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Spots Global Cancer Trial Database for Study of Dabrafenib+Trametinib in the Adjuvant Treatment of Stage III BRAF V600+ Melanoma After Complete Resection to Evaluate the Impact on Pyrexia Related Outcomes

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Trial Identification

Brief Title: Study of Dabrafenib+Trametinib in the Adjuvant Treatment of Stage III BRAF V600+ Melanoma After Complete Resection to Evaluate the Impact on Pyrexia Related Outcomes

Official Title: COMBI-APlus: Open-label, Phase IIIb Study of Dabrafenib in COMBInation With Trametinib in the Adjuvant Treatment of Stage III BRAF V600 Mutation-positive Melanoma After Complete Resection to Evaluate the Impact on Pyrexia Related Outcomes of an Adapted Pyrexia AE-management Algorithm (Plus)

Study ID: NCT03551626

Study Description

Brief Summary: The main purpose of this study was to evaluate the impact on pyrexia-related outcomes of an adapted pyrexia adverse event (AE)-management algorithm, as well as safety, efficacy and health-related outcomes.

Detailed Description: This was an open-label Phase IIIb study of dabrafenib in combination with trametinib in the adjuvant treatment of melanoma after complete resection. Patients with completely resected, histologically confirmed, BRAF V600E/K mutation-positive, high-risk cutaneous melanoma were screened for eligibility. This study consisted of two periods: 1. Treatment Period - patients received up to 12 months of dabrafenib (150 mg twice daily) and trametinib (2 mg once daily). In the adapted pyrexia management algorithm, dabrafenib and trametinib were interrupted promptly at the onset of pyrexia (≥38°C) and were restarted upon the improvement of symptoms at the same dose if patients remained symptom free (temperature \<38°C) for at least 24 hours. In addition, dabrafenib and trametinib could be interrupted in the presence of pyrexia syndrome (i.e. chills, rigours, night sweats, or influenza-like symptoms) without documented temperature ≥38°C for cases of suspected recurrent pyrexia, at the investigators' discretion. 2. Follow-up Period - patients were followed for disease relapse through 24 months from first dose date. Moreover, patients were followed for overall survival through withdrawal, lost to follow-up, death, or the end of study, whichever occurs first. The follow-up period started once treatment was completed or treatment was prematurely discontinued.

Eligibility

Minimum Age: 18 Years

Eligible Ages: ADULT, OLDER_ADULT

Sex: ALL

Healthy Volunteers: No

Locations

Novartis Investigative Site, Rosario, Sante Fe, Argentina

Novartis Investigative Site, Buenos Aires, , Argentina

Novartis Investigative Site, Cordoba, , Argentina

Novartis Investigative Site, Woolloongabba, Queensland, Australia

Novartis Investigative Site, Cairns, , Australia

Novartis Investigative Site, Rio de Janeiro, RJ, Brazil

Novartis Investigative Site, Porto Alegre, RS, Brazil

Novartis Investigative Site, Sao Paulo, SP, Brazil

Novartis Investigative Site, Calgary, Alberta, Canada

Novartis Investigative Site, Edmonton, Alberta, Canada

Novartis Investigative Site, Hamilton, Ontario, Canada

Novartis Investigative Site, London, Ontario, Canada

Novartis Investigative Site, Ottawa, Ontario, Canada

Novartis Investigative Site, Toronto, Ontario, Canada

Novartis Investigative Site, Toronto, Ontario, Canada

Novartis Investigative Site, Montreal, Quebec, Canada

Novartis Investigative Site, Quebec, , Canada

Novartis Investigative Site, Brno, Czech Republic, Czechia

Novartis Investigative Site, Prague 8, Czech Republic, Czechia

Novartis Investigative Site, Zlin, Czech Republic, Czechia

Novartis Investigative Site, Hradec Kralove, CZE, Czechia

Novartis Investigative Site, Ostrava, Poruba, Czechia

Novartis Investigative Site, Prague, Prague 1, Czechia

Novartis Investigative Site, Olomouc, , Czechia

Novartis Investigative Site, Praha, , Czechia

Novartis Investigative Site, Helsinki, , Finland

Novartis Investigative Site, Tampere, , Finland

Novartis Investigative Site, Turku, , Finland

Novartis Investigative Site, Pierre Benite, Cedex 02, France

Novartis Investigative Site, Limoges, Haute Vienne, France

Novartis Investigative Site, Rennes Cedex, Ille Et Vilaine, France

Novartis Investigative Site, Besancon Cedex, , France

Novartis Investigative Site, Bobigny Cedex, , France

Novartis Investigative Site, Bordeaux Cedex, , France

Novartis Investigative Site, Boulogne Billancourt, , France

Novartis Investigative Site, Clermont Ferrand, , France

Novartis Investigative Site, Dijon, , France

Novartis Investigative Site, Grenoble Cedex 9, , France

Novartis Investigative Site, Lille Cedex, , France

Novartis Investigative Site, Lorient, , France

Novartis Investigative Site, Marseille Cedex 05, , France

Novartis Investigative Site, Montpellier, , France

Novartis Investigative Site, Nice, , France

Novartis Investigative Site, Paris 10, , France

Novartis Investigative Site, Poitiers, , France

Novartis Investigative Site, Reims, , France

Novartis Investigative Site, Toulouse, , France

Novartis Investigative Site, Villejuif, , France

Novartis Investigative Site, Athens, , Greece

Novartis Investigative Site, Athens, , Greece

Novartis Investigative Site, Athens, , Greece

Novartis Investigative Site, Thessaloniki, , Greece

Novartis Investigative Site, Budapest, , Hungary

Novartis Investigative Site, Pecs, , Hungary

Novartis Investigative Site, Szeged, , Hungary

Novartis Investigative Site, Jerusalem, , Israel

Novartis Investigative Site, Ramat Gan, , Israel

Novartis Investigative Site, Bergamo, BG, Italy

Novartis Investigative Site, Meldola, FC, Italy

Novartis Investigative Site, Antella - Bagno A Ripoli, FI, Italy

Novartis Investigative Site, Genova, GE, Italy

Novartis Investigative Site, Milano, MI, Italy

Novartis Investigative Site, Milano, MI, Italy

Novartis Investigative Site, Modena, MO, Italy

Novartis Investigative Site, Palermo, PA, Italy

Novartis Investigative Site, Padova, PD, Italy

Novartis Investigative Site, Roma, RM, Italy

Novartis Investigative Site, Roma, RM, Italy

Novartis Investigative Site, Torino, TO, Italy

Novartis Investigative Site, Udine, UD, Italy

Novartis Investigative Site, Napoli, , Italy

Novartis Investigative Site, Sapporo, Hokkaido, Japan

Novartis Investigative Site, Chuo ku, Tokyo, Japan

Novartis Investigative Site, Riga, , Latvia

Novartis Investigative Site, Vilnius, , Lithuania

Novartis Investigative Site, Alesund, , Norway

Novartis Investigative Site, Oslo, , Norway

Novartis Investigative Site, Gdansk, , Poland

Novartis Investigative Site, Warszawa, , Poland

Novartis Investigative Site, Wroclaw, , Poland

Novartis Investigative Site, Porto, , Portugal

Novartis Investigative Site, Moscow Region Istra Village, , Russian Federation

Novartis Investigative Site, Moscow, , Russian Federation

Novartis Investigative Site, Omsk, , Russian Federation

Novartis Investigative Site, St Petersburg, , Russian Federation

Novartis Investigative Site, Bratislava, , Slovakia

Novartis Investigative Site, Kosice, , Slovakia

Novartis Investigative Site, Ljubljana, , Slovenia

Novartis Investigative Site, Goteborg, , Sweden

Novartis Investigative Site, Orebro, , Sweden

Novartis Investigative Site, Stockholm, , Sweden

Novartis Investigative Site, Umea, , Sweden

Novartis Investigative Site, Izmir, , Turkey

Novartis Investigative Site, Bristol, Avon, United Kingdom

Novartis Investigative Site, Northwood, Middlesex, United Kingdom

Novartis Investigative Site, Sheffield, South Yorkshire, United Kingdom

Novartis Investigative Site, Cambridge, , United Kingdom

Novartis Investigative Site, Leeds, , United Kingdom

Novartis Investigative Site, Manchester, , United Kingdom

Novartis Investigative Site, Southampton, , United Kingdom

Contact Details

Name: Novartis Pharmaceuticals

Affiliation: Novartis Pharmaceuticals

Role: STUDY_DIRECTOR

Useful links and downloads for this trial

Clinicaltrials.gov

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