 50
Narodny onkologicky ustav
Bratislava, 833 10
Vychodoslovensky onkologicky ustav, a.s.
Košice, 04191
Nemocnica na okraji mesta, n.o.
Partizánske, 95801
POKO Poprad, s.r.o.
Poprad, 058 01
South Africa5 sites
WCR Office
Johannesburg, Gauteng, 2193
Wits Clinical Research
Johannesburg, Gauteng, 2193
Sandton Oncology Medical Group (Pty) Ltd
Johannesburg, Gauteng, 2196
Drs Alberts, Bouwer and Jordaan Inc.
Pretoria, Gauteng, 0081
Drs Alberts Bouwer Jordaan
Pretoria
Bulgaria4 sites
Complex Oncology Center - Plovdiv EOOD
Plovdiv, 4004
Medical Center Nadezhda Clinical EOOD
Sofia, 1373
Acibadem City Clinic Multiprofile Hospital for Active Treatment Tokuda EAD
Sofia, 1407
Umhato Ead
Sofia, 1756
France4 sites
CHU d'Amiens - Hôpital Nord
Amiens, 80054
CHU Grenoble Alpes
La Tronche, 38700
Hôpital Lyon Sud
Pierre-Bénite, 69310
CHU de Poitiers
Poitiers, 86000
Russia4 sites
Ars Medika Center, LLC
Kaliningrad, 236006
BIH of Omsk Region "Clinical Oncological Dispensary"
Omsk, 644046
Private Medical Institution "Euromedservice"
Pushkin, Sankt-Peterburg, 196603
Eurocityclinic LLC
Saint Petersburg, 197022
Ukraine4 sites
CNI KRC "Regional Cardiology Centre"
Kharkiv, 61166
National Cancer Institute
Kyiv, 03022
Communal Noncommercial Enterprise of Lviv Regional Council "Lviv Oncological Regional Therapeutical
Lviv, 79031
Derzhavna ustanova Instytut zahalnoi ta nevidkladnoi khirurhii im.V.T.Zaitseva Natsionalnoi akademii
M. Kharkiv, 61103
Czechia3 sites
Olomouc University Hospital
Olomouc, Olomouc Region, 779 00
Fakultni nemocnice Ostrava
Ostrava-Poruba, 708 52
Fakultni nemocnice Bulovka
Praha 8-Liben, 180 81
Poland3 sites
Jagiellońskie Centrum Innowacji Sp. z o .o.
Krakow, 30-348
Szpital Kliniczny im. Heliodora Święcickiego UM w Poznaniu
Poznan, 60-780
Narodowy Instytut Onkologii im. Marii Skłodowskiej-Curie - Państwowy Instytut Badawczy
Warsaw, 02-781
Turkey (Türkiye)3 sites
Memorial Ankara Hastanesi
Ankara, 06520
Istanbul University Cerrahpasa Medical Faculty Hospital
Istanbul, İ̇stanbul, 34098
TC Saglik Bakanligi Goztepe Prof. Dr. Suleyman Yalcin Sehir Hastanesi
Istanbul, İ̇stanbul, 34722
United Kingdom3 sites
Barts Health NHS Trust.
London, E1 1FR
St. Bartholomew's Hospital, Barts Health NHS Trust
London, EC1A 7BE
The South West Wales Cancer Institute, Swansea Bay University Health Board
Swansea, SA2 8QA
Argentina2 sites
Instituto Alexander Fleming
CABA, Buenos Aires, C1426ANZ
Clinica Viedma S. A
Viedma, Río Negro Province, 8500
Finland2 sites
Helsinki University Hospital - Comprehensive Cancer Center (HYKS - Syöpäkeskus)
Helsinki, 00029
Tampereen yliopistollinen sairaala
Tampere, Pirkanmaa, 33520
Greece2 sites
General Hospital of Athens "Laiko"
Athens, Attikí, 11527
Laiko Hospital
Athens, Attikí, 11527
Israel2 sites
Soroka University Medical Center
Beersheba, 8410101
Hadassah Medical Organization, Hadassah Medical Center, Ein-Karem
Jerusalem, 9112001
New Zealand1 site
Palmerston North Hospital
Palmerston North, Manawatu, 4414
About this study
Official title: A PHASE 3, RANDOMIZED, DOUBLE-BLIND STUDY OF ENCORAFENIB AND BINIMETINIB PLUS PEMBROLIZUMAB VERSUS PLACEBO PLUS PEMBROLIZUMAB IN PARTICIPANTS WITH BRAF V600E/K MUTATION-POSITIVE METASTATIC OR UNRESECTABLE LOCALLY ADVANCED MELANOMA
The purpose of this study is to learn about the effects of three study medicines (encorafenib, binimetinib, and pembrolizumab) given together for the treatment of melanoma that:
- is advanced or metastatic (spread to other parts of the body);
- has a certain type of abnormal gene called "BRAF"; and
- has not received prior treatment.
Read more
All participants in this study will receive pembrolizumab at the study clinic once every 3 weeks as an intravenous (IV) infusion (given directly into a vein). In addition, half of the participants will take encorafenib and binimetinib orally (by mouth) at home every day.
Participants may receive pembrolizumab for up to two years. Those participants taking encorafenib and binimetinib can continue until their melanoma is no longer responding. The study team will monitor how each participant is doing with the study treatment during regular visits at the study clinic.
Read the detailed description
This study will compare the efficacy, safety, and tolerability of encorafenib and binimetinib plus pembrolizumab (Triplet Arm) versus placebo plus pembrolizumab (Control Arm) in participants with metastatic or unresectable locally advanced BRAF V600E/K mutation-positive melanoma. The study will have an open-label safety lead-in (SLI) phase to determine the safety recommend Phase 3 dose (RP3D) and pharmacokinetics (PK) of encorafenib and binimetinib plus pembrolizumab combination therapy prior to initiation of the randomized Phase 3 part of the study. Two dose levels of encorafenib in combination with binimetinib plus pembrolizumab will be explored in parallel. A minimum of 12 evaluable participants will be enrolled per dose level. During the double-blind randomized Phase 3 part of the study, approximately 216 eligible participants will be randomized in a 1:1 ratio to the Triplet Arm (at RP3D determined in the SLI) or Control Arm (approximately 108 participants per arm). Randomization will be stratified by prior systemic adjuvant therapy and stage of disease by AJCC (ED8).
- Conditions
- Melanoma
- Being tested
- Encorafenib, Binimetinib, Pembrolizumab
- Keywords
- BRAF V600E/K Melanoma, BRAF, Melanoma, Advanced Melanoma, Metastatic Melanoma, Skin Cancer, Advanced Skin Cancer, Starboard, Stage 3 Melanoma, Stage 4 Melanoma, BRAF Melanoma
- Medical subject headings
- Melanoma, Skin Neoplasms
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
EncorafenibDrug
Also called BRAFTOVI
Encorafenib
BinimetinibDrug
Also called MEKTOVI
Binimetinib
PembrolizumabDrug
Also called KEYTRUDA
Pembrolizumab
| Study group | Role | What they receive |
|---|---|---|
| Triplet Arm | Experimental | Encorafenib and Binimetinib in combination with Pembrolizumab Receives: Drug: Encorafenib; Drug: Binimetinib; Drug: Pembrolizumab |
| Control Arm | Active comparator | Pembrolizumab Receives: Drug: Pembrolizumab |
What is being measured
The primary outcome is the main question the study is designed to answer.
Safety Lead In (SLI): Incidence of Dose Limiting Toxicities (DLTs)
A DLT is defined as any adverse event or laboratory value that is assessed as unrelated to disease, disease progression, intercurrent illness or concomitant medications/therapies occurring within the first 2 cycles of treatment.
Measured: First 2 Cycles of Treatment (cycles are 21 days)
Phase 3: Objective Response (OR) by Blinded Independent Central Review (BICR)
OR is defined as confirmed Best Overall response (BOR) of either CR or PR as determined by BICR assessment per RECIST 1.1
Measured: Time from the date of randomization until documented PD, start of subsequent anticancer therapy, or death due to any cause (approximately every 9 weeks).
Secondary outcomes (14)
Safety Lead in (SLI) and Phase 3: Incidence and severity of Adverse Events (AEs) and changes in clinical laboratory parameters, vital signs, and cardiac assessments.
AEs, laboratory parameters, vital signs and cardiac abnormalities will be graded according to the National Cancer Institute [NCI] Common Terminology Criteria for Adverse Events [CTCAE], version 4.03).
Measured: Time from first dose of study intervention through 28 days after the last dose of study intervention.
Safety Lead in (SLI) and Phase 3: Objective Response (OR)
OR is defined as confirmed Best Overall Response (BOR) of either CR or PR as determined by investigator assessment per RECIST v1.1
Measured: Time from the date after the first dose of first dose (SLI) or the date of randomization (Phase 3) until documented PD, or start of subsequent anticancer therapy (approximately every 9 weeks).
Safety Lead in (SLI) and Phase 3: Disease Control (DC)
DC is defined as confirmed BOR of CR, PR or SD, as determined by BICR and investigator assessment per RECIST v1.1.
Measured: Time from the date after the first dose of first dose (SLI) or the date of randomization (Phase 3) until documented PD, or start of subsequent anticancer therapy (approximately every 9 weeks)
Safety Lead in (SLI) and Phase 3: Time to Response (TTR)
TTR is defined as the time from the date of randomization to the date of first documented response (CR or PR), as determined by BICR and investigator or assessment per RECIST v1.1.
Measured: Time from the date of randomization to the date of first documented response (CR or PR), as determined by investigator assessment per RECIST v1 (approximately every 9 weeks)
Phase 3: Overall Survival (OS)
OS is defined as the time from the date of randomization to the date of death due to any cause
Measured: Time from the date of randomization to the date of death due to any cause.
Safety Lead In (SLI) and Phase 3: Progression Free Survival (PFS) by Investigator and BICR assessment
PFS by investigator is defined as the time from the date of randomization to the first date of documented disease progression as determined by investigator and BICR assessment per RECIST 1.1 or death due to any cause, whichever occurs first.
Measured: The time from the date of randomization to the date of first documented disease progression, as determined by investigator and BICR assessment per RECIST v1.1, or death due to any cause, whichever occurs first (approximately every 9 weeks)
Phase 3: Duration of Response (DOR)
DOR is defined as the time from the date of first documented response to the date of first documented disease progression, as determined by BICR and investigator assessment or death due to any cause, whichever occurs first.
Measured: Time from date of first documented response (CR or PR) to the date of first documented disease progression, as determined by BICR and investigator assessment per RECIST v1.1, or death due to any cause, whichever occurs first (approximately every 9 weeks)
Safety Lead in (SLI): Plasma concentration-time profiles and Pharmacokinetic (PK) parameter estimates for encorafenib and binimetinib.
To measure plasma concentrations of encorafenib and its metabolite (LHY746), and binimetinib and its metabolite (AR00426032)
Measured: Cycle 2, Day 1
Phase 3: Plasma concentrations of encorafenib and binimetinib.
To measure the plasma concentrations of encorafenib and its metabolite (LHY746), and binimetinib and its metabolite (AR00426032)
Measured: Cycle 1 Day 1, Cycle 2 Day 1, Cycle 3 Day 1, Cycle 4 Day 1 (Each Cycle is 21 days)
Phase 3: European Organization for Research and Treatment of Cancer Quality of Life Questionnaire-Core 30 (EORTC QLQ-C30): change from baseline in the global health status/QoL score.
EORTC QLQ-30 includes 5 functional scales (physical, role, emotional, cognitive and social functioning), 3 symptom scales (fatigue, nausea/vomiting, and pain), 6 single items (dyspnea, insomnia, appetite loss, constipation, diarrhea and financial impact) and a global health status/Quality of Life scale
Measured: Day 1 of every 3 cycles: C4D1, C7D1, C10D1, etc. for the first 24 months and then Day 1 of every 4 cycles after 24 months
Phase 3: Change from baseline in Functional Assessment of Cancer Therapy-Melanoma (FACT-M) subscale score.
The FACT-M is a melanoma-specific quality of life questionnaire that is composed of items from the Functional Assessment of Cancer Therapy-General (FACT-G) questionnaire, melanoma-specific items, and items related to melanoma surgery
Measured: Day 1 of every 3 cycles: C4D1, C7D1, C10D1, etc. for the first 24 months and then Day 1 of every 4 cycles after 24 months
Phase 3: Change from baseline in 5-level EuroQol-5D (EQ-5D-5L) index score and visual analog scale (VAS)
The EQ-5D-5L is a standardized measure of health utility that provides a single index value of health status and contains 1 item for each of 5 dimensions of HRQoL (ie, mobility, self-care, usual activities, pain or discomfort, and anxiety or depression).
Measured: Day 1 of every 3 cycles: C4D1, C7D1, C10D1, etc. for the first 24 months and then Day 1 of every 4 cycles after 24 months
Phase 3: Change from baseline in Patient Global Impression of Severity (PGIS) score
The PGIS is a single 1-item questionnaire designed to assess participant's overall impression of disease severity at a given point in time by using a 4-point Likert scale that ranges from (1) = "none (no symptoms)" to (4) = "severe".
Measured: Day 1 of every 3 cycles: C4D1, C7D1, C10D1, etc. for the first 24 months and then Day 1 of every 4 cycles after 24 months
Phase 3: Patient Global Impression of Change (PGIC) score
The PGIC is a single-item questionnaire designed to assess the participant's overall sense of whether there has been a change since starting treatment as rated on a 5-point Likert scale anchored by (1) "much better" to (5) "much worse", with (4) = "no change"
Measured: Day 1 of every 3 cycles: C4D1, C7D1, C10D1, etc. for the first 24 months and then Day 1 of every 4 cycles after 24 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted8 Dec 2020
- Study start15 Jan 2021
- Primary completion30 Oct 2026 (estimated)
- Study completion30 Oct 2026 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (2)Papers the sponsor has linked to this study.
- Other trials for MelanomaStudies of the same condition, open and under way.
- More trials run by PfizerThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 257 participants (actual)
Sponsor and investigators
- Lead sponsor
- Pfizer
- Sponsor type
- Industry (pharma, biotech, devices)
- Collaborators
- Merck Sharp & Dohme LLC
- Responsible party
- Sponsor
- Investigators
- Pfizer CT.gov Call Center, Study director, Pfizer
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT04657991
- Sponsor's protocol ID
- C4221016
- Other IDs
- KEYNOTE-B80; STARBOARD, 2024-512038-13-00
- Status last verified
- Sep 2026
- First submitted
- 1 Dec 2020
- Last updated
- 3 Sep 2026
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- Yes: Pfizer will provide access to individual de-identified participant data and related study documents (e.g. protocol, Statistical Analysis Plan (SAP), Clinical Study Report (CSR)) upon request from qualified researchers, and subject to certain criteria, conditions, and exceptions. Further details on Pfizer's data sharing criteria and process for requesting access can be found at: https://www.pfizer.com/science/clinical\_trials/trial\_data\_and\_results/data\_requests.
Publications
Schadendorf D, Dummer R, Robert C, Ribas A, Sullivan RJ, Panella T, McKean M, Santos ES, Brill K, Polli A, Pietro AD, Ascierto PA. STARBOARD: encorafenib + binimetinib + pembrolizumab for first-line metastatic/unresectable BRAF V600-mutant melanoma. Future Oncol. 2022 Jun;18(17):2041-2051. doi: 10.2217/fon-2021-1486. Epub 2022 Mar 11.
PubMed 35272485Zimmer L, Livingstone E, Krackhardt A, Schultz ES, Goppner D, Assaf C, Trebing D, Stelter K, Windemuth-Kieselbach C, Ugurel S, Schadendorf D. Encorafenib, binimetinib plus pembrolizumab triplet therapy in patients with advanced BRAFV600 mutant melanoma: safety and tolerability results from the phase I IMMU-TARGET trial. Eur J Cancer. 2021 Nov;158:72-84. doi: 10.1016/j.ejca.2021.09.011. Epub 2021 Oct 13.
PubMed 34655839
Study at a glance
From the registry record, last updated by the sponsor on 3 Sep 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A PHASE 3, RANDOMIZED, DOUBLE-BLIND STUDY OF ENCORAFENIB AND BINIMETINIB PLUS PEMBROLIZUMAB VERSUS PLACEBO PLUS PEMBROLIZUMAB IN PARTICIPANTS WITH BRAF V600E/K MUTATION-POSITIVE METASTATIC OR UNRESECTABLE LOCALLY ADVANCED MELANOMA
- ClinicalTrials.gov ID
- NCT04657991
- Acronym / sponsor ID
- C4221016
- Conditions
- Melanoma
- Keywords
- BRAF V600E/K Melanoma, BRAF, Melanoma, Advanced Melanoma, Metastatic Melanoma, Skin Cancer, Advanced Skin Cancer, Starboard
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Active, not recruiting
- Enrolment
- 257 participants (actual)
- Lead sponsor
- PfizerIndustry (pharma, biotech, devices)
- Collaborators
- Merck Sharp & Dohme LLC
- Study start
- 15 Jan 2021 (actual)
- Primary completion
- 30 Oct 2026 (estimated)
- Study completion
- 30 Oct 2026 (estimated)
- First posted
- 8 Dec 2020 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of this study is to learn about the effects of three study medicines (encorafenib, binimetinib, and pembrolizumab) given together for the treatment of melanoma that:
- is advanced or metastatic (spread to other parts of the body);
- has a certain type of abnormal gene called "BRAF"; and
- has not received prior treatment.
All participants in this study will receive pembrolizumab at the study clinic once every 3 weeks as an intravenous (IV) infusion (given directly into a vein). In addition, half of the participants will take encorafenib and binimetinib orally (by mouth) at home every day.
Participants may receive pembrolizumab for up to two years. Those participants taking encorafenib and binimetinib can continue until their melanoma is no longer responding. The study team will monitor how each participant is doing with the study treatment during regular visits at the study clinic.
Detailed description
This study will compare the efficacy, safety, and tolerability of encorafenib and binimetinib plus pembrolizumab (Triplet Arm) versus placebo plus pembrolizumab (Control Arm) in participants with metastatic or unresectable locally advanced BRAF V600E/K mutation-positive melanoma. The study will have an open-label safety lead-in (SLI) phase to determine the safety recommend Phase 3 dose (RP3D) and pharmacokinetics (PK) of encorafenib and binimetinib plus pembrolizumab combination therapy prior to initiation of the randomized Phase 3 part of the study. Two dose levels of encorafenib in combination with binimetinib plus pembrolizumab will be explored in parallel. A minimum of 12 evaluable participants will be enrolled per dose level. During the double-blind randomized Phase 3 part of the study, approximately 216 eligible participants will be randomized in a 1:1 ratio to the Triplet Arm (at RP3D determined in the SLI) or Control Arm (approximately 108 participants per arm). Randomization will be stratified by prior systemic adjuvant therapy and stage of disease by AJCC (ED8).
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Triplet Arm | Experimental | Drug: Encorafenib, Drug: Binimetinib, Drug: PembrolizumabEncorafenib and Binimetinib in combination with Pembrolizumab |
| Control Arm | Active comparator | Drug: PembrolizumabPembrolizumab |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (10 listed)
- Male or female participants ≥ 18 years at the time of informed consent.
- Participants who are willing and able to comply with all scheduled visits, treatment plan, laboratory tests, lifestyle considerations, and other study procedures.
- Histologically confirmed unresectable (Stage IIIB, IIIC, or IIID) or metastatic (Stage IV) cutaneous melanoma, according to the AJCC 8th edition.
- Presence of at least 1 measurable lesion as detected by radiological and/or photographic methods according to RECIST v1.1.
- ECOG performance status 0 or 1.
Key exclusion criteria (24 listed)
- Other medical or psychiatric condition including recent (within the past year) or active suicidal ideation/behavior or laboratory abnormality that may increase the risk of study participation or, in the investigator's judgment, make the participant inappropriate for the study (including, but not limited to, a participant who is rapidly progressing or has clinically significant tumor related symptoms, in the judgment of the investigator).
- Mucosal or ocular melanoma.
- Diagnosis of immunodeficiency or an active autoimmune disease that required systemic treatment in the past 2 years (ie, with use of disease modifying agents, corticosteroids, or immunosuppressive drugs).
- Clinically significant multiple or severe drug allergies, intolerance to topical corticosteroids, or severe post-treatment hypersensitivity reactions (including, but not limited to, erythema multiforme major, linear IgA dermatosis, toxic epidermal necrolysis, and exfoliative dermatitis).
- Unable to swallow, retain, and absorb oral medications.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| EncorafenibAlso: BRAFTOVIEncorafenib | Drug | Triplet Arm |
| BinimetinibAlso: MEKTOVIBinimetinib | Drug | Triplet Arm |
| PembrolizumabAlso: KEYTRUDAPembrolizumab | Drug | Control Arm, Triplet Arm |
Primary outcome
Safety Lead In (SLI): Incidence of Dose Limiting Toxicities (DLTs)
Time frame: First 2 Cycles of Treatment (cycles are 21 days)
A DLT is defined as any adverse event or laboratory value that is assessed as unrelated to disease, disease progression, intercurrent illness or concomitant medications/therapies occurring within the first 2 cycles of treatment.
Phase 3: Objective Response (OR) by Blinded Independent Central Review (BICR)
Time frame: Time from the date of randomization until documented PD, start of subsequent anticancer therapy, or death due to any cause (approximately every 9 weeks).
OR is defined as confirmed Best Overall response (BOR) of either CR or PR as determined by BICR assessment per RECIST 1.1
14 secondary outcomes
Safety Lead in (SLI) and Phase 3: Incidence and severity of Adverse Events (AEs) and changes in clinical laboratory parameters, vital signs, and cardiac assessments.
Time frame: Time from first dose of study intervention through 28 days after the last dose of study intervention.
Safety Lead in (SLI) and Phase 3: Objective Response (OR)
Time frame: Time from the date after the first dose of first dose (SLI) or the date of randomization (Phase 3) until documented PD, or start of subsequent anticancer therapy (approximately every 9 weeks).
Safety Lead in (SLI) and Phase 3: Disease Control (DC)
Time frame: Time from the date after the first dose of first dose (SLI) or the date of randomization (Phase 3) until documented PD, or start of subsequent anticancer therapy (approximately every 9 weeks)
Safety Lead in (SLI) and Phase 3: Time to Response (TTR)
Time frame: Time from the date of randomization to the date of first documented response (CR or PR), as determined by investigator assessment per RECIST v1 (approximately every 9 weeks)
Phase 3: Overall Survival (OS)
Time frame: Time from the date of randomization to the date of death due to any cause.
Safety Lead In (SLI) and Phase 3: Progression Free Survival (PFS) by Investigator and BICR assessment
Time frame: The time from the date of randomization to the date of first documented disease progression, as determined by investigator and BICR assessment per RECIST v1.1, or death due to any cause, whichever occurs first (approximately every 9 weeks)
Phase 3: Duration of Response (DOR)
Time frame: Time from date of first documented response (CR or PR) to the date of first documented disease progression, as determined by BICR and investigator assessment per RECIST v1.1, or death due to any cause, whichever occurs first (approximately every 9 weeks)
Safety Lead in (SLI): Plasma concentration-time profiles and Pharmacokinetic (PK) parameter estimates for encorafenib and binimetinib.
Time frame: Cycle 2, Day 1
Phase 3: Plasma concentrations of encorafenib and binimetinib.
Time frame: Cycle 1 Day 1, Cycle 2 Day 1, Cycle 3 Day 1, Cycle 4 Day 1 (Each Cycle is 21 days)
Phase 3: European Organization for Research and Treatment of Cancer Quality of Life Questionnaire-Core 30 (EORTC QLQ-C30): change from baseline in the global health status/QoL score.
Time frame: Day 1 of every 3 cycles: C4D1, C7D1, C10D1, etc. for the first 24 months and then Day 1 of every 4 cycles after 24 months
Phase 3: Change from baseline in Functional Assessment of Cancer Therapy-Melanoma (FACT-M) subscale score.
Time frame: Day 1 of every 3 cycles: C4D1, C7D1, C10D1, etc. for the first 24 months and then Day 1 of every 4 cycles after 24 months
Phase 3: Change from baseline in 5-level EuroQol-5D (EQ-5D-5L) index score and visual analog scale (VAS)
Time frame: Day 1 of every 3 cycles: C4D1, C7D1, C10D1, etc. for the first 24 months and then Day 1 of every 4 cycles after 24 months
Phase 3: Change from baseline in Patient Global Impression of Severity (PGIS) score
Time frame: Day 1 of every 3 cycles: C4D1, C7D1, C10D1, etc. for the first 24 months and then Day 1 of every 4 cycles after 24 months
Phase 3: Patient Global Impression of Change (PGIC) score
Time frame: Day 1 of every 3 cycles: C4D1, C7D1, C10D1, etc. for the first 24 months and then Day 1 of every 4 cycles after 24 months
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 3 Sep 2026.
- Derived from this study: PubMed 35272485Schadendorf D, Dummer R, Robert C, Ribas A, Sullivan RJ, Panella T, McKean M, Santos ES, Brill K, Polli A, Pietro AD, Ascierto PA. STARBOARD: encorafenib + binimetinib + pembrolizumab for first-line metastatic/unresectable BRAF V600-mutant melanoma. Future Oncol. 2022 Jun;18(17):2041-2051. doi: 10.2217/fon-2021-1486. Epub 2022 Mar 11.
- Derived from this study: PubMed 34655839Zimmer L, Livingstone E, Krackhardt A, Schultz ES, Goppner D, Assaf C, Trebing D, Stelter K, Windemuth-Kieselbach C, Ugurel S, Schadendorf D. Encorafenib, binimetinib plus pembrolizumab triplet therapy in patients with advanced BRAFV600 mutant melanoma: safety and tolerability results from the phase I IMMU-TARGET trial. Eur J Cancer. 2021 Nov;158:72-84. doi: 10.1016/j.ejca.2021.09.011. Epub 2021 Oct 13.
- To obtain contact information for a study center near you, click here.Link provided by the sponsor.
- Individual participant dataSharing planned: Yes. Pfizer will provide access to individual de-identified participant data and related study documents (e.g. protocol, Statistical Analysis Plan (SAP), Clinical Study Report (CSR)) upon request from qualified researchers, and subject to certain criteria, conditions, and exceptions. Further details on Pfizer's data sharing criteria and process for requesting access can be found at: https://www.pfizer.com/science/clinical_trials/trial_data_and_results/data_requests.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Pfizer CT.gov Call Center study director
Pfizer
151 sites in 27 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Encorafenib, Binimetinib and Pembrolizumab in people with Melanoma, run by Pfizer at 151 sites in 27 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 24 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: under way, not looking for participants, as of the sponsor's last update on 3 Sep 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 151 sites in United States, Germany, Spain, Italy, Brazil and 22 more countries. 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 phase mean?
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
This study is still under way. Results are not available in the source record yet.
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?
Safety Lead In (SLI): Incidence of Dose Limiting Toxicities (DLTs) (time frame: First 2 Cycles of Treatment (cycles are 21 days)). 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 NCT04657991, which also lists 2 linked publications.
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 3 Sep 2026.