Dabrafenib With Trametinib in the Adjuvant Treatment of High-risk BRAF V600 Mutation-positive Melanoma (COMBI-AD).
NCT01682083 · Status: COMPLETED · Phase: PHASE3 · Type: INTERVENTIONAL · Enrollment: 870
Last updated 2026-04-21
Summary
This was a two-arm, randomized, double-blind Phase III study of dabrafenib in combination with trametinib versus 2 placebos in the adjuvant treatment of melanoma after surgical resection. Patients with completely resected, histologically confirmed, BRAF V600E/K mutation-positive, high-risk (Stage IIIa \[lymph node metastasis \>1 mm\], IIIb or IIIc) cutaneous melanoma were screened for eligibility. Approximately 852 patients were planned to be randomized in a 1:1 ratio, stratified by BRAF mutation status (V600E, V600K) and stage of disease (Stage IIIa, IIIb, IIIc). Patients received either dabrafenib (150 milligram (mg) twice daily \[BID\]) and trametinib (2 mg once daily \[QD\]) combination therapy or 2 matching placebos (one each for dabrafenib and trametinib) for 12 months or until disease recurrence, death, unacceptable toxicity, or withdrawal of consent. Patients were followed for disease recurrence and survival during and after the treatment period. The study did not permit crossover. Doses of study treatment could be modified and/or interrupted for management of toxicities associated with study treatment.
Conditions
Interventions
- DRUG
-
Each capsule contained 50 mg or 75 mg of free base (present as the mesylate salt)
- DRUG
-
Each tablet contained 0.5 mg or 2.0 mg of trametinib parent (present as the DMSO solvate)
- DRUG
-
Placebos
The placebo capsules and tablets contained the same inactive ingredients and film coatings as the dabrafenib and trametinib study treatment
Sponsors & Collaborators
- lead INDUSTRY
Principal Investigators
-
Novartis Pharmaceuticals · Novartis Pharmaceuticals
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- DOUBLE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2013-01-08
- Primary Completion
- 2017-06-30
- Completion
- 2023-07-31
- FDA Drug
- Yes
Countries
- United States
- Argentina
- Australia
- Austria
- Belgium
- Brazil
- Canada
- Czechia
- Denmark
- France
- Germany
- Greece
- Israel
- Italy
- Japan
- Netherlands
- New Zealand
- Norway
- Poland
- Russia
- Spain
- Sweden
- Switzerland
- Taiwan
- United Kingdom
Study Locations
More Related Trials
-
Concurrent Dabrafenib + Trametinib With Sterotactic Radiation in BRAF Mutation-Positive Malignant Melanoma and Brain Metastases
NCT02974803 ·Status: TERMINATED ·Phase: PHASE2
-
Dabrafenib Alone and in Combination With Trametinib Before Surgery in Treating Patients With Locally or Regionally Advanced Melanoma That Can Be Removed By Surgery
NCT01701037 ·Status: TERMINATED ·Phase: PHASE2
-
Patient Characteristics, Associated Factors, and Clinical Outcomes of Prescribing Encorafenib and Binimetenib Versus Dabrafenib and Trametinib Among BRAF v600 Mutated Metastatic Melanoma Patients
NCT05806268 ·Status: COMPLETED
-
Combining Talimogene Laherparepvec With BRAF and MEK Inhibitors in BRAF Mutated Advanced Melanoma
NCT03088176 ·Status: UNKNOWN ·Phase: PHASE1
-
An Open-Label Phase II Study of the Combination of GSK2118436 and GSK1120212 in Patients With Metastatic Melanoma Which is Refractory or Resistant to BRAF Inhibitor
NCT01619774 ·Status: COMPLETED ·Phase: PHASE2
-
Dabrafenib Plus Trametinib in Patients With Advanced Solid Tumor Having BRAF V600E Mutation or Clinically Actionable BRAF Gene Alterations
NCT05876806 ·Status: RECRUITING ·Phase: PHASE2
-
Efficacy and Safety of the Combination Therapy of Dabrafenib and Trametinib in Subjects With BRAF V600E- Mutated Rare Cancers
NCT02034110 ·Status: COMPLETED ·Phase: PHASE2
-
Trial of Vemurafenib and Cobimetinib in Patients With Advanced BRAFV600 Mutant Melanoma
NCT02427893 ·Status: WITHDRAWN ·Phase: PHASE3
-
Clinical Study To Further Evaluate The Efficacy Of Dabrafenib Plus Trametinib In Patients With Rare BRAF V600E Mutation-Positive Unresectable or Metastatic Solid Tumors
NCT05868629 ·Status: RECRUITING
-
Pharmacokinetics of Repeat Oral Doses of Dabrafenib and the Combination of Dabrafenib and Trametinib in Chinese Subjects With Melanoma
NCT02447939 ·Status: WITHDRAWN ·Phase: PHASE1
-
Dabrafenib, Trametinib, and Spartalizumab for the Treatment of BRAF V600E or V600K Mutation Positive Stage IIIB/C/D Melanoma
NCT04310397 ·Status: TERMINATED ·Phase: PHASE2
-
Testing the Addition of Navitoclax to the Combination of Dabrafenib and Trametinib in People Who Have BRAF Mutant Melanoma
NCT01989585 ·Status: ACTIVE_NOT_RECRUITING ·Phase: PHASE1/PHASE2
-
Trametinib in Treating Patients With Advanced Melanoma With BRAF Non-V600 Mutations
NCT02296112 ·Status: COMPLETED ·Phase: PHASE2
-
LCCC 1128: Open Label Phase II Trial of the BRAF Inhibitor (Dabrafenib) and the MEK Inhibitor (Trametinib) in Unresectable Stage III and Stage IV BRAF Mutant Melanoma; Correlation of Resistance With the Kinome and Functional Mutations
NCT01726738 ·Status: COMPLETED ·Phase: PHASE2
-
MCS110 With BRAF/MEK Inhibition in Patients With Melanoma
NCT03455764 ·Status: COMPLETED ·Phase: PHASE1/PHASE2
-
Neoadjuvant Use of Talimogene Laherparepvec and BRAF/MEK Inhibitor for Advanced Nodal BRAF Mutant Melanoma
NCT03972046 ·Status: WITHDRAWN ·Phase: PHASE2
-
A Multi-center Retrospective Study With Secondary Use of Data of Tafinlar (Dabrafenib) Plus Mekinist (Trametinib) in Chinese Patients With BRAF V600 Mutation Positive Melanoma
NCT06337617 ·Status: COMPLETED
-
Onalespib, Dabrafenib, and Trametinib in Treating Patients With BRAF-Mutant Melanoma or Solid Tumors That Are Metastatic or Cannot Be Removed by Surgery
NCT02097225 ·Status: TERMINATED ·Phase: PHASE1
-
Study of Trametinib + Ceritinib in Patients With Unresectable Melanoma
NCT03501368 ·Status: COMPLETED ·Phase: PHASE1
-
Nivolumab With Trametinib and Dabrafenib, or Encorafenib and Binimetinib in Treating Patients With BRAF Mutated Metastatic or Unresectable Stage III-IV Melanoma
NCT02910700 ·Status: ACTIVE_NOT_RECRUITING ·Phase: PHASE2
-
Uprosertib, Dabrafenib, and Trametinib in Treating Patients With Stage IIIC-IV Cancer
NCT01902173 ·Status: COMPLETED ·Phase: PHASE1/PHASE2
-
Special Drug Use-results Surveillance of Tafinlar/Mekinist
NCT06262919 ·Status: RECRUITING
-
A Safety and Efficacy Study of Intravenous 131I-TM601 in Adult Patients With Malignant Melanoma
NCT00733798 ·Status: TERMINATED ·Phase: PHASE1/PHASE2
-
Trametinib With GSK2141795 in BRAF Wild-type Melanoma
NCT01941927 ·Status: COMPLETED ·Phase: PHASE2
-
Temozolomide and Everolimus in Treating Patients With Stage IV Melanoma That Cannot be Removed by Surgery
NCT00521001 ·Status: COMPLETED ·Phase: PHASE2