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. 2019 Jul 22;116(29-30):497–504. doi: 10.3238/arztebl.2019.0497

Table 2. Phase III trials of targeted therapy in metastatic melanoma with a BRAF mutation.

Study (publication) Treatment arm Tumor stages Number of patients Median follow-up Response rates Median progression
free survival
Median overall survival Patients with raised LDH at the time of inclusion in the study Proportions of M1c
COMBI-d (21) Dabrafenib 150 mg BID/trametinib 2 mg/d IIIC-IV
BRAF-V600
mutation
211 36 months 68% 11.0 months 25.1 months 36% 67%
Dabrafenib 150 mg BID/placebo 212 55% 8.8 months 18.7 months 33% 65%
COMBI-v (22) Dabrafenib 150 mg BID/trametinib 2 mg/d IIIC-IV
BRAF-V600
mutation
352 Not known 64% 11.4 months Not known 34% 63%
Vemurafenib 960 mg BID 352 51% 7.3 months Not known 32% 59%
coBRIM (23) Cobimetinib 60 mg/d Vemurafemib 960 mg BID IIIC-IV
BRAF-V600
mutation
247 14.2
months
70% 12.3 months 22. 46% 59%
PlaceboVemurafenib 960 mg BID 248 50% 7.2 months 17.4 months 43% 62%
COLUMBUS (26, 27) Encorafenib 450 mg/d Binimetinib 45 mg BID IIIB-IV
BRAF-V600
mutation
192 16.6
months
75% 14.9 months 33.6 months 29% 64%
Encorafenib 300 mg/d 194 58% 9.6 months 23.5 months 24% 62%
Vemurafenib 960 mg BID 191 49% 7.3 months 16.9 months 27% 65%

BID, twice daily; LDH, lactate dehydrogenase; M1c, distant metastases in a visceral location including the brain or any localization with raised LDH