Phase II Study Investigating the Combination of Encorafenib and Binimetinib in BRAF V600E Mutated Chinese Patients With Metastatic Non-Small Cell Lung Cancer

NCT ID: NCT05195632

Last Updated: 2026-01-07

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

ACTIVE_NOT_RECRUITING

Clinical Phase

PHASE2

Total Enrollment

63 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-06-02

Study Completion Date

2026-12-14

Brief Summary

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This is a phase 2, multicenter, single-arm study with a safety lead-in to investigate the efficacy, safety and pharmacokinetics of encorafenib 450 mg once daily (QD) in combination with binimetinib 45 mg twice daily (BID) (Combo450) in adult Chinese participants with metastatic unresectable stage IV BRAF V600E mutant NSCLC, who are BRAF- and MEK-inhibitor treatment-naïve and are either previously untreated or have had one line of prior therapy in metastatic setting.

Detailed Description

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Conditions

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Non-Small Cell Lung Cancer

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Multicenter, open-label, phase 2 study.
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Treatment arm (Safety Lead-in and Pivotal arm)

Encorafenib will be administered as a fixed, flat oral dose of 450 mg QD in combination with binimetinib as a fixed, flat oral dose of 45 mg BID.

Group Type EXPERIMENTAL

Encorafenib

Intervention Type DRUG

Hard capsule

Binimetinib

Intervention Type DRUG

Film-coated tablet

Interventions

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Encorafenib

Hard capsule

Intervention Type DRUG

Binimetinib

Film-coated tablet

Intervention Type DRUG

Other Intervention Names

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PF-07263896 or W0090 (in Europe), LGX818 (in US), ONO-7702 (in Japan) W0074 (in Europe), MEK162 (in US), ARRY-438162 (in US), ONO-7703 (in Japan)

Eligibility Criteria

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Inclusion Criteria

If a participant has a BRAF V600E mutational status confirmed as per local assessment, the participant might enter the main screening directly.


1. Provide a signed and dated screening Informed Consent Form (ICF).
2. Chinese male or female with age ≥ 18 years old for China mainland and ≥ 20 years old for Taiwan at the time of the screening informed consent.
3. Documented histology- and/or cytology-confirmed metastatic unresectable Non-small cell lung cancer (NSCLC (i.e. Adenocarcinoma (ADC), large cell carcinoma, squamous cell carcinoma (SCC)).
4. Presence of B-Raf Proto-Oncogene, Serine/Threonine Kinase (BRAF) V600E mutation in tumor tissue previously determined by a local assay at any time prior to screening or by the central laboratory.
5. Able to provide a sufficient amount of representative tumor specimen (primary or metastatic, archived or newly obtained) for central prospective laboratory testing of BRAF mutation status and comparison of central BRAF V600E testing in the clinical study to BRAF V600E testing with a candidate companion diagnostic.
6. BRAF- and Mitogen-activated protein kinase kinase (MEK)-inhibitor treatment-naïve participants and previously untreated or have had one line of prior therapy in metastatic setting.
7. At least one measurable disease as per investigator assessment, as defined by RECIST v1.1, which has neither been irradiated nor biopsied during the screening period.
8. Life expectancy ≥ 3 months.
9. Eastern Cooperative Oncology Group (ECOG) Performance Status of 0 or 1.
10. Adequate hematologic function at screening and baseline.
11. Adequate hepatic function at screening and baseline.
12. Adequate renal function at screening and baseline.
13. Able to comply with the study protocol as per investigator assessment including oral drug intake, complying scheduled visits, treatment plan, laboratory tests and other study procedures.
14. Women are either postmenopausal for at least 1 year, are surgically sterile for at least 6 weeks, or child-bearing potential women must agree to take appropriate precautions to avoid pregnancy.
15. Men must agree not to father child until 90 days after the last dose of the study treatment.

Exclusion Criteria

Participants meeting any of the following criteria are not eligible to be included in this study:

1. Known immediate or delayed hypersensitivity reaction or idiosyncrasy to drugs chemically related to the study drugs (encorafenib and binimetinib), or their excipients.
2. Documented Anaplastic lymphoma kinase (ALK) fusion oncogene, Reactive oxygen species (ROS) rearrangement or Epidermal growth factor receptor (EGFR) sensitizing or driver mutation.
3. Participants who have received more than one prior line of systemic therapy.
4. Receipt of anti-cancer medications or investigational drugs within the specified intervals before the first administration of study treatment.
5. Symptomatic brain metastases or other active Central nervous system (CNS) metastases.
6. Leptomeningeal disease.
7. Participant has not recovered to ≤ Grade 1 from toxic effects of prior therapy and/or complications from prior surgical intervention before starting study treatment.
8. Current use of prohibited medication ≤ 1 week prior to start of the study treatment and/or concomitantly.
9. Impairment of gastrointestinal function or disease which may significantly alter the absorption of oral study treatment.
10. Impaired cardiovascular function or clinically significant cardiovascular diseases
11. History of thromboembolic or cerebrovascular events within 3 months prior to starting the study treatments
12. History or evidence of retinal pathology considered as risk factor for Retinal vein occlusion (RVO) or neovascular macular degeneration.
13. Concurrent neuromuscular disorder associated with the potential of elevated Creatine phosphokinase (CPK)
14. Participants with active Hepatitis B Virus (HBV) or Hepatitis C Virus (HCV) or any other severe viral active infection (e.g. SARS-CoV-2 infection)
15. Evidence of active, non-infectious pneumonitis, history of interstitial lung disease that required oral or intravenous glucocorticosteroids for management.
16. Known history of a positive test for Human immunodeficiency virus (HIV) or known Acquired Immunodeficiency Syndrome (AIDS). Testing for HIV must be performed at sites where mandated locally.
17. Participants who have had major surgery (e.g. inpatient procedure with regional or general anesthesia) within 6 weeks prior to start of study treatment.
18. Participants with concurrent or history of another malignancy within 2 years of study entry Except:

1. Bowen's disease
2. Cured basal cell or cutaneous squamous cell carcinoma (CuSCC)
3. Gleason 6 prostate cancer
4. Treated in-situ carcinoma of cervix
19. Participant's conditions that contraindicates the use of study treatments and may affect interpretation of results or may render the participant at high risk from treatment complications.
20. Pregnant (confirmed by positive serum beta-human chorionic gonadotropin (ß-HCG) test), lactating or breast-feeding women.
21. Is a family member of the investigator or any associate, colleague, and employee assisting in the conduct of the study (secretary, nurse, technician).
22. Is in a position likely to represent a conflict of interest.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Pierre Fabre Medicament

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Li Zhang, MD

Role: PRINCIPAL_INVESTIGATOR

Sun Yat-sen Univ. Cancer Center

Locations

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Beijing Cancer Hospital

Beijing, , China

Site Status

Beijing Chest Hospital, Capital Medical University

Beijing, , China

Site Status

Peking University First Hospital

Beijing, , China

Site Status

The First Hospital of Jilin University

Changchun, , China

Site Status

Xiangya Hospital Central South University

Changsha, , China

Site Status

Sichuan Cancer Hospital

Chengdu, , China

Site Status

Chongqing University Cancer Hospital

Chongqing, , China

Site Status

The Second Hospital of Dalian University

Dalian, , China

Site Status

Fujian Medical University Union Hospital

Fuzhou, , China

Site Status

Fuzhou Tuberculosis Prevention and Control Hospital of Fujian Province (Fuzhou Pulmonary Hospital of Fujian)

Fuzhou, , China

Site Status

Guangdong Provincial People's Hospital

Guangzhou, , China

Site Status

Sun Yat-sen University Cancer Center

Guangzhou, , China

Site Status

Hainan General Hospital

Haikou, , China

Site Status

First Affiliated Hospital, Zhejiang University School of Medicine

Hangzhou, , China

Site Status

Zhejiang Cancer Hospital

Hangzhou, , China

Site Status

Zhejiang University School of Medicine, Sir Run Run Shaw Hospital

Hangzhou, , China

Site Status

Harbin Medical University Cancer Hospital

Harbin, , China

Site Status

Shandong Cancer Hospital

Jinan, , China

Site Status

The First Affiliated Hospital of Jinzhou Medical University

Jinzhou, , China

Site Status

Linyi Cancer Hospital

Linyi, , China

Site Status

The First Affiliated Hospital of Nanchang University

Nanchang, , China

Site Status

Guangxi Medical University Affiliated Tumor Hospital

Nanning, , China

Site Status

Liaoning Cancer Hospital & Institute

Shenyang, , China

Site Status

The First Hospital of China Medical University

Shenyang, , China

Site Status

Peking University Shenzhen Hospital

Shenzhen, , China

Site Status

The Fourth Hospital of Hebei Medical University

Shijiazhuang, , China

Site Status

Shanxi Provincial Cancer Hospital

Taiyuan, , China

Site Status

Tianjin Cancer Hospital Airport Hospital

Tianjin, , China

Site Status

Tongji Hospital Tongji Medical College Huazhong University of Science and Technology

Wuhan, , China

Site Status

Union Hospital Tongji medical college Huazhong University of Science and Technology

Wuhan, , China

Site Status

The Northern Jiangsu People's Hospital

Yangzhou, , China

Site Status

Yantai Yuhuangding Hospital

Yantai, , China

Site Status

Henan Cancer Hospital

Zhengzhou, , China

Site Status

Taipei Veterans General Hospital

Taipei, , Taiwan

Site Status

Countries

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China Taiwan

Other Identifiers

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CTR20212962

Identifier Type: REGISTRY

Identifier Source: secondary_id

CTR20212961

Identifier Type: REGISTRY

Identifier Source: secondary_id

W00090GE203

Identifier Type: -

Identifier Source: org_study_id

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