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