Metastatic Uveal Melanoma Clinical Trial
Official title:
IDE196 (Darovasertib) in Combination With Crizotinib Versus Investigator's Choice of Treatment as First-line Therapy in HLA-A2 Negative Metastatic Uveal Melanoma (DAR-UM-2)
This is a Phase 2/3, multi-arm, multi-stage, open-label study of human leukocyte antigen (HLA)-A*02:01 negative participants with metastatic uveal melanoma (MUM) who will be randomized to receive either IDE196 + crizotinib or investigator's choice of treatment (pembrolizumab, ipilimumab + nivolumab, or dacarbazine).
Status | Recruiting |
Enrollment | 380 |
Est. completion date | January 15, 2028 |
Est. primary completion date | January 15, 2027 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 18 Years and older |
Eligibility | Inclusion Criteria: - Histological or cytological confirmed Metastatic Uveal Melanoma - HLA-A*02:01 negative - No prior systemic therapy in the metastatic or advanced setting, regional or liver-directed therapy, ablations or surgical resection of oligometastatic disease, or neoadjuvant or adjuvant therapy is allowed - Measurable disease per RECIST 1.1 - Able to be safely administered and absorb study therapy - ECOG performance status 0 or 1 - Life expectancy of =3 months - Adequate organ function Exclusion Criteria: - Previous treatment with a PKC inhibitor (including prior treatment with IDE196), an inhibitor directly targeting MET, or an inhibitor directly targeting GNAQ/11 - Concurrent malignant disease - AEs from prior anti-cancer therapy that have not resolved to Grade =1 - Symptomatic or untreated central nervous system (CNS) metastases, or CNS metastases that require corticosteroids - Active HIV infection or Hep B/C - Active adrenal insufficiency, active colitis, or active inflammatory bowel disease - History of interstitial lung disease, active pneumonitis, or history of pneumonitis - Active infection requiring systemic antibiotic therapy - Use of hematopoietic colony-stimulating factors (CSF) prior to start of study drug - Females who are pregnant or breastfeeding - History of severe hypersensitivity reactions (eg, anaphylaxis) to other biologic drugs or monoclonal antibodies - Contraindication for treatment with investigator's choice therapies as per applicable labelling - Has any other condition that may increase the risk associated with study participation or may interfere with the interpretation of study results and, in the opinion of the investigator, would make the participant inappropriate for entry into the study |
Country | Name | City | State |
---|---|---|---|
Australia | Queen Elizabeth Hospital | Adelaide | |
Australia | Princess Alexander Hospital | Brisbane | Queensland |
Australia | Alfred Health | Melbourne | Victoria |
Australia | Sir Charles Gairdner Hospital | Perth | Western Australia |
Australia | Westmead Hospital | Sydney | New South Wales |
Belgium | Cliniques Universitaires Saint Luc | Brussels | |
Canada | Cross Cancer Institute, University of Alberta | Edmonton | Alberta |
Canada | Centre Hospitalier de l'Universite de Montreal- CHUM | Montréal | Quebec |
Canada | Princess Margaret Cancer Centre | Toronto | Ontario |
France | The Leon Berard Center | Lyon | |
France | Institut Curie | Paris | |
Germany | Charité - Universitätsmedizin Berlin | Berlin | |
Germany | Universitätsklinikum Carl Gustav Carus Dresden | Dresden | Saxony |
Germany | Universitätsklinikum Essen (AöR) | Essen | North Rhine-Westphalia |
Germany | NCT Heidelberg | Heidelberg | Baden- Württemberg |
Germany | Universitätsklinikum Köln | Köln | North Rhine-Westphalia |
Israel | Hadassah Medical Center | Jerusalem | |
Israel | Sheba Medical Center | Ramat-Gan | |
Italy | Fondazione IRCCS Istituto Nazionale dei Tumori | Milano | |
Italy | Istituto Nazionale dei Tumori Fondazione Pascale | Napoli | |
Italy | Fondazione Policlinico Gemelli IRCCS | Roma | |
Italy | AOUS Policlinico Le Scotte | Siena | |
Netherlands | LUMC (Leids Universitair Medisch Centrum) | Leiden | |
Poland | Osrodek Badan Klinicznych Wczesnych Faz, Uniwersyteckie Centrum Kliniczne w Gdansku | Gdansk | |
Poland | Narodowy Instytut Onkologii im. Marii Sklodowskiej-Curie Panstwowy Instytut Badawczy | Warsaw | |
Spain | Catalan Institute of Oncology | L'Hospitalet de Llobregat | |
Spain | Hospital Universitario La Paz | Madrid | |
Spain | Hospital Clínico Universitario de Santiago de Compostela | Santiago de Compostela | |
Spain | Hospital Universitario Virgen Macarena | Sevilla | |
Spain | Hospital General Universitario Valencia | Valencia | |
Switzerland | Dermatologische Klinik, USZ Flughafen Geschoss 7 - Klinische Forschung | Zuerich | |
United Kingdom | The Beatson West of Scotland Cancer Centre | Glasgow | |
United Kingdom | Mount Vernon Cancer Centre East & North Herts NHS Trust | Northwood | |
United Kingdom | The Clatterbridge Cancer Centre NHS Foundation Trust | Wirral | |
United States | Northside Hospital Atlanta | Atlanta | Georgia |
United States | University of Colorado Cancer Center | Aurora | Colorado |
United States | Dana Farber Cancer Institute | Boston | Massachusetts |
United States | Massachusetts General Hospital | Boston | Massachusetts |
United States | Roswell Park Cancer Institute | Buffalo | New York |
United States | Minnesota Oncology Hematology, P.A. | Burnsville | Minnesota |
United States | University of Cincinnati | Cincinnati | Ohio |
United States | The Cleveland Clinic Foundation | Cleveland | Ohio |
United States | Texas Oncology- DFW | Dallas | Texas |
United States | UT Southwestern Medical Center | Dallas | Texas |
United States | SCRI at HealthONE | Denver | Colorado |
United States | Duke University Health System | Durham | North Carolina |
United States | The Cancer and Hematology Centers | Grand Rapids | Michigan |
United States | Houston Methodist Cancer Center | Houston | Texas |
United States | MD Anderson Cancer Center | Houston | Texas |
United States | University of Iowa | Iowa City | Iowa |
United States | Moores Cancer Center | La Jolla | California |
United States | The Angeles Clinic and Research Institute | Los Angeles | California |
United States | UCLA Medical Center | Los Angeles | California |
United States | Northwell Health | Manhasset | New York |
United States | University of Miami Sylvester Comprehensive Cancer Center | Miami | Florida |
United States | SCRI- Tennessee Oncology | Nashville | Tennessee |
United States | Memorial Sloan Kettering Cancer Center | New York | New York |
United States | Thomas Jefferson University | Philadelphia | Pennsylvania |
United States | University of Pittsburgh Medical Center | Pittsburgh | Pennsylvania |
United States | Mayo Clinic | Rochester | Minnesota |
United States | Washington University School of Medicine | Saint Louis | Missouri |
United States | California Pacific Medical Center (CPMC) | San Francisco | California |
United States | University of California San Francisco | San Francisco | California |
United States | Honor Health | Scottsdale | Arizona |
United States | Moffitt Cancer Center | Tampa | Florida |
Lead Sponsor | Collaborator |
---|---|
IDEAYA Biosciences |
United States, Australia, Belgium, Canada, France, Germany, Israel, Italy, Netherlands, Poland, Spain, Switzerland, United Kingdom,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Progression-Free Survival (PFS) by blinded independent central review (BICR) of IDE196 + Crizotinib compared to investigator's choice of treatment | PFS per RECIST 1.1 | Approximately 2 years | |
Primary | Overall Survival (OS) of IDE196 + Crizotinib compared to investigator's choice of treatment | OS from randomization to date of death due to any cause | Approximately 4 years | |
Secondary | Safety of IDE196 + Crizotinib: Incidence of Adverse Events | Treatment emergent adverse events will be summarized by all AEs, all Grade 3-4-5 AEs, all treatment related AEs, all AEs leading to study drug modifications or discontinuations, all SAEs as measured by CTCAE V5.0 | Approximately 2 years | |
Secondary | Phase 2a: Dose exposure response of IDE196 | Dose-exposure-response of IDE196 as measured by concentration of IDE196 in plasma | Approximately 5 months | |
Secondary | Phase 2a: Dose exposure response of Crizotinib | Dose-exposure-response of Crizotinib as measured by concentration of Crizotinib in plasma | Approximately 5 months | |
Secondary | Progression-Free Survival (PFS) per Investigator of IDE196 + Crizotinib compared to investigator's choice of treatment | PFS per RECIST 1.1 | Approximately 2 years | |
Secondary | Objective Response Rate (ORR) per BICR and Investigator assessment of IDE196 + Crizotinib compared to investigator's choice of treatment | ORR per RECIST 1.1 | Approximately 2 years | |
Secondary | Duration of Response (DOR) per BICR and Investigator assessment of IDE196 + Crizotinib compared to investigator's choice of treatment | DOR per RECIST 1.1 | Approximately 2 years | |
Secondary | Change from baseline over time and between treatment arms in EORTC QLQ-C30 | Global health status and quality of life will be assessed using the EORTC QLQ-C30 questionnaire. The score range for the EORTC QLQ-C30 is from 0 to 100, with higher scores indicating better functioning and better global health status and health-related quality of life. A positive change indicates improvement. | Approximately 2 years | |
Secondary | Change from baseline over time and between treatment arms in EuroQoL (EQ)-5D-5L scores | General health status will be assessed using the EQ-5D,5L questionnaire, which includes five dimensions (5D): mobility, self-care, usual activities, pain/discomfort, and anxiety/depression. Each dimension has 3 scoring levels, where 1 indicates a better health state (no problems) and 3 indicates a worse health state. A positive change indicates improvement. | Approximately 2 years |
Status | Clinical Trial | Phase | |
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