Trial Outcomes & Findings for Molecularly Targeted Therapy in Treating Patients With BRAF Wild-type Melanoma That is Metastatic (NCT NCT02094872)

NCT ID: NCT02094872

Last Updated: 2020-01-02

Results Overview

The best overall response rate (BORR) was assessed up to 1 year.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

49 participants

Primary outcome timeframe

Up to 1 year

Results posted on

2020-01-02

Participant Flow

Based on the initial 23 patients enrolled on this study who underwent molecular profiling and tumor board evaluation, 20 were assigned MEK162 by the tumor board. Patients not assigned MEK162 still received their assigned treatment, but were not considered evaluable for the primary endpoint.

Participant milestones

Participant milestones
Measure
Arm I (Molecularly Targeted Therapy)
Patients undergo collection of tissue and blood samples for DNA and RNA analysis via sequencing. Based on the results of the DNA and RNA analysis, patients receive molecularly targeted therapy. Treatment continues in the absence of disease progression or unacceptable toxicity. cytology specimen collection procedure: Undergo collection of tissue and blood samples MEK 162 therapy or molecularly targeted therapy: molecularly targeted therapy, MEK 162 therapy therapeutic procedure laboratory biomarker analysis: Correlative studies quality-of-life assessment: Ancillary studies
Overall Study
STARTED
49
Overall Study
Received Biopsy
37
Overall Study
Received Tumor-board Recommendation
36
Overall Study
Received Targeted Therapy
20
Overall Study
Received Standard of Care
9
Overall Study
Patients Treated With MEK162
20
Overall Study
COMPLETED
20
Overall Study
NOT COMPLETED
29

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Molecularly Targeted Therapy in Treating Patients With BRAF Wild-type Melanoma That is Metastatic

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Arm I (Molecularly Targeted Therapy)
n=49 Participants
Patients undergo collection of tissue and blood samples for DNA and RNA analysis via sequencing. Based on the results of the DNA and RNA analysis, patients receive molecularly targeted therapy. Treatment continues in the absence of disease progression or unacceptable toxicity. cytology specimen collection procedure: Undergo collection of tissue and blood samples MEK 162 therapy or molecularly targeted therapy: molecularly targeted therapy, MEK 162 therapy therapeutic procedure laboratory biomarker analysis: Correlative studies quality-of-life assessment: Ancillary studies
Age, Customized
30-39
1 Participants
n=5 Participants
Age, Customized
40-49
6 Participants
n=5 Participants
Age, Customized
50-59
10 Participants
n=5 Participants
Age, Customized
60-69
13 Participants
n=5 Participants
Age, Customized
70-79
15 Participants
n=5 Participants
Age, Customized
80-89
4 Participants
n=5 Participants
Sex: Female, Male
Female
23 Participants
n=5 Participants
Sex: Female, Male
Male
26 Participants
n=5 Participants
Race/Ethnicity, Customized
American Indian or Alaskan Native
0 Participants
n=5 Participants
Race/Ethnicity, Customized
Asian or Pacific Islander
0 Participants
n=5 Participants
Race/Ethnicity, Customized
Black, not of Hispanic Origin
2 Participants
n=5 Participants
Race/Ethnicity, Customized
Hispanic
6 Participants
n=5 Participants
Race/Ethnicity, Customized
White, not of Hispanic Origin
43 Participants
n=5 Participants
Race/Ethnicity, Customized
Other/
4 Participants
n=5 Participants
Region of Enrollment
United States
49 participants
n=5 Participants

PRIMARY outcome

Timeframe: Up to 1 year

The best overall response rate (BORR) was assessed up to 1 year.

Outcome measures

Outcome measures
Measure
Arm I (Molecularly Targeted Therapy)
n=20 Participants
Patients undergo collection of tissue and blood samples for DNA and RNA analysis via sequencing. Based on the results of the DNA and RNA analysis, patients receive molecularly targeted therapy. Treatment continues in the absence of disease progression or unacceptable toxicity. cytology specimen collection procedure: Undergo collection of tissue and blood samples MEK 162 therapy or molecularly targeted therapy: molecularly targeted therapy, MEK 162 therapy therapeutic procedure laboratory biomarker analysis: Correlative studies quality-of-life assessment: Ancillary studies
Best Overall Response Rate (BORR)
Progressive Disease
2 Participants
Best Overall Response Rate (BORR)
Stable Disease
17 Participants
Best Overall Response Rate (BORR)
Partial Response
1 Participants

SECONDARY outcome

Timeframe: From start of treatment to time of progression or death, whichever occurs first, assessed up to 1 year

Population: Given the lack of response in this study and the decision to terminate it early, no data for PFS data were collected or analyzed. In addition, with the study amendment removing the second arm, this analysis would not have been possible to conduct.

A log rank test will be performed for the comparison between the two groups.

Outcome measures

Outcome data not reported

Adverse Events

Arm I (Molecularly Targeted Therapy)

Serious events: 48 serious events
Other events: 32 other events
Deaths: 5 deaths

Serious adverse events

Serious adverse events
Measure
Arm I (Molecularly Targeted Therapy)
n=49 participants at risk
Patients undergo collection of tissue and blood samples for DNA and RNA analysis via sequencing. Based on the results of the DNA and RNA analysis, patients receive molecularly targeted therapy. Treatment continues in the absence of disease progression or unacceptable toxicity. cytology specimen collection procedure: Undergo collection of tissue and blood samples MEK 162 therapy or molecularly targeted therapy: molecularly targeted therapy, MEK 162 therapy therapeutic procedure laboratory biomarker analysis: Correlative studies quality-of-life assessment: Ancillary studies
Immune system disorders
Anaphylactic reaction to taxol, hospitalized
2.0%
1/49 • 1 year
Immune system disorders
Allergic reaction to Augmentin; Acute kidney Injury (patient never received drug)
2.0%
1/49 • 1 year
Skin and subcutaneous tissue disorders
Acneiform rash
2.0%
1/49 • 1 year
Skin and subcutaneous tissue disorders
Elevated alkaline phosphatase
2.0%
1/49 • 1 year
Skin and subcutaneous tissue disorders
Elevated aspartate aminotransferase
6.1%
3/49 • 1 year
Skin and subcutaneous tissue disorders
Elevated alanine aminotransferase
2.0%
1/49 • 1 year
Skin and subcutaneous tissue disorders
Transaminitis
2.0%
1/49 • 1 year
Skin and subcutaneous tissue disorders
Creatine phosphokinase elevation
4.1%
2/49 • 1 year
Skin and subcutaneous tissue disorders
Uric acid elevations
2.0%
1/49 • 1 year
Vascular disorders
Hospitalized for hypotension related to adrenal insufficiency
2.0%
1/49 • 1 year
Vascular disorders
Hospitalized for hypotension
2.0%
1/49 • 1 year
Vascular disorders
Hypertension
2.0%
1/49 • 1 year
Vascular disorders
Hospitalized for pulmonary embolism
6.1%
3/49 • 1 year
Vascular disorders
Hypotensive, AKI (patient never received drug)
2.0%
1/49 • 1 year
General disorders
Generalized Weakness
2.0%
1/49 • 1 year
General disorders
Fatigue
4.1%
2/49 • 1 year
General disorders
Weakness and fatigue
2.0%
1/49 • 1 year
General disorders
Hospitalized for generalized weakness
2.0%
1/49 • 1 year
General disorders
Generalized weakness requiring hospitalization; outcome death
2.0%
1/49 • 1 year
Respiratory, thoracic and mediastinal disorders
Hospitalized for pneumonitis
2.0%
1/49 • 1 year
Respiratory, thoracic and mediastinal disorders
Hospitalized for pneumonia, sepsis, outcome death
2.0%
1/49 • 1 year
Gastrointestinal disorders
Hospitalized for Nausea and vomiting
2.0%
1/49 • 1 year
Gastrointestinal disorders
Anemia due to gastric hemorrhage
2.0%
1/49 • 1 year
Gastrointestinal disorders
Hospitalized for abdominal and back pain
2.0%
1/49 • 1 year
Hepatobiliary disorders
Hepatic Failure (patient never received drug)
2.0%
1/49 • 1 year
Surgical and medical procedures
Radical resection of malignant soft tissue tumor (melanoma) on back
2.0%
1/49 • 1 year
Blood and lymphatic system disorders
Hospitalized for anemia
2.0%
1/49 • 1 year
Blood and lymphatic system disorders
Thrombocytopenia
2.0%
1/49 • 1 year
Nervous system disorders
Hospitalized for chronic intractable pain
2.0%
1/49 • 1 year
Nervous system disorders
Headache
2.0%
1/49 • 1 year
Nervous system disorders
Hospitalization for neurological symptoms: brain metastasis
2.0%
1/49 • 1 year
Musculoskeletal and connective tissue disorders
Dropped Head Syndrome
2.0%
1/49 • 1 year
Musculoskeletal and connective tissue disorders
Ocular muscle weakness
2.0%
1/49 • 1 year
Musculoskeletal and connective tissue disorders
Hospitalized for back pain
2.0%
1/49 • 1 year
Metabolism and nutrition disorders
Hyponatremia
8.2%
4/49 • 1 year
Metabolism and nutrition disorders
Hypochloridemia
2.0%
1/49 • 1 year
Infections and infestations
Hospitalized for UTI
2.0%
1/49 • 1 year
Infections and infestations
Enterocolitis infectious (Clostridium difficile)
2.0%
1/49 • 1 year
Infections and infestations
Hospitalized for fever
2.0%
1/49 • 1 year
Infections and infestations
Strep B sepsis
2.0%
1/49 • 1 year

Other adverse events

Other adverse events
Measure
Arm I (Molecularly Targeted Therapy)
n=49 participants at risk
Patients undergo collection of tissue and blood samples for DNA and RNA analysis via sequencing. Based on the results of the DNA and RNA analysis, patients receive molecularly targeted therapy. Treatment continues in the absence of disease progression or unacceptable toxicity. cytology specimen collection procedure: Undergo collection of tissue and blood samples MEK 162 therapy or molecularly targeted therapy: molecularly targeted therapy, MEK 162 therapy therapeutic procedure laboratory biomarker analysis: Correlative studies quality-of-life assessment: Ancillary studies
Blood and lymphatic system disorders
Anemia
22.4%
11/49 • 1 year
Blood and lymphatic system disorders
Blood and lymphatic system disorders - Other
10.2%
5/49 • 1 year
Blood and lymphatic system disorders
Leukocytosis
2.0%
1/49 • 1 year
Cardiac disorders
Cardiac disorders - Other
4.1%
2/49 • 1 year
Cardiac disorders
Sinus bradycardia
2.0%
1/49 • 1 year
Ear and labyrinth disorders
Hearing impaired
2.0%
1/49 • 1 year
Ear and labyrinth disorders
Tinnitus
2.0%
1/49 • 1 year
Endocrine disorders
Adrenal insufficiency
2.0%
1/49 • 1 year
Endocrine disorders
Endocrine disorders - Other
2.0%
1/49 • 1 year
Endocrine disorders
Hypothyroidism
6.1%
3/49 • 1 year
Eye disorders
Blurred vision
4.1%
2/49 • 1 year
Eye disorders
Cataract
2.0%
1/49 • 1 year
Eye disorders
Conjunctivitis
2.0%
1/49 • 1 year
Eye disorders
Eye disorders - Other
12.2%
6/49 • 1 year
Eye disorders
Glaucoma
2.0%
1/49 • 1 year
Eye disorders
retinal detachment
2.0%
1/49 • 1 year
Eye disorders
watering eyes
2.0%
1/49 • 1 year
Gastrointestinal disorders
Abdominal pain
22.4%
11/49 • 1 year
Gastrointestinal disorders
Ascites
2.0%
1/49 • 1 year
Gastrointestinal disorders
Bloating
2.0%
1/49 • 1 year
Gastrointestinal disorders
Cheilitis
2.0%
1/49 • 1 year
Gastrointestinal disorders
Constipation
28.6%
14/49 • 1 year
Gastrointestinal disorders
Diarrhea
38.8%
19/49 • 1 year
Gastrointestinal disorders
Dry mouth
8.2%
4/49 • 1 year
Gastrointestinal disorders
Dyspepsia
2.0%
1/49 • 1 year
Gastrointestinal disorders
Dysphagia
2.0%
1/49 • 1 year
Gastrointestinal disorders
Esophagitis
2.0%
1/49 • 1 year
Gastrointestinal disorders
Fecal incontinence
2.0%
1/49 • 1 year
Gastrointestinal disorders
Flatulence
4.1%
2/49 • 1 year
Gastrointestinal disorders
Gastrointestinal disorders - Other, specify
24.5%
12/49 • 1 year
Gastrointestinal disorders
Mucositis oral
6.1%
3/49 • 1 year
Gastrointestinal disorders
Nausea
44.9%
22/49 • 1 year
Gastrointestinal disorders
Oral hemorrhage
2.0%
1/49 • 1 year
Gastrointestinal disorders
Oral pain
2.0%
1/49 • 1 year
Gastrointestinal disorders
Rectal hemorrhage
2.0%
1/49 • 1 year
Gastrointestinal disorders
Stomach pain
2.0%
1/49 • 1 year
Gastrointestinal disorders
Vomiting
24.5%
12/49 • 1 year
Gastrointestinal disorders
Lower gastrointestinal hemorrhage
2.0%
1/49 • 1 year
Gastrointestinal disorders
Anal hemorrhage
2.0%
1/49 • 1 year
Gastrointestinal disorders
Gastroesophageal reflux disease
4.1%
2/49 • 1 year
General disorders
Chills
12.2%
6/49 • 1 year
General disorders
Edema face
4.1%
2/49 • 1 year
General disorders
Fatigue
51.0%
25/49 • 1 year
General disorders
Fever
8.2%
4/49 • 1 year
General disorders
Flu like symptoms
6.1%
3/49 • 1 year
General disorders
Gait disturbance
4.1%
2/49 • 1 year
General disorders
General disorders and administration site conditions - Other, specify
24.5%
12/49 • 1 year
General disorders
Pain
2.0%
1/49 • 1 year
General disorders
Edema limbs
30.6%
15/49 • 1 year
General disorders
Infusion related reaction
2.0%
1/49 • 1 year
General disorders
Localized edema
4.1%
2/49 • 1 year
General disorders
Non-cardiac chest pain
2.0%
1/49 • 1 year
Immune system disorders
Anaphylaxis
2.0%
1/49 • 1 year
Infections and infestations
Infections and infestations - Other, specify
2.0%
1/49 • 1 year
Infections and infestations
Paronychia
2.0%
1/49 • 1 year
Infections and infestations
Upper respiratory infection
6.1%
3/49 • 1 year
Infections and infestations
Urinary tract infection
6.1%
3/49 • 1 year
Infections and infestations
Wound infection
2.0%
1/49 • 1 year
Infections and infestations
Mucosal infection
4.1%
2/49 • 1 year
Injury, poisoning and procedural complications
Bruising
2.0%
1/49 • 1 year
Injury, poisoning and procedural complications
Fall
2.0%
1/49 • 1 year
Injury, poisoning and procedural complications
Fracture
2.0%
1/49 • 1 year
Injury, poisoning and procedural complications
Injury, poisoning and procedural complications - Other, specify
4.1%
2/49 • 1 year
Injury, poisoning and procedural complications
Postoperative hemorrhage
2.0%
1/49 • 1 year
Investigations
Alanine aminotransferase increased
14.3%
7/49 • 1 year
Investigations
Alkaline phosphatase increased
6.1%
3/49 • 1 year
Investigations
Aspartate aminotransferase increased
24.5%
12/49 • 1 year
Investigations
Blood bilirubin increased
4.1%
2/49 • 1 year
Investigations
Cardiac troponin I increased
2.0%
1/49 • 1 year
Investigations
Cardiac troponin T increased
2.0%
1/49 • 1 year
Investigations
CPK increased
20.4%
10/49 • 1 year
Investigations
Creatinine increased
12.2%
6/49 • 1 year
Investigations
INR increased
2.0%
1/49 • 1 year
Investigations
Investigations - Other, specify
8.2%
4/49 • 1 year
Investigations
Lymphocyte count decreased
2.0%
1/49 • 1 year
Investigations
Neutrophil count decreased
2.0%
1/49 • 1 year
Investigations
Platelet count decreased
8.2%
4/49 • 1 year
Investigations
Weight gain
6.1%
3/49 • 1 year
Investigations
Weight loss
6.1%
3/49 • 1 year
Investigations
Hemoglobin increased
2.0%
1/49 • 1 year
Metabolism and nutrition disorders
Anorexia
18.4%
9/49 • 1 year
Metabolism and nutrition disorders
Dehydration
8.2%
4/49 • 1 year
Metabolism and nutrition disorders
Hypercalcemia
2.0%
1/49 • 1 year
Metabolism and nutrition disorders
Hyperglycemia
4.1%
2/49 • 1 year
Metabolism and nutrition disorders
Hyperkalemia
2.0%
1/49 • 1 year
Metabolism and nutrition disorders
Hyperuricemia
2.0%
1/49 • 1 year
Metabolism and nutrition disorders
Hypoalbuminemia
12.2%
6/49 • 1 year
Metabolism and nutrition disorders
Hypoglycemia
4.1%
2/49 • 1 year
Metabolism and nutrition disorders
Hypokalemia
8.2%
4/49 • 1 year
Metabolism and nutrition disorders
Hypomagnesemia
8.2%
4/49 • 1 year
Metabolism and nutrition disorders
Hyponatremia
14.3%
7/49 • 1 year
Metabolism and nutrition disorders
Hypophosphatemia
4.1%
2/49 • 1 year
Metabolism and nutrition disorders
Metabolism and nutrition disorders - Other
4.1%
2/49 • 1 year
Musculoskeletal and connective tissue disorders
Arthralgia
6.1%
3/49 • 1 year
Musculoskeletal and connective tissue disorders
Arthritis
2.0%
1/49 • 1 year
Musculoskeletal and connective tissue disorders
Back pain
12.2%
6/49 • 1 year
Musculoskeletal and connective tissue disorders
Bone pain
4.1%
2/49 • 1 year
Musculoskeletal and connective tissue disorders
Flank pain
2.0%
1/49 • 1 year
Musculoskeletal and connective tissue disorders
Musculoskeletal and connective tissue disorder - Other, specify
18.4%
9/49 • 1 year
Musculoskeletal and connective tissue disorders
Myalgia
6.1%
3/49 • 1 year
Musculoskeletal and connective tissue disorders
Neck pain
2.0%
1/49 • 1 year
Musculoskeletal and connective tissue disorders
Pain in extremity
4.1%
2/49 • 1 year
Musculoskeletal and connective tissue disorders
Generalized muscle weakness
10.2%
5/49 • 1 year
Musculoskeletal and connective tissue disorders
Muscle weakness lower limb
4.1%
2/49 • 1 year
Musculoskeletal and connective tissue disorders
Muscle weakness trunk
2.0%
1/49 • 1 year
Musculoskeletal and connective tissue disorders
Muscle weakness upper limb
2.0%
1/49 • 1 year
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Neoplasms benign, malignant and unspecified (incl cysts and polyps) - Other,
2.0%
1/49 • 1 year
Nervous system disorders
Cognitive disturbance
2.0%
1/49 • 1 year
Nervous system disorders
Dizziness
22.4%
11/49 • 1 year
Nervous system disorders
Dysgeusia
10.2%
5/49 • 1 year
Nervous system disorders
Headache
24.5%
12/49 • 1 year
Nervous system disorders
Hypersomnia
2.0%
1/49 • 1 year
Nervous system disorders
Lethargy
2.0%
1/49 • 1 year
Nervous system disorders
Movements involuntary
2.0%
1/49 • 1 year
Nervous system disorders
Nervous system disorders - Other, specify
14.3%
7/49 • 1 year
Nervous system disorders
Peripheral motor neuropathy
4.1%
2/49 • 1 year
Nervous system disorders
Peripheral sensory neuropathy
6.1%
3/49 • 1 year
Nervous system disorders
Syncope
2.0%
1/49 • 1 year
Psychiatric disorders
Anxiety
8.2%
4/49 • 1 year
Psychiatric disorders
Confusion
2.0%
1/49 • 1 year
Psychiatric disorders
Depression
4.1%
2/49 • 1 year
Psychiatric disorders
Insomnia
14.3%
7/49 • 1 year
Renal and urinary disorders
Hematuria
2.0%
1/49 • 1 year
Renal and urinary disorders
Renal and urinary disorders - Other, specify
8.2%
4/49 • 1 year
Renal and urinary disorders
Urinary frequency
12.2%
6/49 • 1 year
Renal and urinary disorders
Urinary incontinence
2.0%
1/49 • 1 year
Renal and urinary disorders
Urinary tract pain
2.0%
1/49 • 1 year
Renal and urinary disorders
Acute kidney injury
2.0%
1/49 • 1 year
Reproductive system and breast disorders
Pelvic pain
2.0%
1/49 • 1 year
Reproductive system and breast disorders
Reproductive system and breast disorders - Other
2.0%
1/49 • 1 year
Respiratory, thoracic and mediastinal disorders
Cough
18.4%
9/49 • 1 year
Respiratory, thoracic and mediastinal disorders
Dyspnea
24.5%
12/49 • 1 year
Respiratory, thoracic and mediastinal disorders
Hiccups
2.0%
1/49 • 1 year
Respiratory, thoracic and mediastinal disorders
Hoarseness
4.1%
2/49 • 1 year
Respiratory, thoracic and mediastinal disorders
Hypoxia
2.0%
1/49 • 1 year
Respiratory, thoracic and mediastinal disorders
Nasal congestion
6.1%
3/49 • 1 year
Respiratory, thoracic and mediastinal disorders
Postnasal drip
4.1%
2/49 • 1 year
Respiratory, thoracic and mediastinal disorders
Productive cough
4.1%
2/49 • 1 year
Respiratory, thoracic and mediastinal disorders
Pulmonary fibrosis
2.0%
1/49 • 1 year
Respiratory, thoracic and mediastinal disorders
Respiratory, thoracic and mediastinal disorders - Other
10.2%
5/49 • 1 year
Respiratory, thoracic and mediastinal disorders
Sore throat
10.2%
5/49 • 1 year
Respiratory, thoracic and mediastinal disorders
Sinus disorder
2.0%
1/49 • 1 year
Skin and subcutaneous tissue disorders
Alopecia
10.2%
5/49 • 1 year
Skin and subcutaneous tissue disorders
Dry skin
14.3%
7/49 • 1 year
Skin and subcutaneous tissue disorders
Erythroderma
4.1%
2/49 • 1 year
Skin and subcutaneous tissue disorders
Hyperhidrosis
2.0%
1/49 • 1 year
Skin and subcutaneous tissue disorders
Pruritus
10.2%
5/49 • 1 year
Skin and subcutaneous tissue disorders
Rash acneiform
28.6%
14/49 • 1 year
Skin and subcutaneous tissue disorders
Rash maculo-papular
14.3%
7/49 • 1 year
Skin and subcutaneous tissue disorders
Skin and subcutaneous tissue disorders - Other, specify
32.7%
16/49 • 1 year
Skin and subcutaneous tissue disorders
Urticaria
2.0%
1/49 • 1 year
Vascular disorders
Hot flashes
2.0%
1/49 • 1 year
Vascular disorders
Hypertension
8.2%
4/49 • 1 year
Vascular disorders
Hypotension
6.1%
3/49 • 1 year
Vascular disorders
Thromboembolic event
4.1%
2/49 • 1 year

Additional Information

Manuel Avedissian, M.D.

Yale University

Phone: 203-737-3669

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place