Register a trial

The ANZCTR website will be unavailable from 1pm until 3pm (AEDT) on Wednesday the 30th of October for website maintenance. Please be sure to log out of the system in order to avoid any loss of data.

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been endorsed by the ANZCTR. Before participating in a study, talk to your health care provider and refer to this information for consumers
Trial details imported from ClinicalTrials.gov

For full trial details, please see the original record at https://clinicaltrials.gov/study/NCT01763164




Registration number
NCT01763164
Ethics application status
Date submitted
4/01/2013
Date registered
8/01/2013

Titles & IDs
Public title
Study Comparing the Efficacy of MEK162 Versus Dacarbazine in Unresectable or Metastatic NRAS Mutation-positive Melanoma
Scientific title
The NEMO Trial (NRAS Melanoma and MEK Inhibitor):A Randomized Phase III, Open Label, Multicenter, Two-arm Study Comparing the Efficacy of MEK162 Versus Dacarbazine in Patients With Advanced Unresectable or Metastatic NRAS Mutation-positive Melanoma
Secondary ID [1] 0 0
C4211002
Secondary ID [2] 0 0
CMEK162A2301
Universal Trial Number (UTN)
Trial acronym
Linked study record

Health condition
Health condition(s) or problem(s) studied:
Metastatic or Unresectable Cutaneous Melanoma 0 0
Condition category
Condition code
Cancer 0 0 0 0
Malignant melanoma

Intervention/exposure
Study type
Interventional
Description of intervention(s) / exposure
Treatment: Drugs - MEK162
Treatment: Drugs - Dacarbazine

Experimental: MEK162 -

Active comparator: Dacarbazine -


Treatment: Drugs: MEK162
MEK162 will be administered as a fixed dose of 45 mg (3 x 15 mg tablets) BID, with a glass of water and taken with or without food.

Treatment: Drugs: Dacarbazine
Patients randomized to dacarbazine will receive an IV infusion of dacarbazine 1000 mg/m2 over the course of 1 hour on day 1 and then every three weeks.
Intervention code [1] 0 0
Treatment: Drugs
Comparator / control treatment
Control group

Outcomes
Primary outcome [1] 0 0
Progression-Free Survival (PFS) by Response Evaluation Criteria in Solid Tumors (RECIST) v1.1
Timepoint [1] 0 0
From the date of randomization to the date of the first documented PD or death, whichever occurred first (maximum up to 77 weeks for binimetinib arm; maximum up to 61 weeks for dacarbazine arm)
Secondary outcome [1] 0 0
Overall Survival (OS)
Timepoint [1] 0 0
From the date of randomization to the date of death (maximum up to 107 weeks for binimetinib arm; maximum up to 88 weeks for dacarbazine arm)
Secondary outcome [2] 0 0
Overall Response Rate (ORR)
Timepoint [2] 0 0
From date of randomization until first documented response of CR or PR (maximum up to 77 weeks for binimetinib arm; maximum up to 61 weeks for dacarbazine arm)
Secondary outcome [3] 0 0
Time to Response (TTR)
Timepoint [3] 0 0
From date of randomization until first documented response of CR or PR (maximum up to 77 weeks for binimetinib arm; maximum up to 61 weeks for dacarbazine arm)
Secondary outcome [4] 0 0
Duration of Objective Response (DOR)
Timepoint [4] 0 0
From the date of first documented response (CR or PR) to the first documented progression or death (maximum up to 77 weeks for binimetinib arm; maximum up to 61 weeks for dacarbazine arm)
Secondary outcome [5] 0 0
Disease Control Rate (DCR)
Timepoint [5] 0 0
From date of randomization until first documented response of CR, PR, SD or non-CR/non-PD (maximum up to 77 weeks for binimetinib arm; maximum up to 61 weeks for dacarbazine arm)
Secondary outcome [6] 0 0
Number of Participants With Treatment-Emergent Adverse Events (AEs) and Serious Adverse Events (SAEs)
Timepoint [6] 0 0
From baseline up to 219.4 weeks for binimetinib arm; From baseline up to 123.9 weeks for dacarbazine arm
Secondary outcome [7] 0 0
Number of Participants With Clinically Notable Hematology Shifts Based on National Cancer Institute Common Terminology Criteria (NCI-CTCAE) Grade, Version 4.03
Timepoint [7] 0 0
From baseline up to 77 weeks in binimetinib arm; From baseline up to 61 weeks for dacarbazine arm
Secondary outcome [8] 0 0
Number of Participants With Clinically Notable Clinical Chemistry/Biochemistry Shifts Based on NCI-CTCAE Grade, Version 4.03
Timepoint [8] 0 0
From baseline up to 77 weeks in binimetinib arm; From baseline up to 61 weeks for dacarbazine arm
Secondary outcome [9] 0 0
Number of Participants With Clinically Notable Vital Signs
Timepoint [9] 0 0
From baseline up to 77 weeks in binimetinib arm; From baseline up to 61 weeks for dacarbazine arm
Secondary outcome [10] 0 0
Number of Participants With Notable Electrocardiogram (ECG) Values
Timepoint [10] 0 0
From baseline up to 77 weeks in binimetinib arm; From baseline up to 61 weeks for dacarbazine arm
Secondary outcome [11] 0 0
Number of Participants With Adverse Events of Special Interest: Cardiac Events
Timepoint [11] 0 0
From baseline up to 77 weeks in binimetinib arm; From baseline up to 61 weeks for dacarbazine arm
Secondary outcome [12] 0 0
Number of Participants With Clinically Significant Findings in Physical Examination
Timepoint [12] 0 0
From baseline up to 77 weeks in binimetinib arm; From baseline up to 61 weeks for dacarbazine arm
Secondary outcome [13] 0 0
Number of Participants With Adverse Events of Special Interest: Ocular Events
Timepoint [13] 0 0
From baseline up to 77 weeks in binimetinib arm; From baseline up to 61 weeks for dacarbazine arm
Secondary outcome [14] 0 0
Plasma Concentration of Binimetinib
Timepoint [14] 0 0
Day 1 of Week 1: Pre-dose, 1, 1.5, 2, 10 hours post-dose; Day 1 of Weeks 4, 7: Pre-dose, 1.5 hours post-dose; Day 1 of Weeks 10, 13: Pre-dose
Secondary outcome [15] 0 0
Time to Definitive 10% Deterioration in Global Health Status Score of European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire Core 30 (QLQ-C30)
Timepoint [15] 0 0
From baseline up to 77 weeks in binimetinib arm; From baseline up to 61 weeks for dacarbazine arm
Secondary outcome [16] 0 0
Change From Baseline in Global Health Status Score of EORTC QLQ-C30 at Weeks 4, 7, 13, 19, 25, 34, 43, 52, 61, 70, End of Treatment, Safety Follow-up Visit, Post-Treatment Follow-up Visit 1, 2, 3, 4, 5 and 6
Timepoint [16] 0 0
Both arms: Baseline, Day 1 Treatment Week (TW) 4,7,13,19,25,34,43,52; Post-treatment follow-up Visit (FUV) 1 to 6; Binimetinib: Day 1 TW61,70; End of treatment (EOT= TW73); Safety FUV=30 days post TW73; Dacarbazine: EOT=TW 57;Safety FUV=30 days post TW57
Secondary outcome [17] 0 0
Change From Baseline in EuroQoL-5 Dimensions- 5 Levels (EQ-5D-5L) Index Score at Weeks 4, 7, 13, 19, 25, 34, 43, 52, 61, 70, End of Treatment, Safety Follow-up Visit, Post-treatment Follow-up Visit 1, 2, 3, 4, 5 and 6
Timepoint [17] 0 0
Both arms: Baseline, Day 1 Treatment Week (TW) 4,7,13,19,25,34,43,52; Post-treatment follow-up Visit (FUV) 1 to 6; Binimetinib: Day 1 TW61,70; End of treatment (EOT= TW73); Safety FUV=30 days post TW73; Dacarbazine: EOT=TW 57;Safety FUV=30 days post TW57
Secondary outcome [18] 0 0
Time to Definitive 1 Point Deterioration in Eastern Cooperative Oncology Group (ECOG) Performance Status (PS)
Timepoint [18] 0 0
From baseline up to 73 weeks 3 days for binimetinib arm; From baseline up to 57 weeks 3 days for dacarbazine arm
Secondary outcome [19] 0 0
Number of Participants With Eastern Cooperative Oncology Group (ECOG) Performance Status (PS)
Timepoint [19] 0 0
For both arms: Baseline, Weeks 4, 7, 10, 13, 16, 19, 22, 25, 28, 31, 34, 37, 40, 43, 46, 49, 52, 55 and 30-day Follow-up For binimetinib only: Weeks 58, 61, 64, 67, 70, 73
Secondary outcome [20] 0 0
Number of Participants With Neuroblastoma RAS Viral (V-ras) Oncogene Homolog (NRAS) Mutation Status at Baseline
Timepoint [20] 0 0
Baseline

Eligibility
Key inclusion criteria
* Diagnosis of locally advanced, unresectable or metastatic cutaneous or melanoma of unknown primary AJCC Stage IIIC or IV (uveal and mucosal melanoma are excluded)
* Presence of NRAS Q61 mutation in tumor tissue prior to randomization as determined by a Novartis designated central laboratory
* Naïve untreated patients or patients who have progressed on or after any number of prior lines of immunotherapy for unresectable locally advanced or metastatic melanoma
* Evidence of at least one measurable lesion as detected by radiological or photographic methods
* Adequate bone marrow, organ function, cardiac and laboratory parameters
* Normal functioning of daily living activities
Minimum age
18 Years
Maximum age
No limit
Sex
Both males and females
Can healthy volunteers participate?
No
Key exclusion criteria
* Any untreated CNS metastases
* Uveal or mucosal melanoma
* History of or current evidence of retinal vein occlusion (RVO) or risk factors of RVO
* Patients with washout period < 6 weeks from the last dose of ipilimumab or other immunotherapy.
* Previous systemic chemotherapy for unresectable locally advanced or metastatic melanoma.
* History of Gilbert's syndrome
* Prior therapy with a MEK- inhibitor
* Impaired cardiovascular function or clinically significant cardiovascular diseases
* Uncontrolled arterial hypertension despite medical treatment
* HIV positive or active Hepatitis A or B
* Impairment of gastrointestinal function
* Patients who have undergone major surgery or radiotherapy = 3 weeks prior to starting study drug or who have not recovered from side effects of such procedure;
* Patients with neuromuscular disorders that are associated with elevated CK.
* Pregnant or nursing (lactating) women
* Medical, psychiatric, cognitive or other conditions that may compromise the patient's ability to understand the patient information, give informed consent, comply with the study protocol or complete the study

Other protocol-defined inclusion/exclusion criteria may apply

Study design
Purpose of the study
Treatment
Allocation to intervention
Randomised controlled trial
Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Masking / blinding
Open (masking not used)
Who is / are masked / blinded?



Intervention assignment
Parallel
Other design features
Phase
Phase 3
Type of endpoint/s
Statistical methods / analysis

Recruitment
Recruitment status
Completed
Data analysis
Reason for early stopping/withdrawal
Other reasons
Date of first participant enrolment
Anticipated
Actual
12/07/2013
Date of last participant enrolment
Anticipated
Actual
Date of last data collection
Anticipated
Actual
4/06/2019
Sample size
Target
Accrual to date
Final
402
Recruitment in Australia
Recruitment state(s)
NSW,QLD,SA
Recruitment hospital [1] 0 0
Chris O'Brien Lifehouse Hospital - Camperdown
Recruitment hospital [2] 0 0
Lake Macquarie Private Hospital - Gateshead
Recruitment hospital [3] 0 0
Melanoma Institute Australia - North Sydney
Recruitment hospital [4] 0 0
Princess Alexandra Hospital - Woolloongabba
Recruitment hospital [5] 0 0
Royal Adelaide Hospital - Adelaide
Recruitment postcode(s) [1] 0 0
2050 - Camperdown
Recruitment postcode(s) [2] 0 0
02290 - Gateshead
Recruitment postcode(s) [3] 0 0
2060 - North Sydney
Recruitment postcode(s) [4] 0 0
4102 - Woolloongabba
Recruitment postcode(s) [5] 0 0
05000 - Adelaide
Recruitment outside Australia
Country [1] 0 0
United States of America
State/province [1] 0 0
Arkansas
Country [2] 0 0
United States of America
State/province [2] 0 0
Florida
Country [3] 0 0
United States of America
State/province [3] 0 0
Illinois
Country [4] 0 0
United States of America
State/province [4] 0 0
Indiana
Country [5] 0 0
United States of America
State/province [5] 0 0
Maine
Country [6] 0 0
United States of America
State/province [6] 0 0
Maryland
Country [7] 0 0
United States of America
State/province [7] 0 0
Massachusetts
Country [8] 0 0
United States of America
State/province [8] 0 0
Michigan
Country [9] 0 0
United States of America
State/province [9] 0 0
Nebraska
Country [10] 0 0
United States of America
State/province [10] 0 0
New Jersey
Country [11] 0 0
United States of America
State/province [11] 0 0
Ohio
Country [12] 0 0
United States of America
State/province [12] 0 0
Oregon
Country [13] 0 0
United States of America
State/province [13] 0 0
Pennsylvania
Country [14] 0 0
United States of America
State/province [14] 0 0
Tennessee
Country [15] 0 0
United States of America
State/province [15] 0 0
Texas
Country [16] 0 0
Argentina
State/province [16] 0 0
Ciudad Autónoma DE Buenosaires
Country [17] 0 0
Argentina
State/province [17] 0 0
RÍO Negro
Country [18] 0 0
Argentina
State/province [18] 0 0
Santa FE
Country [19] 0 0
Argentina
State/province [19] 0 0
Buenos Aires
Country [20] 0 0
Austria
State/province [20] 0 0
Steiermark
Country [21] 0 0
Austria
State/province [21] 0 0
Tirol
Country [22] 0 0
Austria
State/province [22] 0 0
Salzburg
Country [23] 0 0
Austria
State/province [23] 0 0
Vienna
Country [24] 0 0
Belgium
State/province [24] 0 0
Antwerpen
Country [25] 0 0
Belgium
State/province [25] 0 0
Leuven
Country [26] 0 0
Belgium
State/province [26] 0 0
Liege
Country [27] 0 0
Brazil
State/province [27] 0 0
RIO Grande DO SUL
Country [28] 0 0
Brazil
State/province [28] 0 0
Rio de Janeiro
Country [29] 0 0
Brazil
State/province [29] 0 0
Sao Paulo
Country [30] 0 0
Canada
State/province [30] 0 0
Alberta
Country [31] 0 0
Canada
State/province [31] 0 0
Ontario
Country [32] 0 0
Canada
State/province [32] 0 0
Quebec
Country [33] 0 0
Czechia
State/province [33] 0 0
Jihomoravský KRAJ
Country [34] 0 0
Czechia
State/province [34] 0 0
Ostrava
Country [35] 0 0
Czechia
State/province [35] 0 0
Praha 10
Country [36] 0 0
Czechia
State/province [36] 0 0
Praha 2
Country [37] 0 0
France
State/province [37] 0 0
Maine-et-loire
Country [38] 0 0
France
State/province [38] 0 0
Nord
Country [39] 0 0
France
State/province [39] 0 0
Rhône
Country [40] 0 0
France
State/province [40] 0 0
Bordeaux
Country [41] 0 0
France
State/province [41] 0 0
Boulogne Billancourt
Country [42] 0 0
France
State/province [42] 0 0
Le Mans
Country [43] 0 0
France
State/province [43] 0 0
Marseille
Country [44] 0 0
France
State/province [44] 0 0
Nice
Country [45] 0 0
France
State/province [45] 0 0
Paris
Country [46] 0 0
France
State/province [46] 0 0
Pierre Benite
Country [47] 0 0
France
State/province [47] 0 0
Reims
Country [48] 0 0
France
State/province [48] 0 0
Rouen
Country [49] 0 0
Germany
State/province [49] 0 0
Baden-württemberg
Country [50] 0 0
Germany
State/province [50] 0 0
Bayern
Country [51] 0 0
Germany
State/province [51] 0 0
Hessen
Country [52] 0 0
Germany
State/province [52] 0 0
Niedersachsen
Country [53] 0 0
Germany
State/province [53] 0 0
Nordrhein-westfalen
Country [54] 0 0
Germany
State/province [54] 0 0
Sachsen-anhalt
Country [55] 0 0
Germany
State/province [55] 0 0
Sachsen
Country [56] 0 0
Germany
State/province [56] 0 0
Schleswig-holstein
Country [57] 0 0
Germany
State/province [57] 0 0
Thüringen
Country [58] 0 0
Germany
State/province [58] 0 0
Dresden
Country [59] 0 0
Germany
State/province [59] 0 0
Essen
Country [60] 0 0
Germany
State/province [60] 0 0
Gera
Country [61] 0 0
Germany
State/province [61] 0 0
Hannover
Country [62] 0 0
Germany
State/province [62] 0 0
Heidelberg
Country [63] 0 0
Germany
State/province [63] 0 0
Kiel
Country [64] 0 0
Germany
State/province [64] 0 0
Koeln
Country [65] 0 0
Germany
State/province [65] 0 0
Lübeck
Country [66] 0 0
Germany
State/province [66] 0 0
Münster
Country [67] 0 0
Germany
State/province [67] 0 0
Nürnberg
Country [68] 0 0
Germany
State/province [68] 0 0
Tübingen
Country [69] 0 0
Germany
State/province [69] 0 0
Ulm
Country [70] 0 0
Greece
State/province [70] 0 0
Athens
Country [71] 0 0
Hungary
State/province [71] 0 0
Budapest
Country [72] 0 0
Hungary
State/province [72] 0 0
Kaposvár
Country [73] 0 0
Hungary
State/province [73] 0 0
Szolnok
Country [74] 0 0
Israel
State/province [74] 0 0
Haifa
Country [75] 0 0
Israel
State/province [75] 0 0
Jerusalem
Country [76] 0 0
Israel
State/province [76] 0 0
Ramat Gan
Country [77] 0 0
Italy
State/province [77] 0 0
Campania
Country [78] 0 0
Italy
State/province [78] 0 0
Lazio
Country [79] 0 0
Italy
State/province [79] 0 0
Lombardia
Country [80] 0 0
Italy
State/province [80] 0 0
Naples
Country [81] 0 0
Italy
State/province [81] 0 0
Veneto
Country [82] 0 0
Italy
State/province [82] 0 0
Bari
Country [83] 0 0
Italy
State/province [83] 0 0
Bergamo
Country [84] 0 0
Italy
State/province [84] 0 0
Genova
Country [85] 0 0
Italy
State/province [85] 0 0
Milano
Country [86] 0 0
Italy
State/province [86] 0 0
Roma
Country [87] 0 0
Italy
State/province [87] 0 0
Siena
Country [88] 0 0
Italy
State/province [88] 0 0
Torino
Country [89] 0 0
Japan
State/province [89] 0 0
Nagano
Country [90] 0 0
Japan
State/province [90] 0 0
Chuo-ku
Country [91] 0 0
Japan
State/province [91] 0 0
Hirakata-city
Country [92] 0 0
Korea, Republic of
State/province [92] 0 0
Seoul
Country [93] 0 0
Netherlands
State/province [93] 0 0
Gelderland
Country [94] 0 0
Netherlands
State/province [94] 0 0
Noord-holland
Country [95] 0 0
Netherlands
State/province [95] 0 0
Zuid-holland
Country [96] 0 0
Netherlands
State/province [96] 0 0
Zwolle
Country [97] 0 0
Poland
State/province [97] 0 0
Mazowieckie
Country [98] 0 0
Poland
State/province [98] 0 0
Warszawa
Country [99] 0 0
Portugal
State/province [99] 0 0
Lisboa
Country [100] 0 0
Portugal
State/province [100] 0 0
Almada
Country [101] 0 0
Portugal
State/province [101] 0 0
Porto
Country [102] 0 0
Russian Federation
State/province [102] 0 0
Moscow
Country [103] 0 0
Russian Federation
State/province [103] 0 0
Ryazan
Country [104] 0 0
Russian Federation
State/province [104] 0 0
St. Petersburg
Country [105] 0 0
Slovakia
State/province [105] 0 0
Bratislava
Country [106] 0 0
South Africa
State/province [106] 0 0
FREE State
Country [107] 0 0
South Africa
State/province [107] 0 0
Gauteng
Country [108] 0 0
Spain
State/province [108] 0 0
Barcelona
Country [109] 0 0
Spain
State/province [109] 0 0
Málaga
Country [110] 0 0
Spain
State/province [110] 0 0
Navarra
Country [111] 0 0
Spain
State/province [111] 0 0
Gran Canaria
Country [112] 0 0
Spain
State/province [112] 0 0
La Coruna
Country [113] 0 0
Spain
State/province [113] 0 0
Madrid
Country [114] 0 0
Spain
State/province [114] 0 0
Sevilla
Country [115] 0 0
Spain
State/province [115] 0 0
Toledo
Country [116] 0 0
Spain
State/province [116] 0 0
Valencia
Country [117] 0 0
Sweden
State/province [117] 0 0
Skane LAN
Country [118] 0 0
Sweden
State/province [118] 0 0
Lund
Country [119] 0 0
Switzerland
State/province [119] 0 0
Zürich (DE)
Country [120] 0 0
Switzerland
State/province [120] 0 0
Genève
Country [121] 0 0
Switzerland
State/province [121] 0 0
Lausanne
Country [122] 0 0
Turkey
State/province [122] 0 0
Izmir
Country [123] 0 0
Turkey
State/province [123] 0 0
Adana
Country [124] 0 0
Turkey
State/province [124] 0 0
Ankara
Country [125] 0 0
Turkey
State/province [125] 0 0
Istanbul
Country [126] 0 0
United Kingdom
State/province [126] 0 0
Bristol, CITY OF
Country [127] 0 0
United Kingdom
State/province [127] 0 0
Cornwall
Country [128] 0 0
United Kingdom
State/province [128] 0 0
EAST Sussex
Country [129] 0 0
United Kingdom
State/province [129] 0 0
Essex
Country [130] 0 0
United Kingdom
State/province [130] 0 0
Glamorgan
Country [131] 0 0
United Kingdom
State/province [131] 0 0
Lancashire
Country [132] 0 0
United Kingdom
State/province [132] 0 0
London, CITY OF
Country [133] 0 0
United Kingdom
State/province [133] 0 0
Birmingham
Country [134] 0 0
United Kingdom
State/province [134] 0 0
Leeds
Country [135] 0 0
United Kingdom
State/province [135] 0 0
Wirral

Funding & Sponsors
Primary sponsor type
Commercial sector/industry
Name
Pfizer
Address
Country

Ethics approval
Ethics application status

Summary
Brief summary
Trial website
Trial related presentations / publications
Public notes

Contacts
Principal investigator
Name 0 0
Pfizer CT.gov Call Center
Address 0 0
Pfizer
Country 0 0
Phone 0 0
Fax 0 0
Email 0 0
Contact person for public queries
Name 0 0
Address 0 0
Country 0 0
Phone 0 0
Fax 0 0
Email 0 0
Contact person for scientific queries

Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
Yes
What data in particular will be shared?
Pfizer will provide access to individual de-identified participant data and related study documents (e.g. protocol, Statistical Analysis Plan (SAP), Clinical Study Report (CSR)) upon request from qualified researchers, and subject to certain criteria, conditions, and exceptions. Further details on Pfizer's data sharing criteria and process for requesting access can be found at: https://www.pfizer.com/science/clinical_trials/trial_data_and_results/data_requests.
When will data be available (start and end dates)?
Available to whom?
Available for what types of analyses?
How or where can data be obtained?
IPD available at link: https://www.pfizer.com/science/clinical_trials/trial_data_and_results/data_requests


What supporting documents are/will be available?

No Supporting Document Provided



Results publications and other study-related documents

No documents have been uploaded by study researchers.


Results are available at https://clinicaltrials.gov/study/NCT01763164