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Brief Title: Vemurafenib and Cobimetinib Combination in BRAF Mutated Melanoma With Brain Metastasis
Official Title: Evaluation of Cobimetinib + Vemurafenib Combination Treatment in Patients With Brain Metastasis BRAFV600 Mutated Cutaneous Melanoma
Study ID: NCT02537600
Brief Summary: The purpose of this study is to determine wether cobimetinib + vemurafenib combination treatment is effective in the treatment of BRAFV600-mutated melanoma patients with brain metastasis
Detailed Description: Patients will be enrolled into 3 cohorts: * Cohort A : Neurologically asymptomatic patients who have not received prior local treatment ; * Cohort B. Neurologically asymptomatic patients who have received prior local treatment; * Cohort C. Neurologically symptomatic patients who have or have not received prior local treatment Every patients will be treated with Vemurafenib 960 mg PO, twice daily from D1 to D28, continuously Cobimetinib 60 mg PO, once daily, from D1 to D21 - 1 cycle = 28 days Treatment will be administered until progression (intracranial or extracranial), unacceptable toxicity, withdrawal of consent, death or decision of the treating investigator. Patients who develop intracranial or extracranial progression and who, in the opinion of the treating investigator, could benefit from continuing treatment may continue treatment with vemurafenib and cobimetinib after approval from the principal investigator. Patients who discontinue the study treatment will undergo an end-of-treatment visit 30 days after the last dose of vemurafenib and/or cobimetinib. Patients who discontinue the study treatment for any reason other than progression (e.g. toxicity) must be followed up every 8 weeks unless they withdraw their consent.
Minimum Age: 18 Years
Eligible Ages: ADULT, OLDER_ADULT
Sex: ALL
Healthy Volunteers: No
CHU de Bordeaux, Bordeaux, , France
CHU Ambroise Paré, Boulogne, , France
CHU Brest - Hôpital Morvan, Brest, , France
CHU Caen - Hôpital Clémenceau, Caen, , France
Hôpital Henri Mondor, Creteil, , France
CHU de Dijon, Dijon, , France
CHU Albert Michallon, Grenoble, , France
Centre Hospitalier du Mans, Le Mans, , France
CHRU Lille, Lille, , France
Centre Hospitalier Lyon Sud, Lyon, , France
CHU de Nantes, Nantes, , France
Groupe Hospitalier l'Archet, Nice, , France
Hôîtal St louis, Paris, , France
Hôpital Cochin, Paris, , France
Hôpital Bichat, Paris, , France
Centre Eugène Marquis, Rennes, , France
CHU Tours, Tours, , France
Name: Thierry Lesimple, MD
Affiliation: Centre Eugène Marquis
Role: PRINCIPAL_INVESTIGATOR