Investigate Safety, Pharmacokinetics and Pharmacodynamics of GSK2118436 & GSK1120212
Source: ClinicalTrials.gov NCT01072175 ↗Summary
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Part A: Maximum Plasma Concentration (Cmax) of a Single Dose of Dabrafenib Administered Alone and in Combination With Trametnib |
509; 524; 259; 255; 724; 747 | — |
| PRIMARY Part A: AUC (0-t) and AUC (0-inf) of Dabrafenib and Its Metabolites |
2734; 2751; 3128; 2949; 2232; 2287 | — |
| PRIMARY Part B: Number of Participants With Any Adverse Event (AE) or Serious Adverse Event (SAE) |
6; 23; 27; 93; 1; 15 | — |
| PRIMARY Part B: Number of Participants With Worst-case Chemistry Toxicity Grade Change From Baseline |
0; 0; 1; 3; 0; 0 | — |
| PRIMARY Part B: Number of Participants With Worst-case Chemistry Change From Baseline With Respect to Normal Range |
0; 0; 0; 0; 0; 0 | — |
| PRIMARY Part B: Number of Participants With Worst-case Hematology Toxicity Grade Change From Baseline |
0; 0; 0; 0; 0; 0 | — |
| PRIMARY Part B: Number of Participants With Worst-case Hematology Change From Baseline With Respect to Normal Range |
0; 0; 0; 2; 0; 2 | — |
| PRIMARY Part B: Number of Participants With the Indicated Worst-case Change From Baseline in Heart Rate and Blood Pressure |
1; 2; 5; 15; 3; 14 | — |
| PRIMARY Part C (Randomized): Number of Participants With BRAF Mutant Metastatic Melanoma With Best Overall Response as Assessed by the Investigator |
2; 6; 10; 27; 21; 31 | — |
| PRIMARY Part C (Randomized): Number of Participants With BRAF Mutant Metastatic Melanoma With Best Overall Response Assessed by Blinded Independent Central Review (BICR) |
4; 4; 7; 21; 18; 26 | — |
| PRIMARY Part C (Crossover): Number of Participants With BRAF Mutant Metastatic Melanoma With Best Overall Response as Assessed by the Investigator |
1; 5 | — |
| PRIMARY Part C (Randomized): Progression-free Survival (PFS) as Assessed by the Investigator |
5.8; 9.2; 9.4 | 0.0048 sig |
| PRIMARY Part C (Crossover): Progression-free Survival (PFS) as Assessed by the Investigator |
3.6 | — |
| PRIMARY Part C (Randomized): Progression-free Survival (PFS) as Assessed by the Blinded Independent Central Review (BICR) |
7.3; 8.3; 9.2 | 0.1667 |
| PRIMARY Part C (Randomized): Duration of Response as Assessed by the Investigator and Blinded Independent Central Review (BICR) |
5.6; 11.1; 10.5; 7.6; 9.5; NA | — |
| PRIMARY Part C (Randomized): Number of Participants With Any Adverse Event (AE) or Serious Adverse Event (SAE) |
53; 53; 55; 15; 24; 39 | — |
| PRIMARY Part C (Randomized): Number of Participants With Worst-case Chemistry Toxicity Grade Change From Baseline |
0; 1; 1; 0; 0; 0 | — |
| PRIMARY Part C (Randomized): Number of Participants With Worst-case Chemistry Change From Baseline With Respect to Normal Range |
0; 0; 0; 0; 0; 0 | — |
| PRIMARY Part C (Randomized): Number of Participants With Worst-case Hematology Toxicity Grade Change From Baseline |
0; 0; 0; 0; 0; 0 | — |
| PRIMARY Part C (Randomized): Number of Participants With Worst-case Hematology Change From Baseline With Respect to Normal Range |
1; 1; 3; 3; 6; 10 | — |
| PRIMARY Part C (Randomized): Number of Participants With the Indicated Worst-case Change From Baseline in Heart Rate and Blood Pressure |
5; 4; 12; 4; 4; 4 | — |
| PRIMARY Part D (Analyte=GSK2118436): Maximum Plasma Concentration (Cmax) of a Single and Repeat Dose of Dabrafenib Alone and in Combination With Trametinib |
1117; 1669; 1227; 2289; 1050; 1746 | — |
| PRIMARY Part D (Analyte=GSK2118436): Tmax of a Single and Repeat Dose of Dabrafenib Alone and in Combination With Trametinib |
2.00; 2.00; 2.00; 1.50; 1.50; 1.55 | — |
| PRIMARY Part D (Analyte=GSK2118436): AUC (0-tau) and AUC (0-inf) of Single and Repeat Doses of Dabrafenib Alone and in Combination With Trametinib |
3593; 6507; 4618; 7331; 3020; 4663 | — |
| PRIMARY Part D: Number of Participants With Any Adverse Event (AE) or Serious Adverse Event (SAE) |
15; 15; 41; 38; 8; 11 | — |
| PRIMARY Part D: Number of Participants With Worst-case Chemistry Toxicity Grade Change From Baseline |
0; 2; 1; 0; 0; 0 | — |
| PRIMARY Part D: Number of Participants With Worst-case Chemistry Change From Baseline With Respect to Normal Range |
0; 0; 0; 0; 0; 0 | — |
| PRIMARY Part D: Number of Participants With Worst-case Hematology Toxicity Grade Change From Baseline |
0; 0; 0; 0; 0; 0 | — |
| PRIMARY Part D: Number of Participants With Worst-case Hematology Change From Baseline With Respect to Normal Range |
0; 0; 2; 0; 1; 2 | — |
| PRIMARY Part D: Number of Participants With the Indicated Worst-case Change From Baseline in Heart Rate and Blood Pressure |
2; 3; 12; 14; 9; 8 | — |
| SECONDARY Part A: Steady State Concentration of Trametinib With Concomitant Administration of Dabrafenib |
9.7; 10.2 | — |
| SECONDARY Part B: AUC [0-tau] of Dabrafenib (DAB) and Its Metabolite in Combination With Trametinib |
2466; 3539; 5187; 4114; 4656; 4528 | — |
| SECONDARY Part B: Pre-dose (Trough) Concentration at the End of the Dosing Interval (Ctau) and Maximum Plasma Concentration (Cmax) of Dabrafenib and Its Metabolite in Combination With Trametinib |
59.8; 44.6; 115; 73.7; 185; 102 | — |
| SECONDARY Part B: Tmax of Dabrafenib and Its Metabolite in Combination With Trametinib |
2.00; 2.00; 2.00; 1.50; 1.54; 1.53 | — |
| SECONDARY Part B (Analyte=GSK1120212): AUC (0-tau) Assessment of Trametinib in Combination With Dabrafenib |
169; 147; 217; 394; 169; 269 | — |
| SECONDARY Part B (Analyte=GSK1120212): Ctau and Cmax Assessments of Trametinib in Combination With Dabrafenib |
5.56; 5.05; 7.62; 12.4; 5.57; 8.51 | — |
| SECONDARY Part B (Analyte=GSK1120212): Tmax Assessment of Trametinib in Combination With Dabrafenib |
2.00; 2.00; 2.00; 1.52; 2.00; 2.00 | — |
| SECONDARY Part B: Number of Participants With BRAFi-naïve Mutant Metastatic Melanoma With the Best Overall Response as Assessed by Investigator |
0; 4; 3; 4; 4; 10 | — |
| SECONDARY Part B: Duration of Response as Assessed by the Investigator in Participants With BRAFi-naïve Mutant Metastatic Melanoma |
12.4; 8.4; 12.6; 16.9 | — |
| SECONDARY Part B: Progression-free Survival (PFS) as Assessed by the Investigator in Participants With BRAFi-naïve Mutant Metastatic Melanoma |
8.7; 8.2; 5.4; 10.8 | — |
| SECONDARY Part B: Overall Survival (OS) in BRAFi Naïve Melanoma Participants |
17.4; 23.5; 13.3; 41.5 | — |
| SECONDARY Part B: Pre- and Post-dose H-scores for Individual Participants |
135; 109; 193; 138; 148; 65 | — |
| SECONDARY Part C (Randomized): Overall Survival (OS) |
20.2; 18.7; 25.0 | — |
| SECONDARY Part C: Plasma Concentrations of Dabrafenib and Its Metabolites |
59.3; 68.2; 66.3; 45.6; 69.8; 50.5 | — |
| SECONDARY Part C: Plasma Concentrations of Trametinib |
0; 5.86; 9.35; 0; 6.70; 10.3 | — |
| SECONDARY Part C: Oral Clearance (CL/F) of Dabrafenib and Trametinib |
19.4; 5.07; 20.0 | — |
| SECONDARY Part C: Oral Volume of Distribution (V/F) of Dabrafenib and Trametinib |
80.8; 184 | — |
| SECONDARY Part D: Cmax of Dabrafenib Metabolites |
525; 1055; 597; 1363; 596; 1203 | — |
| SECONDARY Part D: Tmax of Dabrafenib Metabolites |
3.00; 3.51; 3.00; 2.07; 2.00; 2.00 | — |
| SECONDARY Part D: Area Under the Concentration-time Curve (AUC) of Dabrafenib Metabolites |
3134; 5950; 3694; 6524; 3963; 7415 | — |
| SECONDARY Part D: Cmax Assessment of Trametinib |
6.8; 6.6; 24.1; 22.6 | — |
| SECONDARY Part D: Tmax Assessment of Trametinib |
2.00; 1.50; 2.00; 2.00 | — |
| SECONDARY Part D: Area Under the Concentration-time Curve Assessment of Trametinib |
53.4; 50.7; 366; 356 | — |
| SECONDARY Part D: Number of Participants With the Best Overall Response as Assessed by the Investigator in Participants |
0; 2; 5; 7; 8; 10 | — |
| SECONDARY Part D: Duration of Response as Assessed by the Investigator |
8.2; 10.1; 5.9; 14.3 | — |
| SECONDARY Part D: Progression-free Survival (PFS) as Assessed by the Investigator |
7.9; 9.3; 7.4; 11.1 | — |
| SECONDARY Part D: Overall Survival (OS) |
19.5; 15.5; 15.3; 40.3 | — |
Eligibility Criteria
Key Inclusion Criteria
- Capable of given written informed consent, which includes compliance with the requirements and restrictions listed in the consent form.
- Male or female age 18 years or greater; able to swallow and retain oral medication.
- BRAF mutation positive melanoma or colorectal cancer; other BRAF mutation positive tumor types may be considered.
- Measurable disease according to RECIST version 1.1.
- Eastern Cooperative Oncology Group Performance Status of 0 or 1 for Parts A and B. Subjects with Eastern Cooperative Oncology Group Performance Status of 2 or less may be entered into Part C with approval of medical monitor.
- Agree to contraception requirements.
- Calcium phosphorus product less than 4.0mmol2/L2.
- Adequate organ system function.
Key Exclusion Criteria
- Currently receiving cancer therapy (chemotherapy, radiation therapy, immunotherapy, or biologic therapy).
- Part A and Part B: Prior exposure to BRAF or MEK inhibitors unless approved by the GSK Medical Monitor.
- Part C: Prior exposure to BRAF or MEK inhibitors. Prior anti-cancer therapy in the metastatic setting, with the exception of up to one regimen of chemotherapy and/or interleukin-2 (IL-2).
- Part D: Prior exposure to BRAF inhibitors. A washout period of 6 weeks is required for ipilimumab.
- Received an investigational anti-cancer drug within 4 weeks or 5 half-lives (whichever is shorter) of study drug administration--- at least 14 days must have passed between the last dose of prior investigational anti-cancer drug and the first dose of study drug.
- Current use of a prohibited medication or requires any of these medications during treatment with study drug.
- Current use of therapeutic warfarin.
- Any major surgery, radiotherapy, or immunotherapy within the last 4 weeks. Limited radiotherapy within the last 2 weeks.
- Chemotherapy regimens with delayed toxicity within the last 4 weeks. Chemotherapy regimens given continuously or on a weekly basis with limited potential for delayed toxicity within the last 2 weeks.
- Unresolved toxicity greater than National Cancer Institute-Common Terminology Criteria for Adverse Events version 4 Grade 1 from previous anti-cancer therapy except alopecia.
- History of retinal vein occlusion, central serous retinopathy or glaucoma.
- Predisposing factors to retinal vein occlusion including uncontrolled hypertension, uncontrolled diabetes, uncontrolled hyperlipidemia, and coagulopathy.
- Visible retinal pathology as assessed by ophthalmologic exam that is considered a risk factor for retinal vein occlusion or central serous retinopathy.
- Intraocular pressure greater than 21mm Hg as measured by tonography.
- Glaucoma diagnosed within one month prior to study Day 1.
- Presence of active gastrointestinal disease or other condition that will interfere significantly with the absorption, distribution, metabolism or excretion of drugs.
- Known human immunodeficiency virus, Hepatitis B or Hepatitis C infection.
- Primary malignancy of the central nervous system.
- Untreated or symptomatic brain metastasis, leptomeningeal disease or spinal cord compression. Subjects who are on a stable dose of corticosteroids for more than 1 month or off corticosteroids for 2 weeks can be enrolled with approval of medical monitor. Subjects are not permitted to receive enzyme-inducing anti-epileptic drugs.
- Subjects with brain metastases are excluded, unless
a. All known lesions must be previously treated with surgery or stereotactic radiosurgery, and- b. Brain lesion(s), if still present, must be confirmed stable (i.e. no increase in lesion size) for ≥90 days prior to first dose on study (must be documented with two consecutive MRI or CT scans using contrast), and c. Asymptomatic with no corticosteroids requirement for ≥ 30 days prior to first dose on study, and d. No enzyme-inducing anticonvulsants for ≥ 30 days prior to first dose on study.
- History of alcohol or drug abuse within 6 months prior to screening.
- Psychologic
Data sourced from ClinicalTrials.gov (NCT01072175). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication. Informational only — not medical advice.