Trial Outcomes & Findings for Safety and Efficacy in Participants With Metastatic BRAF-mutant Melanoma Treated With Encorafenib With and Without Binimetinib in Combination With Nivolumab and Low-dose Ipilimuma (NCT NCT04655157)

NCT ID: NCT04655157

Last Updated: 2024-05-23

Results Overview

Determination of recommended phase II dose (RP2D) of triple therapy in patients treated with 300mg encorafenib, 3mg/kg nivolumab and 1mg/kg ipilimumab via the frequency of DLTs that are classified as either possibly, probably, or definitely related to study treatment according to NCI Common Terminology Criteria for Adverse Events (CTCAE v5.0). Number of distinct patients experiencing Adverse events and DLTs. This will be done with continuous Bayesian toxicity monitoring.

Recruitment status

TERMINATED

Study phase

PHASE1/PHASE2

Target enrollment

2 participants

Primary outcome timeframe

Up to 6 weeks (DLT evaluation period)

Results posted on

2024-05-23

Participant Flow

Participant milestones

Participant milestones
Measure
Phase 1 (Cohort 1): 300mg Encorafenib + 3mg/kg Nivolumab + 1 mg/kg Ipilimumab
Patients will be treated with 300mg encorafenib and 3mg/kg nivolumab and 1 mg/kg ipilimumab (triple therapy). encorafenib: A small molecule BRAF inhibitor that targets key enzymes in the MAPK signaling pathway. nivolumab: A programmed death receptor-1 (PD-1) blocking monoclonal antibody that works by helping the immune system to slow or stop the growth of cancer cells. ipilimumab: A monoclonal antibody medication that works to activate the immune system by targeting CTLA-4, a protein receptor that downregulates the immune system.
Phase 1 (Cohort 2): 450mg Encorafenib + 45mg Binimetinib + 3mg/kg Nivolumab + 1mg/kg Ipilimumab
Patients will be treated with 450mg encorafenib, 45mg binimetinib, 3mg/kg nivolumab and 1mg/kg ipilimumab (quadruple therapy). encorafenib: A small molecule BRAF inhibitor that targets key enzymes in the MAPK signaling pathway. nivolumab: A programmed death receptor-1 (PD-1) blocking monoclonal antibody that works by helping the immune system to slow or stop the growth of cancer cells. ipilimumab: A monoclonal antibody medication that works to activate the immune system by targeting CTLA-4, a protein receptor that downregulates the immune system. binimetinib: A small molecule, selective inhibitor of MEK, a central kinase in the tumor-promoting MAPK pathway that may stop the growth of tumor cells by blocking some of the enzymes needed for cell growth.
Overall Study
STARTED
1
1
Overall Study
COMPLETED
1
1
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Safety and Efficacy in Participants With Metastatic BRAF-mutant Melanoma Treated With Encorafenib With and Without Binimetinib in Combination With Nivolumab and Low-dose Ipilimuma

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Phase 1 (Cohort 1): 300mg Encorafenib + 3mg/kg Nivolumab + 1 mg/kg Ipilimumab
n=1 Participants
Patients will be treated with 300mg encorafenib and 3mg/kg nivolumab and 1 mg/kg ipilimumab (triple therapy). encorafenib: A small molecule BRAF inhibitor that targets key enzymes in the MAPK signaling pathway. nivolumab: A programmed death receptor-1 (PD-1) blocking monoclonal antibody that works by helping the immune system to slow or stop the growth of cancer cells. ipilimumab: A monoclonal antibody medication that works to activate the immune system by targeting CTLA-4, a protein receptor that downregulates the immune system.
Phase 1 (Cohort 2): 450mg Encorafenib + 45mg Binimetinib + 3mg/kg Nivolumab + 1mg/kg Ipilimumab
n=1 Participants
Patients will be treated with 450mg encorafenib, 45mg binimetinib, 3mg/kg nivolumab and 1mg/kg ipilimumab (quadruple therapy). encorafenib: A small molecule BRAF inhibitor that targets key enzymes in the MAPK signaling pathway. nivolumab: A programmed death receptor-1 (PD-1) blocking monoclonal antibody that works by helping the immune system to slow or stop the growth of cancer cells. ipilimumab: A monoclonal antibody medication that works to activate the immune system by targeting CTLA-4, a protein receptor that downregulates the immune system. binimetinib: A small molecule, selective inhibitor of MEK, a central kinase in the tumor-promoting MAPK pathway that may stop the growth of tumor cells by blocking some of the enzymes needed for cell growth.
Total
n=2 Participants
Total of all reporting groups
Age, Continuous
32 years
n=5 Participants
65 years
n=7 Participants
48.5 years
n=5 Participants
Sex: Female, Male
Female
1 Participants
n=5 Participants
1 Participants
n=7 Participants
2 Participants
n=5 Participants
Sex: Female, Male
Male
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
1 Participants
n=5 Participants
1 Participants
n=7 Participants
2 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
White
1 Participants
n=5 Participants
1 Participants
n=7 Participants
2 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants

PRIMARY outcome

Timeframe: Up to 6 weeks (DLT evaluation period)

Population: Patients that received treatment

Determination of recommended phase II dose (RP2D) of triple therapy in patients treated with 300mg encorafenib, 3mg/kg nivolumab and 1mg/kg ipilimumab via the frequency of DLTs that are classified as either possibly, probably, or definitely related to study treatment according to NCI Common Terminology Criteria for Adverse Events (CTCAE v5.0). Number of distinct patients experiencing Adverse events and DLTs. This will be done with continuous Bayesian toxicity monitoring.

Outcome measures

Outcome measures
Measure
Phase 1 (Cohort 1): 300mg Encorafenib + 3mg/kg Nivolumab + 1 mg/kg Ipilimumab
n=1 Participants
Patients will be treated with 300mg encorafenib and 3mg/kg nivolumab and 1 mg/kg ipilimumab (triple therapy). encorafenib: A small molecule BRAF inhibitor that targets key enzymes in the MAPK signaling pathway. nivolumab: A programmed death receptor-1 (PD-1) blocking monoclonal antibody that works by helping the immune system to slow or stop the growth of cancer cells. ipilimumab: A monoclonal antibody medication that works to activate the immune system by targeting CTLA-4, a protein receptor that downregulates the immune system.
Phase 1 (Cohort 2): 450mg Encorafenib + 45mg Binimetinib + 3mg/kg Nivolumab + 1mg/kg Ipilimumab
Patients will be treated with 450mg encorafenib, 45mg binimetinib, 3mg/kg nivolumab and 1mg/kg ipilimumab (quadruple therapy). encorafenib: A small molecule BRAF inhibitor that targets key enzymes in the MAPK signaling pathway. nivolumab: A programmed death receptor-1 (PD-1) blocking monoclonal antibody that works by helping the immune system to slow or stop the growth of cancer cells. ipilimumab: A monoclonal antibody medication that works to activate the immune system by targeting CTLA-4, a protein receptor that downregulates the immune system. binimetinib: A small molecule, selective inhibitor of MEK, a central kinase in the tumor-promoting MAPK pathway that may stop the growth of tumor cells by blocking some of the enzymes needed for cell growth.
Recommended Phase II Dose (RP2D) of Encorafenib + Nivolumab + Ipilimumab
NA mg
RP2D cannot be determined due to insufficient number of participants

PRIMARY outcome

Timeframe: Up to 6 weeks (DLT evaluation period)

Population: Patients that received treatment

Determination of recommended phase II dose (RP2D) of quadruple therapy in patients treated with 450mg encorafenib, 45mg binimetinib, 3mg/kg nivolumab and 1mg/kg ipilimumab via the frequency of DLTs that are classified as either possibly, probably, or definitely related to study treatment according to NCI Common Terminology Criteria for Adverse Events (CTCAE v5.0). Number of distinct patients experiencing Adverse events and DLTs. This will be done with continuous Bayesian toxicity monitoring.

Outcome measures

Outcome measures
Measure
Phase 1 (Cohort 1): 300mg Encorafenib + 3mg/kg Nivolumab + 1 mg/kg Ipilimumab
n=1 Participants
Patients will be treated with 300mg encorafenib and 3mg/kg nivolumab and 1 mg/kg ipilimumab (triple therapy). encorafenib: A small molecule BRAF inhibitor that targets key enzymes in the MAPK signaling pathway. nivolumab: A programmed death receptor-1 (PD-1) blocking monoclonal antibody that works by helping the immune system to slow or stop the growth of cancer cells. ipilimumab: A monoclonal antibody medication that works to activate the immune system by targeting CTLA-4, a protein receptor that downregulates the immune system.
Phase 1 (Cohort 2): 450mg Encorafenib + 45mg Binimetinib + 3mg/kg Nivolumab + 1mg/kg Ipilimumab
Patients will be treated with 450mg encorafenib, 45mg binimetinib, 3mg/kg nivolumab and 1mg/kg ipilimumab (quadruple therapy). encorafenib: A small molecule BRAF inhibitor that targets key enzymes in the MAPK signaling pathway. nivolumab: A programmed death receptor-1 (PD-1) blocking monoclonal antibody that works by helping the immune system to slow or stop the growth of cancer cells. ipilimumab: A monoclonal antibody medication that works to activate the immune system by targeting CTLA-4, a protein receptor that downregulates the immune system. binimetinib: A small molecule, selective inhibitor of MEK, a central kinase in the tumor-promoting MAPK pathway that may stop the growth of tumor cells by blocking some of the enzymes needed for cell growth.
Recommended Phase II Dose (RP2D) of Encorafenib + Binimetinib + Nivolumab + Ipilimumab
NA mg
RP2D cannot be determined due to insufficient number of participants

SECONDARY outcome

Timeframe: Up to 15 months

Population: Patients receiving at least one dose any drug and/or evaluable for response

Number of patients with Complete response \[CR\] + partial response \[PR\], per RECIST v1.1 criteria . Per RECIST v1.1, CR: Disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to \<10 mm. For non-target lesions: Disappearance of all non-target lesions and normalization of tumor marker level. All lymph nodes must be non-pathological in size (\<10mm short axis); PR: At least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters.

Outcome measures

Outcome measures
Measure
Phase 1 (Cohort 1): 300mg Encorafenib + 3mg/kg Nivolumab + 1 mg/kg Ipilimumab
n=1 Participants
Patients will be treated with 300mg encorafenib and 3mg/kg nivolumab and 1 mg/kg ipilimumab (triple therapy). encorafenib: A small molecule BRAF inhibitor that targets key enzymes in the MAPK signaling pathway. nivolumab: A programmed death receptor-1 (PD-1) blocking monoclonal antibody that works by helping the immune system to slow or stop the growth of cancer cells. ipilimumab: A monoclonal antibody medication that works to activate the immune system by targeting CTLA-4, a protein receptor that downregulates the immune system.
Phase 1 (Cohort 2): 450mg Encorafenib + 45mg Binimetinib + 3mg/kg Nivolumab + 1mg/kg Ipilimumab
n=1 Participants
Patients will be treated with 450mg encorafenib, 45mg binimetinib, 3mg/kg nivolumab and 1mg/kg ipilimumab (quadruple therapy). encorafenib: A small molecule BRAF inhibitor that targets key enzymes in the MAPK signaling pathway. nivolumab: A programmed death receptor-1 (PD-1) blocking monoclonal antibody that works by helping the immune system to slow or stop the growth of cancer cells. ipilimumab: A monoclonal antibody medication that works to activate the immune system by targeting CTLA-4, a protein receptor that downregulates the immune system. binimetinib: A small molecule, selective inhibitor of MEK, a central kinase in the tumor-promoting MAPK pathway that may stop the growth of tumor cells by blocking some of the enzymes needed for cell growth.
Response Rate Per RECIST v1.1 Criteria
Complete Response (CR)
0 Participants
0 Participants
Response Rate Per RECIST v1.1 Criteria
Partial Response (PR)
0 Participants
0 Participants

SECONDARY outcome

Timeframe: Up to 15 months

Population: Patients receiving at least one dose any drug and/or evaluable for response

Number of patients with Complete response \[CR\] + partial response \[PR\] + stable disease \[SD\] \>6 months) per RANO-BM criteria. Per RANO, CR: No lesion present; PR: ≥30% decrease in sum LD relative to baseline; SD: \<30% decrease relative to baseline, but \<20% increase in sum LD relative to nadir.

Outcome measures

Outcome measures
Measure
Phase 1 (Cohort 1): 300mg Encorafenib + 3mg/kg Nivolumab + 1 mg/kg Ipilimumab
n=1 Participants
Patients will be treated with 300mg encorafenib and 3mg/kg nivolumab and 1 mg/kg ipilimumab (triple therapy). encorafenib: A small molecule BRAF inhibitor that targets key enzymes in the MAPK signaling pathway. nivolumab: A programmed death receptor-1 (PD-1) blocking monoclonal antibody that works by helping the immune system to slow or stop the growth of cancer cells. ipilimumab: A monoclonal antibody medication that works to activate the immune system by targeting CTLA-4, a protein receptor that downregulates the immune system.
Phase 1 (Cohort 2): 450mg Encorafenib + 45mg Binimetinib + 3mg/kg Nivolumab + 1mg/kg Ipilimumab
n=1 Participants
Patients will be treated with 450mg encorafenib, 45mg binimetinib, 3mg/kg nivolumab and 1mg/kg ipilimumab (quadruple therapy). encorafenib: A small molecule BRAF inhibitor that targets key enzymes in the MAPK signaling pathway. nivolumab: A programmed death receptor-1 (PD-1) blocking monoclonal antibody that works by helping the immune system to slow or stop the growth of cancer cells. ipilimumab: A monoclonal antibody medication that works to activate the immune system by targeting CTLA-4, a protein receptor that downregulates the immune system. binimetinib: A small molecule, selective inhibitor of MEK, a central kinase in the tumor-promoting MAPK pathway that may stop the growth of tumor cells by blocking some of the enzymes needed for cell growth.
Central Nervous System (CNS) Clinical Benefit Rate (CBR)
Partial Reponse
0 Participants
0 Participants
Central Nervous System (CNS) Clinical Benefit Rate (CBR)
Complete Response
0 Participants
0 Participants
Central Nervous System (CNS) Clinical Benefit Rate (CBR)
Stable Disease
1 Participants
0 Participants

SECONDARY outcome

Timeframe: Up to 6 months (per patient)

Population: Patients receiving at least one dose of (any) study drug.

Number of (distinct) participants with ≤ Grade 3 Adverse Events or Serious Adverse Events that are possibly, probably or definitely related to study treatment per the Criteria for Adverse Events version 5 (CTCAEv5).

Outcome measures

Outcome measures
Measure
Phase 1 (Cohort 1): 300mg Encorafenib + 3mg/kg Nivolumab + 1 mg/kg Ipilimumab
n=1 Participants
Patients will be treated with 300mg encorafenib and 3mg/kg nivolumab and 1 mg/kg ipilimumab (triple therapy). encorafenib: A small molecule BRAF inhibitor that targets key enzymes in the MAPK signaling pathway. nivolumab: A programmed death receptor-1 (PD-1) blocking monoclonal antibody that works by helping the immune system to slow or stop the growth of cancer cells. ipilimumab: A monoclonal antibody medication that works to activate the immune system by targeting CTLA-4, a protein receptor that downregulates the immune system.
Phase 1 (Cohort 2): 450mg Encorafenib + 45mg Binimetinib + 3mg/kg Nivolumab + 1mg/kg Ipilimumab
n=1 Participants
Patients will be treated with 450mg encorafenib, 45mg binimetinib, 3mg/kg nivolumab and 1mg/kg ipilimumab (quadruple therapy). encorafenib: A small molecule BRAF inhibitor that targets key enzymes in the MAPK signaling pathway. nivolumab: A programmed death receptor-1 (PD-1) blocking monoclonal antibody that works by helping the immune system to slow or stop the growth of cancer cells. ipilimumab: A monoclonal antibody medication that works to activate the immune system by targeting CTLA-4, a protein receptor that downregulates the immune system. binimetinib: A small molecule, selective inhibitor of MEK, a central kinase in the tumor-promoting MAPK pathway that may stop the growth of tumor cells by blocking some of the enzymes needed for cell growth.
Adverse Events at Least Probably Related to Treatment
Fever
1 Participants
0 Participants
Adverse Events at Least Probably Related to Treatment
Hypertension
1 Participants
0 Participants
Adverse Events at Least Probably Related to Treatment
Arthralgia
1 Participants
0 Participants
Adverse Events at Least Probably Related to Treatment
Myalgia
1 Participants
0 Participants
Adverse Events at Least Probably Related to Treatment
Hypotension
1 Participants
0 Participants
Adverse Events at Least Probably Related to Treatment
Anemia
1 Participants
0 Participants
Adverse Events at Least Probably Related to Treatment
ALT Increased
1 Participants
0 Participants
Adverse Events at Least Probably Related to Treatment
Dyspnea
1 Participants
0 Participants
Adverse Events at Least Probably Related to Treatment
Hypokalemia
1 Participants
0 Participants
Adverse Events at Least Probably Related to Treatment
Lymphocyte decreased
1 Participants
0 Participants

SECONDARY outcome

Timeframe: Up to 15 months

Population: Includes patients receiving at least one dose any drug and/or evaluable for response

The length of time during and after study treatment that each patient lived with cancer but it does not get worse. PFS is one way to assess how the treatment works. Per RECIST v1.1, progressive disease is defined as at least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum on study (this includes the baseline sum if that is the smallest on study). In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 mm. For non-target lesions, PD: Unequivocal progression of existing non-target lesions. The appearance of one or more new lesions is also considered progression.

Outcome measures

Outcome measures
Measure
Phase 1 (Cohort 1): 300mg Encorafenib + 3mg/kg Nivolumab + 1 mg/kg Ipilimumab
n=1 Participants
Patients will be treated with 300mg encorafenib and 3mg/kg nivolumab and 1 mg/kg ipilimumab (triple therapy). encorafenib: A small molecule BRAF inhibitor that targets key enzymes in the MAPK signaling pathway. nivolumab: A programmed death receptor-1 (PD-1) blocking monoclonal antibody that works by helping the immune system to slow or stop the growth of cancer cells. ipilimumab: A monoclonal antibody medication that works to activate the immune system by targeting CTLA-4, a protein receptor that downregulates the immune system.
Phase 1 (Cohort 2): 450mg Encorafenib + 45mg Binimetinib + 3mg/kg Nivolumab + 1mg/kg Ipilimumab
n=1 Participants
Patients will be treated with 450mg encorafenib, 45mg binimetinib, 3mg/kg nivolumab and 1mg/kg ipilimumab (quadruple therapy). encorafenib: A small molecule BRAF inhibitor that targets key enzymes in the MAPK signaling pathway. nivolumab: A programmed death receptor-1 (PD-1) blocking monoclonal antibody that works by helping the immune system to slow or stop the growth of cancer cells. ipilimumab: A monoclonal antibody medication that works to activate the immune system by targeting CTLA-4, a protein receptor that downregulates the immune system. binimetinib: A small molecule, selective inhibitor of MEK, a central kinase in the tumor-promoting MAPK pathway that may stop the growth of tumor cells by blocking some of the enzymes needed for cell growth.
Progression-free Survival (PFS)
6 months
3 months

Adverse Events

Phase 1 (Cohort 1): 300mg Encorafenib + 3mg/kg Nivolumab + 1 mg/kg Ipilimumab

Serious events: 1 serious events
Other events: 1 other events
Deaths: 0 deaths

Phase 1 (Cohort 2): 450mg Encorafenib + 45mg Binimetinib + 3mg/kg Nivolumab + 1mg/kg Ipilimumab

Serious events: 1 serious events
Other events: 0 other events
Deaths: 1 deaths

Serious adverse events

Serious adverse events
Measure
Phase 1 (Cohort 1): 300mg Encorafenib + 3mg/kg Nivolumab + 1 mg/kg Ipilimumab
n=1 participants at risk
Patients will be treated with 300mg encorafenib and 3mg/kg nivolumab and 1 mg/kg ipilimumab (triple therapy). encorafenib: A small molecule BRAF inhibitor that targets key enzymes in the MAPK signaling pathway. nivolumab: A programmed death receptor-1 (PD-1) blocking monoclonal antibody that works by helping the immune system to slow or stop the growth of cancer cells. ipilimumab: A monoclonal antibody medication that works to activate the immune system by targeting CTLA-4, a protein receptor that downregulates the immune system.
Phase 1 (Cohort 2): 450mg Encorafenib + 45mg Binimetinib + 3mg/kg Nivolumab + 1mg/kg Ipilimumab
n=1 participants at risk
Patients will be treated with 450mg encorafenib, 45mg binimetinib, 3mg/kg nivolumab and 1mg/kg ipilimumab (quadruple therapy). encorafenib: A small molecule BRAF inhibitor that targets key enzymes in the MAPK signaling pathway. nivolumab: A programmed death receptor-1 (PD-1) blocking monoclonal antibody that works by helping the immune system to slow or stop the growth of cancer cells. ipilimumab: A monoclonal antibody medication that works to activate the immune system by targeting CTLA-4, a protein receptor that downregulates the immune system. binimetinib: A small molecule, selective inhibitor of MEK, a central kinase in the tumor-promoting MAPK pathway that may stop the growth of tumor cells by blocking some of the enzymes needed for cell growth.
Nervous system disorders
Spinal Cord Compression
0.00%
0/1 • Adverse Events data were collected for up to 6 months per patient and up to 15 months overall duration for study.
100.0%
1/1 • Adverse Events data were collected for up to 6 months per patient and up to 15 months overall duration for study.
Respiratory, thoracic and mediastinal disorders
Dyspnea
100.0%
1/1 • Adverse Events data were collected for up to 6 months per patient and up to 15 months overall duration for study.
0.00%
0/1 • Adverse Events data were collected for up to 6 months per patient and up to 15 months overall duration for study.
Injury, poisoning and procedural complications
Spinal Fracture
0.00%
0/1 • Adverse Events data were collected for up to 6 months per patient and up to 15 months overall duration for study.
100.0%
1/1 • Adverse Events data were collected for up to 6 months per patient and up to 15 months overall duration for study.
Musculoskeletal and connective tissue disorders
Back pain
0.00%
0/1 • Adverse Events data were collected for up to 6 months per patient and up to 15 months overall duration for study.
100.0%
1/1 • Adverse Events data were collected for up to 6 months per patient and up to 15 months overall duration for study.
Musculoskeletal and connective tissue disorders
Muscle weakness lower limb
0.00%
0/1 • Adverse Events data were collected for up to 6 months per patient and up to 15 months overall duration for study.
100.0%
1/1 • Adverse Events data were collected for up to 6 months per patient and up to 15 months overall duration for study.

Other adverse events

Other adverse events
Measure
Phase 1 (Cohort 1): 300mg Encorafenib + 3mg/kg Nivolumab + 1 mg/kg Ipilimumab
n=1 participants at risk
Patients will be treated with 300mg encorafenib and 3mg/kg nivolumab and 1 mg/kg ipilimumab (triple therapy). encorafenib: A small molecule BRAF inhibitor that targets key enzymes in the MAPK signaling pathway. nivolumab: A programmed death receptor-1 (PD-1) blocking monoclonal antibody that works by helping the immune system to slow or stop the growth of cancer cells. ipilimumab: A monoclonal antibody medication that works to activate the immune system by targeting CTLA-4, a protein receptor that downregulates the immune system.
Phase 1 (Cohort 2): 450mg Encorafenib + 45mg Binimetinib + 3mg/kg Nivolumab + 1mg/kg Ipilimumab
n=1 participants at risk
Patients will be treated with 450mg encorafenib, 45mg binimetinib, 3mg/kg nivolumab and 1mg/kg ipilimumab (quadruple therapy). encorafenib: A small molecule BRAF inhibitor that targets key enzymes in the MAPK signaling pathway. nivolumab: A programmed death receptor-1 (PD-1) blocking monoclonal antibody that works by helping the immune system to slow or stop the growth of cancer cells. ipilimumab: A monoclonal antibody medication that works to activate the immune system by targeting CTLA-4, a protein receptor that downregulates the immune system. binimetinib: A small molecule, selective inhibitor of MEK, a central kinase in the tumor-promoting MAPK pathway that may stop the growth of tumor cells by blocking some of the enzymes needed for cell growth.
Musculoskeletal and connective tissue disorders
Arthralgia
100.0%
1/1 • Adverse Events data were collected for up to 6 months per patient and up to 15 months overall duration for study.
0.00%
0/1 • Adverse Events data were collected for up to 6 months per patient and up to 15 months overall duration for study.
Musculoskeletal and connective tissue disorders
Myalgia
100.0%
1/1 • Adverse Events data were collected for up to 6 months per patient and up to 15 months overall duration for study.
0.00%
0/1 • Adverse Events data were collected for up to 6 months per patient and up to 15 months overall duration for study.
General disorders
Fever
100.0%
1/1 • Adverse Events data were collected for up to 6 months per patient and up to 15 months overall duration for study.
0.00%
0/1 • Adverse Events data were collected for up to 6 months per patient and up to 15 months overall duration for study.
Vascular disorders
Hypotension
100.0%
1/1 • Adverse Events data were collected for up to 6 months per patient and up to 15 months overall duration for study.
0.00%
0/1 • Adverse Events data were collected for up to 6 months per patient and up to 15 months overall duration for study.
Blood and lymphatic system disorders
Anemia
100.0%
1/1 • Adverse Events data were collected for up to 6 months per patient and up to 15 months overall duration for study.
0.00%
0/1 • Adverse Events data were collected for up to 6 months per patient and up to 15 months overall duration for study.
Investigations
ALT Increased
100.0%
1/1 • Adverse Events data were collected for up to 6 months per patient and up to 15 months overall duration for study.
0.00%
0/1 • Adverse Events data were collected for up to 6 months per patient and up to 15 months overall duration for study.
Respiratory, thoracic and mediastinal disorders
Dyspnea
100.0%
1/1 • Adverse Events data were collected for up to 6 months per patient and up to 15 months overall duration for study.
0.00%
0/1 • Adverse Events data were collected for up to 6 months per patient and up to 15 months overall duration for study.
Metabolism and nutrition disorders
Hypokalemia
100.0%
1/1 • Adverse Events data were collected for up to 6 months per patient and up to 15 months overall duration for study.
0.00%
0/1 • Adverse Events data were collected for up to 6 months per patient and up to 15 months overall duration for study.
Vascular disorders
Hypertension
100.0%
1/1 • Adverse Events data were collected for up to 6 months per patient and up to 15 months overall duration for study.
0.00%
0/1 • Adverse Events data were collected for up to 6 months per patient and up to 15 months overall duration for study.
Investigations
Lymphocyte decreased
100.0%
1/1 • Adverse Events data were collected for up to 6 months per patient and up to 15 months overall duration for study.
0.00%
0/1 • Adverse Events data were collected for up to 6 months per patient and up to 15 months overall duration for study.

Additional Information

Barbara M. Stadterman, MPH, MCCR

UPMC Hillman Cancer Center

Phone: 412-647-5554

Results disclosure agreements

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