Table 2.
Selected clinical trials of synthetic small molecule inhibitor combinations in metastatic melanoma
Inhibitor combination | Target(s) | Phase of clinical trial | Treatment effect or trial status | Mutations selected in patient population | Reference or NCT trial number (if not completed) |
---|---|---|---|---|---|
Dabrafenib and trametinib compared to dabrafenib monotherapy | BRAF + MEK1/2 | Phase II Phase III |
No significant improvement in PFS In progress |
BRAFV600 BRAFV600 |
89 NCT01584648 |
Dabrafenib and trametinib compared to verumafenib monotherapy | BRAF + MEK1/2 | Phase III | In progress | BRAFV600E BRAFV600K |
NCT01597908 |
Sorafenib with temsirolimus or Sorafenib with tipifarnib |
BRAF + mTOR or BRAF + RAS |
Phase II | No significant improvement in PFS | None selected | 120 |
LGX818 plus MEK162 and LGX818 monotherapy to verumafenib monotherapy | BRAF + MEK1/2 | Phase III | In progress | BRAFV600 | NCT01909453 |
Cobimetinib in combination with vermurafenib | BRAF + MEK1/2 | Phase Ib | Anti-tumor activity | BRAFV600 | 91 |
Cobimetinib in combination with vemurafenib vs vemurafenib alone | BRAF + MEK1/2 | Phase III | In progress | brafV600 | NCT01689519 |
OS – Overall survival, PFS – Progression free survival, RR – Response Rate