Study of Dabrafenib+Trametinib in the Adjuvant Treatment of Stage III BRAF V600+ Melanoma After Complete Resection to Evaluate the Impact on Pyrexia Related Outcomes

Last updated: April 25, 2025
Sponsor: Novartis Pharmaceuticals
Overall Status: Completed

Phase

3

Condition

Melanoma

Fever

Malignant Melanoma

Treatment

Dabrafenib

Trametinib

Clinical Study ID

NCT03551626
CDRB436F2410
2018-000168-27
  • Ages > 18
  • All Genders

Study Summary

The main purpose of this study was to evaluate the impact on pyrexia-related outcomes of an adapted pyrexia adverse event (AE)-management algorithm, as well as safety, efficacy and health-related outcomes.

Eligibility Criteria

Inclusion

Key Inclusion Criteria:

  • Completely resected histologically confirmed cutaneous melanoma stage IIIA (LNmetastasis >1 mm), IIIB, IIIC, IIID [AJCC (ed 8)] no more than 12 weeks, from lastsurgery, before Day 1
  1. Subjects presenting with initial resectable lymph node recurrence after adiagnosis of Stage I or II melanoma were eligible.

  2. Subjects who had previously had Stage III melanoma at any time were noteligible.

  3. Recovered from definitive surgery (e.g. no uncontrolled wound infections orindwelling drains).

  • V600E/K mutation positive using a validated local test

  • Eastern Cooperative Oncology Group (ECOG) Performance Status of 0-1

Exclusion

Key Exclusion Criteria:

  • Uveal or mucosal melanoma

  • Evidence of metastatic disease including unresectable in-transit metastasis

  • Received any prior adjuvant or neoadjuvant treatment, including but not limited tochemotherapy, checkpoint inhibitors, targeted therapy [e.g., BRAF and/or MEKinhibitors], biologic therapy, vaccine therapy, investigational treatment, orradiotherapy for melanoma

  • Malignant disease, other than that being treated in this study. Exceptions to thisexclusion include the following: malignancies that were treated curatively and hadnot recurred within 2 years prior to study treatment; completely resected basal celland squamous cell skin cancers and any completely resected carcinoma in situ

  • History or current evidence of cardiovascular risk

  • A history or current evidence/risk of retinal vein occlusion (RVO) or central serousretinopathy

Study Design

Total Participants: 552
Treatment Group(s): 2
Primary Treatment: Dabrafenib
Phase: 3
Study Start date:
August 29, 2018
Estimated Completion Date:
September 16, 2021

Study Description

This was an open-label Phase IIIb study of dabrafenib in combination with trametinib in the adjuvant treatment of melanoma after complete resection. Patients with completely resected, histologically confirmed, BRAF V600E/K mutation-positive, high-risk cutaneous melanoma were screened for eligibility.

This study consisted of two periods:

  1. Treatment Period - patients received up to 12 months of dabrafenib (150 mg twice daily) and trametinib (2 mg once daily). In the adapted pyrexia management algorithm, dabrafenib and trametinib were interrupted promptly at the onset of pyrexia (≥38°C) and were restarted upon the improvement of symptoms at the same dose if patients remained symptom free (temperature <38°C) for at least 24 hours. In addition, dabrafenib and trametinib could be interrupted in the presence of pyrexia syndrome (i.e. chills, rigours, night sweats, or influenza-like symptoms) without documented temperature ≥38°C for cases of suspected recurrent pyrexia, at the investigators' discretion.

  2. Follow-up Period - patients were followed for disease relapse through 24 months from first dose date. Moreover, patients were followed for overall survival through withdrawal, lost to follow-up, death, or the end of study, whichever occurs first. The follow-up period started once treatment was completed or treatment was prematurely discontinued.

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