An Open-label Study of Encorafenib + Binimetinib in Patients With BRAFV600-mutant Non-small Cell Lung Cancer
Non-small Cell Lung Cancer
About this trial
This is an interventional treatment trial for Non-small Cell Lung Cancer focused on measuring lung cancer, cancer, non-small cell lung cancer, non small cell lung cancer, NSCLC, Encorafenib, Binimetinib, Phase 2, Open Label, BRAF mutation, BRAF V600E, Array, Stage IV NSCLC, Metastatic NSCLC, PDL1, PD-LI, Immunotherapy, First line platinum based chemotherapy, BRAF inhibitor, V600
Eligibility Criteria
Key Inclusion Criteria:
- Histologically confirmed diagnosis of non-small cell lung cancer (NSCLC) that is currently Stage IV.
- Presence of a BRAFV600E mutation in lung cancer tissue as determined by a local laboratory assay or the presence of other BRAFV600 mutations other than V600E (i.e. K or D) will be considered
- Patients who are either treatment-naïve (e.g., no prior systemic therapy for advanced/metastatic disease), OR who have received 1) first-line platinum-based chemotherapy OR 2) first-line treatment with an anti-programmed cell death protein 1 (PD-1)/ programmed cell death protein ligand 1(PD-L1) inhibitor given alone or in combination with platinum-based chemotherapy.
- Presence of measurable disease based on Response Evaluation Criteria in Solid Tumors version 1.1 (RECIST v1.1).
- Eastern Cooperation Oncology Group (ECOG) performance status of 0 or 1.
Adequate bone marrow function characterized by the following at screening:
- absolute neutrophil count (ANC) ≥ 1.5 × 10⁹/L;
- Platelets ≥ 100 × 10⁹/L;
- Hemoglobin ≥ 8.5 g/dL (with or without blood transfusions).
Adequate hepatic and renal function characterized by the following at screening:
- Total bilirubin ≤ 1.5 × upper limit of normal (ULN)
- alanine aminotransferase (ALT) and aspartate aminotransferase (AST) ≤ 2.5 × ULN, or ≤ 5 × ULN in presence of liver metastases; Serum creatinine ≤ 1.5 × ULN; or calculated creatinine clearance ≥ 50 mL/min by Cockcroft-Gault formula; or estimated glomerular filtration rate > 50 mL/min/1.73m².
Key Exclusion Criteria:
Patients who have documentation of any of the following:
- epidermal growth factor receptor (EGFR) mutation
- anaplastic lymphoma kinase (ALK) fusion oncogene or
- ROS1 rearrangement
- Patients who have received more than 1 prior line of systemic therapy in the advanced/metastatic setting.
- Previous treatment with any BRAF inhibitor (e.g., dabrafenib, vemurafenib, XL281/BMS-908662, etc.), or any mitogen-activated protein kinase (MEK) inhibitor (e.g., trametinib, cobimetinib, selumetinib, RDEA119, etc.) prior to screening and enrollment.
- Impaired cardiovascular function or clinically significant cardiovascular diseases
- History of thromboembolic or cerebrovascular events ≤ 12 weeks prior to the first dose of study treatment. Examples include transient ischemic attacks, cerebrovascular accidents, hemodynamically significant (i.e. massive or sub-massive) deep vein thrombosis or pulmonary emboli.
- History or current evidence of retinal vein occlusion (RVO) or current risk factors for RVO (e.g., uncontrolled glaucoma or ocular hypertension, history of hyperviscosity or hypercoagulability syndromes); history of retinal degenerative disease.
- Concurrent neuromuscular disorder that is associated with the potential of elevated creatine (phospho)kinase (CK) (e.g., inflammatory myopathies, muscular dystrophy, amyotrophic lateral sclerosis, spinal muscular atrophy).
- Patients with symptomatic brain metastasis, leptomeningeal disease or other active central nervous system (CNS) metastases are not eligible.
Sites / Locations
- Yuma Regional Medical Center Cancer Center
- Yuma Regional Medical Center Ophthalmology
- Yuma Regional Medical Center
- UCLA Stein Eye Center Santa Monica (OPH)
- UCLA Hematology/Oncology
- Florida Cancer Specialist
- Florida Cancer Specialists
- Florida Cancer Specialist
- Florida Cancer Specialists
- Florida Cancer Specialist
- Florida Cancer Specialists
- Florida Cancer Specialists
- Florida Cancer Specialists
- Florida Cancer Specialist
- Florida Cancer Specialists
- Florida Cancer Specialist
- Florida Cancer Specialists
- Florida Cancer Specialist
- Florida Cancer Specialist
- Florida Cancer Specialist
- Florida Cancer Specialists
- Florida Cancer Specialist
- Florida Cancer Specialists
- Florida Cancer Specialists
- Florida Cancer Specialists
- Florida Cancer Specialists PAN - SCRI - PPDS
- Florida Cancer Specialist
- Florida Cancer Specialist
- Florida Cancer Specialist
- Florida Cancer Specialist
- Florida Cancer Specialists
- Florida Cancer Specialists
- Florida Cancer Specialists
- Winship Cancer Institute @ Emory University Hospital Midtown
- Emory University Hospital
- Winship Cancer Institute, Emory University
- Winship Cancer Institute @ Emory Saint Joseph's Hospital
- Winship Cancer Institute @ Emory Johns Creek Hospital
- MidAmerica Division, Inc. c/o Menorah Medical Center
- Johns Hopkins Bayview Medical Center
- Johns Hopkins Sidney Kimmel Comprehensive Cancer Center
- Johns Hopkins Sidney Kimmel Comprehensive Cancer Center
- The Johns Hopkins Wilmer Eye Institute
- Massachusetts General Hospital
- Ophthalmic Consultants of Boston (OCB)
- Ophthalmic Consultants of Boston Inc
- Beth Israel Deaconess Medical Center
- Brigham and Women's Hospital
- Dana Farber Cancer Institute
- Beth Israel Deaconess Medical Center - 330 Brookline Ave
- Beth Israel Deaconess Medical Center/East
- Dana-Farber Cancer Institute - Chestnut Hill
- Siteman Cancer Center - West County
- MidAmerica Division, Inc. c/o Centerpoint Medical Center
- MidAmerica Division, Inc., c/o Research Medical Center
- Barnes-Jewish Hospital
- Washington University School of Medicine
- Siteman Cancer Center - South County
- Siteman Cancer Center - St Peters
- Memorial Sloan Kettering Cancer Center Basking Ridge
- Hackensack University Medical Center
- Metropolitan Eye Care
- Memorial Sloan Kettering Cancer Center David H Koch Center for Cancer Care
- Weill Cornell Eye Associates
- Weill Cornell Medical College - New York Presbyterian Hospital
- Memorial Sloan Kettering Cancer Center
- Weill Cornell Medical College - New York Presbyterian Hospital
- Duke Cancer Center
- Ohio State CarePoint East
- The Ohio State University Hospital
- The Ohio State University James Cancer Hospital
- The Ohio State University Medical Center - Thoracic Oncology Clinic
- Ohio State Eye and Ear Institute
- Stefanie Spielman Comprehensive Breast Cancer
- Martha Morehouse Medical Plaza
- Ohio State CarePoint Gahanna
- Ohio State Outpatient Care Lewis Center
- Providence Cancer Institute Clackamas Clinic
- Providence Cancer Institute Newberg Clinic
- Providence Cancer Institute, Franz Clinic
- Providence Oncology and Hematology Care Clinic - Westside
- UPMC Hillman Cancer Center Erie
- UPMC Hillman Cancer Center - Arnold Palmer - Mt View
- UPMC Hillman Cancer Center Monroeville
- UPMC Eye Center, Eye and Ear Institute
- UPMC Hillman Cancer Center
- UPMC Hillman Cancer Center - Passavant (HOA)
- UPMC Hillman Cancer Center - Passavant (OHA)
- UPMC Hillman Cancer Center - Upper St. Clair
- Weaver Eye Associates
- WellSpan Oncology Research
- Tennessee Oncology, PLLC
- Tennessee Oncology, PLLC
- Tennessee Oncology, PLLC
- Tennessee Oncology, PLLC
- Tennessee Oncology, PLLC
- Tennessee Oncology, PLLC
- Tennessee Oncology, PLLC
- Tennessee Oncology, PLLC
- Tennessee Oncology, PLLC
- Tennessee Oncology, PLLC
- Tennessee Oncology, PLLC
- Tennessee Oncology, PLLC
- Tennessee Oncology, PLLC
- Tennessee Oncology, PLLC
- Tennessee Oncology, PLLC
- Houston Eye Associates - Gramercy Location
- The University of Texas MD Anderson Cancer Center
- Millennium Research & Clinical Development
- Eye associates Northwest
- Seattle Cancer Care Alliance
- Departimento Oncologia Medica
- Unita Operativa di Oculistica: UO Oncologia Oculare e Immunopatologia oculare
- Unita Operativa Radiologia
- UO Anatomia e lstologia Patologica
- UO Dermatologia e Cosmetologia
- UO Medicina Nucleare
- UOC Farmacia
- S.S.D. Oncologia Polmonare
- SCDO Cardiologia
- SCDU Anatomia Patologica
- SCDU Oftalmologia
- SCDU Radiodiagnostica e S.S. Medicina Nucleare
- Dermatologia Azienda Ospedaliero Universitaria Città della Salute e della Scienza di Torino
- UO Dermatologia Centro Tumori Cutanei (CTC)- Azienda Ospedaliero
- UO di Oftalmologia- Azienda Ospedaliero Universitaria Di Bologna
- UO Farmacia Clinica- Azienda Ospedaliero Universitaria Di Bologna
- UO Medicina Borghi- Azienda Ospedaliero Universitaria Di Bologna
- UO Radiologia Golfieri- Azienda Ospedaliero Universitaria Di Bologna - Policlinico S Orsola Malpighi
- UOC di Anatomia Patologica- Azienda Ospedaliero Universitaria Di Bo logna
- IRCCS Ospedale San Raffaele
- Clinica Oculistica II, 2° Policlinico Federico II
- S. C. Farmacia
- Samsung Medical Center - PPDS
- Het Nederlands Kanker Instituut Antoni Van Leeuwenhoek Ziekenhuis
- Het Nederlands Kanker Instituut Antoni Van Leeuwenhoek Ziekenhuis
- OLVG, locatie Oost; Ophthalmology department
- Ophthalmology department
- University Medical Center Groningen
- Hospital Universitario Puerta de Hierro - Majadahonda
- Hospital Regional Universitario de Malaga - Hospital General
- Hospital Clinic de Barcelona
- Hospital del Mar
- CETIR Centro Medico Teknon
- Hospital Quiron Salud Barcelona
- Hospital Universitario Vall d'Hebron
- Grupo Cardiologico Corpal (Hospital de la Cruz Roja)
- Hospital Universitario Reina Sofia
- Cetir
- lnstitut Catala d'Oncologia_L'Hospitalet
- Hospital Universitario Ramon y Cajal
- Hospital Universitario 12 de Octubre
- Centro Hospitalario Integral Privado (CHIP)
- CERCO
- Hospital Universitario Virgen Macarena
- Hospital Universitario Virgen Del Rocio
Arms of the Study
Arm 1
Experimental
Treatment Period
Study treatment with encorafenib and binimetinib will be self-administered orally without regard to food. Patients will receive the following per 28-day (± 3 days) cycle: Encorafenib: 450 mg (6 × 75 mg capsule) once daily (QD) Binimetinib: 45 mg (3 × 15 mg tablet) twice daily (BID)