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Encorafenib

Phase 3

Melanoma | Small molecule | Oncology |Pfizer, Inc.|Last Updated: Apr 7, 2026

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
RandomizedDouble-BlindACTIVE_CONTROLLEDDMCBiomarker
Total Trials3
Total Enrollment1,336
FDA Designations
No designations recorded
Clinical Trials (3)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT04657991A Clinical Trial of Three Study Medicines (Encorafenib, Binimetinib, and Pembrolizumab) in Patients With Advanced or Metastatic MelanomaPHASE3 ACTIVE NOT_RECRUITING 257Jan 15, 2021Aug 31, 2026Apr 7, 2026143 United States, Argentina +25
NCT01909453Study Comparing Combination of LGX818 Plus MEK162 Versus Vemurafenib and LGX818 Monotherapy in BRAF Mutant MelanomaPHASE3 COMPLETED 921Sep 12, 2013Sep 3, 2024Feb 27, 2026282 United States, Argentina +27
NCT02159066LGX818 and MEK162 in Combination With a Third Agent (BKM120, LEE011, BGJ398 or INC280) in Advanced BRAF MelanomaPHASE2 COMPLETED 158Jul 23, 2014Jan 10, 2023Mar 5, 202432 United States, Australia +7
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Study Endpoints
Primary Endpoints
Safety Lead In (SLI): Incidence of Dose Limiting Toxicities (DLTs)
First 2 Cycles of Treatment (cycles are 21 days)

A DLT is defined as any adverse event or laboratory value that is assessed as unrelated to disease, disease progression, intercurrent illness or concomitant medications/therapies occurring within the first 2 cycles of treatment.

Phase 3: Objective Response (OR) by Blinded Independent Central Review (BICR)
Time from the date of randomization until documented PD, start of subsequent anticancer therapy, or death due to any cause (approximately every 9 weeks).

OR is defined as confirmed Best Overall response (BOR) of either CR or PR as determined by BICR assessment per RECIST 1.1

Part 1: Progression Free Survival (PFS) by BIRC in Combo 450 Group as Compared to Vemurafenib Group
From randomization until documented disease progression (PD), initiation of new anti-cancer therapy, censoring date or death, whichever occurred first (up to 29 months)

PFS was defined as the time from the date of randomization to the date of the first documented disease progression (PD) or death due to any cause, whichever occurs first. PFS was determined based on tumor assessment (RECIST version 1.1 criteria) as per BIRC/central review and survival information. If a participant did not had an event at the time of the analysis cut-off or at the start of any new anti-cancer therapy, data was censored at the date of last adequate tumor assessment. PD was defined as at least a 20% increase in the sum of diameter of all measured target lesions, taking as reference the smallest sum of diameter of all target lesions recorded at or after baseline. In addition to the relative increase of 20%, the sum must demonstrate an absolute increase of at least 5 square millimeter (mm\^2).

Part 1: PFS by BIRC in Combo 450 Group as Compared to LGX818 Group
From randomization until documented PD, initiation of new anti-cancer therapy, censoring date or death, whichever occurred first (up to 29 months), excluding Part 1: LGX818 300 mg group; up to 35 months for Part 1: LGX 300 mg group

PFS was defined as the time from the date of randomization to the date of the first documented PD or death due to any cause, whichever occurs first. PFS was determined based on tumor assessment (RECIST version 1.1 criteria) as per BIRC and survival information. If a participant did not had an event at the time of the analysis cut-off or at the start of any new anti-cancer therapy, data was censored at the date of last adequate tumor assessment. PD was defined as at least a 20% increase in the sum of diameter of all measured target lesions, taking as reference the smallest sum of diameter of all target lesions recorded at or after baseline. In addition to the relative increase of 20%, the sum must demonstrate an absolute increase of at least 5 mm\^2.

Overall Response Rate (ORR): Part II
From the start of the treatment until disease/clinical progression or death or early study discontinuation, whichever happened earlier (maximum treatment exposure for Part II was 97.0 weeks)

ORR: percentage of participants with confirmed complete response (CR) and partial response (PR). Response evaluation criteria in solid tumors (RECIST) v1.1: a) CR = disappearance of all non-nodal target lesions. In addition, any pathological lymph nodes assigned as target lesions that had a reduction in short axis to less than (\<) 10 millimeter (mm). Disappearance of all non-target lesions. In addition, all lymph nodes assigned a non-target lesion must be non-pathological in size (\<10 mm short axis) and b) PR = at least a 30 percent (%) decrease in the sum of diameter of all target lesions, taking as reference the baseline sum of diameters. Any radiological assessments taken more than 30 days after the last dose of study therapy or after antineoplastic agents other than study treatments taken by the participants was excluded from the best overall response derivation. Confirmation of CR or PR was to be at least 4 weeks apart from the previous radiological assessment.

Secondary Endpoints
Safety Lead in (SLI) and Phase 3: Incidence and severity of Adverse Events (AEs) and changes in clinical laboratory parameters, vital signs, and cardiac assessments.
Time from first dose of study intervention through 28 days after the last dose of study intervention.
Safety Lead in (SLI) and Phase 3: Objective Response (OR)
Time from the date after the first dose of first dose (SLI) or the date of randomization (Phase 3) until documented PD, or start of subsequent anticancer therapy (approximately every 9 weeks).
Safety Lead in (SLI) and Phase 3: Disease Control (DC)
Time from the date after the first dose of first dose (SLI) or the date of randomization (Phase 3) until documented PD, or start of subsequent anticancer therapy (approximately every 9 weeks)
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Study Design & Arms
AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Triplet ArmEXPERIMENTALEncorafenib and Binimetinib in combination with Pembrolizumab
Control ArmACTIVE_COMPARATORPembrolizumab
LGX818 450 mg + MEK162EXPERIMENTALLGX818 450 mg QD + MEK162 45 mg BID
VemurafenibACTIVE_COMPARATORVemurafenib 960 mg BID
LGX818 300 mg + MEK162EXPERIMENTALLGX818 300 mg QD + MEK162 45 mg BID
LGX818EXPERIMENTALLGX818 300 mg QD
LGX818 + MEK162EXPERIMENTAL -
LGX818 + MEK162 + LEE011EXPERIMENTAL -
LGX818 + MEK162 + BGJ398EXPERIMENTAL -
LGX818 + MEK162 + BKM120EXPERIMENTAL -
LGX818 + MEK162 + INC280EXPERIMENTAL -
Interventions
NameTypeDescription
EncorafenibDRUGEncorafenib
BinimetinibDRUGBinimetinib
PembrolizumabDRUGPembrolizumab
LGX818DRUGLGX818- Orally 100 mg and 50 mg capsules
MEK162DRUGMEK162- Orally 15 mg tablets
vemurafenibDRUGTablets in bottles or blisters 240 mg
LEE011DRUGCombination of LGX818 + MEK162 + LEE011 (Part II)
BGJ398DRUGCombination of LGX818 + MEK162 + BGJ398 (Part II)
BKM120DRUGCombination of LGX818 + MEK162 + BKM120 (Part II)
INC280DRUGCombination of LGX818 + MEK162 + INC280 (Part II)
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Eligibility Criteria
Age Range18 Years — N/A
SexALL
Healthy VolunteersNo
Study Sites143

Inclusion Criteria: * Male or female participants ≥ 18 years at the time of informed consent. * Participants who are willing and able to comply with all scheduled visits, treatment plan, laboratory tests, lifestyle considerations, and other study procedures. * Histologically confirmed unresectable ...

Countries:United StatesArgentinaAustriaBelgiumBrazilBulgariaCanadaCzechiaFinlandFranceGermanyGreeceHungaryIsraelItalyMexicoNew ZealandNorwayPolandRussiaSlovakiaSouth AfricaSpainSwitzerlandTurkey (Türkiye)UkraineUnited KingdomAustraliaColombiaJapanNetherlandsPortugalSingaporeSouth KoreaSweden
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Competitive Landscape -Melanoma 127 trials
CompanyTickerTrialsLead PhaseDrugs
Merck & Co., Inc.MRK6PHASE3Intismeran autogene, Pembrolizumab, pembrolizumab, Pembrolizumab Berahyaluronidase alfa
Bristol-Myers Squibb CompanyBMY7PHASE3Nivolumab, Nivolumab + Relatlimab, rHuPH20, Relatlimab, relatlimab+nivolumab
Regeneron Pharmaceuticals, Inc.REGN8PHASE3Fianlimab, Cemiplimab, Pembrolizumab, fianlimab, cemiplimab
Pfizer Inc.PFE4PHASE3Encorafenib, Binimetinib, Pembrolizumab, PF-08046049, PF-07799933
IDEAYA Biosciences, Inc.IDYA4PHASE3Darovasertib, IDE196, Crizotinib, Pembrolizumab, Ipilimumab
Iovance Biotherapeutics IncIOVA6PHASE3Lifileucel plus Pembrolizumab, Pembrolizumab with Optional Crossover Period, Lifileucel, LN-145/LN-144, Cyclophosphamide
Replimune Group, Inc.REPL5PHASE3Vusolimogene Oderparepvec, Nivolumab, Pembrolizumab, Single-agent chemotherapy, RP1
Amgen Inc.AMGN1PHASE3ABP 206, Nivolumab
Immunocore Holdings Plc Shs Sponsored American Depositary Shares Repr 1 ShIMCR3PHASE3Tebentafusp, Brenetafusp, Nivolumab
Immatics N.V.IMTX2PHASE3IMA203, nivolumab plus relatlimab, lifileucel, pembrolizumab, ipilimumab
Aura Biosciences IncAURA4PHASE3Bel-sar
Novartis AG Sponsored ADRNVS6PHASE2LXH254, LTT462, Trametinib, Ribociclib, DYP688
IO Biotech, Inc.IOBT2PHASE3IO102-IO103, Pembrolizumab, Pembrolizumab KEYTRUDA
Erasca, Inc.ERAS1PHASE3Naporafenib, Dacarbazine, Temozolomide, Trametinib
AstraZeneca PLCAZN3PHASE2Ceralasertib, Durvalumab, AZD6750, rilvegostomig, Trastuzumab deruxtecan
Eikon Therapeutics, Inc.EIKN2PHASE2EIK1001, Pembrolizumab, Association atezolizumab + BDB001 + RT
Moderna, Inc.MRNA1PHASE2mRNA-4157, Pembrolizumab
Genmab A/S Sponsored ADRGMAB2PHASE2Acasunlimab, Pembrolizumab, GEN1042, Cisplatin, Carboplatin
Agenus Inc.AGEN1PHASE2Botensilimab, Balstilimab
ImmunityBio IncIBRX1PHASE2N-803 + Pembrolizumab
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Recent Changes (Last 90 Days)
LOWMay 26, 2026NCT04657991primaryCompletionDate: changed
LOWMay 24, 2026NCT04657991studyFirstPostDate: changed
MEDIUMApr 8, 2026NCT01909453TRIAL_REMOVED: changed
MEDIUMApr 8, 2026NCT01909453TRIAL_REMOVED: changed