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Clinical Trial Details — Status: Active, not recruiting

Administrative data

NCT number NCT01909453
Other study ID # CMEK162B2301
Secondary ID C42210042013-001
Status Active, not recruiting
Phase Phase 3
First received
Last updated
Start date September 16, 2013
Est. completion date July 15, 2024

Study information

Verified date April 2024
Source Pfizer
Contact n/a
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

This is 2-part, randomized, open label, multi-center, parallel group, phase III study comparing the efficacy and safety of LGX818 plus MEK162 to vemurafenib and LGX818 monotherapy in patients with locally advanced unresectable or metastatic melanoma with BRAF V600 mutation. A total of approximately 900 patients will be randomized. Part 1: Patients will be randomized in a 1:1:1 ratio to one of 3 treatment arms: 1. LGX818 450 mg QD plus MEK162 45 mg BID (denoted as Combo 450 arm) 2. LGX818 300 mg QD monotherapy (denoted as LGX818 arm) or 3. vemurafenib 960 mg BID (denoted as vemurafenib arm) Part 2: Patients will be randomized in a 3:1 ratio to one of the 2 treatment arms: 1. LGX818 300 mg QD plus MEK162 45 mg BID (denoted as Combo 300 arm) or 2. LGX818 300 mg QD monotherapy (denoted as LGX818 arm)


Recruitment information / eligibility

Status Active, not recruiting
Enrollment 921
Est. completion date July 15, 2024
Est. primary completion date November 9, 2016
Accepts healthy volunteers No
Gender All
Age group 18 Years and older
Eligibility Inclusion Criteria: - Diagnosis of locally advanced, unresectable or metastatic cutaneous melanoma or unknown primary melanoma (AJCC Stage IIIB, IIIC, or IV) - Presence of BRAF V600E or V600K mutation in tumor tissue prior to randomization - Naïve untreated patients or patients who have progressed on or after prior first line immunotherapy for resectable locally advanced or metastatic melanoma; prior adjuvant therapy is permitted (e.g. IFN, IL-2 therapy, any other immunotherapy, radiotherapy or chemotherapy), except the administration of BRAF or MEK inhibitors - Evidence of at least one measurable lesion as detected by radiological or photographic methods - ECOG performance status of 0 or 1 - Adequate bone marrow, organ function, cardiac and laboratory parameters - Normal functioning of daily living activities Exclusion Criteria: - Any untreated central nervous system (CNS) lesion - Uveal and mucosal melanoma - History of leptomeningeal metastases - History of or current evidence of central serous retinopathy (CSR), retinal vein occlusion (RVO) or history of retinal degenerative disease - Any previous systemic chemotherapy treatment, extensive radiotherapy or investigational agent other than immunotherapy, or patients who have received more than one line of immunotherapy for locally advanced unresectable or metastatic melanoma; Ipilimumab (adjuvant) or other immunotherapy treatment must have ended at least 6 weeks prior to randomization - History of Gilbert's syndrome - Prior therapy with a BRAF inhibitor and/or a MEK- inhibitor - Impaired cardiovascular function or clinically significant cardiovascular diseases - Uncontrolled arterial hypertension despite medical treatment - HIV positive or active Hepatitis B, and/or active Hepatitis C - Impairment of gastrointestinal function - Patients with neuromuscular disorders that are associated with elevated CK - Pregnant or nursing (lactating) women - Medical, psychiatric, cognitive or other conditions that may compromise the patient's ability to understand the patient information, give informed consent, comply with the study protocol or complete the study Other protocol-defined inclusion/exclusion criteria may apply

Study Design


Related Conditions & MeSH terms


Intervention

Drug:
LGX818
LGX818- Orally 100 mg and 50 mg capsules
MEK162
MEK162- Orally 15 mg tablets
vemurafenib
Tablets in bottles or blisters 240 mg

Locations

Country Name City State
Argentina Centro de Diagnóstico Dr. Enrique Rossi Buenos Aires Ciudad Autónoma DE Buenosaires
Argentina Fundación Investigar Buenos Aires Ciudad Autónoma DE Buenosaires
Argentina Hospital Italiano de Buenos Aires Buenos Aires Ciudad Autónoma DE Buenosaires
Argentina Instituto Médico Especializado Alexander Fleming Buenos Aires Ciudad Autónoma DE Buenosaires
Argentina Organización Médica de Investigación Buenos Aires Ciudad Autónoma DE Buenosaires
Argentina Sanatorio de La Providencia Buenos Aires Ciudad Autónoma DE Buenosaires
Argentina Fundación CENIT para la Investigación en Neurociencias Caba Buenos Aires
Australia Lake Macquarie Private Hospital Gateshead New South Wales
Australia The Alfred Hospital Melbourne Victoria
Australia Sir Charles Gairdner Hospital Nedlands Western Australia
Australia Sir Charles Gairdner Hospital Pharmacy Department Nedlands Western Australia
Australia The Alfred Hospital Prahran Victoria
Australia HPS Pharmacy Southport Queensland
Australia Tasman Oncology Research Southport Queensland
Australia Vision Optical Southport Queensland
Australia Princess Alexandra Hospital Woolloongabba Queensland
Brazil Fundação PIO XII Barretos SÃO Paulo
Brazil Associação Hospital de Caridade Ijuí Ijuí RIO Grande DO SUL
Brazil Liga Norte Riograndense Contra O Cancer Natal
Brazil Hospital de Clinicas de Porto Alegre (HCPA) - PPDS Porto Alegre RIO Grande DO SUL
Brazil Instituto de Medicina Integral Professor Fernando Figueira Recife Pernambuco
Brazil INCA Instituto Nacional de Cancer Rio de Janeiro
Brazil Hospital BP Mirante Sao Paulo
Canada Tom Baker Cancer Centre Calgary Alberta
Canada Centre Hospitalier de l'Universite de Montreal Montreal Quebec
Canada Centre Hospitalier De L'Universite De Montreal Hospital Notre Dame Montreal Quebec
Canada CHUM Notrea Dame Hospital Montreal Quebec
Canada McGill University Health center Montreal Quebec
Canada Centre Hospitalier Universitaire de Quebec - Hotel - Dieu de Quebec - Universite Laval Quebec
Canada CHU de Quebec-Universite Laval - L' Hotel - Dieu de Quebec Quebec
Canada CHU de Quebec- L'Hotel-Dieu de Quebec Québec Quebec
Canada CHU de Quebec-Universite Laval Quebec City Quebec
Canada Centre de Sante Et Services Sociaux Richelieu Yamaska Sainte Hyacinthe Quebec
Canada Princess Margaret Cancer Centre Toronto Ontario
Canada SunnyBrook Health Sciences Centre Toronto Ontario
Canada Sunnybrook Research Institute Toronto Ontario
Canada Toronto General Hospital Toronto Ontario
Colombia Hospital Universitario San Ignacio Bogotá Distrito Capital DE Bogotá
Colombia Hospital Universitario San Ignacio Bogotá Pbx (57-1)
Czechia Fakultni nemocnice u sv. Anny v Brne Brno
Czechia Mou/Mmci - Ppds Brno Jihomoravský KRAJ
Czechia Fakultni nemocnice Olomouc Olomouc
Czechia Fakultni nemocnice Ostrava Ostrava Moravskoslezský KRAJ
Czechia Fakultni nemocnice Ostrava Ostrava Poruba
Czechia Vseobecna Fakultni Nemocnice V Praze Praha
Czechia Vseobecna Fakultni Nemocnice V Praze-U Nemocnice 499/2 Praha
Czechia Fakultni nemocnice Kralovske Vinohrady Praha 10 Praha, Hlavní Mesto
Czechia General Faculty Hospital Praha 2
Czechia Vseobecna Fakultni Nemocnice V Praze Praha 2 Praha, Hlavní Mesto
France CHU de Bordeaux - Hopital Saint Andre Bordeaux
France Hôpital Saint-André Bordeaux Gironde
France Centre Hospitalier Universitaire Ambroise Paré Boulogne-Billancourt
France CHU de Grenoble Grenoble Isère
France Centre Hospitalier Le Mans Le Mans Sarthe
France CHRU de Lille - Hôpital Huriet Lille Nord
France Clinique de la Louvière Lille
France Centre Léon Bérard Centre Régional de Lutte Contre Le Cancer Rhône Alpes Lyon Rhone
France Hôpital D'Instruction des Armées Desgenettes Lyon
France Hôpital de La Croix Rousse Lyon Rhône
France CHU de Nice Nice Alpes-maritimes
France Groupe Hospitalier Archet I Et II Nice
France Hopital Lariboisiere Paris
France Hôpital Saint louis Paris
France Institut Mutualiste Montsouris Paris
France Ophtalmologist office Paris
France Hospices Civils de Lyon - Hopital Lyon Sud Pierre Benite
France Service de PneumologieCHU Lyon Sud Pierre-bénite
France Hôpital Robert Debré Reims Marne
France Nouvel Hopital Civil Strasbourg
France Cardiologist Private Practice Templemars
France Institut Gustave Roussy Villejuif
France Institut Gustave Roussy Villejuif Val-de-marne
Germany Charite-Universitaetsmedizin Berlin Berlin
Germany Augenklinik Universitätsklinikum Bonn Bonn Nordrhein-westfalen
Germany Universitätsklinikum Bonn Bonn
Germany Universitätsklinikum Bonn Bonn
Germany Augenarztzentrum Buxtehude Buxtehude Niedersachsen
Germany Elben Klinken Stade ? Buxtehude Buxtehude Niedersachsen
Germany Klinik und Poliklinik für Augenheilkunde Dresden Sachsen
Germany Überörtliche Radiologische Gemeinschaftspraxis Dresden Dresden
Germany Universitätsklinikum Carl Gustav Carus an der TU Dresden Dresden
Germany University Hospital Carl Gustav Carus at the Technical University of Dresden Dresden
Germany Diagnostische und interventionelle Radiologie und Neuroradiologie Erfurt
Germany Klinik fur Hautkrankheiten und Allergologie, Helios Hauttumorzentrum Erfurt, Helios Klinikum Erfurt Erfurt
Germany Universitätsklinikum Essen Essen
Germany Universitätsklinikum Frankfurt Frankfurt Hessen
Germany Goethe-University Frankfurt/Main Frankfurt/Main
Germany Universitätsklinikum Freiburg, Klinik für Radiologie Freiburg
Germany Universitaetsklinikum Freiburg Freiburg im Breisgau Baden-württemberg
Germany Institut für Diagnostische und Interventionelle Radiologie Gera
Germany Klinik für Augenheilkunde Gera
Germany SRH Wald-Klinikum Gera GmbH Gera
Germany Universitätsklinik Hamburg Eppendorf Hamburg
Germany Augenärzte am Kröpcke Hannover
Germany Institut für Diagnostische und Interventionelle Radilogie Hannover
Germany Medizinische Hochschule Hannover (Hannover Medical School) Hannover
Germany University Clinic Heidelberg - PPDS Heidelberg
Germany University Clinic Heidelberg - PPDS Heidelberg Baden-württemberg
Germany Universität des Saarlandes Homburg
Germany Klinikum Kassel Kassel Hessen
Germany Zentrum für Radiologie Kassel Hessen
Germany Universitatsklinikum Schleswig-Holstein Kiel
Germany Universitatsklinikum Schleswig-Holstein - Kiel Kiel
Germany University Hospital Schleswig-Holstein, Campus Kiel Kiel
Germany University Hospital Schleswig-Holstein, Campus Kiel Kiel Schleswig-holstein
Germany Universitatsklinikum Leipzig Leipzig Sachsen
Germany Universitatsklinikum Leipzig AoR Leipzig Sachsen
Germany Universitatsklinikum Schleswig-Holstein Lübeck
Germany Universitatsklinikum Schleswig-Holstein - Kiel Lübeck Schleswig-holstein
Germany Universitatsklinikum Schleswig-Holstein, Campus Lubeck Lübeck Schleswig-holstein
Germany Universitatsklinikum Schleswig-Holstein Luebeck Schleswig-holstein
Germany Universitätsaugenklinik Magdeburg
Germany Universitätsklinik für Radiologie und Nuklearmedizin Magdeburg
Germany Universitätsklinik Magdeburg Magdeburg Sachsen-anhalt
Germany Universitätsmedizin der Johannes Gutenberg-Universität Mainz Mainz Rheinland-pfalz
Germany University Hospital Mainz Mainz
Germany Augenklinik Universitätsklinikum Mannheim Mannheim
Germany Klinikum Mannheim Universitätsklinikum gGmbH Mannheim Baden-württemberg
Germany Augen-Praxis_Minden Minden
Germany Institut für Diagnostische Radiologie, Neuroradiologie und Nuklearmedizin Minden Nordrhein-westfalen
Germany Johannes Wesling Klinikum Minden Minden Nordrhein-westfalen
Germany Hautklinik, Klinikum Nürnberg, Universitätsklinik der Paracelsus Medizinischen Privatuniversität München
Germany LMU Klinikum München Bayern
Germany LMU Klinikum der Universität München
Germany LMU Klinikum der Universität München München Bayern
Germany Fachklinik Hornheide Abteilung für Internistische Onkologie und Hämatologie Münster
Germany Hautklinik, Klinikum Nürnberg, Universitätsklinik der Paracelsus Medizinischen Privatuniversität Nuernberg Bavaria
Germany Institut für Röntgendiagnostik Regensburg Bayern
Germany Klinik & Poliklinik für Augenheilkunde Regensburg
Germany University Clinic Regensburg - PPDS Regensburg Bayern
Germany Universitätsklinikum Tübingen Tübingen Baden-württemberg
Germany Universitätsklinikum Tübingen Tübingen
Germany Internistische Schwerpunktpraxis Kardiologie Hämatologie Onkologie Ulm
Germany Universitätsklinikum Ulm Ulm
Germany Universitätsklinikum Ulm Ulm Baden-württemberg
Germany Universitätsklinikum Würzburg Würzburg Bayern
Greece Hygeia Diagnostic and Therapeutic Centre of Athens Athens Attiki
Greece Laiko General Hospital of Athens Athens
Greece Laiko General Hospital of Athens Athens
Greece Metropolitan Hospital Athens
Greece Metropolitan Hospital Neo Faliro
Greece Metropolitan Hospital Piraeus
Hungary Magyar Honvédség Egészségügyi Központ Budapest
Hungary Orszagos Onkologiai Intezet Budapest
Hungary Debreceni Egyetem Klinikai Kozpont Debrecen
Hungary Debreceni Egyetem Klinikai Kozpont Debrecen Hajdú-bihar
Hungary Jasz-Nagykun-Szolnok Megyei Hetenyi Geza Korhaz-Rendelointezet Szolnok
Israel Rambam Health Care Campus Haifa Hatsafon
Israel Rambam Health Care Campus Haifa Heifa
Israel Rambam Health Care Campus Haifa
Israel Rambam Health Care Campus Haifa
Israel Rambam Health Care Campus Haifa ?eifa
Israel Hadassah Medical Center - PPDS Jerusalem
Israel Sheba Medical Center - PPDS Ramat Gan Tel-aviv
Italy IRCCS Giovanni Paolo II Cancer Institute Bari
Italy ASST Papa Giovanni XXIII - Azienda Ospedaliera Papa Giovanni XXIII Bergamo
Italy Azienda Ospedaliero Universitaria Di Bologna - Policlinico S.Orsola Malpighi Bologna
Italy Azienda Ospedaliero Universitaria Di Bologna Policlinico S Orsola Malpighi Bologna Emilia-romagna
Italy Azienda Ospedaliero Universitaria Di Bologna Policlinico S Orsola Malpighi-Via Massarenti Bologna Emilia-romagna
Italy Fondazione del Piemonte per l'Oncologia (IRCCS) Candiolo Torino
Italy IRCCS Az. Osp. Universitaria San Martino- IST Genoa
Italy Azienda Ospedaliera Ospedale Di Lecco Lecco Lombardia
Italy Istituto Europeo Di Oncologia Milan Lombardia
Italy Istituto Europeo Di Oncologia Milano
Italy ASST di Monza - Azienda Ospedaliera San Gerardo Monza Lombardia
Italy Azienda Ospedaliera San Gerardo Monza Lombardia
Italy Azienda Ospedaliera Universitaria Federico II Napoli Campania
Italy Istituto Nazionale per lo studio e la cura dei tumori Fondazione Giovanni Pascale Napoli
Italy Istituto Oncologico Veneto - I.R.C.C.S. Padova
Italy Clinica Oculistica Padua Veneto
Italy Fondazione IRCCS Policlinico San Matteo di Pavia Pavia
Italy Azienda Ospedaliero Universitaria Pisana Pisa Toscana
Italy Azienda Ospedaliera Civile Maria Paternò Arezzo Ragusa Ragusa
Italy S. C. Oncologia Medica Presidio Ospedaliero Maria Paterno Arezzo Ragusa
Italy Azienda Ospedaliera Sant'Andrea Roma Lazio
Italy Istituto Nazionale Tumori Regina Elena Roma Lazio
Italy Policlinico Universitario Campus Biomedico Di Roma Roma Lazio
Italy Policlinico Universitario Campus Biomedico Di Roma Roma Lazio
Italy Policlinico Universitario Campus Biomedico Rome
Italy Istituto Clinico Humanitas Rozzano Lombardia
Italy Istituto Clinico Humanitas - Humanitas Cancer Center Rozzano Lombardia
Italy Azienza Ospedaliera Universitaria Senese Siena
Italy Azienda Ospedaliera S Maria Di Terni Terni Umbria
Italy Ospedale Koelliker Torino
Italy Azienda Ospedaliero Universitaria Ospedali Riuniti di Ancona-Umberto I G.M. Lancisi G. Salesi Torrette Site Ancona
Italy Azienda Sanitaria Universitaria Integrata di Udine - PO Universitario Santa Maria della Misericordia Udine
Japan National Cancer Center Hospital Chuo-ku Tokyo
Japan Kyushu University Hospital Fukuoka-shi Fukuoka
Japan Shinshu University Hospital Matsumoto Nagano
Japan Niigata Cancer Center Hospital Niigata
Japan Niigata Cancer Center Hospital Niigata-Shi Niigata
Japan Niigata Cancer Center Hospital Niigata-shi Niigata
Japan National Hospital Organization Osaka National Hospital Osaka Ôsaka
Korea, Republic of Samsung Medical Center - PPDS Gangnam-Gu Seoul Teugbyeolsi
Korea, Republic of Asan Medical Center - PPDS Seoul
Korea, Republic of Samsung Medical Center - PPDS Seoul
Korea, Republic of Samsung Medical Center - PPDS Seoul
Korea, Republic of Seoul National University Hospital Seoul
Korea, Republic of Seoul National University Hospital Seoul Seoul-teukbyeolsi [seoul]
Korea, Republic of Seoul National University Hospital Seoul
Korea, Republic of Severance Hospital Yonsei University Health System - PPDS Seoul
Korea, Republic of Severance Hospital Yonsei University Health System - PPDS Seoul
Korea, Republic of Asan Medical Center - PPDS Songpa-Gu Seoul Teugbyeolsi
Mexico Instituto Nacional de Cancerologia Mexico DF
Mexico Instituto Nacional de Cardiología Ignacio Chavez Mexico
Mexico Medica Sur, S. A. B de C. V. (Centro de Investigación Farmacológica y Biotecnológica CIF-BIOTEC) Mexico
Netherlands VU Medisch Centrum Amsterdam Noord Holland
Netherlands Medisch Spectrum Twente - Hospital Ariënsplein Enschede
Netherlands Amphia Ziekenhuis Breda Noord-brabant
Netherlands Amphia Ziekenhuis Breda Noord-brabant
Netherlands Maxima Medisch Centrum Eindhoven Noord-brabant
Netherlands Medisch Spectrum Twente Enschede Overijssel
Netherlands Medisch Spectrum Twente Enschede
Netherlands Universitair Medisch Centrum Groningen Groningen
Netherlands Zuyderland Medisch Centrum Heerlen Limburg
Netherlands Leids Universitair Medisch Centrum Leiden
Netherlands Maastricht University Medical Center Maastricht
Netherlands Radboud University Nijmegen Medical Centre Nijmegen Gelderland
Netherlands Erasmus MC Rotterdam
Netherlands Erasmus MC-Daniel den Hoed Oncologisch Centrum Rotterdam
Netherlands Zuyerland Medisch Centrum Sittard-Geleen
Netherlands Maxima Medisch Centrum Veldhoven Noord-brabant
Netherlands Isala Klinieken Zwolle Overijssel
Norway Oslo Myeloma Center - PPDS Oslo
Norway Oslo universitetssykehus HF Oslo
Norway Oslo universitetssykehus HF, Utprøvingsenheten Oslo
Poland Narodowy Instytut Onkologii im. Marii Sklodowskiej-Curie - Panstwowy Instytut Badawczy w Warszawie Warsaw Mazowieckie
Poland Centrum Medyczne MAVIT Sp. z o.o. Warszawa Mazowieckie
Poland Lux Med Warszawa
Portugal Hospital Garcia de Orta*E.P.E. Almada
Portugal Centro Hospitalar de Lisboa Norte, E.P.E- Hospital de Santa Maria Lisboa
Portugal Centro Hospitalar Universitario Lisboa Norte E.P.E Lisboa
Portugal Hospital de Santa Maria Lisboa
Portugal Hospital de Santa Maria-Avenida Prof. Egas Moniz - PPDS Lisboa
Portugal Instituto Português de Oncologia de Lisboa Francisco Gentil, E.P.E. Lisboa
Portugal Instituto Portugues de Oncologia Do Porto Francisco Gentil Epe - PPDS Lisboa
Portugal Instituto Português de Oncologia de Lisboa Francisco Gentil, E.P.E. Lisbon Lisboa
Portugal Instituto Portugues de Oncologia Do Porto Francisco Gentil Epe - PPDS Porto Proto
Portugal Instituto Portugues de Oncologia Do Porto Francisco Gentil Epe - PPDS Porto
Russian Federation Russian Oncology Research Center n a N N Blokhin Moscow
Russian Federation Ryazan Clinical Hospital n.a. Semashko Ryazan
Russian Federation Ryazan Regional Clinical Oncology Dispensary Ryazan
Russian Federation Ryazan Regional Clinical Oncology Dispensary Ryazan'
Russian Federation Scientific Research Institute of Oncology n.a. N.N. Petrov St. Petersburg
Singapore National Cancer Centre - 30 Hospital Blvd Singapore
Singapore National Cancer Centre - 30 Hospital Blvd Singapore
Singapore National Cancer Centre Singapore Singapore
Singapore Singapore General Hospital (SGH) Singapore
Singapore Singapore National Eye Research Centre Singapore
Slovakia BIONT, a.s. Bratislava
Slovakia Narodny onkologicky ustav - PPDS Bratislava
Slovakia Narodny onkologicky ustav - PPDS Bratislava
Slovakia Nemocnica Svateho Michala, a.s. Bratislava
Slovakia POKO POPRAD, s.r.o. Poprad
South Africa Mary Potter Oncology Centre Pretoria
South Africa Steve Biko Academic Hospital Pretoria
Spain Hospital General Universitario de Alicante Alicante
Spain Hospital General Universitario Dr. Balmis Alicante
Spain Hospital Universitario Germans Trias i Pujol Badalona
Spain Hospital Universitario Germans Trias i Pujol Badalona Barcelona
Spain Centro de Oftalmologia Barraquer Barcelona
Spain Cetir, Centre Mèdic, S.L Barcelona Cataluña
Spain Hospital Clinic de Barcelona Barcelona
Spain Hospital Clinic de Barcelona Barcelona
Spain Hospital Clinic provincial de Barcelona Barcelona
Spain Hospital de La Santa Creu i Sant Pau Barcelona
Spain Hospital de La Santa Creu i Sant Pau Barcelona
Spain Hospital Universitario Vall d'Hebron - PPDS Barcelona
Spain Onkologikoa Donostia-san Sebastián
Spain Hospital Clinico Universitario Virgen de la Arrixaca El Palmar Murcia
Spain Hospital Universitario Virgen de las Nieves Granada
Spain Hospital Universitario de Jerez Jerez De La Frontera Andalucía
Spain Hospital Universitario A Coruña La Coruna
Spain Hospital Arnau de Vilanova Lleida
Spain Hospital Universitari Arnau de Vilanova Lleida
Spain Hospital General Universitario Gregorio Maranon Madrid
Spain Hospital General Universitario Gregorio Maranon Madrid
Spain Hospital Universitario 12 de Octubre Madrid
Spain Hospital Universitario 12 de Octubre Madrid
Spain Hospital Universitario Ramon y Cajal Madrid
Spain Hospital Universitario Puerta de Hierro - Majadahonda Majadahonda Madrid
Spain Hospital Universitario Puerta de Hierro - Majadahonda Majadahonda
Spain Hospital Universitario Puerta de Hierro Majadahonda Majadahonda Madrid
Spain Hospital Universitario Puerta de Hierro Majadahonda Majadahonda Madrid
Spain Hospital Civil (Hospital Regional Universitario de Malaga) Malaga
Spain Hospital Regional Universitario de Malaga ? Hospital General Malaga
Spain Hospital Universitario Central de Asturias Oviedo Asturias
Spain Clinica Universidad de Navarra Pamplona Navarra
Spain Clinica Universidad Navarra Pamplona Navarra
Spain Clinica Universidad Navarra Pamplona Navarra
Spain Complejo Hospitalario de Navarra Pamplona Navarra
Spain Hospital Universitario de Navarra Pamplona Navarra
Spain Hospital Universitario Virgen del Rocio - PPDS Sevilla
Spain Hospital Nuestra Señora de Valme Seville Sevilla
Spain Fundacion Instituto Valenciano de Oncologia Valencia
Sweden Gävle Sjukhus Gavle
Sweden Sahlgrenska Universitetssjukhuset Göteborg
Sweden Skanes Universitetssjukhus Lund Lund
Sweden Karolinska Universitetssjukhuset Solna Solna
Sweden Uppsala Universitet Uppsala
Switzerland Inselspital Bern Bern
Switzerland Universitätsspital Zürich Zurich Zürich (DE)
Switzerland Dr. med. Nicole Gasser Zürich
Switzerland Dr.med. Ursula Urner Zürich
Switzerland Institut für diagnostische und interventionelle Radiologie Zürich
Switzerland Universitätsspital Zürich Zurich Flughafen
Turkey Ege University Medical Faculty Bornova
Turkey Ege University Medical aculty Izmir
Turkey Sifa Universitesi Bornova Egitim Arastirma Hastanesi Izmir
United Kingdom Clatterbridge Hospital Bebington Wirral
United Kingdom Clatterbridge Hospital - PPDS Bebington Wirral
United Kingdom Broomfield Hospital Broomfield
United Kingdom Mid Essex Hospital Services NHS Trust Broomfield Chelmsford, Essex
United Kingdom Addenbrookes Hospital Cambridge Cambridgeshire
United Kingdom Cambridge University Hospitals NHS Foundation Trust Cambridge
United Kingdom Royal Surrey County Hospital Guildford Surrey
United Kingdom St James University Hospital Leeds
United Kingdom Royal Free Hospital London
United Kingdom Royal Marsden Hospital - Surrey London London, CITY OF
United Kingdom The Royal Marsden in Sutton, Surrey - Downs Rd London London, CITY OF
United Kingdom The Royal Marsden NHS Foundation Trust London Chelsea
United Kingdom The Christie NHS Foundation Trust - PPDS Manchester
United Kingdom Churchill Hospital Oxford
United Kingdom Churchill Hospital Oxford
United Kingdom Royal Preston Hospital Preston Lancashire
United Kingdom Royal Preston Hospital - PPDS Preston
United Kingdom Weston Park Hospital Sheffield York
United States Virginia Cancer Specialists, PC Alexandria Virginia
United States Virginia Cancer Specialists Arlington Virginia
United States Rocky Mountain Cancer Centers (Williams) - USOR Aurora Colorado
United States Retinal Consultants of Alabama P.C. Birmingham Alabama
United States UAB Callahan Eye Hospital Birmingham Alabama
United States UAB Comprehensive Cancer Center Birmingham Alabama
United States UAB Comprehensive Cancer Center Birmingham Alabama
United States UAB The Kirklin Clinic Birmingham Alabama
United States University of Alabama at Birmingham Birmingham Alabama
United States University of Alabama at Birmingham Birmingham Alabama
United States Rocky Mountain Cancer Centers Boulder Colorado
United States University of Vermont Cancer Center Burlington Vermont
United States University of Vermont Medical Center Burlington Vermont
United States University of Vermont Medical Center Burlington Vermont
United States Eye & Ear Infirmary- Opthalmology Chicago Illinois
United States University of Illinois at Chicago Chicago Illinois
United States University of Illinois at Chicago Chicago Illinois
United States University of Illinois Hospital and Health Sciences System Chicago Illinois
United States University of Illinois Hospital and Health Sciences System - Investigational Drug Service Chicago Illinois
United States University of Illinois Medical Center Chicago Illinois
United States Rocky Mountain Cancer Centers Colorado Springs Colorado
United States Dr. Dennis B. Kay (Ophthalmologist) Dallas Texas
United States Texas Oncology - Baylor Charles A. Sammons Cancer Center Dallas Texas
United States Rocky Mountain Cancer Centers (Williams) - USOR Denver Colorado
United States Northern Virginia Ophthalmology Associates Fairfax Virginia
United States Virginia Cancer Specialists Fairfax Virginia
United States Virginia Cancer Specialists (Leesburg) - USOR Fairfax Virginia
United States Virginia Cancer Specialists, PC Fairfax Virginia
United States Northern Virginia Ophthalmology Associates Falls Church Virginia
United States Highlands Oncology Group Fayetteville Arkansas
United States Virginia Cancer Specialists, PC Gainesville Virginia
United States Goshen Center For Cancer Care Goshen Indiana
United States Lack's Cancer Center at Mercy Health Saint Mary's Grand Rapids Michigan
United States Mercy Health Hauenstein Neuroscience Center Neuro-Ophthalmology (Clinic) Grand Rapids Michigan
United States Retina Specialists of Michigan Grand Rapids Michigan
United States Hackensack University Medical Cente Hackensack New Jersey
United States Hackensack University Medical Center Hackensack New Jersey
United States Hackensack University Medical Center Hackensack New Jersey
United States Jackson Oncology Associates - St. Dominic Hospital Jackson Mississippi
United States Jackson Oncology Associates - St. Dominic Hospital Jackson Mississippi
United States Jackson Oncology Associates, PLLC Jackson Mississippi
United States Rocky Mountain Cancer Centers Lakewood Colorado
United States Virginia Cancer Specialists (Leesburg) - USOR Leesburg Virginia
United States Virginia Cancer Specialists, PC Leesburg Virginia
United States UC Irvine Medical Center Orange California
United States UC Irvine Medical Center Orange California
United States Specialty Eye Care Parker Colorado
United States Rocky Mountain Cancer Centers Pueblo Colorado
United States Investigational Drug Service, Department of Pharmacy (Investigational Product) Rochester New York
United States University of Rochester Medical Center - PPDS Rochester New York
United States Highlands Oncology Group Rogers Arkansas
United States Wenatchee Valley Hospital & Clinics Wenatchee Washington
United States Wenatchee Valley Hospitals & Clinics Wenatchee Washington
United States Wenatchee Valley Medical Center Wenatchee Washington

Sponsors (1)

Lead Sponsor Collaborator
Pfizer

Countries where clinical trial is conducted

United States,  Argentina,  Australia,  Brazil,  Canada,  Colombia,  Czechia,  France,  Germany,  Greece,  Hungary,  Israel,  Italy,  Japan,  Korea, Republic of,  Mexico,  Netherlands,  Norway,  Poland,  Portugal,  Russian Federation,  Singapore,  Slovakia,  South Africa,  Spain,  Sweden,  Switzerland,  Turkey,  United Kingdom, 

Outcome

Type Measure Description Time frame Safety issue
Primary Part 1: Progression Free Survival (PFS) by Blinded Independent Review Committee (BIRC) in Combo 450 Group as Compared to Vemurafenib Group PFS was defined as the time from the date of randomization to the date of the first documented disease progression (PD) or death due to any cause, whichever occurs first. PFS was determined based on tumor assessment (RECIST version 1.1 criteria) as per BIRC/central review and survival information. If a participant did not had an event at the time of the analysis cut-off or at the start of any new anti-cancer therapy, data was censored at the date of last adequate tumor assessment. PD was defined as at least a 20% increase in the sum of diameter of all measured target lesions, taking as reference the smallest sum of diameter of all target lesions recorded at or after baseline. In addition to the relative increase of 20%, the sum must demonstrate an absolute increase of at least 5 square millimeter (mm^2). From randomization until documented disease progression (PD), initiation of new anti-cancer therapy, censoring date or death, whichever occurred first (up to 29 months)
Primary Part 1: Progression Free Survival (PFS) by Blinded Independent Review Committee (BIRC) in Combo 450 Group as Compared to LGX818 Group PFS was defined as the time from the date of randomization to the date of the first documented disease progression (PD) or death due to any cause, whichever occurs first. PFS was determined based on tumor assessment (RECIST version 1.1 criteria) as per BIRC and survival information. If a participant did not had an event at the time of the analysis cut-off or at the start of any new anti-cancer therapy, data was censored at the date of last adequate tumor assessment. PD was defined as at least a 20% increase in the sum of diameter of all measured target lesions, taking as reference the smallest sum of diameter of all target lesions recorded at or after baseline. In addition to the relative increase of 20%, the sum must demonstrate an absolute increase of at least 5 mm^2. From randomization until documented disease progression (PD), initiation of new anti-cancer therapy, censoring date or death, whichever occurred first (up to 29 months), excluding Part 1: LGX818 300 mg group; up to 35 months for Part 1: LGX 300 mg group
Secondary Part 2: Progression Free Survival (PFS) by BIRC in Combo 300 Group as Compared to LGX818 Group PFS was defined as the time from the date of randomization to the date of the first documented disease progression (PD) or death due to any cause, whichever occurs first. PFS was determined based on tumor assessment (RECIST version 1.1 criteria) as per BIRC and survival information. If a participant did not had an event at the time of the analysis cut-off or at the start of any new anti-cancer therapy, data was censored at the date of last adequate tumor assessment. PD was defined as at least a 20% increase in the sum of diameter of all measured target lesions, taking as reference the smallest sum of diameter of all target lesions recorded at or after baseline. In addition to the relative increase of 20%, the sum must demonstrate an absolute increase of at least 5 mm^2. From randomization until documented disease progression (PD), initiation of new anti-cancer therapy, censoring date or death, whichever occurred first (up to 35 months)
Secondary Part 1: Overall Survival (OS) Overall survival was defined as the time from the date of randomization to the date of death due to any cause. If a death had not been observed by the date of analysis cutoff, OS was censored at the date of last contact. From randomization until documented disease progression (PD), initiation of new anti-cancer therapy, censoring date or death, whichever occurred first (up to 38 months)
Secondary Part 1: Percentage of Participants With Adverse Events (AEs) and Serious Adverse Events (SAEs) as Graded by National Cancer Institute Common Terminology Criteria (NCI-CTCAE), Version 4.03 AE was any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. SAE was any untoward medical occurrence at any dose that results in death; is life-threatening; requires inpatient hospitalization/prolongation of existing hospitalization; results in persistent/significant disability/incapacity; results in congenital anomaly/birth defect or that is considered to be important medical event. As per NCI-CTCAE version 4.03, severity was graded as Grade 1: asymptomatic/mild symptoms, clinical/diagnostic observations only; Grade 2: moderate, minimal, local/noninvasive intervention indicated, limiting age-appropriate instrumental activities of daily life (ADL); Grade 3: severe/medically significant but not immediately life-threatening, hospitalization/prolongation of existing hospitalization indicated, disabling, limiting self-care ADL; Grade 4: life-threatening consequence; Grade 5: death. AEs of all grades were reported. Baseline up to 30 days from last dose of study drug (up to 30 months), excluding Part 1: LGX818 300 mg group; up to 36 months for Part 1 LGX 300 mg group
Secondary Part 1: Number of Participants With Clinically Notable Shift From Baseline in Laboratory Parameter Values Based on National Cancer Institute Common Terminology Criteria (NCI-CTCAE) Grade, Version 4.03 Number of participants with clinically notable shift from baseline in laboratory parameter values based on national cancer institute common terminology criteria (NCI-CTCAE) grade, Version 4.03 were graded from Grades 1 to 5. Grade 1: Mild; asymptomatic or mild symptoms; clinical or diagnostic observations only; intervention not indicated. Grade 2: Moderate; minimal, local or noninvasive intervention indicated. Grade 3: Severe or medically significant but not immediately life-threatening; hospitalization or prolongation of hospitalization indicated. Grade 4: Life-threatening consequences; urgent intervention indicated. Grade 5: Death. Clinically notable shift from baseline in laboratory parameter = worsening by at least 2 grades or to >=grade 3. Baseline up to 30 days from last dose of study drug (up to 30 months), excluding Part 1: LGX818 300 mg group; up to 36 months for Part 1 LGX 300 mg group
Secondary Part 1: Number of Participants With Newly Occurring Notably Abnormal Vital Signs Notably abnormal vital signs were: Low/high systolic blood pressure (SBP) (millimeter of mercury [mmHg]): less than or equal to (<=) 90 mmHg with decrease from baseline of greater than or equal to (>=) 20 mmHg/>= 160 mmHg with increase from baseline of >=20 mmHg. Low/high diastolic blood pressure (DBP) [mmHg]: <= 50 mmHg with decrease from baseline of >=15 mmHg/>=100 mmHg with increase from baseline of >=15 mmHg. Low/high Pulse rate: <=50 beats per minute (bpm) with decrease from baseline of >=15 bpm/>= 120 bpm with increase from baseline of >=15 bpm. Low/high Weight [kilogram]: >=20 percent (%) decrease from baseline/>= 10% increase from baseline. Low/high Body temperature degree Celsius (C): <= 36 degree C/>= 37.5 degree C. Baseline up to 30 days from last dose of study drug (up to 30 months), excluding Part 1: LGX818 300 mg group; up to 36 months for Part 1 LGX 300 mg group
Secondary Part 1: Number of Participants With Newly Occurring Notable Electrocardiogram (ECG) Values Newly occurring notable ECG values were reported for QT (millisecond [ms]), QTcF (millisecond), QTcB (millisecond) and heart rate (beats per minute). Newly occurring was defined as participants not meeting criterion at baseline and meeting criterion post-baseline. Ranges for newly occurring notable ECG values (QT, QTcF, QTcB) are New greater than (>) 450, New >480, New >500, Increase from baseline >30, Increase from baseline >60. Heart rate: New <60, New >100 was considered as newly occurring notable value. Baseline up to 30 days from last dose of study drug (up to 30 months), excluding Part 1: LGX818 300 mg group; up to 36 months for Part 1 LGX 300 mg group
Secondary Part 1: Number of Participants With Worst Post-baseline Left Ventricular Dysfunction Events (LVEF) Values by Multigated Acquisition (MUGA) Scans or Transthoracic Echocardiograms (ECHO), by CTCAE Grade Participants with worst post-baseline LVEF Values were graded as Grade 0: Non missing value below Grade 2; Grade 2: LVEF between 40% and 50% or absolute reduction from baseline >=10% and < 20%; Grade 3: LVEF between 20% and 39% or absolute reduction from baseline >=20%; Grade 4: LVEF lower than 20%. Baseline was defined as the last non-missing value prior to the first dose of study treatment. Missing data were due to participants who died or withdrew consent prior to the first scheduled evaluation or missed evaluations as protocol deviations. Baseline up to 30 days from last dose of study drug (up to 30 months), excluding Part 1: LGX818 300 mg group; up to 36 months for Part 1 LGX 300 mg group
Secondary Part 1: Number of Participants With Dermatologic-related Adverse Events of Special Interest (AESI) Graded According to the National Cancer Institute Common Terminology Criteria (NCI-CTCAE) v4.03 AESI consisted of events for which there was a specific clinical interest with regard to LGX818 and/or MEK162 treatment. Dermatologic-related AESI included rash, photosensitivity, nail disorders, skin infections, severe cutaneous adverse reactions and Palmar-plantar erythrodysaesthesia (PPE) syndrome. As per NCI-CTCAE version 4.03, severity was graded as Grade 1: asymptomatic/mild symptoms, clinical/diagnostic observations only, intervention not indicated; Grade 2: moderate, minimal, local/noninvasive intervention indicated, limiting age-appropriate instrumental ADL; Grade 3: severe/medically significant but not immediately life-threatening, hospitalization/prolongation of existing hospitalization indicated, disabling, limiting self-care ADL; Grade 4: life-threatening consequence, urgent intervention indicated; Grade 5: death related to AE. AEs of grade 3 or 4 are reported in this outcome measure. Baseline up to 30 days from last dose of study drug (up to 30 months), excluding Part 1: LGX818 300 mg group; up to 36 months for Part 1 LGX 300 mg group
Secondary Part 1: Number of Participants With Ocular-related Adverse Events of Special Interest (AESI) Graded According to the National Cancer Institute Common Terminology Criteria (NCI-CTCAE) v4.03 AESI consisted of events for which there was a specific clinical interest with regard to LGX818 and/or MEK162 treatment. Ocular-related AESI included retinopathy excluding retinal vein occlusion (RVO), RVO and uveitis-type events. As per NCI-CTCAE version 4.03, severity was graded as Grade 1: asymptomatic/mild symptoms, clinical/diagnostic observations only, intervention not indicated; Grade 2: moderate, minimal, local/noninvasive intervention indicated, limiting age-appropriate instrumental ADL; Grade 3: severe/medically significant but not immediately life-threatening, hospitalization/prolongation of existing hospitalization indicated, disabling, limiting self-care ADL; Grade 4: life-threatening consequence, urgent intervention indicated; Grade 5: death related to AE. AEs of grade 3 or 4 are reported in this outcome measure. Baseline up to 30 days from last dose of study drug (up to 30 months), excluding Part 1: LGX818 300 mg group; up to 36 months for Part 1 LGX 300 mg group
Secondary Part 2: Percentage of Participants With Adverse Events (AEs) and Serious Adverse Events (SAEs) as Graded by National Cancer Institute Common Terminology Criteria (NCI-CTCAE), Version 4.03 AE was any untoward medical occurrence in a participant who received study drug without regard to possibility of causal relationship. SAE was any untoward medical occurrence at any dose that results in death; is life-threatening; requires inpatient hospitalization/prolongation of existing hospitalization; results in persistent/significant disability/incapacity; results in congenital anomaly/birth defect or that is considered to be important medical event. As per NCI-CTCAE version 4.03, severity was graded as Grade 1: asymptomatic/mild symptoms, clinical/diagnostic observations only; Grade 2: moderate, minimal, local/noninvasive intervention indicated, limiting age-appropriate instrumental activities of daily life (ADL); Grade 3: severe/medically significant but not immediately life-threatening, hospitalization/prolongation of existing hospitalization indicated, disabling, limiting self-care ADL; Grade 4: life-threatening consequence; Grade 5: death. AEs of all grades were reported. Baseline up to 30 days after last dose of study drug (up to 36 months)
Secondary Part 2: Number of Participants With Clinically Notable Shift From Baseline in Laboratory Parameter Values Based on National Cancer Institute Common Terminology Criteria (NCI-CTCAE) Grade, Version 4.0 Number of participants with clinically notable shift from baseline in laboratory parameter values based on national cancer institute common terminology criteria (NCI-CTCAE) grade, Version 4.0 were graded from Grades 1 to 5. Grade 1: Mild; asymptomatic or mild symptoms; clinical or diagnostic observations only; intervention not indicated. Grade 2: Moderate; minimal, local or noninvasive intervention indicated. Grade 3: Severe or medically significant but not immediately life-threatening; hospitalization or prolongation of hospitalization indicated. Grade 4: Life-threatening consequences; urgent intervention indicated. Grade 5: Death. Clinically notable shift from baseline in laboratory parameter = worsening by at least 2 grades or to >=grade 3. Baseline up to 30 days after last dose of study drug (up to 36 months)
Secondary Part 2: Number of Participants With Newly Occurring Notably Abnormal Vital Signs Notably abnormal vital signs were: Low/high systolic blood pressure (SBP) in millimeter of mercury (mmHg): less than or equal to (<=) 90 mmHg with decrease from baseline of greater than or equal to (>=) 20 mmHg/>= 160 mmHg with increase from baseline of >=20 mmHg, Low/high diastolic blood pressure (DBP) [mmHg]: <=50 mmHg with decrease from baseline of >=15 mmHg/>=100 mmHg with increase from baseline of >=15 mmHg, Low/high pulse rate [bpm]: <=50 bpm with decrease from baseline of >=15 bpm/>=120 bpm with increase from baseline of >=15 bpm, Low/high weight (kg): >=20 % decrease from baseline/>= 10% increase from baseline Low/high Body temperature degree C): <= 36°C/>= 37.5 degree C. Baseline up to 30 days after last dose of study drug (up to 36 months)
Secondary Part 2: Number of Participants With Newly Occurring Notable ECG Values Newly occurring notable ECG values were reported for QT (ms), QTcF (ms), QTcB (ms) and heart rate (bpm). Newly occurring was defined as participants not meeting criterion at baseline and meeting criterion post-baseline. Ranges for newly occurring notable ECG values (QT, QTcF, QTcB) are New >450, New >480, New >500, increase from baseline >30, Increase from baseline >60. Heart rate: New < 60, New >100 was considered as newly occurring notable value. Baseline up to 30 days after last dose of study drug (up to 36 months)
Secondary Part 2: Number of Participants With Worst Post-baseline Left Ventricular Dysfunction Events (LVEF) Values by Multigated Acquisition (MUGA) Scans or Transthoracic Echocardiograms (ECHO), by CTCAE Grade Participants with worst post-baseline LVEF Values were graded as Grade 0: Non missing value below Grade 2; Grade 2: LVEF between 40% and 50% or absolute reduction from baseline >=10% and < 20%;Grade 3: LVEF between 20% and 39% or absolute reduction from baseline >=20%; Grade 4: LVEF lower than 20%. Baseline was defined as the last non-missing value prior to the first dose of study treatment. Missing data were due to participants who died or withdrew consent prior to the first scheduled evaluation or missed evaluations as protocol deviations. Baseline up to 30 days after last dose of study drug (up to 36 months)
Secondary Part 2: Number of Participants With Dermatologic-related Adverse Events of Special Interest (AESI) Graded According to the National Cancer Institute Common Terminology Criteria (NCI-CTCAE) v4.03 AESI consisted of events for which there was a specific clinical interest with regard to LGX818 and/or MEK162 treatment. Dermatologic-related AESI included rash, photosensitivity, nail disorders, skin infections, severe cutaneous adverse reactions and PPE syndrome. As per NCI-CTCAE version 4.03, severity was graded as Grade 1: asymptomatic/mild symptoms, clinical/diagnostic observations only, intervention not indicated; Grade 2: moderate, minimal, local/noninvasive intervention indicated, limiting age-appropriate instrumental ADL; Grade 3: severe/medically significant but not immediately life-threatening, hospitalization/prolongation of existing hospitalization indicated, disabling, limiting self-care ADL; Grade 4: life-threatening consequence, urgent intervention indicated; Grade 5: death related to AE. AEs of grade 3 or 4 are reported are reported in this outcome measure. Baseline up to 30 days after last dose of study drug (up to 36 months)
Secondary Part 2: Number of Participants With Ocular-related Adverse Events of Special Interest (AESI) Graded According to the National Cancer Institute Common Terminology Criteria (NCI-CTCAE) v4.03 AESI consisted of events for which there was a specific clinical interest with regard to LGX818 and/or MEK162 treatment. Ocular-related AESI included retinopathy excluding RVO, RVO and uveitis-type events. As per NCI-CTCAE version 4.03, severity was graded as Grade 1: asymptomatic/mild symptoms, clinical/diagnostic observations only, intervention not indicated; Grade 2: moderate, minimal, local/noninvasive intervention indicated, limiting age-appropriate instrumental ADL; Grade 3: severe/medically significant but not immediately life-threatening, hospitalization/prolongation of existing hospitalization indicated, disabling, limiting self-care ADL; Grade 4: life-threatening consequence, urgent intervention indicated; Grade 5: death related to AE. AEs of grade 3 or 4 are reported in this outcome measure. Baseline up to 30 days after last dose of study drug (up to 36 months)
Secondary Part 2: Overall Survival (OS) From randomization until documented disease progression (PD), initiation of new anti-cancer therapy, censoring date or death, whichever occurred first (up to 38 months)
Secondary Part 1 and Part 2: Objective Response Rate (ORR) ORR, calculated as the percentage of participants with a best overall response of complete response (CR) or partial response (PR). CR was defined as disappearance of all non-nodal target lesions. In addition, any pathological lymph nodes assigned as target lesions must have a reduction in short axis to < 10 mm. PR was defined as at least a 30% decrease in the sum of diameter of all target lesions, taking as reference the baseline sum of diameters. Results are reported for confirmed BIRC response. From randomization until disease progression, censoring date or death, whichever occurred first (up to 29 months for Part 1, excluding Part 1: LGX818 300 mg group; up to 35 months for Part 2 and Part 1 LGX 300 mg group)
Secondary Part 1 and Part 2: Time to Objective Response (TTR) TTR was the time between date of randomization until first documented response of CR or PR. Participants who did not achieve a PR or CR were censored at the last adequate tumor assessment date when they did not have a PFS event or at maximum follow-up (i.e. first patient first visit [FPFV] to last patient last visit [LPLV] used for the analysis) when they had a PFS event. CR was defined as disappearance of all non-nodal target lesions. In addition, any pathological lymph nodes assigned as target lesions must have a reduction in short axis to <10 mm. PR was defined as at least a 30% decrease in the sum of diameter of all target lesions, taking as reference the baseline sum of diameters. TTR was estimated in the treatment arms using a Kaplan-Meier method. TTR was based on central review. From randomization until disease progression, censoring date or death, whichever occurred first (up to 29 months for Part 1, excluding Part 1: LGX818 300 mg group; up to 35 months for Part 2 and Part 1 LGX 300 mg group)
Secondary Part 1 and Part 2: Disease Control Rate (DCR) DCR was calculated as the percentage of participants with a best overall response (BOR) of CR, PR, or stable disease (SD). CR was defined as disappearance of all non-nodal target lesions. In addition, any pathological lymph nodes assigned as target lesions must have a reduction in short axis to <10 mm. PR was defined as at least a 30% decrease in the sum of diameter of all target lesions, taking as reference the baseline sum of diameters. Two sets of DCR were considered, one for confirmed and one for unconfirmed responses. Results are reported for confirmed and unconfirmed responses combined. SD: Neither sufficient shrinkage to qualify for PR or CR nor an increase in lesions which would qualify for PD. DCR was based on central review. From randomization until disease progression or death, whichever occurred first (up to 29 months for Part 1, excluding Part 1: LGX818 300 mg group; up to 35 months for Part 2 and Part 1 LGX 300 mg group)
Secondary Part 1 and Part 2: Duration of Response (DOR) DOR was calculated, as the time from the date of first documented response (CR or PR) to the first documented progression or death due to underlying cancer. DOR was estimated for responders (i.e. participants achieving at least once CR or PR) only using a Kaplan-Meier method. CR was defined as disappearance of all non-nodal target lesions. In addition, any pathological lymph nodes assigned as target lesions must have a reduction in short axis to <10 mm. PR was defined as at least a 30% decrease in the sum of diameter of all target lesions, taking as reference the baseline sum of diameters. If a participant with a CR or PR had no progression or death due to underlying disease, the participant was censored at the date of last adequate tumor assessment. Results are based on confirmed BIRC response. From randomization until disease progression, censoring date or death, whichever occurred first (up to 29 months for Part 1, excluding Part 1: LGX818 300 mg group; up to 35 months for Part 2 and Part 1 LGX 300 mg group)
Secondary Part 1 and Part 2: Time to Definitive 10% Deterioration in the Function Assessment Cancer Therapy-melanoma (FACT-M) Subscale FACT-M:melanoma specific questionnaire to assess participant health-related quality of life. Melanoma specific subscale consists of 16 items related to signs,symptoms,physical/social activities most relevant to participants with advanced-stage melanoma. Other items include physical, functional and social/family well-being (7 items each),emotional well-being (6 items),surgery specific concerns related to melanoma(8 items,not included in this study). Each item range from 0(not at all) to 4(very much), combined to produce subscale scores.Total score range for FACT-M excluding surgery specific items is 0 to 172,higher scores represent better quality of life.Melanoma subscale score range from 0(worst response) to 64(best response),higher score indicated better quality of life. Time to definitive 10% deterioration:time from date of randomization to date of event with at least 10% relative to baseline worsening of corresponding scale score with no later improvement or death due to any cause. Date of randomization to date of event or death due to any cause, which ever occurred first (up to 29 months for Part 1, excluding Part 1: LGX818 300 mg group; up to 35 months for Part 2 and Part 1 LGX 300 mg group)
Secondary Part 1 and Part 2: Time to Definitive 10% Deterioration in the Global Health Status Score of the European Organization for Research and Treatment of Cancer's Core Quality of Life Questionnaire (EORTC QLQ-C30) EORTC QLQ-C30 is 30 item questionnaire composed of 5 multi-item functional subscales (physical, role, cognitive, emotional, social functioning), 3 multi-item symptom scales (fatigue, nausea/vomiting, and pain), global health/quality of life (QOL) subscale and 6 single items assessing other cancer related symptoms (dyspnea, sleep disturbance, appetite, diarrhea, constipation and financial impact of cancer). It employed twenty-eight 4 point Likert scales with responses from "not at all" to "very much" and two 7 point Likert scales for global health and overall QOL. Global health status scale score ranged from 0 to 100. Higher score represented better level of functioning. Time to definitive 10% deterioration: time from date of randomization to date of event with at least 10% relative to baseline worsening of corresponding scale score with no later improvement or death due to any cause. Date of randomization to date of event or death due to any cause, which ever occurred first (maximum up to 29 months for Part 1, excluding Part 1: LGX818 300 mg group; up to 35 months for Part 2 and Part 1 LGX 300 mg group)
Secondary Part 1 and Part 2: Change From Baseline in the Function Assessment Cancer Therapy-melanoma (FACT-M) Subscale at Day 1 of Cycle 3, 5, 7, 9, 11, 13, 15, 17, 19, 21, 23, 25 and End of Treatment Visit FACT-M: melanoma specific questionnaire to assess participant health-related quality of life. Melanoma specific subscale consists of 16 items related to signs, symptoms, physical/social activities most relevant to participants with advanced-stage melanoma. Other items include physical, functional and social/family well-being (7 items each),emotional well-being (6 items),surgery specific concerns related to melanoma(8 items, not included in this study). Each item range from 0(not at all) to 4(very much), combined to produce subscale scores. Total score range for FACT-M excluding surgery specific items is 0 to 172,higher scores represented better quality of life. Melanoma subscale score range from 0(worst response) to 64(best response),higher score indicated better quality of life. Baseline (Day 1 of Cycle 1), Day 1 of Cycle 3, 5, 7, 9, 11, 13, 15, 17, 19, 21, 23, 25 and end of treatment visit (within14 days after the last dose of study drug)
Secondary Part 1 and Part 2: Change From Baseline in EuroQoL-5 Dimension-5 Level (EQ-5D-5L) Index Score at Day 1 of Cycle 3, 5, 7, 9, 11, 13, 15, 17, 19, 21, 23, 25 and End of Treatment Visit EQ-5D-5L is a standardized participant completed questionnaire that measures health status in terms of a single index value or utility score. EQ-5D-5L consisted of two components: a health state profile (descriptive system) and a visual analogue scale (VAS) in which participants rate their overall health status from 0 (worst imaginable) to 100 (best imaginable), where higher scores indicated better health status. EQ-5D health state profile is comprised of 5 dimensions: mobility, self-care, usual activities, pain/discomfort and anxiety/depression. Each dimension has 5 response levels: 1=no problems, 2=slight problems, 3=moderate problems, 4=severe problems and 5=extreme problems. EQ-5D-5L health status index score range between 0 to 1. Higher score indicated better health status. Baseline (Day 1 of Cycle 1), Day 1 of Cycle 3, 5, 7, 9, 11, 13, 15, 17, 19, 21, 23, 25 and end of treatment visit (within14 days after the last dose of study drug)
Secondary Part 1 and Part 2: Change From Baseline in Global Health Status Score of EORTC QLQ-C30 at Day 1 of Cycle 3, 5, 7, 9, 11, 13, 15, 17, 19, 21, 23, 25 and End of Treatment Visit EORTC QLQ-C30 contains 30 items and is composed of multi-item and single-item measures. These include 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 (QOL) scale. The questionnaire employs 28 4-point Likert scales with responses from "not at all" to "very much" and two 7-point Likert scales for global health and overall QOL. Responses to all items converted to 0 to 100 scale. For functional and global QOL scales, higher scores represent a better level of functioning/QOL. For symptom-oriented scales, a higher score represents more severe symptoms. Baseline (Day 1 of Cycle 1), Day 1 of Cycle 3, 5, 7, 9, 11, 13, 15, 17, 19, 21, 23, 25 and end of treatment visit (within14 days after the last dose of study drug)
Secondary Part 1 and Part 2: Change From Baseline in Emotional Functioning Scale Score of the EORTC QLQ-C30 at Day 1 of Cycle 3, 5, 7, 9, 11, 13, 15, 17, 19, 21, 23, 25 and End of Treatment Visit EORTC QLQ-C30 contains 30 items and is composed of multi-item and single-item measures. These include 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 (QOL) scale. The questionnaire employs 28 4-point Likert scales with responses from "not at all" to "very much" and two 7-point Likert scales for global health and overall QOL. Responses to all items converted to 0 to 100 scale. For functional and global QOL scales, higher scores represent a better level of functioning/QOL. For symptom-oriented scales, a higher score represented more severe symptoms. Baseline (Day 1 of Cycle 1), Day 1 of Cycle 3, 5, 7, 9, 11, 13, 15, 17, 19, 21, 23, 25 and end of treatment visit (within14 days after the last dose of study drug)
Secondary Part 1 and Part 2: Change From Baseline in Physical Functioning Scale Score of the EORTC QLQ-C30 at Day 1 of Cycle 3, 5, 7, 9, 11, 13, 15, 17, 19, 21, 23, 25 and End of Treatment Visit EORTC QLQ-C30 contains 30 items and is composed of multi-item and single-item measures. These include 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 (QOL) scale. The questionnaire employs 28 4-point Likert scales with responses from "not at all" to "very much" and two 7-point Likert scales for global health and overall QOL. Responses to all items converted to 0 to 100 scale. For functional and global QOL scales, higher scores represented a better level of functioning/QOL. For symptom-oriented scales, a higher score represented more severe symptoms. Baseline (Day 1 of Cycle 1), Day 1 of Cycle 3, 5, 7, 9, 11, 13, 15, 17, 19, 21, 23, 25 and end of treatment visit (within14 days after the last dose of study drug)
Secondary Part 1 and Part 2: Change From Baseline in Social Functioning Scale Score of the EORTC QLQ-C30 at Day 1 of Cycle 3, 5, 7, 9, 11, 13, 15, 17, 19, 21, 23, 25 and End of Treatment Visit EORTC QLQ-C30 contains 30 items and is composed of multi-item and single-item measures. These include 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 (QOL) scale. The questionnaire employs 28 4-point Likert scales with responses from "not at all" to "very much" and two 7-point Likert scales for global health and overall QOL. Responses to all items converted to 0 to 100 scale. For functional and global QOL scales, higher scores represented a better level of functioning/QOL. For symptom-oriented scales, a higher score represented more severe symptoms. Baseline (Day 1 of Cycle 1), Day 1 of Cycle 3, 5, 7, 9, 11, 13, 15, 17, 19, 21, 23, 25 and end of treatment visit (within14 days after the last dose of study drug)
Secondary Part 1 and Part 2: Number of Participants With Change From Baseline in Eastern Cooperative Oncology Group Performance Status (ECOG PS) ECOG: participant's performance status was measured on a 6-point scale: 0= fully active/able to carry on all pre-disease activities without restriction; 1= restricted in physically strenuous activity but ambulatory and able to carry out work of a light and sedentary nature; 2= ambulatory and capable of all self-care, but unable to carry out any work activities, up and about more than 50% of waking hours; 3= capable of only limited self-care, confined to bed/chair >50% of waking hours; 4= completely disabled, cannot carry on any self-care, totally confined to bed/chair: 5= dead. Part 1 and Part 2: Baseline, Day 1 of each cycle (Cycle 2 to Cycle 31)
Secondary Part 1: Plasma Concentrations of LGX 818 Cycle 1 Day 1: pre-dose, 0.5, 1.5, 4 to 8 hours post dose; Cycle 2 Day 1: pre-dose; Cycle 3 Day 1: pre-dose
Secondary Part 2: Plasma Concentrations of LGX 818 Cycle 1 Day 1: pre-dose, 0.5, 1.5, 4 to 8 hours post dose; Cycle 2 Day 1: pre-dose; Cycle 3 Day 1: pre-dose
Secondary Part 1: Plasma Concentrations of MEK162 Cycle 1 Day 1: pre-dose, 0.5, 1.5, 4 to 8, hours post dose; Cycle 2 Day 1: pre-dose; Cycle 3 Day 1: pre-dose
Secondary Part 2: Plasma Concentrations of MEK162 Cycle 1 Day 1: pre-dose, 0.5, 1.5, 4 to 8, hours post dose; Cycle 2 Day 1: pre-dose; Cycle 3 Day 1: pre-dose
Secondary Part 1 and Part 2: Time to Definitive 1 Point Deterioration in Eastern Cooperative Oncology Group Performance Status (ECOG PS) ECOG: participant's performance status was measured on a 6-point scale: 0= fully active/able to carry on all pre-disease activities without restriction; 1= restricted in physically strenuous activity but ambulatory and able to carry out work of a light and sedentary nature; 2= ambulatory and capable of all self-care, but unable to carry out any work activities, up and about more than 50 percent (%) of waking hours; 3= capable of only limited self-care, confined to bed/chair >50% of waking hours; 4= completely disabled, cannot carry on any self-care, totally confined to bed/chair: 5= dead. Definitive deterioration was defined as death due to any cause or decrease in ECOG PS by at least one category from baseline score with no subsequent improvement. Baseline up to 30 days from last dose of study drug (up to 30 months for Part 1, excluding Part 1: LGX818 300 mg group; up to 36 months for Part 2 and Part 1 LGX 300 mg group)
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