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This is a Phase 2/3, multi-arm, multi-stage, open-label study of human leukocyte antigen (HLA)-A*02:01 negative participants with metastatic uveal melanoma (MUM) who will be randomized to receive either IDE196 + crizotinib or investigator's choice of treatment (pembrolizumab, ipilimumab + nivolumab, or dacarbazine).
This study is designed as a multi-stage Phase 2 study within a Phase 3 study to evaluate the safety, tolerability, pharmacokinetics, dose-exposure relationship, and anti-tumor activity of IDE196 in combination with crizotinib compared to the comparator arm of investigator's choice of treatment (pembrolizumab, ipilimumab + nivolumab, or dacarbazine).
The Phase 2a dose optimization stage will evaluate two doses of IDE196 in combination with crizotinib compared to the comparator arm. Participants will be randomized to the three treatment arms. At the point of optimal IDE196 + crizotinib dose selection, the other dose arm will be dropped with discontinuation of enrollment to that arm. Participants receiving the IDE196 dose (in combination with crizotinib) that is not selected, will be offered the choice to remain on the same dose or change to the chosen optimal dose.
The optimal dose will be chosen to complete the Phase 2b portion. The Phase 2b part of the study will continue to enroll the chosen combination dose of IDE196 + crizotinib compared with the comparator arm. Participants will be randomized to the two treatment arms.
The Phase 3 part of the study will continue to enroll the chosen combination dose of IDE196 + crizotinib compared with the comparator arm. Participants will be randomized to the two treatment arms to evaluate the primary endpoint of overall survival (OS).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Phase 2a Dose Optimization of IDE196 + crizotinib | Experimental | Multiple doses of IDE196 will be tested in combination with fixed dose of crizotinib to identify the optimal combination dose. |
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| Phase 2b / 3 Chosen Combination dose of IDE196 + crizotinib | Experimental | Chosen combination dose of IDE196 + crizotinib will be tested in additional participants. |
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| Phase 2a / 2b / 3 Comparator Arm | Active Comparator | Participants will receive investigator's choice of Pembrolizumab, Ipilimumab + Nivolumab, or Dacarbazine. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| IDE196 | Drug | Dosed orally, twice daily |
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| Measure | Description | Time Frame |
|---|---|---|
| Phase 2a: To determine the optimal dose of IDE196 + Crizotinib combination for Phase 2B and Phase 3 by evaluating the following: | dose exposure response (safety and efficacy) relationship, plasma concentration profiles and pharmacokinetic (PK) parameters, treatment-emergent Adverse Events (TEAEs), laboratory abnormalities, electrocardiogram (ECG), and vital sign changes and study treatment discontinuation due to AEs. | Approximately 5 months |
| Phase 2 Progression-Free Survival (PFS) | by blinded independent central review (BICR) of IDE196 + Crizotinib compared to investigator's choice of treatment per RECIST v1.1 | Approximately 2 years |
| Phase 3 Overall Survival (OS) of IDE196 + Crizotinib compared to investigator's choice of treatment. | OS from randomization to date of death due to any cause | Approximately 4 years |
| Measure | Description | Time Frame |
|---|---|---|
| Safety of IDE196 + Crizotinib: Incidence of Adverse Events | Treatment emergent adverse events will be summarized by all AEs, including by Grade ≥3, all treatment related AEs, all AEs leading to study drug modifications or discontinuations, all SAEs as measured by CTCAE v5.0. | Approximately 2 years |
| Phase 2a: Dose-exposure-response of IDE196 as measured by correlating the concentration of IDE196 in plasma with safety and efficacy. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Hetal Patel, MD, MSHS, CHCQM | IDEAYA Biosciences | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Honor Health | Scottsdale | Arizona | 85258 | United States | ||
| Moores Cancer Center |
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| Crizotinib | Drug | Dosed orally, twice daily |
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| Pembrolizumab | Drug | IV administration every 3 weeks |
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| Ipilimumab | Drug | IV administration every 3 weeks for 4 Cycles |
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| Nivolumab | Drug | IV administration every 3 Weeks for 4 Cycles, thereafter every 4 Weeks maintenance |
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| Dacarbazine | Drug | IV administration every 3 Weeks |
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Dose exposure response of IDE196. |
| Approximately 5 months |
| Phase 2a: Dose-exposure-response of Crizotinib measured by correlating the concentration of Crizotinib in plasma with safety and efficacy. | Dose exposure response of Crizotinib | Approximately 5 months |
| Phase 2b + 3: Progression-Free Survival (PFS) per Investigator Assessment of IDE196 + Crizotinib compared to investigator's choice of treatment . | PFS per RECIST v1.1 | Approximately 2 years |
| Objective Response Rate (ORR) per BICR and Investigator assessment of IDE196 + Crizotinib compared to investigator's choice of treatment | ORR per RECIST v1.1 | Approximately 2 years |
| Duration of Response (DOR) per BICR and Investigator assessment of IDE196 + Crizotinib compared to investigator's choice of treatment | DOR per RECIST v1.1 | Approximately 2 years |
| Change from baseline over time and between treatment arms in Global health status and quality of life will be assessed using the EORTC QLQ-C30 questionnaire. | The score range for the EORTC QLQ-C30 is from 0 to 100, with higher scores indicating better functioning and better global health status and health-related in EORTC QLQ-C30 scores | Approximately 2 years |
| Change from baseline over time and between treatment arms in | EuroQoL (EQ)-5D-5L scores | Approximately 2 years |
| Best Objective Response (BOR) per BICR and Investigator Assessment of IDE196 + Crizotinib compared to Investigator's choice of treatment | Best Objective Response (BOR) per RECIST v1.1 | Approximately 2 years |
| Disease Control Rate (DCR) per BICR and Investigator Assessment of IDE196 + Crizotinib compared to investigator's choice of treatment. | Disease Control Rate (DCR) per RECIST v1.1 | Approximately 2 years |
| Time to response as assessed by Investigator and BICR | Time to response per RECIST v1.1 | Approximately 2 years |
| La Jolla |
| California |
| 92093 |
| United States |
| UCLA Medical Center | Los Angeles | California | 90024 | United States |
| The Angeles Clinic and Research Institute | Los Angeles | California | 90025 | United States |
| California Pacific Medical Center (CPMC) | San Francisco | California | 94115 | United States |
| University of California San Francisco | San Francisco | California | 94143 | United States |
| University of Colorado Cancer Center | Aurora | Colorado | 80045 | United States |
| SCRI at HealthONE | Denver | Colorado | 80218 | United States |
| University of Miami Sylvester Comprehensive Cancer Center | Miami | Florida | 33136 | United States |
| Moffitt Cancer Center | Tampa | Florida | 33612 | United States |
| Northside Hospital Atlanta | Atlanta | Georgia | 30342 | United States |
| University of Iowa | Iowa City | Iowa | 52242 | United States |
| Massachusetts General Hospital | Boston | Massachusetts | 02114 | United States |
| Dana Farber Cancer Institute | Boston | Massachusetts | 02215 | United States |
| The Cancer and Hematology Centers | Grand Rapids | Michigan | 49546 | United States |
| Minnesota Oncology Hematology, P.A. | Burnsville | Minnesota | 55337 | United States |
| Mayo Clinic | Rochester | Minnesota | 55905 | United States |
| Washington University School of Medicine | St Louis | Missouri | 63110 | United States |
| Roswell Park Cancer Institute | Buffalo | New York | 14263 | United States |
| Northwell Health | Manhasset | New York | 11030 | United States |
| Memorial Sloan Kettering Cancer Center | New York | New York | 10065 | United States |
| Duke University Health System | Durham | North Carolina | 27710 | United States |
| University of Cincinnati | Cincinnati | Ohio | 45267 | United States |
| The Cleveland Clinic Foundation | Cleveland | Ohio | 44195 | United States |
| Thomas Jefferson University | Philadelphia | Pennsylvania | 19107 | United States |
| University of Pittsburgh Medical Center | Pittsburgh | Pennsylvania | 15232 | United States |
| SCRI Oncology Partners | Nashville | Tennessee | 37203 | United States |
| Texas Oncology- DFW | Dallas | Texas | 75246 | United States |
| UT Southwestern Medical Center | Dallas | Texas | 75390 | United States |
| Houston Methodist Cancer Center | Houston | Texas | 77030 | United States |
| MD Anderson Cancer Center | Houston | Texas | 77030 | United States |
| Westmead Hospital | Sydney | New South Wales | 2145 | Australia |
| Princess Alexander Hospital | Brisbane | Queensland | 4102 | Australia |
| Peter MacCallum Cancer Centre | Melbourne | Victoria | 3000 | Australia |
| Alfred Health | Melbourne | Victoria | 3168 | Australia |
| Sir Charles Gairdner Hospital | Perth | Washington | 6009 | Australia |
| Queen Elizabeth Hospital | Adelaide | Australia |
| Cliniques Universitaires Saint Luc | Brussels | 1200 | Belgium |
| Algemene Medische Oncologie UZ | Leuven | 3000 | Belgium |
| Cross Cancer Institute, University of Alberta | Edmonton | Alberta | T6G 1Z2 | Canada |
| BC Cancer Agency | Vancouver | British Columbia | V5Z4C2 | Canada |
| Princess Margaret Cancer Centre | Toronto | Ontario | M5G 2M9 | Canada |
| Centre Hospitalier de l'Universite de Montreal- CHUM | Montreal | Quebec | H2X 0C1 | Canada |
| The Leon Berard Center | Lyon | France |
| Institut Curie | Paris | 75005 | France |
| NCT Heidelberg | Heidelberg | Baden-Wurttemberg | 69120 | Germany |
| Universitätsklinikum Köln | Cologne | North Rhine-Westphalia | 50937 | Germany |
| Universitätsklinikum Essen (AöR) | Essen | North Rhine-Westphalia | 45147 | Germany |
| Universitätsklinikum Carl Gustav Carus Dresden | Dresden | Saxony | 1307 | Germany |
| Charité - Universitätsmedizin Berlin | Berlin | 12203 | Germany |
| Hadassah Medical Center | Jerusalem | 91120 | Israel |
| Sheba Medical Center | Ramat Gan | 52621 | Israel |
| Fondazione IRCCS Istituto Nazionale dei Tumori | Milan | 20133 | Italy |
| Istituto Nazionale dei Tumori Fondazione Pascale | Naples | 80131 | Italy |
| Fondazione Policlinico Gemelli IRCCS | Roma | 00168 | Italy |
| AOUS Policlinico Le Scotte | Siena | 53100 | Italy |
| LUMC (Leids Universitair Medisch Centrum) | Leiden | 2333 ZA | Netherlands |
| Ośrodek Badań Klinicznych Wczesnych Faz, Uniwersyteckie Centrum Kliniczne w Gdańsku | Gdansk | 80-214 | Poland |
| Narodowy Instytut Onkologii im. Marii Skłodowskiej-Curie Państwowy Instytut Badawczy | Warsaw | 02-781 | Poland |
| Catalan Institute of Oncology | L'Hospitalet de Llobregat | 8908 | Spain |
| Hospital Universitario La Paz | Madrid | 28046 | Spain |
| Hospital Clínico Universitario de Santiago de Compostela | Santiago de Compostela | 15706 | Spain |
| Hospital Universitario Virgen Macarena | Seville | 41009 | Spain |
| Hospital General Universitario Valencia | Valencia | 46014 | Spain |
| Dermatologische Klinik, USZ Flughafen Geschoss 7 - Klinische Forschung | Zurich | 8058 | Switzerland |
| The Beatson West of Scotland Cancer Centre | Glasgow | G12 0YN | United Kingdom |
| The Clatterbridge Cancer Centre NHS Foundation Trust | Metropolitan Borough of Wirral | CH63 4JY | United Kingdom |
| Mount Vernon Cancer Centre East & North Herts NHS Trust | Northwood | HA6 2RN | United Kingdom |
| ID | Term |
|---|---|
| D000098943 | Uveal Melanoma |
| D008545 | Melanoma |
| ID | Term |
|---|---|
| D018358 | Neuroendocrine Tumors |
| D017599 | Neuroectodermal Tumors |
| D009373 | Neoplasms, Germ Cell and Embryonal |
| D009370 | Neoplasms by Histologic Type |
| D009369 | Neoplasms |
| D009380 | Neoplasms, Nerve Tissue |
| D018326 | Nevi and Melanomas |
| D014604 | Uveal Neoplasms |
| D005134 | Eye Neoplasms |
| D009371 | Neoplasms by Site |
| D005128 | Eye Diseases |
| D014603 | Uveal Diseases |
| D012878 | Skin Neoplasms |
| D012871 | Skin Diseases |
| D017437 | Skin and Connective Tissue Diseases |
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| ID | Term |
|---|---|
| D000077547 | Crizotinib |
| C582435 | pembrolizumab |
| D000074324 | Ipilimumab |
| D000077594 | Nivolumab |
| D003606 | Dacarbazine |
| ID | Term |
|---|---|
| D010880 | Piperidines |
| D006573 | Heterocyclic Compounds, 1-Ring |
| D006571 | Heterocyclic Compounds |
| D000631 | Aminopyridines |
| D011725 | Pyridines |
| D061067 | Antibodies, Monoclonal, Humanized |
| D000911 | Antibodies, Monoclonal |
| D000906 | Antibodies |
| D007136 | Immunoglobulins |
| D007162 | Immunoproteins |
| D001798 | Blood Proteins |
| D011506 | Proteins |
| D000602 | Amino Acids, Peptides, and Proteins |
| D012712 | Serum Globulins |
| D005916 | Globulins |
| D014226 | Triazenes |
| D009930 | Organic Chemicals |
| D007093 | Imidazoles |
| D001393 | Azoles |
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