Table 1 Clinical trials for BRAF-mutant only patients

From: Beyond BRAF: where next for melanoma therapy?

NCT ID

Genotype

Drug

Target

Phase

Status

Results

Reference

NCT01006980

BRAF

Dacarbazine Vemurafenib

Chemotherapy

BRAF

3

Active

Vemurafenib group: OS at 6 months 84% (95% CI), 48% response rate Dacarbazine group: OS at 6 months 64% (95% CI, 56–73), 5% response rate

Chapman et al (2011)

NCT01227889

BRAF

Dacarbazine Dabrafenib

Chemotherapy

BRAF

3

Active

Dabrafenib: mPFS 5.1 months Dacarbazine: mPFS 2.7 months With hazard ratio (HR) of 0.30 (95% CI 0.18–0.51; P<0.0001)

Hauschild et al (2012)

NCT01245062

BRAF

Dacarbazine or Paclitaxel Trametinib

Chemotherapy

MEK

3

Active

Trametinib: mPFS 4.8 months, OS at 6 months 81% Chemotherapy: mPFS 1.5 months, OS at 6 months 67% Hazard ratio for disease progression or death in the trametinib group, 0.45; 95% CI, 0.33 to 0.63; P<0.001. Hazard ratio for death, 0.54; 95% CI, 0.32–0.92; P=0.01

Flaherty et al (2012b)

NCT01072175

BRAF

Dabrafenib Trametinib

BRAF

MEK

2

Active

Combination group: mPFS 9.4 months, 76% complete or partial response Dabrafenib group: mPFS 5.8 months, 54% complete or partial response Hazard ratio for progression or death, 0.39; 95% confidence interval, 0.25–0.62; P<0.001

Flaherty et al (2012a)

NCT00304525

BRAF

RAF265

Pan-RAF

2

Completed

 

a

NCT01657591

BRAF

Vemurafenib XL888

BRAF

HSP90

1

Recruiting

 

a

NCT02068079

BRAF

Vemurafenib Trientine

BRAF

Copper chelator

1

Recruiting

 

a

NCT01902173

BRAF

Dabrafenib GSK2141795

BRAF

AKT

1/2

Recruiting

 

a

NCT01820364

BRAF

LGX818 and: MEK162 LEE011 BGJ398 BKM120 INC280

BRAF

MEK

CDK4/6

FGFR

PI3K

c-MET

2

Recruiting

 

a

NCT00936221

BRAF

Dacarbazine Selumetinib

Chemotherapy

MEK

2

Active

OS did not differ significantly between groups, PFS improved with selumetinib. Selubetinib+dacarbazine group: mOS 13.9 months (80% CI 10.2–15.6), mPFS 5.6 months Dacarbazine group: mOS 10.5 months (80% CI 9.6–14.7), mPFS 3.0 months

Robert et al (2013)

NCT01495988

BRAF

Vemurafenib Bevacizumab

BRAF

angiogenesis

2

Recruiting

 

a

NCT01826448

BRAF

Vemurafenib PLX3397

BRAF

CSF1R, KIT, FLT3

1

Recruiting

 

a

NCT01841463

BRAF

Vemurafenib P1446A

BRAF

CDK4

1

Recruiting

 

a

NCT01616199

BRAF

Vemurafenib PX-866

BRAF

PI3K

1/2

Recruiting

 

a

NCT02097225

BRAF

AT13387 Dabrafenib Trametinib

HSP-90

BRAF MEK

1

Recruiting

 

a

NCT01519427

BRAF, failed BRAFi

Selumetinib MK2206

MEK

AKT

2

Terminated

Study terminated due to slow accrual, total of 2 patients. OS 153 days, PFS 105 days, SD in 1 patient and PD in 1 patient

a

  1. Abbreviations: CI=confidence interval; CR=complete response; mOS=median overall survival; mPFS=median progression-free survival; OS=overall survival; ORR=objective response rate; PD=progressive disease; PFS=progression-free survival; PR=partial response; SD=stable disease.
  2. aClinicaltrials.org.