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Darovasertib

Phase 3

Uveal Melanoma | Small molecule | Oncology |IDEAYA Biosciences, Inc.|Last Updated: Sep 4, 2026

Success Probability

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Trial Design

RandomizedACTIVE_CONTROLLEDDMC
Total Trials3
Total Enrollment1,130

FDA Designations

BREAKTHROUGH_THERAPY

Clinical trial landscape

Darovasertib · 3 trials · 1 indication

Phase 3 2Phase 2 1
NCT07804186Study of Adjuvant Darovasertib and Crizotinib in Participants With Primary Non-metastatic Uveal MelanomaUveal Melanoma
RECRUITING450 Analytics
NCT07015190Neoadjuvant Darovasertib in Primary Uveal MelanomaUveal Melanoma
RECRUITING520 Analytics
PHASE3RECRUITING
Study of Adjuvant Darovasertib and Crizotinib in Participants With Primary Non-metastatic Uveal Melanoma
Uveal MelanomaUnlock trial analytics
PHASE3RECRUITING
Neoadjuvant Darovasertib in Primary Uveal Melanoma
Uveal MelanomaUnlock trial analytics

Study Endpoints

Primary Endpoints

Median relapse-free survival
Approximately 5 years

Time to local recurrence or metastatic disease per Blinded Independent Central Response Evaluation Criteria in Solid Tumors version 1.1 (RECIST v1.1)

Cohort 1: To demonstrate that the proportion of subjects with vision loss is lower for subjects in the Treatment Arm vs the Control Arm
Approximately 3 years

Loss of Best Corrected Visual Acuity (BCVA) of ≥ 15 letters using Early Treatment Diabetic Retinopathy Study (ETDRS) BCVA

Cohort 2: To demonstrate the ability to salvage the eye and prevent enucleation in the Treatment Arm
Approximately 2 years

Eye preservation rate

Incidence of Adverse Events (AEs) and significant laboratory abnormalities
from first dose to 28 days after last dose of therapy, approximately 18 months

Treatment emergent adverse events will be summarized by all AEs, all Grade 3-4-5 AEs, all treatment related AEs, all AEs leading to study drug modifications or discontinuations, all SAEs. Lab results will be summarized by change from baseline values, frequency of newly occurring on-treatment Grade 3 or 4 events; worst on-treatment value compared to baseline.

Cohort 1 (enucleation): Number of patients converted from requiring enucleation to radiation
from first dose of neoadjuvant to end of neoadjuvant therapy, approximately 12 months

Rate of eye salvage as determined by the ocular oncologist based on tumor response to neoadjuvant therapy

Cohort 2 (plaque brachytherapy): Estimated change in modeled radiation dose
from first dose of neoadjuvant to end of neoadjuvant therapy, approximately 12 months

Change in modeled radiation dose at critical eye structures before and after neoadjuvant therapy

Cohort 3 (patients with small UM tumors): Number of patients with clinical benefit per protocol-defined UM response criteria
from first dose of neoadjuvant to end of neoadjuvant therapy, approximately 12 months

Proportion of patients with clinical benefit rate (CBR) defined as complete response (CR) + partial response (PR) + stable disease (SD) for ≥ 12 weeks per UM response criteria

Secondary Endpoints

Median metastasis-free survival
Approximately 5 years
Overall survival
Approximately 5 years
Median UM specific survival
Approximately 5 years
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Study Design & Arms

AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
TreatmentEXPERIMENTALParticipant Group/Arm: Treatment combination dose of IDE196 + crizotinib will be tested
ObservationNO_INTERVENTIONParticipant Group/Arm: Observation Standard of care observation \& follow-up (no treatment)
Treatment ArmEXPERIMENTALDarovasetib followed by definitive primary local therapy (i.e., PB, proton beam radiation, or enucleation)
Control ArmACTIVE_COMPARATORImmediate Primary Local therapy
darovasertibEXPERIMENTALIDE196 (darovasertib) oral open label

Interventions

NameTypeDescription
DarovasertibDRUGOral, selectively targets key proteins
Crizotinib (Xalkori)DRUGOral small molecule
Primary Local TherapyPROCEDUREPlaque Brachytherapy or Enucleation
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites1

Inclusion Criteria: * Primary Uveal Melanoma, classified as high-risk of relapse (AJCC Stage II or Stage 3) * Completed primary local therapy (enucleation, proton beam therapy, plaque brachytherapy) * ECOG performance status of 0 or 1 * Adequate organ function * Age 18 or older * Written informed c...

Countries:CanadaUnited StatesAustraliaAustriaBelgiumCzechiaDenmarkEstoniaFranceGermanyGreeceIsraelItalyNetherlandsNew ZealandPolandSlovakiaSloveniaSpainSwitzerlandUnited Kingdom
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Recent Changes (Last 90 Days)

LOWSep 4, 2026NCT07804186NEW_TRIAL: changed
LOWSep 4, 2026NCT07804186NEW_TRIAL: changed

Frequently asked questions about Darovasertib

What is Darovasertib used for in Uveal Melanoma?

Darovasertib is an investigational small molecule being studied for the treatment of uveal melanoma, a cancer of the eye. It is currently in Phase 3 clinical development as a neoadjuvant therapy for primary uveal melanoma, meaning it is given before the main treatment to shrink tumors. It has received Breakthrough Therapy designation from the FDA.

What does Darovasertib target?

Darovasertib is a small molecule that targets protein kinase C (PKC), a key driver in uveal melanoma. By inhibiting PKC, it aims to block cancer cell growth and survival. This mechanism is being evaluated in clinical trials for patients with uveal melanoma.

Who makes Darovasertib?

Darovasertib is being developed by IDEAYA Biosciences, Inc., a biopharmaceutical company traded on NASDAQ under the ticker IDYA. The company is conducting clinical trials to evaluate the drug's safety and efficacy in uveal melanoma.

What phase is Darovasertib in?

Darovasertib is in Phase 3 clinical development for uveal melanoma. It is an investigational drug, not yet approved by the FDA. A Phase 3 trial (NCT07015190) is currently recruiting patients to evaluate neoadjuvant darovasertib in primary uveal melanoma.

What clinical trials is Darovasertib in?

Darovasertib is being studied in two active clinical trials. NCT07015190 is a Phase 3 trial of neoadjuvant darovasertib in primary uveal melanoma, with 520 participants. NCT05907954 is a Phase 2 trial of (neo)adjuvant IDE196 (darovasertib) in localized ocular melanoma, with 160 participants. Both are enrolling or active.

Is Darovasertib the same as IDE196?

Yes, Darovasertib is also known as IDE196. In clinical trials, it is sometimes referred to by this alternative name. For example, the Phase 2 trial NCT05907954 uses the name IDE196 in its title, while the Phase 3 trial uses Darovasertib.