Abbreviations
VEMR+COBI
VEMR+PLB
248
247
Phase:
3
Double blind
Melanoma
BRAF MT
meta
L1
- Participants with histologically confirmed melanoma, either unresectable stage IIIc or stage IV metastatic melanoma, as defined by the AJCC 7th edition. Unresectability of stage IIIc disease must have confirmation from a surgical oncologist - Participants must be naïve to treatment for locally advanced unresectable or metastatic disease (ie, no prior systemic anti-cancer therapy for advanced disease; stage IIIc and IV). Prior adjuvant immunotherapy (including ipilimumab) is allowed - Documentation of BRAF V600 mutation-positive status in melanoma tumor tissue (archival or newly obtained tumor samples) using the cobas 4800 BRAF V600 mutation test - Measurable disease per RECIST v1.1 - Eastern Clinical Oncology Group performance status of 0 or 1 - Consent to provide archival for biomarker analyses - Consent to undergo tumor biopsies for biomarker analyses - Life expectancy ≥12 weeks - Adequate hematologic and organ function.
- History of prior rapidly accelerated fibrosarcoma or mitogen-activated protein kinase pathway inhibitor treatment - Palliative radiotherapy within 14 days prior to the first dose of study treatment - Major surgery or traumatic injury within 14 days prior to first dose of study treatment - Active malignancy other than melanoma that could potentially interfere with the interpretation of efficacy measures. Participants with a previous malignancy within the past 3 years are excluded except for participants with resected basal cell carcinoma or squamous cell carcinoma of the skin, melanoma in-situ, carcinoma in-situ of the cervix, and carcinoma in-situ of the breast - History of or evidence of retinal pathology on ophthalmological examination that is considered a risk factor for neurosensory retinal detachment, retinal vein occlusion, or neovascular macular degeneration - Uncontrolled glaucoma with intraocular pressure - Serum cholesterol ≥ Grade 2 - Hypertriglyceridemia ≥ Grade 2 - Hyperglycemia (fasting) ≥ Grade 2 - History of clinically significant cardiac dysfunction - Participants with active central nervous system (CNS) lesions (including carcinomatous meningitis) are excluded. However, participants are eligible if: • All known CNS lesions have been treated with stereotactic therapy or surgery, AND • There has been no evidence of clinical and radiographic disease progression in the CNS for ≥ 3 weeks after radiotherapy or surgery - Current severe, uncontrolled systemic disease - History of malabsorption or other condition that would interfere with absorption of study drugs - Pregnant, lactating, or breastfeeding women.