Study of Efficacy and Safety of Dabrafenib in Combination With Trametinib in Previously Treated Patients With Metastatic, Radio-active Iodine Refractory BRAF V600E Mutation Positive Differentiated Thyroid Cancer

Last updated: November 24, 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

The purpose of this study is to assess the efficacy and safety of dabrafenib in combination with trametinib for treating adult patients with locally advanced or metastatic Differentiated Thyroid Cancer (DTC) harboring the BRAFV600E mutation, who are refractory to radioactive iodine (RAI) therapy and have experienced disease progression following one or two prior VEGFR-targeted treatments.

Eligibility Criteria

Inclusion

Key Inclusion Criteria:

  • Signed informed consent

  • Male or female ≥ 18 years of age at time of informed consent

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

  • Radioactive-iodine refractory disease

  • BRAF V600E mutation-positive tumor sample as per central laboratory result

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

  • Eastern Cooperative Oncology Group (ECOG) performance status ≤ 2

  • At least one measurable lesion as defined by RECIST v1.1.

Exclusion

Key Exclusion Criteria:

  • Anaplastic or medullary carcinoma of the thyroid

  • Previous treatment with a BRAF inhibitor and/or a MEK inhibitor

  • Concomitant RET Fusion-Positive Thyroid Cancer

  • Treatment with any type of small molecule kinase inhibitor (includinginvestigational kinase inhibitor) within 2 weeks before randomization

  • Treatment with any type of anticancer antibody (including investigational antibody)or systemic chemotherapy within 4 weeks before randomization

  • Treatment with 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 (RVO) or central serousretinopathy

Other inclusion/exclusion criteria may apply.

Study Design

Total Participants: 153
Treatment Group(s): 5
Primary Treatment: Dabrafenib placebo
Phase: 3
Study Start date:
November 15, 2021
Estimated Completion Date:
June 04, 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 carcinoma who are refractory to radioactive iodine and have progressed following prior VEGFR targeted therapy. The scientific objective guiding the primary estimand is based on the Progression Free Survival (PFS) as per BIRC assessment using RECIST 1.1 criteria.

Patients randomized in the placebo arm for whom disease progression as per RECIST 1.1 is confirmed by Blinded Independent Review Committee (BIRC) and who meet the eligibility criteria outlined in the study protocol will be given the option to crossover to the open-label dabrafenib plus trametinib treatment.

Connect with a study center

  • Novartis Investigative Site

    Caba, Buenos Aires C1417DTB
    Argentina

    Site Not Available

  • Novartis Investigative Site

    CABA, Buenos Aires 3435907 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

    Rio de Janiero, Rio de Janeiro 3451189 20231-050
    Brazil

    Site Not Available

  • Novartis Investigative Site

    Blumenau, Santa Catarina 89015-200
    Brazil

    Site Not Available

  • Novartis Investigative Site

    Blumenau 3469968, Santa Catarina 3450387 89015-200
    Brazil

    Site Not Available

  • Novartis Investigative Site

    São Paulo 3448439, São Paulo 3448433 01246-000
    Brazil

    Site Not Available

  • Novartis Investigative Site

    Sao Paulo, 01323-900
    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

    Edmonton 5946768, Alberta 5883102 T6G 1Z2
    Canada

    Site Not Available

  • Novartis Investigative Site

    London, Ontario N6A 5W9
    Canada

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  • Novartis Investigative Site

    Toronto, Ontario M5G 2M9
    Canada

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  • Novartis Investigative Site

    London 6058560, Ontario 6093943 N6A 5W9
    Canada

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  • Novartis Investigative Site

    Fuzhou, Fujian 350014
    China

    Site Not Available

  • Novartis Investigative Site

    Fuzhou 1810821, Fujian 1811017 350014
    China

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  • Novartis Investigative Site

    Zhengzhou, Henan 450008
    China

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  • Novartis Investigative Site

    Zhengzhou 1784658, Henan 1808520 450008
    China

    Site Not Available

  • Novartis Investigative Site

    Wuhan, Hubei 430022
    China

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  • Novartis Investigative Site

    Wuhan 1791247, Hubei 1806949 430022
    China

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  • Novartis Investigative Site

    Changsha, Hunan 410013
    China

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  • Novartis Investigative Site

    Changsha 1815577, Hunan 1806691 410013
    China

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  • Novartis Investigative Site

    Nanjing, Jiangsu 210009
    China

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  • Novartis Investigative Site

    Xuzhou, Jiangsu 221003
    China

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  • Novartis Investigative Site

    Nanjing 1799962, Jiangsu 1806260 210009
    China

    Site Not Available

  • Novartis Investigative Site

    Xuzhou 10630003, Jiangsu 1806260 221003
    China

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  • Novartis Investigative Site

    Changchun, Jilin 130033
    China

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  • Novartis Investigative Site

    Changchun 2038180, Jilin 2036500 130033
    China

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  • Novartis Investigative Site

    XI An, Shanxi 710061
    China

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  • Novartis Investigative Site

    Xi'an, Shanxi 710032
    China

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  • Novartis Investigative Site

    Xian, Shanxi 710061
    China

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  • Novartis Investigative Site

    Chengdu, Sichuan 610041
    China

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  • Novartis Investigative Site

    Chengdu 1815286, Sichuan 1794299 610041
    China

    Site Not Available

  • Novartis Investigative Site

    Tianjin 1792947, Tianjin Municipality 1792943 300121
    China

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  • Novartis Investigative Site

    Kunming City, Yunnan 650000
    China

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  • Novartis Investigative Site

    Hangzhou, Zhejiang 310014
    China

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  • Novartis Investigative Site

    Beijing, 100730
    China

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  • Novartis Investigative Site

    Beijing 1816670, 100036
    China

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    Guangzhou, 510060
    China

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  • Novartis Investigative Site

    Guangzhou 1809858, 510060
    China

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  • Novartis Investigative Site

    Shanghai, 200233
    China

    Site Not Available

  • Novartis Investigative Site

    Shanghai 1796236, 200233
    China

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  • Novartis Investigative Site

    Tianjin, 300480
    China

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  • Novartis Investigative Site

    Hisar, Haryana 125005
    India

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  • Novartis Investigative Site

    Hisar 1270022, Haryana 1270260 125005
    India

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  • Novartis Investigative Site

    Mumbai, Maharashtra 400056
    India

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  • Novartis Investigative Site

    New Delhi 1261481, National Capital Territory of Delhi 1273293 110029
    India

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  • Novartis Investigative Site

    Vellore, Tamil Nadu 632 004
    India

    Site Not Available

  • Novartis Investigative Site

    Hyderabad, Telangana 500082
    India

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  • Novartis Investigative Site

    Chennai, 600 020
    India

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  • Novartis Investigative Site

    Chennai 1264527, 600 020
    India

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  • 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

    Georgetown, Pulau Pinang 10450
    Malaysia

    Site Not Available

  • Novartis Investigative Site

    George Town 1735106, Pulau Pinang 1733047 10450
    Malaysia

    Site Not Available

  • Novartis Investigative Site

    Kuching, Sarawak 93586
    Malaysia

    Site Not Available

  • Novartis Investigative Site

    Kuching 1735634, Sarawak 1733038 93586
    Malaysia

    Site Not Available

  • Novartis Investigative Site

    Kuala Lumpur, 59100
    Malaysia

    Site Not Available

  • Novartis Investigative Site

    Kuala Lumpur 1735161, 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

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  • Novartis Investigative Site

    Monterrey, Nuevo Leon 64460
    Mexico

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  • Novartis Investigative Site

    Chihuahua, 31210
    Mexico

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  • Novartis Investigative Site

    Seoul 1835848, 05505
    South Korea

    Site Not Available

  • Novartis Investigative Site

    Tainan, 70403
    Taiwan

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  • Novartis Investigative Site

    Tainan 1668355, 70403
    Taiwan

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  • Novartis Investigative Site

    Tainan City 1668355, 70403
    Taiwan

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  • Novartis Investigative Site

    Taipei, 10002
    Taiwan

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  • Novartis Investigative Site

    Taipei 1668341, 10002
    Taiwan

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  • Novartis Investigative Site

    Istanbul, TUR 34098
    Turkey

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  • Novartis Investigative Site

    Adana, 01250
    Turkey

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  • Novartis Investigative Site

    Ankara, 06500
    Turkey

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  • Novartis Investigative Site

    Edirne, 22030
    Turkey

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  • Novartis Investigative Site

    Istanbul 745044, Fatih 34098
    Turkey (Türkiye)

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  • Novartis Investigative Site

    Edirne 747712, Merkez 22030
    Turkey (Türkiye)

    Site Not Available

  • Novartis Investigative Site

    Ankara 323786, Yenimahalle 06500
    Turkey (Türkiye)

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  • Novartis Investigative Site

    Adana 325363, Yuregir 01250
    Turkey (Türkiye)

    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

  • Northwestern University Med School

    Chicago 4887398, Illinois 4896861 60611
    United States

    Site Not Available

  • 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

  • Massachusetts General Hospital

    Boston 4930956, Massachusetts 6254926 02114
    United States

    Site Not Available

  • Novartis Investigative Site

    Hanoi, 100000
    Vietnam

    Site Not Available

  • Novartis Investigative Site

    Hanoi 1581130, 100000
    Vietnam

    Site Not Available

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