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Phase 2 Completed N=8 Treatment

Investigate Safety, Pharmacokinetics and Pharmacodynamics of GSK2118436 & GSK1120212

Source: ClinicalTrials.gov NCT01072175 ↗
Enrolled (actual)
8
Serious AEs
56.8%
Results posted
Nov 2013
Primary outcomePrimary: Part A: Maximum Plasma Concentration (Cmax) of a Single Dose of Dabrafenib Administered Alone and in Combination With Trametnib — 509; 524; 259; 255 Nanograms per milliliter (ng/mL)

Summary

This was an open-label, dose escalation study to investigate the safety, pharmacokinetics, pharmacodynamics and clinical activity of GSK2118436 and GSK1120212 in combination. This study was designed in four parts. In Part A, the effect of repeat doses of GSK1120212 on the pharmacokinetics of single dose GSK2118436 was investigated prior to evaluating combination regimens. In Part B, the range of tolerated dose combinations was identified using a dose-escalation procedure. In Part C, different dose combinations of GSK2118436 and GSK1120212 were evaluated, based on results from the dose escalation cohorts. In Part D, the pharmacokinetics and safety of GSK2118436 administered as HPMC capsules alone and in combination with GSK1120212 was evaluated.

Outcome Measures

OutcomeResultp-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
View full record on ClinicalTrials.gov →

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.

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