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Trametinib

Phase 1

Cancer | Small molecule | Oncology |Novartis AG|Last Updated: Jul 14, 2021

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
CONTROLLEDBiomarker
Total Trials1
Total Enrollment139
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT02124772Study to Investigate Safety, Pharmacokinetic (PK), Pharmacodynamic (PD) and Clinical Activity of Trametinib in Subjects With Cancer or Plexiform Neurofibromas and Trametinib in Combination With Dabrafenib in Subjects With Cancers Harboring V600 MutationsPHASE1 COMPLETED 139Jan 15, 2015Dec 29, 2020Jul 14, 202116 United States, Australia +3
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Study Endpoints
Primary Endpoints
Incidence of Treatment Emergent Adverse Events in Subjects Treated With Trametinib Monotherapy
From the day of the first dose of trametinib up to 30 days after the last dose, up to maximum duration of 64 months

Incidence of treatment emergent adverse events is defined as number of participants with adverse events (AEs) and serious adverse events (SAEs), including changes from baseline in vital signs and laboratory results qualifying and reported as AEs. The number of participants in each category is reported in the table.

Average Steady State Plasma Concentration (Cavg) of Trametinib When Administered Alone (Monotherapy)
pre dose, 1, 2, 4, 7, 10 and 24 hours post trametinib dose on Cycle 1 Day 15. The duration of 1 cycle was 28 days.

Pharmacokinetic (PK) parameters were calculated based on trametinib plasma concentrations by using non-compartmental methods. The average steady state plasma concentration (Cavg) of trametinib was calculated as the ratio of area under the curve (AUC)/tau, where tau = 24 h for trametinib.

Secondary Endpoints
Trough Concentration (Ctrough) of Trametinib When Administered Alone and in Combination With Dabrafenib
pre dose on Cycle 1 Day 15. The duration of 1 cycle was 28 days.
Maximum Observed Plasma Concentration (Cmax) of Trametinib When Administered Alone and in Combination With Dabrafenib
pre dose, 1, 2, 4, 7, 10 and 24 hours post trametinib dose on Cycle 1 Day 15 (part A and B) and pre dose, 0.5, 1, 2, 3, 4, 6 and 8 hours post trametinib dose on Cycle 1 Day 15 (part C and D). The duration of 1 cycle was 28 days.
Time to Reach Maximum Plasma Concentration (Tmax) of Trametinib When Administered Alone and in Combination With Dabrafenib
pre dose, 1, 2, 4, 7, 10 and 24 hours post trametinib dose on Cycle 1 Day 15 (part A and B) and pre dose, 0.5, 1, 2, 3, 4, 6 and 8 hours post trametinib dose on Cycle 1 Day 15 (part C and D). The duration of 1 cycle was 28 days.
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Study Design & Arms
AllocationNON_RANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Part A - TMT 0.0125 mg/kg/dayEXPERIMENTALParticipants treated with trametinib 0.0125 mg/kg/day
Part A - TMT 0.025 mg/kg/dayEXPERIMENTALParticipants treated with trametinib 0.025 mg/kg/day
Part A - TMT 0.032 mg/kg/dayEXPERIMENTALParticipants under 6 years of age treated with trametinib 0.032 mg/kg/day
Part A - TMT 0.04 mg/kg/dayEXPERIMENTALParticipants treated with trametinib 0.04 mg/kg/day
Part B - NeuroblastomaEXPERIMENTALParticipants with refractory or relapsed neuroblastoma treated with trametinib 0.025 mg/kg/day
Part B - LGG fusionEXPERIMENTALParticipants with refractory or relapsed neuroblastoma treated with trametinib 0.025 mg/kg/day
Part B - NF-1 with PNEXPERIMENTALParticipants with neurofibromatosis Type -1 associated plexiform neurofibromas (NF-1 with PN) treated with trametinib 0.025 mg/kg/day
Part B - BRAF V600 mutant solid tumorEXPERIMENTALParticipants with BRAF V600 mutant solid tumors treated with trametinib 0.025 mg/kg/day
Part C - TMT 0.025 mg/kg/day + 50% DRB RP2DEXPERIMENTALParticipants treated with a combination therapy of trametinib (0.025 mg/kg/day) plus 50% of the recommended phase II dose (RP2D) of dabrafenib monotherapy (2.63 mg/kg/day for \<12 years old subjects and 2.25 mg/kg/day for ≥12 years old subjects)
Part C - TMT 0.025 mg/kg/day + 100% DRB RP2DEXPERIMENTALParticipants treated with a combination therapy of trametinib (0.025 mg/kg/day) plus 100% of the recommended phase II dose (RP2D) of dabrafenib monotherapy (5.25 mg/kg/day for \<12 years old subjects and 4.5 mg/kg/day for ≥12 years old subjects)
Part C - TMT 0.032 mg/kg/day + 100% DRB RP2DEXPERIMENTALParticipants under 6 years of age treated with a combination therapy of trametinib (0.032 mg/kg/day) with 100% of the recommended phase II dose (RP2D) of dabrafenib monotherapy (5.25 mg/kg/day)
Part D - LGGEXPERIMENTALParticipants with low grade glioma (LGG) treated with a combination therapy of trametinib (0.032 mg/kg/day for \< 6 years old subjects and 0.025 mg/kg/day for ≥ 6 years old subjects) plus 100% of the recommended phase II dose (RP2D) of dabrafenib monotherapy (5.25 mg/kg/day for \<12 years old subjects and 4.5 mg/kg/day for ≥12 years old subjects)
Part D - LCHEXPERIMENTALParticipants with Langerhans cell histiocytosis (LCH) treated with a combination therapy of trametinib (0.032 mg/kg/day for \< 6 years old subjects and 0.025 mg/kg/day for ≥ 6 years old subjects) plus 100% of the recommended phase II dose (RP2D) of dabrafenib monotherapy (5.25 mg/kg/day for \<12 years old subjects and 4.5 mg/kg/day for ≥12 years old subjects)
Interventions
NameTypeDescription
TrametinibDRUGTrametinib was administered orally, once daily. It was available in tablets (0.125 mg, 0.5 mg, 2 mg dose) as well as in powder form for oral solution (0.05 mg/mL dose).
DabrafenibDRUGDabrafenib was administered orally, twice daily. The daily dose was divided into two equal doses. It was available in capsules (50 mg and 75 mg), dispersible tablets (10 mg) and powder for oral suspension (10 mg/mL dose).
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Eligibility Criteria
Age Range1 Month — 17 Years
SexALL
Healthy VolunteersNo
Study Sites16

Inclusion Criteria: * General Eligibility Criteria (All Parts) * Written informed consent - a signed informed consent and/or assent (as age appropriate) for study participation including PK sampling will be obtained according to institutional guidelines. * Male or female between one month and \<18 ...

Countries:United StatesAustraliaCanadaFranceUnited Kingdom
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