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LGX818

Phase 2

Colorectal Cancer | Small molecule | Oncology |Pfizer, Inc.|Last Updated: Oct 28, 2024

Target and mechanism

Molecular targetBRAF
Target classInhibitor
ModalitySmall molecule

Also known as Encorafenib

Success Probability

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Market & Valuation

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Trial Design

CONTROLLED
Total Trials1
Total Enrollment156

FDA Designations

No designations recorded

Clinical trial landscape

LGX818 · 3 trials · 3 indications

Phase 2 1Phase 1 2
NCT01719380Study of LGX818 and Cetuximab or LGX818, BYL719, and Cetuximab in BRAF Mutant Metastatic Colorectal CancerColorectal Cancer
COMPLETED156 Analytics
PHASE2COMPLETED
Study of LGX818 and Cetuximab or LGX818, BYL719, and Cetuximab in BRAF Mutant Metastatic Colorectal Cancer
Colorectal CancerUnlock trial analytics

Study Endpoints

Primary Endpoints

Phase 1b: Number of Participants With Incidence of Dose Limiting Toxicities (DLTs): Cycle 1
Cycle 1: Day 1 to Day 28

DLTs were defined as an adverse event (AE) or abnormal laboratory value assessed as unrelated to disease, disease progression, inter-current illness, or concomitant medications that occurred within the first 28 days of treatment and meets any of the criteria included blood and lymphatic system disorders, investigations (blood, renal, hepatic, metabolic), skin and subcutaneous tissue disorders: rash, HFSR (hand foot skin reaction) and/or photosensitivity, metabolism and nutrition disorders: hyperglycemia, gastrointestinal disorders, cardiac disorders, vascular disorders, general disorders and administration site conditions, tumor lysis syndrome, ophthalmologic and other adverse events: study drug-related fever, alkaline phosphatase elevation.

Phase 2: Progression Free Survival (PFS)
From the date of randomization until the first documentation of disease progression or death due to any cause, censored date, whichever occurred first (maximum up to 43 months)

PFS was defined as the time from the date of randomization to the date of the first documented disease progression or death due to any cause. Participants who did not progress per RECIST (Response Evaluation Criteria in Solid Tumors) version (v) 1.1, were not known to have died prior to the data cut-off, or received any further anticancer therapy were censored at the date of last adequate tumor assessment or the anticancer therapy date, whichever was earlier.

Number of Participants With Dose Limiting Toxicities (DLTs): Phase 1b
Phase 1b: Cycle 1 (28 days following the first dose of LGX818 and MEK162 or LGX818 and MEK162 and LEE011)

DLT was defined as an adverse event or abnormal laboratory value assessed as at least possibly related to the study medication, as clinically relevant, as unrelated to disease, disease progression, inter-current illness, or concomitant medications, which occurred (less than equal to) \<=28 days following the first dose of LGX818 and MEK162 or LGX818 and MEK162 and LEE011 (cycle 1) and met the defined criteria for the study.

Disease Control Rate (DCR) at Week 16: Phase 2, Arm 1 (mCRC Participants)
Phase 2: Week 16

DCR was defined as percentage of participants with a best overall response of complete response (CR), partial response (PR) or stable disease (SD). As per Response Evaluation Criteria in Solid tumors Response Evaluation Criteria in Solid Tumors (RECIST) v1.1: CR was defined as complete disappearance of all target lesions and non-target disease. All nodes, both target and non-target, must have a reduction in short axis less than (\<)10 millimeter \[mm\]). PR was defined as more than equal to (\>=) 30 percent (%) decrease under baseline of sum of diameters of all target lesions taking as reference the baseline sum of diameters. SD was defined as neither sufficient shrinkage to qualify for PR or CR nor an increase in lesions which would qualify for progressive disease (PD).

Objective Response Rate (ORR): Phase 2, Arms 2, 3 and A
Phase 2: From Day 1 of dosing till complete response or partial response achieved (maximum exposure of treatment for Phase 2 was 111.5 months]

ORR was defined as the percentage of participants with a best overall response of CR or PR. As per RECIST v1.1, CR was defined as complete disappearance of all target lesions and non-target disease. All nodes, both target and non-target, must have a reduction in short axis \<10 mm. PR was defined as \>= 30% decrease under baseline of sum of diameters of all target lesions taking as reference the baseline sum of diameters.

Number of Participants With Dose-Limiting Toxicity (DLT) During Dose Escalation Phase
Up to 28 days

DLT= Adverse event (AE) or abnormal laboratory value assessed as unrelated to disease, disease progression, inter-current illness, or concomitant medications that occurred within first 28 days of treatment with encorafenib and met any of following criteria: \>=grade (G)3 neutropenia or thrombocytopenia for \>7 days; G4 thrombocytopenia; febrile neutropenia; \>=G3 serum creatinine, blood bilirubin; alanine aminotransferase (ALT) or aspartate aminotransferase (AST) and lipase and/or serum amylase (\>=G3 for \> 7 consecutive days or G4); \>=G3 ALT or AST and \>=G2 blood bilirubin; \>=G3 persistent hypertension with more than one drug or more intensive therapy or cardiac disorders or AE excluding on-target side-effect that is manageable; G3 fatigue/asthenia for \>7 consecutive days; \>= G3 vomiting or nausea or diarrhea lasting more than 48 hours despite treatment; \>=G3 pancreatitis, rash/photosensitivity (G3 for \> 7 consecutive days despite skin toxicity treatment or G4); G3 or G4 eye disorders.

Number of Participants With DLT During Dose Expansion Phase
Up to 28 days

DLT= Adverse event (AE) or abnormal laboratory value assessed as unrelated to disease, disease progression, inter-current illness, or concomitant medications that occurred within first 28 days of treatment with encorafenib and met any of following criteria: \>=grade (G)3 neutropenia or thrombocytopenia for \>7 days; G4 thrombocytopenia; febrile neutropenia; \>=G3 serum creatinine, blood bilirubin; alanine aminotransferase (ALT) or aspartate aminotransferase (AST) and lipase and/or serum amylase (\>=G3 for \> 7 consecutive days or G4); \>=G3 ALT or AST and \>=G2 blood bilirubin; \>=G3 persistent hypertension with more than one drug or more intensive therapy or cardiac disorders or AE excluding on-target side-effect that is manageable; G3 fatigue/asthenia for \>7 consecutive days; \>= G3 vomiting or nausea or diarrhea lasting more than 48 hours despite treatment; \>=G3 pancreatitis, rash/photosensitivity (G3 for \> 7 consecutive days despite skin toxicity treatment or G4); G3 or G4 eye disorders.

Secondary Endpoints

Number of Participants With Treatment - Emergent Adverse Events of Grade 3 or 4 Severity Based on National Cancer Institute of Common Terminology Criteria (NCI-CTCAE), Version 4.0
From screening up to 30 days after the last dose of study treatment (for a maximum duration of 43 months, approximately)
Apparent Total Plasma Clearance (CL/F) of LGX818 (Encorafenib)
Cycle 1 Day 1: Pre-dose, 0.5, 1, 2, 4, 6, 8 and 24 +/- 2 hours post-dose
Apparent Total Plasma Clearance at Steady State (CL/F, ss) of LGX818 (Encorafenib)
Cycle 1 Day 8, Cycle 2 Day 1: Pre-dose, 0.5, 1, 2, 4, 6, 8 and 24 +/- 2 hours post-dose
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Study Design & Arms

AllocationNON_RANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
LGX818 + cetuximabEXPERIMENTAL -
LGX818 + BYL719 + cetuximabEXPERIMENTAL -
dual combinationEXPERIMENTALLGX818 QD and MEK162 BID
triple combinationEXPERIMENTALLGX818 QD and MEK162 BID and LEE011 QD 3 weeks on, 1 week off.
LGX818 - Dose escalationEXPERIMENTAL -
LGX818 - Dose Expansion at MTD or RP2DEXPERIMENTAL -

Interventions

NameTypeDescription
LGX818DRUG -
CetuximabDRUG -
BYL719DRUG -
MEK162DRUG -
LEE011DRUG -
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites52

Inclusion Criteria: * Metastatic colorectal cancer * Progression after at least one prior standard of care regimen or be intolerant to irinotecan-based regimens * Life expectancy ≥ 3 months * ECOG performance status ≤ 2 Exclusion Criteria: * Symptomatic or untreated leptomeningeal disease * Sympt...

Countries:United StatesAustraliaBelgiumCanadaFranceGermanyItalyJapanNetherlandsNorwaySouth KoreaSpainSingaporeSwitzerland
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Frequently asked questions about LGX818

What is Encorafenib used for?

Encorafenib is an investigational small molecule being studied for the treatment of cancers including metastatic colorectal cancer, melanoma, and solid tumors harboring a BRAF V600 mutation. It is in Phase 3 clinical development for these oncology indications.

How does Encorafenib work?

Encorafenib is a kinase inhibitor, belonging to the -nib class of drugs. It targets and inhibits BRAF kinases, which are involved in cell growth and proliferation. By blocking these kinases, Encorafenib aims to slow or stop the growth of cancer cells that harbor BRAF mutations.

Who is developing Encorafenib?

Encorafenib is being developed by Pfizer, Inc., a biopharmaceutical company traded on the New York Stock Exchange under the ticker symbol PFE. The company is conducting clinical trials to evaluate the drug's safety and efficacy in various cancer indications.

What phase is Encorafenib in?

Encorafenib is in Phase 3 clinical development. It is an investigational drug and has not been approved by regulatory authorities. Its safety and efficacy are still being evaluated in ongoing and completed clinical trials.

What clinical trials is Encorafenib in?

Encorafenib has been studied in several clinical trials, including NCT01909453, a Phase 3 trial in BRAF mutant melanoma; NCT02159066, a Phase 2 trial in advanced BRAF melanoma; NCT02928224, a Phase 3 trial in BRAF V600E-mutant metastatic colorectal cancer; and NCT04657991, an active Phase 3 trial in advanced or metastatic melanoma.

Is Encorafenib the same as LGX818?

Yes, Encorafenib is also known as LGX818. Clinical trial titles and protocols often refer to the drug by this alternative name, such as in studies combining LGX818 with other agents for the treatment of BRAF-mutant cancers.