IDE196 (Darovasertib) in Combination with Crizotinib As First-line Therapy in Metastatic Uveal Melanoma

Last updated: March 25, 2025
Sponsor: IDEAYA Biosciences
Overall Status: Active - Recruiting

Phase

2/3

Condition

Melanoma

Treatment

Nivolumab

Ipilimumab

Pembrolizumab

Clinical Study ID

NCT05987332
IDE196-002
  • Ages > 18
  • All Genders

Study Summary

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).

Eligibility Criteria

Inclusion

Inclusion Criteria:

  • Histological or cytological confirmed Metastatic Uveal Melanoma

  • HLA-A*02:01 negative

  • No prior systemic therapy in the metastatic or advanced setting or regional orliver-directed therapy. Ablations or surgical resection of oligometastatic disease,and neoadjuvant or adjuvant therapy is allowed

  • Measurable disease per RECIST 1.1

  • Able to be safely administered and absorb study therapy

  • ECOG performance status 0 or 1

  • Life expectancy of ≥3 months

  • Adequate organ function

Exclusion

Exclusion Criteria:

  • Previous treatment with a PKC inhibitor (including prior treatment with IDE196), aninhibitor directly targeting MET, or an inhibitor directly targeting GNAQ/11

  • Concurrent malignant disease

  • AEs from prior anti-cancer therapy that have not resolved to Grade ≤1

  • Symptomatic or untreated central nervous system (CNS) metastases, or CNS metastasesthat require corticosteroids

  • High risk of syncope

  • Known AIDS related illness or active Hep B/C

  • Active adrenal insufficiency, active colitis, or active inflammatory bowel disease

  • History of interstitial lung disease, active pneumonitis, or history of pneumonitis

  • Active infection requiring systemic antibiotic therapy

  • Use of hematopoietic colony-stimulating factors (CSF) prior to start of study drug

  • Females who are pregnant or breastfeeding

  • History of severe hypersensitivity reactions (eg, anaphylaxis) to other biologicdrugs or monoclonal antibodies

  • Contraindication for treatment with investigator's choice therapies as perapplicable labelling

  • History of stroke within the last 6 months of the first dose of study drug

  • Has any other condition that may increase the risk associated with studyparticipation or may interfere with the interpretation of study results and, in theopinion of the investigator, would make the participant inappropriate for entry intothe study, including institutionalization on the basis of an official or court order

Study Design

Total Participants: 420
Treatment Group(s): 6
Primary Treatment: Nivolumab
Phase: 2/3
Study Start date:
October 31, 2023
Estimated Completion Date:
January 15, 2028

Study Description

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.

Connect with a study center

  • Westmead Hospital

    Sydney, New South Wales 2145
    Australia

    Active - Recruiting

  • Princess Alexander Hospital

    Brisbane, Queensland 4102
    Australia

    Active - Recruiting

  • Alfred Health

    Melbourne, Victoria 3168
    Australia

    Active - Recruiting

  • Peter MacCallum Cancer Centre

    Melbourne, Victoria 3000
    Australia

    Active - Recruiting

  • Sir Charles Gairdner Hospital

    Perth, Washington 6009
    Australia

    Active - Recruiting

  • Queen Elizabeth Hospital

    Adelaide,
    Australia

    Active - Recruiting

  • Cliniques Universitaires Saint Luc

    Brussels, 1200
    Belgium

    Active - Recruiting

  • Cross Cancer Institute, University of Alberta

    Edmonton, Alberta T6G 1Z2
    Canada

    Active - Recruiting

  • Princess Margaret Cancer Centre

    Toronto, Ontario M5G 2M9
    Canada

    Site Not Available

  • Centre Hospitalier de l'Universite de Montreal- CHUM

    Montréal, Quebec H2X 0C1
    Canada

    Active - Recruiting

  • The Leon Berard Center

    Lyon,
    France

    Active - Recruiting

  • Institut Curie

    Paris, 75005
    France

    Active - Recruiting

  • NCT Heidelberg

    Heidelberg, Baden- Württemberg 69120
    Germany

    Active - Recruiting

  • Universitätsklinikum Essen (AöR)

    Essen, North Rhine-Westphalia 45147
    Germany

    Site Not Available

  • Universitätsklinikum Köln

    Köln, North Rhine-Westphalia 50937
    Germany

    Active - Recruiting

  • Universitätsklinikum Carl Gustav Carus Dresden

    Dresden, Saxony 1307
    Germany

    Active - Recruiting

  • Charité - Universitätsmedizin Berlin

    Berlin, 12203
    Germany

    Active - Recruiting

  • Hadassah Medical Center

    Jerusalem, 91120
    Israel

    Active - Recruiting

  • Sheba Medical Center

    Ramat-Gan, 52621
    Israel

    Active - Recruiting

  • Fondazione IRCCS Istituto Nazionale dei Tumori

    Milano, 20133
    Italy

    Active - Recruiting

  • Istituto Nazionale dei Tumori Fondazione Pascale

    Napoli, 80131
    Italy

    Active - Recruiting

  • Fondazione Policlinico Gemelli IRCCS

    Roma, 00168
    Italy

    Active - Recruiting

  • AOUS Policlinico Le Scotte

    Siena, 53100
    Italy

    Active - Recruiting

  • LUMC (Leids Universitair Medisch Centrum)

    Leiden, 2333 ZA
    Netherlands

    Active - Recruiting

  • Ośrodek Badań Klinicznych Wczesnych Faz, Uniwersyteckie Centrum Kliniczne w Gdańsku

    Gdańsk, 80-214
    Poland

    Active - Recruiting

  • Narodowy Instytut Onkologii im. Marii Skłodowskiej-Curie Państwowy Instytut Badawczy

    Warsaw, 02-781
    Poland

    Active - Recruiting

  • Catalan Institute of Oncology

    L'Hospitalet de Llobregat, 8908
    Spain

    Active - Recruiting

  • Hospital Universitario La Paz

    Madrid, 28046
    Spain

    Active - Recruiting

  • Hospital Clínico Universitario de Santiago de Compostela

    Santiago de Compostela, 15706
    Spain

    Active - Recruiting

  • Hospital Universitario Virgen Macarena

    Sevilla, 41009
    Spain

    Active - Recruiting

  • Hospital General Universitario Valencia

    Valencia, 46014
    Spain

    Active - Recruiting

  • Dermatologische Klinik, USZ Flughafen Geschoss 7 - Klinische Forschung

    Zuerich, 8058
    Switzerland

    Active - Recruiting

  • The Beatson West of Scotland Cancer Centre

    Glasgow, G12 0YN
    United Kingdom

    Active - Recruiting

  • Mount Vernon Cancer Centre East & North Herts NHS Trust

    Northwood, HA6 2RN
    United Kingdom

    Active - Recruiting

  • The Clatterbridge Cancer Centre NHS Foundation Trust

    Wirral, CH63 4JY
    United Kingdom

    Active - Recruiting

  • Honor Health

    Scottsdale, Arizona 85258
    United States

    Active - Recruiting

  • Moores Cancer Center

    La Jolla, California 92093
    United States

    Active - Recruiting

  • Moores Cancer Center- UCSD

    La Jolla, California 92093
    United States

    Site Not Available

  • The Angeles Clinic and Research Institute

    Los Angeles, California 90025
    United States

    Active - Recruiting

  • UCLA Medical Center

    Los Angeles, California 90024
    United States

    Active - Recruiting

  • California Pacific Medical Center (CPMC)

    San Francisco, California 94115
    United States

    Active - Recruiting

  • University of California San Francisco

    San Francisco, California 94143
    United States

    Active - Recruiting

  • University of Colorado Cancer Center

    Aurora, Colorado 80045
    United States

    Active - Recruiting

  • SCRI at HealthONE

    Denver, Colorado 80218
    United States

    Active - Recruiting

  • University of Miami Sylvester Comprehensive Cancer Center

    Miami, Florida 33136
    United States

    Active - Recruiting

  • Moffitt Cancer Center

    Tampa, Florida 33612
    United States

    Active - Recruiting

  • Northside Hospital Atlanta

    Atlanta, Georgia 30342
    United States

    Active - Recruiting

  • University of Iowa

    Iowa City, Iowa 52242
    United States

    Active - Recruiting

  • Dana Farber Cancer Institute

    Boston, Massachusetts 02215
    United States

    Active - Recruiting

  • Massachusetts General Hospital

    Boston, Massachusetts 02114
    United States

    Active - Recruiting

  • The Cancer and Hematology Centers

    Grand Rapids, Michigan 49546
    United States

    Active - Recruiting

  • Minnesota Oncology Hematology, P.A.

    Burnsville, Minnesota 55337
    United States

    Active - Recruiting

  • Mayo Clinic

    Rochester, Minnesota 55905
    United States

    Active - Recruiting

  • Washington University School of Medicine

    Saint Louis, Missouri 63110
    United States

    Active - Recruiting

  • Roswell Park Cancer Institute

    Buffalo, New York 14263
    United States

    Active - Recruiting

  • Northwell Health

    Manhasset, New York 11030
    United States

    Active - Recruiting

  • Memorial Sloan Kettering Cancer Center

    New York, New York 10065
    United States

    Active - Recruiting

  • Duke University Health System

    Durham, North Carolina 27710
    United States

    Active - Recruiting

  • University of Cincinnati

    Cincinnati, Ohio 45267
    United States

    Active - Recruiting

  • The Cleveland Clinic Foundation

    Cleveland, Ohio 44195
    United States

    Active - Recruiting

  • Thomas Jefferson University

    Philadelphia, Pennsylvania 19107
    United States

    Active - Recruiting

  • University of Pittsburgh Medical Center

    Pittsburg, Pennsylvania 15232
    United States

    Active - Recruiting

  • University of Pittsburgh Medical Center

    Pittsburgh, Pennsylvania 15232
    United States

    Site Not Available

  • SCRI Oncology Partners

    Nashville, Tennessee 37203
    United States

    Active - Recruiting

  • SCRI at Tennessee Oncology

    Nashville, Tennessee 37203
    United States

    Active - Recruiting

  • SCRI- Tennessee Oncology

    Nashville, Tennessee 37203
    United States

    Site Not Available

  • Texas Oncology- DFW

    Dallas, Texas 75246
    United States

    Active - Recruiting

  • UT Southwestern Medical Center

    Dallas, Texas 75390
    United States

    Active - Recruiting

  • Houston Methodist Cancer Center

    Houston, Texas 77030
    United States

    Active - Recruiting

  • MD Anderson Cancer Center

    Houston, Texas 77030
    United States

    Active - Recruiting

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