A Study To Assess LXH254 In Patients With Previously Treated Unresectable Or Metastatic BRAFV600 Or NRAS Mutant Melanoma

Overview

About this study

The purpose of this study is to evaluate combinations, using LXH254 as a backbone, which may help overcome intrinsic and acquired resistance to BRAF targeted therapy as well as offer new treatment options for NRAS melanoma patients.

Participation eligibility

Participant eligibility includes age, gender, type and stage of disease, and previous treatments or health concerns. Guidelines differ from study to study, and identify who can or cannot participate. There is no guarantee that every individual who qualifies and wants to participate in a trial will be enrolled. Contact the study team to discuss study eligibility and potential participation.

Inclusion Criteria:

  • Male or female must be ≥ 12 years.
  • For adolescent participants only (12-17 years): body weight > 40kg.
  • Histologically confirmed unresectable or metastatic cutaneous melanoma.
  • Documentation of BRAFV600 or NRAS mutation in tumor tissue prior to study treatment as determined by local assay agreed by Novartis or as determined by central pre-screening assessment performed at a Novartis designated laboratory.
  • Previously treated for unresectable or metastatic melanoma.
  • Participants with NRAS mutation:
    • Participants must have received prior systemic therapy for unresectable or metastatic melanoma with an anti-PD-1/PD-L1 checkpoint inhibitor as a single agent or in combination with anti-CTLA-4. No additional systemic treatment is allowed for unresectable or metastatic melanoma.
    • A maximum of two prior lines of systemic immunotherapy for unresectable or metastatic melanoma are allowed.
    • The last dose of prior therapy (anti-PD-1, anti-PD-L1 or anti-CTLA-4 must have been received more than four weeks before randomization.
    • Participants must have documented confirmed progressive disease as per RECIST v1.1 while on/after treatment with checkpoint inhibitor therapy. The last progression must have occurred within 12 weeks prior to randomization in the study.
  • Participants with BRAFV600 mutant disease:
    • Participants must have received prior systemic therapy for unresectable or metastatic melanoma with anti-PD-1 or an PD-L1 as a single agent or in combination with anti-CTLA-4. Additionally, participants must have received targeted therapy with a RAFi as a single agent or in combination with a MEKi as the last prior therapy. No additional systemic treatment is allowed for advanced or metastatic melanoma.
  • A maximum of three prior lines of systemic therapy for unresectable or metastatic melanoma are allowed.
  • The last dose of targeted therapy (last prior therapy) must have been received more than 2 weeks prior to randomization.
  • Participants must have documented progressive disease as per RECIST v1.1 while on/after treatment with targeted therapy. The last progression must have occurred within 12 weeks prior to randomization in the study.
  • Participants must have a site of disease amenable to repeated biopsies and must be willing to undergo a new tumor biopsy at baseline and during treatment according to the treating institution’s own guidelines and requirements for such procedure. Bone metastases are not acceptable as a site for biopsy.

Exclusion Criteria:

  • All primary central nervous system (CNS) tumors or symptomatic CNS metastases that are neurologically unstable.
  • Insufficient bone marrow, hepatic or renal function at the screening visit.
  • Abnormal ECG as determined by the mean of a triplicate ECG and assessed locally.
  • Cardiac disease or cardiac repolarization abnormality.
  • Presence of ≥ CTCAE grade 2 toxicity (except alopecia and ototoxicity, which are excluded if ≥ CTCAE grade 3) due to prior anti-cancer therapy.
  • 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 syndromes).

Participating Mayo Clinic locations

Study statuses change often. Please contact the study team for the most up-to-date information regarding possible participation.

Mayo Clinic Location Status Contact

Rochester, Minn.

Mayo Clinic principal investigator

Anastasios Dimou, M.D.

Closed for enrollment

Contact information:

Cancer Center Clinical Trials Referral Office

(855) 776-0015

More information

Publications

Publications are currently not available

Additional contact information

Cancer-related trials contact form

Phone: 855-776-0015 (toll-free)

International patient clinical studies questions