TITRE (EN) A Randomized, Open-label Phase III Study in Patients With Previously Treated Unresectable or Metastatic NRAS Mutant Cutaneous Melanoma Comparing the Combination of Naporafenib + Trametinib to Physician's Choice of Therapy (Dacarbazine, Temozolomide or Trametinib Monotherapy) With a Dose Optimization lead-in
PROTOCOLE ID SEACRAFT-2
CLINICAL TRIAL.gov ID NCT06346067
TYPE(S) DE CANCER Mélanome
PHASE Phase III
TYPE D'ÉTUDE Clinique
INSTITUTION HOPITAL GENERAL JUIF SIR MORTIMER B.DAVIS
3755 rue de la Côte Ste. Catherine
(514) 340-8222
VILLE Montréal
INVESTIGATEUR(RICE) PRINCIPAL(E) Wilson Miller
COORDONATEUR(RICE) Mitra Rezaie
mitra.rzaie.ccomtl@ssss.gouv.qc.ca
514-340-8222 poste 23744
STATUT  Actif en recrutement
CRITÈRES D'ÉLIGIBILITÉ (EN)
  • Willing and able to provide written informed consent
  • Age ≥ 18 years
  • Histologically or cytologically confirmed unresectable or metastatic cutaneous (includes acral) melanoma.
  • Documentation of an NRAS mutation (tumor tissue or blood) prior to first dose of study drug(s) as determined locally with an analytically validated assay in a certified testing laboratory.
  • Archival tumor tissue collected within 5 years prior to enrollment must be confirmed to be available at the time of Screening, which may be submitted before or after enrollment for exploratory biomarker analysis.
  • Must have received an anti-PD-1/L1 based regimen (monotherapy or combination). Patient must have documented disease progression either while receiving therapy or within 12 weeks of last dose of the most recent anti-PD-1/L1 based regimen; the patient is eligible if they have received other therapies between the most recent anti-PD-1/L1 based regimen and enrollment.
  • ECOG performance status 0, 1 or 2
  • Presence of at least 1 measurable lesion according to RECIST v1.1
  • Able to swallow oral medication.
CRITÈRES D'EXCLUSION (EN)
  • Patients with uveal or mucosal melanoma
  • Prior therapy with an ERK-, MEK-, RAF-, or RAS-inhibitor
  • Impairment of gastrointestinal (GI) function or GI disease that may significantly alter the absorption of study drug(s) (e.g., ulcerative diseases, uncontrolled nausea, vomiting, diarrhea, malabsorption syndrome, small bowel resection)
  • 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 syndrome)
  • LVEF <50%
  • Symptomatic CNS metastases that are neurologically unstable. Patients with controlled CNS metastases are eligible.
  • Patients receiving treatment with herbal medicine known to cause liver toxicity, which cannot be discontinued 7 days prior to first dose of study drug(s) and for the duration of the study.
  • Are pregnant or breastfeeding or expecting to conceive or father children within the projected duration of the trial