MelanomaPhase 3BRIM8NCT01667419
A Study of Vemurafenib Adjuvant Therapy in Participants With Surgically Resected Cutaneous BRAF-Mutant Melanoma
A Phase 3 study testing Vemurafenib in people with Melanoma, run by Hoffmann-La Roche at 207 sites in 29 countries.
Trial summary
This multicenter, randomized, double-blind, placebo-controlled study will evaluate the efficacy and safety of vemurafenib in participants with completely resected, cutaneous BRAF mutation-positive melanoma at high risk for recurrence. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Melanoma
- What is being tested?
- Vemurafenib
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 498 participants
- Where
- 207 sitesin 29 countries
- Study dates
- 24 Sep 2012to 13 Jul 2018
- Phase
- Phase 3
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Histologically confirmed melanoma of cutaneous origin
- Participants with BRAFV600 mutation-positive, cutaneous melanoma (either pathologic Stage IIC or Stage III according to AJCC Staging Criteria version 7 that has been completely resected
- BRAF V600 mutation status of the current primary tumor or involved lymph node determined to be positive using the cobas BRAF V600 mutation test
- Surgically rendered free of disease within 90 days of randomization
- Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1
- Life expectancy of at least 5 years
- Fully recovered from the effects of any major surgery or significant traumatic injury prior to the first dose of study treatment
- Adequate hematologic, hepatic, and renal function
Who cannot join
- History of any systemic or local therapy (e.g., chemotherapy, biologic or targeted therapy, hormonal therapy, or photodynamic therapy) for the treatment or prevention of melanoma, including interferon alpha-2b and pegylated interferon alpha-2b
- History of limb perfusion therapy
- History of radiotherapy for the treatment of melanoma
- Invasive malignancy other than melanoma at the time of enrollment or within 5 years prior to first dose of study treatment
- Family history of inherited colon cancer syndromes
- Known personal history of >3 adenomatous colorectal polyps or a personal history of adenomatous colorectal polyp(s) >2 centimeters (cm) in size
Show all 13Show fewer
- History of or current clinical, radiographic, or pathologic evidence of in-transit metastases, satellite, or microsatellite lesions
- History of or current clinical, radiographic, or pathologic evidence of recurrent lymph node involvement after resection of a primary melanoma with lymph node involvement at any time in the past
- History of local and/or regional and/or distant melanoma recurrence
- History or current radiographic or pathologic evidence of distant metastases
- History of clinically significant cardiac or pulmonary dysfunction
- Major surgical procedure or significant traumatic injury within 4 weeks prior to first dose of study treatment
- Infection with human immunodeficiency virus (HIV), hepatitis B, or hepatitis C virus
Trial locations and contacts
207 sites in 29 countries.
207 sites in 29 countries
United States47 sites
University Of Colorado
Aurora, Colorado, 80045
University of Alabama at Birmingham
Birmingham, Alabama, 35294
UCLA Department of Medicine; Division of Hematology / Oncology
California City, California, 90095
MUSC Hollings Cancer Center/cannon Park Place; Attn: Tamara Saunders
Charleston, South Carolina, 29425
Barbara Ann Karmanos Cancer Institute
Detroit, Michigan, 48201
Duke University Medical Center; Oncology
Durham, North Carolina, 27710
Florida Cancer Specialists - Broadway
Fort Myers, Florida, 33901
West Clinic
Germantown, Tennessee, 38138
Indiana University Health; Goshen Center for Cancer Care
Goshen, Indiana, 46526
St. Mary's Hospital Regional Cancer Center
Grand Junction, Colorado, 81501
Kaiser Permanente - Hayward
Hayward, California, 94545
Memorial Healthcare System
Hollywood, Florida, 33021
MD Anderson Cancer Center
Houston, Texas, 77030
Indiana University Department of Medicine; Division of Infectious Diseases
Indianapolis, Indiana, 46202
UCLA Hematology Oncology - Irvine
Irvine, California, 92604
St. Luke's Hospital
Kansas City, Missouri, 64111
University of Kansas Medical Center; Cancer Center
Kansas City, Missouri, 64131
UCSD Moores Cancer Center
La Jolla, California, 92093
The Angeles Clinic and Research Institute - W LA Office
Los Angeles, California, 90025
Cancer Center Of Santa Barbara; Network Clinical Research Specialist
Los Angeles, California, 90095
TRIO-US Network Administration; Network Clinical Research Specialist
Los Angeles, California, 90095
U of L - Physicians Pulmonology; Dept of Neuroradiology and Dept of Diagnostic Radiology
Louisville, Kentucky, 40202
Mary Babb Randolph Cancer Center
Morgantown, West Virginia, 26506
Tennessee Oncology PLLC - Nashville (20th Ave)
Nashville, Tennessee, 37203
Vanderbilt University Medical Center
Nashville, Tennessee, 37232
New York University Medical Center PRIME; NYU Clinical Cancer Center
New York, New York, 10016
Memorial Sloan Kettering Cancer Center
New York, New York, 10065
Kaiser Foundation Hospital - Oakland (W. MacArthur)
Oakland, California, 94611
Kaiser Permanente - Oakland
Oakland, California, 94611
Oncology Specialists, S.C.
Park Ridge, Illinois, 60068
UCLA Healthcare/Pasadena Oncology
Pasadena, California, 91105
University of Pennsylvania Health System
Philadelphia, Pennsylvania, 19104
Atlantic Health Systems; Pediatrics
Randolph Township, New Jersey, 07869
Kaiser Permanente - Roseville
Roseville, California, 95661
Kaiser Permanente Sacramento Medical Center
Sacramento, California, 95814
Kaiser Permanente
San Francisco, California, 94115
K. Permanente - San Jose
San Jose, California, 95119
Coastal Integrative Cancer Care
San Luis Obispo, California, 93401
Kaiser Permanente - Santa Clara
Santa Clara, California, 95051
GulfCoast Oncology
Sarasota, Florida, 34232
Kaiser Permanente - South San Francisco
South San Francisco, California, 94080
Washington University; Dept of Medicine/Div of Medical Oncology
St Louis, Missouri, 63110
Stanford University School of Medicine; Stanford Hospital Pharmacy
Stanford, California, 94305
UCLA Cancer Center Hema/Oncol
Valencia, California, 91355
Kaiser Permanente - Vallejo
Vallejo, California, 94589
Kaiser Permanente - Walnut Creek
Walnut Creek, California, 94596
UCLA Hematology Oncology - Westlake
Westlake Village, California, 91361
Australia15 sites
Royal Adelaide Hospital; Hepatology
Adelaide, South Australia, 5000
Box Hill Hospital
Box Hill, Victoria, 3128
Cairns Base Hospital
Cairns, Queensland, 4870
Chris O'Brien Lifehouse
Camperdown, New South Wales, 2050
Peninsula Oncology Centre; Frankston Private
Frankston, Victoria, 3199
Launceston General Hospital; Gastroenterology Research
Launceston, Tasmania, 7250
Peter Maccallum Cancer Centre
Melbourne, Victoria, 3000
Alfred Hospital
Melbourne, Victoria, 3004
Fiona Stanley Hospital
Murdoch, Western Australia, 6150
Melanoma Institute Australia
North Sydney, New South Wales, 2060
The Townsville Hospital; Townsville Cancer Centre
Townsville, Queensland, 4812
Calvary Mater Newcastle
Waratah, New South Wales, 2298
Border Medical Oncology
Wodonga, New South Wales, 3690
Southern Medical Day Care Centre
Wollongong, New South Wales, 2500
Queen Elizabeth Hospital
Woodville, South Australia, 5011
Italy13 sites
Istituto Tumori Giovanni Paolo II IRCSS; Ospedale Oncologico Bari
Bari, Apulia, 70126
Azienda Socio Sanitaria Territoriale Papa Giovanni XXIII (Presidio Papa Giovanni XXIII)
Bergamo, Lombardy, 24127
Asst Degli Spedali Civili Di Brescia
Brescia, Lombardy, 25100
Istituto Nazionale per la Ricerca sul Cancro di Genova
Genoa, Liguria, 16132
Ospedale San Raffaele
Milan, Lombardy, 20132
Istituto Europeo Di Oncologia
Milan, Lombardy, 20141
Istituto Nazionale Tumori Fondazione G. Pascale
Naples, Campania, 80131
IOV - Istituto Oncologico Veneto IRCCS
Padova, Veneto, 35128
Azienda Ospedaliera Universitaria Policlinico Tor Vergata
Rome, Lazio, 00133
Istituto Nazionale Tumori Regina Elena IRCCS
Rome, Lazio, 00144
IDI-Istituto Dermopatico dell'Immacolata IRCCS
Rome, Lazio, 00167
IRCCS Istituto Clinico Humanitas; Farmacia
Rozzano, Lombardy, 20089
A.O.U. Senese Policlinico Santa Maria Alle Scotte
Siena, Tuscany, 53100
Germany12 sites
St. Josef-Hospital Universitaetsklinikum
Bochum, 44791
Elbekliniken Buxtehude GmbH
Buxtehude, 21614
Universitätsklinikum Koeln
Cologne, 50937
Universitätsklinikum Essen
Essen, 45147
Universitaetsklinikum Frankfurt
Frankfurt, 60528
Universitätsklinikum Heidelberg
Heidelberg, 69120
Universitaetsklinikum Schleswig-Holstein - Campus Kiel; Klinik fuer Allgemeine Innere Medizin
Kiel, 24105
Universitaetsmedizin der Johannes Gutenberg-Universitaet Mainz; Apotheke
Mainz, 55131
Klinikum Mannheim GmbH Universitätsklinikum
Mannheim, 68167
Fachklinik Hornheide
Münster, 48157
Universitätsklinikum Tübingen
Tübingen, 72076
Universitätsklinikum Wurzburg
Würzburg, 97080
France11 sites
CHU Besançon - Hôpital Jean Minjoz
Besançon, 25030
Groupe Hospitalier Saint André - Hôpital Saint André
Bordeaux, 33075
Hôpital Ambroise Paré - Boulogne-Billancourt; Respiratory
Boulogne-Billancourt, 92104
Hopital Claude Huriez - CHU Lille
Lille, 59037
Hopital de la Timone
Marseille, 13005
CHU NANTES - Hôtel Dieu; Pharmacy
Nantes, 44093
CHU Nice - Hopital de l'Archet 2
Nice, 06202
Hôpital Saint-Louis
Paris, 75475
Centre Hospitalier Lyon Sud
Pierre-Bénite, 69495
CHU de Rouen Hopital; Service de Neurologie
Rouen, 76031
CHU de Toulouse - Hôpital Larrey
Toulouse, 31059
Canada10 sites
LHSC - Victoria Hospital; Department of Pediatrics
London, Ontario, N6A 4G5
CHUM Hôpital Notre-Dame
Montreal, Quebec, H2L 4M1
Mcgill University - Royal Victoria Hospital; Oncology
Montreal, Quebec, H3A 1A1
The Ottawa Hospital Cancer Center; General Campus
Ottawa, Ontario, K1H 1C4
Saint John Regional Hospital; Department of Oncology
Saint John, New Brunswick, E2L 4L2
CHUQ - Hôtel-Dieu de Québec
Ste-Foy, Quebec, G1V 4G2
Toronto Sunnybrook Hospital
Toronto, Ontario, M4N3M50
Princess Margaret Hospital; Department of Med Oncology
Toronto, Ontario, M5G 2M9
BC Cancer Agency Vancouver Centre - PARENT; BC Cancer Agency
Vancouver, British Columbia, V5Z 4E6
Saint Boniface General Hospital; Section of Nephrology BG 007
Winnipeg, Manitoba, R2H 2A6
United Kingdom10 sites
Bristol Haematology and Oncology Centre
Bristol, BS2 8ED
Addenbrooke's Hospital
Cambridge, CB2 0QQ
Velindre Cancer Centre
Cardiff, CF14 2TL
Western General Hospital
Edinburgh, EH4 2XU
Queen Elizabeth Hospital
Kings Lynn, PE30 4ET
Guys and St Thomas NHS Foundation Trust, Guys Hospital
London, SE1 9RT
Nottingham University Hospitals City Campus
Nottingham, NG5 1PB
Churchill Hospital
Oxford, OX3 7LJ
Royal Cornwall Hospital
Truro, TR1 3LQ
New Cross Hospital
Wolverhampton, WV10 0QP
Argentina7 sites
Fundación CIDEA
Buenos Aires, C1425DTG
Instituto Medico Especializado Alexander Fleming
Ciudad Autonoma Buenos Aires, 1426
Hospital Britanico de Buenos Aires
Ciudad Autonoma Buenos Aires, C1284AEB
Hospital Universitario Austral
Derqui-Pilar, B1629ODT
Centro de Investigacion Pergamino SA
Pergamino, B2700CPM
Instituto de Oncología de Rosario
Rosario, S2000KZE
ISIS Clinica Especializada
Santa Fe, S3000
Czechia7 sites
Masarykuv onkologicky ustav
Brno, 656 53
Fakultni nemocnice Hradec Kralove
Hradec Králové, 500 05
Fakultní nemocnice Olomouc
Olomouc, 775 20
Fakultni nemocnice Ostrava
Ostrava - Poruba, 708 52
Fakultni nemocnice Kralovske Vinohrady
Prague, 100 34
Vseobecna fakultni nemocnice v Praze
Prague, 128 08
Nemocnice Na Bulovce
Prague, 180 01
Belgium6 sites
ZNA Middelheim
Antwerp, 2020
Institut Jules Bordet
Brussels, 1000
UZ Antwerpen
Edegem, 2650
UZ Gent
Ghent, 9000
Jessa Zkh (Campus Virga Jesse)
Hasselt, 3500
AZ Groeninge, Apotheek
Kortrijk, 8500
Brazil6 sites
Trymed Clinical Research
Belo Horizonte, Minas Gerais, 30150-281
Hospital de Caridade de Ijuí
Ijuí, Rondônia, 98700-000
CITO - Centro Integrado de Terapia Onco-Hematológica - Hospital da Cidade de Passo Fundo
Passo Fundo, Rio Grande do Sul, 99010-260
Hospital das Clinicas - UFRGS
Porto Alegre, Rio Grande do Sul, 90035-003
Clinica de Oncologia de Porto Alegre - CliniOnco
Porto Alegre, Rio Grande do Sul, 90430-090
Hospital Sírio-Libanês
São Paulo, São Paulo, 01308-050
Israel6 sites
Soroka Medical Center
Beersheba, 8410101
Rambam Health Care Campus
Haifa, 3109600
Hadassah University Hospital - Ein Kerem
Jerusalem, 9112001
Rabin Medical Center-Beilinson Campus
Petah Tikva, 4941492
Chaim Sheba Medical Center
Ramat Gan, 5265601
Tel-Aviv Sourasky Medical Center
Tel Aviv, 6423906
Spain6 sites
Hospital de la Santa Creu; i Sant Pau
Barcelona, 08025
Institut Catala d Oncologia Hospital Duran i Reynals
Barcelona, 08908
Hospital General Universitario Gregorio Marañon
Madrid, 28007
Hospital Costa del Sol; Servicio de Oncologia
Marbella, Malaga, 29600
Hospital Clinico Universitario de Santiago
Santiago de Compostela, LA Coruña, 15706
Hospital Universitari i Politecnic La Fe
Valencia, 46026
South Africa5 sites
GVI Rondebosch Oncology Centre
Cape Town, 7700
Mary Potter Oncology Centre
Groenkloof, 0181
Groote Schuur Hospital Radiation Oncology Department; Department of Radiation Oncology
Observatory, 7925
University of Pretoria Oncology Department
Pretoria, 0001
Sandton Oncology Medical Group
Sandton, 2196
Austria4 sites
Medizinische Universität Innsbruck
Innsbruck, 6020
Krankenanstalt Rudolfstiftung Wien
Vienna, 1030
Medizinische Universität Wien
Vienna, 1090
Klinikum Wels-Grieskirchen
Wels, 4600
Croatia4 sites
General Hospital Pula
Pula, 52100
General Hospital Varazdin
Varaždin, 42000
Clinical Hospital Center Sestre Milosrdnice
Zagreb, 10000
Clinical Hospital Centre Zagreb
Zagreb, 10000
Ireland4 sites
Cork University Hospital
Cork
Mater Private Hospital
Dublin, 7
The Mater Misericordiae Hospital
Dublin, 7
University College Hospital
Galway
Mexico4 sites
Centro Oncologico Belenus
Cuernavaca, 62290
Hospital Civil de Guadalajara Fray Antonio Alcalde
Guadalajara, 44280
Centro Regiomontano de Investigación Clínica
Monterrey, 64710
Sanatorio la Luz
Morelia, 58260
Poland4 sites
SPZOZ MSW zWarmińsko-MazurskimCen.Onko.wOlsztynie
Olsztyn, 10-228
Przychodnia Med-Polonia Sp. z o.o.
Poznan, 60-693
Centrum Onkologii- Instytut; im. M.Skłodowskiej-Curie
Warsaw, 02-781
Dolnoslaskie Centrum Onkologii
Wroclaw, 53-439
Portugal4 sites
IPO de Coimbra; Servico de Oncologia Medica
Coimbra, 3000-075
Hospital do Espirito Santo; Servico de Oncologia Medica
Evora, 7000-811
Hospital de Santa Maria; Servico de Oncologia Medica
Lisbon, 1649-035
IPO do Porto; Servico de Oncologia Medica
Porto, 4200-072
Russia4 sites
Krasnodar City Oncology Center
Krasnodar, 350040
Moscow City Oncology Hospital #62
Moscovskaya Oblast, Moscow Oblast, 143423
FSBSI "Russian Oncological Scientific Center n.a. N.N. Blokhin"
Moscow, 115478
Scientific Research Oncology Institute named after N.N. Petrov
Saint Petersburg, 197758
Serbia4 sites
Institute of Oncology and Radiology of Serbia
Belgrade, 11000
Military Medical Academy
Belgrade, 11040
Clinical Center Bezanijska Kosa
Belgrade, 11070
Institute for oncology of Vojvodina
Kamenitz, 21204
Estonia3 sites
East Tallinn Central Hospital; Clinic of Internal Medicine
Tallinn, 11312
North Estonia Medical Centre Foundation
Tallinn, 13419
Tartu University Hospital; Clinic of Hematology and Oncology
Tartu, 50406
Sweden3 sites
Länssjukhuset Ryhov
Jönköping, 551 85
Norrlands Universitetssjukhus
Umeå, 901 850
Centrallasarettet Växjö
Vaxjo, 351 85
Netherlands2 sites
Universitair Medisch Centrum Groningen
Groningen, 9713 GZ
Leids Universitair Medisch Centrum; Cardiology
Leiden, 2333 ZA
New Zealand2 sites
Christchurch Hospital NZ
Christchurch, 8011
Wellington Hospital
Wellington, 6012
Ukraine2 sites
CI Dnipropetrovsk CMCH 4 of Dnipropetrovsk RC Dept of Chemotherapy SI Dnipropetrovsk MA of MOHU
Dnipropetrovsk, 49102
Lviv State Oncological Regional Treatment and Diagnostic Center
Lviv, 79031
About this study
Official title: A Phase III, Randomized, Double-Blind, Placebo-Controlled Study of Vemurafenib (RO5185426) Adjuvant Therapy in Patients With Surgically Resected, Cutaneous BRAF-Mutant Melanoma at High Risk for Recurrence
This multicenter, randomized, double-blind, placebo-controlled study will evaluate the efficacy and safety of vemurafenib in participants with completely resected, cutaneous BRAF mutation-positive melanoma at high risk for recurrence. Participants will be enrolled in two separate cohorts: Cohort 1 will include participants with completely resected Stage IIC, IIIA (participants with one or more nodal metastasis greater than [>] 1 millimeter [mm] in diameter), or IIIB cutaneous melanoma, as defined by the American Joint Committee on Cancer (AJCC) Classification, Version 7; Cohort 2 will include participants with Stage IIIC cutaneous melanoma, as defined by this classification scheme. Within each cohort, participants will be randomized (1:1 ratio) to receive vemurafenib or matching placebo over a 52-week period.
- Conditions
- Melanoma
- Being tested
- Vemurafenib, Placebo
- Medical subject headings
- Melanoma
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
VemurafenibDrug
Also called RO5185426/F17, Zelboraf
4 tablets of vemurafenib 240 mg each (total 960 mg) were administered orally as per the schedule specified in the respective arm.
PlaceboDrug
Placebo matching to vemurafenib were administered orally as per the schedule specified in the respective arm.
| Study group | Role | What they receive |
|---|---|---|
| Cohort 1 Vemurafenib | Experimental | Participants with completely resected Stage IIC, IIIA, or IIIB cutaneous melanoma) received vemurafenib, 960 milligrams (mg) twice daily, in 28-day cycles, for up to 52 weeks Receives: Drug: Vemurafenib |
| Cohort 1 Placebo | Placebo comparator | Participants with completely resected Stage IIC, IIIA, or IIIB cutaneous melanoma) received vemurafenib-matching placebo twice daily, in 28-day cycles, for up to 52 weeks Receives: Drug: Placebo |
| Cohort 2 Vemurafenib | Experimental | Participants with Stage IIIC cutaneous melanoma received vemurafenib, 960 mg twice daily, in 28-day cycles, for up to 52 weeks Receives: Drug: Vemurafenib |
| Cohort 2 Placebo | Placebo comparator | Participants with Stage IIIC cutaneous melanoma received vemurafenib-matching placebo twice daily, in 28-day cycles, for up to 52 weeks Receives: Drug: Placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
Disease-Free Survival (DFS) as Assessed Using Contrast-Enhanced Magnetic Resonance Imaging (MRI) or Contrast Enhanced Computed Tomography (CT)
DFS was defined as the time from randomization until the date of the first local, regional, or distant melanoma recurrence, occurrence of new primary melanoma, or death from any cause.
Measured: From randomization until the date of the first local, regional, or distant melanoma recurrence, occurrence of new primary melanoma, or death from any cause (up to the April 17, 2017 data cut-off, approximately 4.5 years)
Secondary outcomes (5)
Distant Metastasis-Free Survival (DMFS) as Assessed Using Contrast-Enhanced MRI or Contrast Enhanced CT
DMFS was defined as the time from randomization until the date of diagnosis of distant (i.e. non-locoregional) metastases or death from any cause.
Measured: From randomization until the date of diagnosis of distant (i.e., non-locoregional) metastases or death from any cause (up to the April 17, 2017 data cut-off, approximately 4.5 years)
Overall Survival (OS)
OS is defined as the time from randomization until the date of death from any cause.
Measured: From randomization until the date of death from any cause (up until 13-July-2018, approximately 6 years)
Percentage of Participants With Adverse Events
An adverse event is any untoward medical occurrence in a clinical investigation participant administered a pharmaceutical product, regardless of causal attribution.
Measured: From randomization up to study completion or discontinuation (up until 13-July-2018, approximately 6 years)
Change From Baseline in European Organisation for Research and Treatment of Cancer (EORTC) 30-Item Quality of Life Questionnaire (QLQ-C30) Score
European Organisation for Research and Treatment of Cancer 30-Item Quality of Life Questionnaire assesses 8 symptoms, function, financial difficulties, and a global health status/health-related quality of life (HRQoL). Most questions use a 4-point scale (1 'Not at all' to 4 'Very much';2 questions use a 7-point scale (1 'very poor' to 7 'Excellent'). Scores were averaged and transformed to a 0-100 scale. Higher scores for the function and HRQoL represent higher levels of functioning and HRQoL, higher scores for the symptom represent higher levels of symptoms/problems, higher score for financial difficulty represent higher level of perceived financial burden of treatment. Changes of 5-10 points are considered to represent a minimally important difference to participants. A positive value means an increase, and negative value means a decrease in score at the indicated time-point relative to the score at baseline (Cycle 1 Day 1).
Measured: Day 1, Day 8, Day 15, Day 22 of Cycle 1;Day 1, Day 15 of Cycle 2;Day 1 Cycles 3-13;end of treatment(up to 13 months);every 13 weeks thereafter until recurrence or occurrence of a new primary melanoma (up to 17-Apr-17 data cut-off,approximately 4.5 years)
Plasma Concentration of Vemurafenib
Measured: Pre-morning dose (0 hour [hr]) and 1 to 4 hrs post-dose on Days 1, 8, 15, and 22 of Cycle 1; pre-morning dose (0 hr) on Days 1 and 15 of Cycle 2; pre-morning dose (0 hr) on Day 1 of Cycles 3-13; at end of treatment (up to 13 months)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted17 Aug 2012 (estimated)
- Study start24 Sep 2012
- Primary completion23 Jun 2017
- Study completion13 Jul 2018
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (2)Papers the sponsor has linked to this study.
- Other trials for MelanomaStudies of the same condition, open and under way.
- More trials run by Hoffmann-La RocheThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind
- Who is masked
- Participant, Investigator
- Enrolment
- 498 participants (actual)
Sponsor and investigators
- Lead sponsor
- Hoffmann-La Roche
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Clinical Trials, Study director, Hoffmann-La Roche
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01667419
- Sponsor's protocol ID
- GO27826
- Other IDs
- 2011-004011-24
- Acronym
- BRIM8
- Status last verified
- Jul 2019
- First submitted
- 15 Aug 2012
- Last updated
- 23 Jul 2019
- Results posted
- Yes, on ClinicalTrials.gov
Publications
Ascierto PA, Lewis KD, Di Giacomo AM, Demidov L, Mandala M, Bondarenko I, Herbert C, Mackiewicz A, Rutkowski P, Guminski A, Simmons B, Ye C, Hooper G, Wongchenko MJ, Goodman GR, Yan Y, Schadendorf D. Prognostic impact of baseline tumour immune infiltrate on disease-free survival in patients with completely resected, BRAFv600 mutation-positive melanoma receiving adjuvant vemurafenib. Ann Oncol. 2020 Jan;31(1):153-159. doi: 10.1016/j.annonc.2019.10.002.
PubMed 31912791Maio M, Lewis K, Demidov L, Mandala M, Bondarenko I, Ascierto PA, Herbert C, Mackiewicz A, Rutkowski P, Guminski A, Goodman GR, Simmons B, Ye C, Yan Y, Schadendorf D; BRIM8 Investigators. Adjuvant vemurafenib in resected, BRAFV600 mutation-positive melanoma (BRIM8): a randomised, double-blind, placebo-controlled, multicentre, phase 3 trial. Lancet Oncol. 2018 Apr;19(4):510-520. doi: 10.1016/S1470-2045(18)30106-2. Epub 2018 Feb 21.
PubMed 29477665
Study at a glance
From the registry record, last updated by the sponsor on 23 Jul 2019. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase III, Randomized, Double-Blind, Placebo-Controlled Study of Vemurafenib (RO5185426) Adjuvant Therapy in Patients With Surgically Resected, Cutaneous BRAF-Mutant Melanoma at High Risk for Recurrence
- ClinicalTrials.gov ID
- NCT01667419
- Acronym / sponsor ID
- BRIM8 / GO27826
- Conditions
- Melanoma
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 498 participants (actual)
- Lead sponsor
- Hoffmann-La RocheIndustry (pharma, biotech, devices)
- Study start
- 24 Sep 2012 (actual)
- Primary completion
- 23 Jun 2017 (actual)
- Study completion
- 13 Jul 2018 (actual)
- First posted
- 17 Aug 2012 (estimated)
- Results
- Posted 17 Oct 2018
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This multicenter, randomized, double-blind, placebo-controlled study will evaluate the efficacy and safety of vemurafenib in participants with completely resected, cutaneous BRAF mutation-positive melanoma at high risk for recurrence. Participants will be enrolled in two separate cohorts: Cohort 1 will include participants with completely resected Stage IIC, IIIA (participants with one or more nodal metastasis greater than [>] 1 millimeter [mm] in diameter), or IIIB cutaneous melanoma, as defined by the American Joint Committee on Cancer (AJCC) Classification, Version 7; Cohort 2 will include participants with Stage IIIC cutaneous melanoma, as defined by this classification scheme. Within each cohort, participants will be randomized (1:1 ratio) to receive vemurafenib or matching placebo over a 52-week period.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (participant, investigator)
- Number of arms
- 4
| Arm | Type | Receives |
|---|---|---|
| Cohort 1 Vemurafenib | Experimental | Drug: VemurafenibParticipants with completely resected Stage IIC, IIIA, or IIIB cutaneous melanoma) received vemurafenib, 960 milligrams (mg) twice daily, in 28-day cycles, for up to 52 weeks |
| Cohort 1 Placebo | Placebo comparator | Drug: PlaceboParticipants with completely resected Stage IIC, IIIA, or IIIB cutaneous melanoma) received vemurafenib-matching placebo twice daily, in 28-day cycles, for up to 52 weeks |
| Cohort 2 Vemurafenib | Experimental | Drug: VemurafenibParticipants with Stage IIIC cutaneous melanoma received vemurafenib, 960 mg twice daily, in 28-day cycles, for up to 52 weeks |
| Cohort 2 Placebo | Placebo comparator | Drug: PlaceboParticipants with Stage IIIC cutaneous melanoma received vemurafenib-matching placebo twice daily, in 28-day cycles, for up to 52 weeks |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (8 listed)
- Histologically confirmed melanoma of cutaneous origin
- Participants with BRAFV600 mutation-positive, cutaneous melanoma (either pathologic Stage IIC or Stage III according to AJCC Staging Criteria version 7 that has been completely resected
- BRAF V600 mutation status of the current primary tumor or involved lymph node determined to be positive using the cobas BRAF V600 mutation test
- Surgically rendered free of disease within 90 days of randomization
- Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1
Key exclusion criteria (13 listed)
- History of any systemic or local therapy (e.g., chemotherapy, biologic or targeted therapy, hormonal therapy, or photodynamic therapy) for the treatment or prevention of melanoma, including interferon alpha-2b and pegylated interferon alpha-2b
- History of limb perfusion therapy
- History of radiotherapy for the treatment of melanoma
- Invasive malignancy other than melanoma at the time of enrollment or within 5 years prior to first dose of study treatment
- Family history of inherited colon cancer syndromes
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| VemurafenibAlso: RO5185426/F17, Zelboraf4 tablets of vemurafenib 240 mg each (total 960 mg) were administered orally as per the schedule specified in the respective arm. | Drug | Cohort 1 Vemurafenib, Cohort 2 Vemurafenib |
| PlaceboPlacebo matching to vemurafenib were administered orally as per the schedule specified in the respective arm. | Drug | Cohort 1 Placebo, Cohort 2 Placebo |
Primary outcome
Disease-Free Survival (DFS) as Assessed Using Contrast-Enhanced Magnetic Resonance Imaging (MRI) or Contrast Enhanced Computed Tomography (CT)
Time frame: From randomization until the date of the first local, regional, or distant melanoma recurrence, occurrence of new primary melanoma, or death from any cause (up to the April 17, 2017 data cut-off, approximately 4.5 years)
DFS was defined as the time from randomization until the date of the first local, regional, or distant melanoma recurrence, occurrence of new primary melanoma, or death from any cause.
5 secondary outcomes
Distant Metastasis-Free Survival (DMFS) as Assessed Using Contrast-Enhanced MRI or Contrast Enhanced CT
Time frame: From randomization until the date of diagnosis of distant (i.e., non-locoregional) metastases or death from any cause (up to the April 17, 2017 data cut-off, approximately 4.5 years)
Overall Survival (OS)
Time frame: From randomization until the date of death from any cause (up until 13-July-2018, approximately 6 years)
Percentage of Participants With Adverse Events
Time frame: From randomization up to study completion or discontinuation (up until 13-July-2018, approximately 6 years)
Change From Baseline in European Organisation for Research and Treatment of Cancer (EORTC) 30-Item Quality of Life Questionnaire (QLQ-C30) Score
Time frame: Day 1, Day 8, Day 15, Day 22 of Cycle 1;Day 1, Day 15 of Cycle 2;Day 1 Cycles 3-13;end of treatment(up to 13 months);every 13 weeks thereafter until recurrence or occurrence of a new primary melanoma (up to 17-Apr-17 data cut-off,approximately 4.5 years)
Plasma Concentration of Vemurafenib
Time frame: Pre-morning dose (0 hour [hr]) and 1 to 4 hrs post-dose on Days 1, 8, 15, and 22 of Cycle 1; pre-morning dose (0 hr) on Days 1 and 15 of Cycle 2; pre-morning dose (0 hr) on Day 1 of Cycles 3-13; at end of treatment (up to 13 months)
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 23 Jul 2019.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 31912791Ascierto PA, Lewis KD, Di Giacomo AM, Demidov L, Mandala M, Bondarenko I, Herbert C, Mackiewicz A, Rutkowski P, Guminski A, Simmons B, Ye C, Hooper G, Wongchenko MJ, Goodman GR, Yan Y, Schadendorf D. Prognostic impact of baseline tumour immune infiltrate on disease-free survival in patients with completely resected, BRAFv600 mutation-positive melanoma receiving adjuvant vemurafenib. Ann Oncol. 2020 Jan;31(1):153-159. doi: 10.1016/j.annonc.2019.10.002.
- Derived from this study: PubMed 29477665Maio M, Lewis K, Demidov L, Mandala M, Bondarenko I, Ascierto PA, Herbert C, Mackiewicz A, Rutkowski P, Guminski A, Goodman GR, Simmons B, Ye C, Yan Y, Schadendorf D; BRIM8 Investigators. Adjuvant vemurafenib in resected, BRAFV600 mutation-positive melanoma (BRIM8): a randomised, double-blind, placebo-controlled, multicentre, phase 3 trial. Lancet Oncol. 2018 Apr;19(4):510-520. doi: 10.1016/S1470-2045(18)30106-2. Epub 2018 Feb 21.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Clinical Trials study director
Hoffmann-La Roche
207 sites in 29 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Vemurafenib in people with Melanoma, run by Hoffmann-La Roche at 207 sites in 29 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 8 inclusion and 13 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 23 Jul 2019. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 207 sites in United States, Australia, Italy, Germany, France and 24 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Yes. Results are posted in the registry (first posted 17 Oct 2018). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Disease-Free Survival (DFS) as Assessed Using Contrast-Enhanced Magnetic Resonance Imaging (MRI) or Contrast Enhanced Computed Tomography (CT) (time frame: From randomization until the date of the first local, regional, or distant melanoma recurrence, occurrence of new primary melanoma, or death from any cause (up to the April 17, 2017 data cut-off, approximately 4.5 years)). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT01667419, which also lists 2 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 23 Jul 2019.