Study of Efficacy and Safety of Dabrafenib Plus Trametinib in Previously Treated Patients With Locally Advanced or Metastatic, Radio-active Iodine Refractory BRAFV600E Mutation-positive Differentiated Thyroid Cancer

Last updated: May 9, 2025
Sponsor: Novartis Pharmaceuticals
Overall Status: Active - Not Recruiting

Phase

3

Condition

N/A

Treatment

Dabrafenib placebo

Trametinib placebo

Trametinib

Clinical Study ID

NCT04940052
CDRB436J12301
  • Ages 18-99
  • All Genders

Study Summary

150 adults patients with locally advanced or metastatic BRAFV600E mutation-positive, differentiated thyroid carcinoma who are refractory to radioactive iodine and have progressed following prior VEGFR targeted therapy will enter in the trial. Patients will be randomized in a 2:1 ratio to either dabrafenib plus trametinib or placebo. Patients will be stratified by number of prior VEGFR targeted therapy (1versus2) and prior lenvatinib treatment (yes versus no)

Eligibility Criteria

Inclusion

Inclusion Criteria:

  • Signed informed consent must be obtained prior to performing any specificpre-screening and screening procedure

  • Male or female >= 18 years of age at the time of informed consent

  • Histologically or cytologically confirmed diagnosis of advanced/metastaticdifferentiated thyroid cancer

  • Radio active iodine refractory disease

  • BRAFV600E mutation positive tumor sample as per Novartis designated centrallaboratory result

  • Has progressed on at least 1 but not more than 2 prior VEGFR targeted therapy

  • Eastern Cooperative Oncology Group performance status >= 2

  • At least one measurable lesion as defined by RECIST 1.1

Exclusion

Exclusion Criteria:

  • Anaplastic or medullary carcinoma of the Tyroid

  • Previous treatment with BRAF inhibitor and/or MEK inhibitor

  • Concomitant RET Fusion Positive Thyroid cancer

  • Receipt of any type of small molecule kinase inhibitor within 2 weeks beforerandomization

  • Receipt of any type of cancer antibody or systemic chemotherapy within 4 weeksbefore randomization

  • Receipt of radiation therapy for bone metastasis within 2 weeks or any otherradiation therapy within 4 weeks before randomization

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

Study Design

Total Participants: 153
Treatment Group(s): 4
Primary Treatment: Dabrafenib placebo
Phase: 3
Study Start date:
November 15, 2021
Estimated Completion Date:
June 03, 2027

Study Description

This is a global, multicenter, randomized, double-blind, placebo-controlled phase III study to evaluate the efficacy and safety of dabrafenib plus trametinib in adult patients with locally advanced or metastatic BRAFV600E mutation-positive, differentiated thyroid cancer who are refractory to radioactive iodine and have progressed following prior VEGFR targeted therapy. After eligibility assessment, approximately 150 patients will be randomized in a 2:1 ratio to either dabrafenib plus trametinib or placebo. Patients will receive dabrafenib in combination with trametinib or placebo until disease progression as per RECIST 1.1 as determined by investigator and confirmed by BIRC or loss of clinical benefit as determined by investigator, death, unacceptable toxicity, pregnancy, withdrawal of consent, lost to follow-up or early termination of the study by the sponsor. Patients randomized in the placebo arm and for whom progression as per RECIST 1.1 is confirmed by blinded independent review committee and who meet the criteria will be given the option to cross over to the open label combination drug dabrafenib plus trametinib

Connect with a study center

  • Novartis Investigative Site

    Caba, Buenos Aires C1417DTB
    Argentina

    Site Not Available

  • Novartis Investigative Site

    Buenos Aires, C1012AAR
    Argentina

    Site Not Available

  • Novartis Investigative Site

    Brasília, Distrito Federal
    Brazil

    Site Not Available

  • Novartis Investigative Site

    Rio De Janiero, RJ 20231-050
    Brazil

    Site Not Available

  • Novartis Investigative Site

    Porto Alegre, RS 91350 200
    Brazil

    Site Not Available

  • Novartis Investigative Site

    Sao Paulo, SP 01246-000
    Brazil

    Site Not Available

  • Novartis Investigative Site

    Blumenau, Santa Catarina 89015-200
    Brazil

    Site Not Available

  • Novartis Investigative Site

    Calgary, Alberta T2N 4N2
    Canada

    Site Not Available

  • Novartis Investigative Site

    Edmonton, Alberta T6G 1Z2
    Canada

    Site Not Available

  • Novartis Investigative Site

    London, Ontario N6A 5W9
    Canada

    Site Not Available

  • Novartis Investigative Site

    Toronto, Ontario M5G 2M9
    Canada

    Site Not Available

  • Novartis Investigative Site

    Fuzhou, Fujian 350014
    China

    Site Not Available

  • Novartis Investigative Site

    Zhengzhou, Henan 450008
    China

    Site Not Available

  • Novartis Investigative Site

    Wuhan, Hubei 430022
    China

    Site Not Available

  • Novartis Investigative Site

    Changsha, Hunan 410013
    China

    Site Not Available

  • Novartis Investigative Site

    Nanjing, Jiangsu 210009
    China

    Site Not Available

  • Novartis Investigative Site

    Xuzhou, Jiangsu 221003
    China

    Site Not Available

  • Novartis Investigative Site

    Changchun, Jilin 130033
    China

    Site Not Available

  • Novartis Investigative Site

    XI An, Shanxi 710061
    China

    Site Not Available

  • Novartis Investigative Site

    Xi'an, Shanxi 710032
    China

    Site Not Available

  • Novartis Investigative Site

    Xian, Shanxi 710061
    China

    Site Not Available

  • Novartis Investigative Site

    Chengdu, Sichuan 610041
    China

    Site Not Available

  • Novartis Investigative Site

    Kunming City, Yunnan 650000
    China

    Site Not Available

  • Novartis Investigative Site

    Hangzhou, Zhejiang 310014
    China

    Site Not Available

  • Novartis Investigative Site

    Beijing, 100730
    China

    Site Not Available

  • Novartis Investigative Site

    Guangzhou, 510060
    China

    Site Not Available

  • Novartis Investigative Site

    Shanghai, 200233
    China

    Site Not Available

  • Novartis Investigative Site

    Tianjin, 300480
    China

    Site Not Available

  • Novartis Investigative Site

    Hisar, Haryana 125005
    India

    Site Not Available

  • Novartis Investigative Site

    Mumbai, Maharashtra 400056
    India

    Site Not Available

  • Novartis Investigative Site

    Vellore, Tamil Nadu 632 004
    India

    Site Not Available

  • Novartis Investigative Site

    Hyderabad, Telangana 500082
    India

    Site Not Available

  • Novartis Investigative Site

    Chennai, 600 020
    India

    Site Not Available

  • Novartis Investigative Site

    New Delhi, 110029
    India

    Site Not Available

  • Novartis Investigative Site

    Seoul, Seocho Gu 06591
    Korea, Republic of

    Site Not Available

  • Novartis Investigative Site

    Kuching, Sarawak 93586
    Malaysia

    Site Not Available

  • Novartis Investigative Site

    Kuala Lumpur, 59100
    Malaysia

    Site Not Available

  • Novartis Investigative Site

    Pulau Pinang, 10990
    Malaysia

    Site Not Available

  • Novartis Investigative Site

    Ciudad de Mexico, Mexico CP 14080
    Mexico

    Site Not Available

  • Novartis Investigative Site

    Monterrey, Nuevo Leon 64460
    Mexico

    Site Not Available

  • Novartis Investigative Site

    Chihuahua, 31210
    Mexico

    Site Not Available

  • Novartis Investigative Site

    Tainan, 70403
    Taiwan

    Site Not Available

  • Novartis Investigative Site

    Taipei, 10002
    Taiwan

    Site Not Available

  • Novartis Investigative Site

    Istanbul, TUR 34098
    Turkey

    Site Not Available

  • Novartis Investigative Site

    Adana, 01250
    Turkey

    Site Not Available

  • Novartis Investigative Site

    Ankara, 06500
    Turkey

    Site Not Available

  • Novartis Investigative Site

    Edirne, 22030
    Turkey

    Site Not Available

  • Northwestern University Med School

    Chicago, Illinois 60611
    United States

    Site Not Available

  • Northwestern University Medical School

    Chicago, Illinois 60611
    United States

    Active - Recruiting

  • Massachusetts General Hospital

    Boston, Massachusetts 02114
    United States

    Site Not Available

  • Massachusetts General Hospital Dept of MGH 2

    Boston, Massachusetts 02114
    United States

    Site Not Available

  • Massachusetts General Hospital Dept. of MGH (2)

    Boston, Massachusetts 02114
    United States

    Active - Recruiting

  • Novartis Investigative Site

    Hanoi, 100000
    Vietnam

    Site Not Available

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