Study Comparing Naporafenib and Trametinib Combination to Other Therapies for Patients with Previously Treated Unresectable or Metastatic NRAS Mutant Melanoma
This clinical trial is focused on studying treatments for unresectable or metastatic NRAS mutant cutaneous melanoma, a type of skin cancer that cannot be removed by surgery and has spread to other parts of the body. The study will explore the effectiveness of a combination of two medications: naporafenib and trametinib. Naporafenib, also known by its code name LXH254, is a medication that targets specific proteins involved in cancer cell growth. Trametinib is another medication that works by inhibiting certain proteins that help cancer cells grow and divide.
The purpose of the study is to compare the combination of naporafenib and trametinib with other treatments chosen by doctors, which may include dacarbazine, temozolomide, or trametinib alone. Dacarbazine and temozolomide are chemotherapy medications that work by damaging the DNA of cancer cells, preventing them from growing. The study will begin with a phase to determine the best dose of the naporafenib and trametinib combination. After this, the main part of the study will compare how well patients do on the combination treatment versus the other treatment options.
Participants in the study will receive their assigned treatment and be monitored over a period of time to assess the effects on their cancer. The study will look at how long patients live without their cancer getting worse and their overall survival. The trial will also monitor the safety of the treatments and any side effects that may occur. This research aims to find the most effective treatment option for patients with this specific type of melanoma.
1joining the study
Upon joining the study, the patient will be informed about the trial’s purpose and procedures. Written consent is required to participate.
Eligibility criteria include being 18 years or older, having a confirmed diagnosis of unresectable or metastatic NRAS mutant cutaneous melanoma, and having previously received an anti-PD-1/L1 based treatment.
2stage 1: dose optimization
The initial phase involves determining the optimal dose of the combination of naporafenib and trametinib.
Patients will receive these medications orally. The specific dosage will be adjusted based on safety and effectiveness data collected during this stage.
3stage 2: treatment assignment
Patients will be randomly assigned to receive either the combination of naporafenib and trametinib or a treatment chosen by the physician, which could be dacarbazine, temozolomide, or trametinib alone.
The choice of therapy will depend on the patient’s specific condition and previous treatments.
4medication administration
The combination of naporafenib and trametinib is administered orally. Dacarbazine is given intravenously, while temozolomide is taken orally.
The frequency and duration of administration will be determined by the study protocol and the patient’s response to treatment.
5monitoring and assessments
Regular monitoring will occur to assess the treatment’s effectiveness and any side effects. This includes blood tests, imaging studies, and physical examinations.
Patients will be evaluated for progression-free survival and overall survival, as well as any adverse effects from the medications.
6end of study participation
The study is expected to conclude by July 2028. Participation may end earlier if the patient experiences significant side effects or if the disease progresses.
Upon completion, patients will receive information about their treatment outcomes and any further steps if necessary.
Who Can Join the Study?
The patient must agree to participate by signing a written consent form.
The patient must be at least 18 years old.
The patient must have a type of skin cancer called unresectable or metastatic cutaneous melanoma, confirmed by a lab test.
The patient must have a specific change in their cancer called an NRAS mutation, confirmed by a test on tumor tissue or blood.
The patient must have a sample of their tumor collected within the last 5 years available for further analysis.
The patient must have previously received a treatment called anti-PD-1/L1 therapy and shown disease progression during or shortly after this treatment.
The patient must have an ECOG performance status of 0, 1, or 2, which is a scale that measures how well they can perform daily activities.
The patient must have at least one tumor that can be measured by doctors using a standard method called RECIST v1.1.
The patient must be able to swallow pills.
Who Cannot Join the Study?
Patients who have a type of skin cancer called NRAS mutant cutaneous melanoma that cannot be removed by surgery or has spread to other parts of the body.
Patients who are not within the specified age range for the study.
Patients who are not part of the specified clinical trial groups.
Patients who are not male or female, as both genders are included in the study.
Patients who are considered part of a vulnerable population, which means they might need special protection or care.
Naporafenib is an investigational medication being studied for its potential to treat patients with a specific type of skin cancer known as NRAS mutant cutaneous melanoma. It is being tested in combination with another medication to see if it can help improve outcomes for patients whose cancer cannot be surgically removed or has spread to other parts of the body.
Trametinib is a medication used to treat certain types of skin cancer. In this trial, it is being used both in combination with naporafenib and as a standalone treatment option. The study aims to determine the effectiveness of trametinib when used alone or in combination with naporafenib.
Dacarbazine is a chemotherapy drug that is used to treat melanoma. In this trial, it is one of the treatment options that doctors can choose for patients. The study is comparing the effectiveness of dacarbazine to other treatments to see which works best for patients with this type of skin cancer.
Temozolomide is another chemotherapy medication that is used to treat melanoma. It is included in the trial as one of the treatment options available to doctors. The trial is evaluating how well temozolomide works compared to other treatments for patients with NRAS mutant cutaneous melanoma.
Unresectable or Metastatic NRAS Mutant Cutaneous Melanoma – This is a type of skin cancer that occurs when melanocytes, the cells responsible for skin pigment, grow uncontrollably. It is characterized by a mutation in the NRAS gene, which can lead to aggressive tumor growth. The term “unresectable” indicates that the cancer cannot be removed completely through surgery. When the disease is metastatic, it means that the cancer has spread from its original site to other parts of the body. The progression of this melanoma can vary, but it often involves the development of new tumors in distant organs. The condition is typically monitored through imaging and clinical evaluations to assess the spread and growth of the cancer.
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