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Melanoma Stage IVBERINGNCT04045691

Binimetinib Plus Encorafenib Real Life Investigation of Next Generation Melanoma Treatment

An observational study of Melanoma Stage IV and Melanoma Stage III, run by Pierre Fabre Pharma GmbH at 59 sites in 3 countries.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

BERING-MELANOMA - designed as a prospective, longitudinal, non-interventional study - investigates real-world effectiveness, quality of life, safety and tolerability of encorafenib plus binimetinib in unresectable advanced or metastatic BRAF(Rapidly Accelerated Fibrosarcoma isoform B)-V600-mutant malignant melanoma… Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Melanoma Stage IV, Melanoma Stage III
What is being tested?
Encorafenib and Binimetinib
How many people
750 participants
Where
59 sitesin 3 countries
Study dates
17 Oct 2019to Sep 2027
Phase
Observational
Are there results?
Not yet: the study is under way

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

Study population: Adult patients with unresectable advanced or metastatic BRAFV600-mutant malignant melanoma, with a decision to receive targeted treatment with Encorafenib/Binimetinib according to the current SmPC.

Who may be able to join

  • Written informed consent of the patient with regard to the pseudonymized documentation as well as the transfer and processing of his/her data within the study and the ADOREG [Cancer Registry of German Working Group of Dermato-Oncology] registry (data transfer to ADOREG registry only for patients from German sites);
  • Legally capable male or female patient ≥ 18 years of age (no upper limit);
  • Decision was taken to treat the patient with encorafenib plus binimetinib in accordance with the current SmPC [Summary of Product Characteristics] and by prescription; this decision was taken prior to and independent from the inclusion into the study;
  • Treatment with encorafenib plus binimetinib has been started ≤ 6 months prior to providing written informed consent for this study or is planned to be started in the near future;
  • Unresectable advanced or metastatic malignant melanoma with BRAF [Rapidly Accelerated Fibrosarcoma isoform B] V600 mutation;
  • Treatment-naive or after one prior line of checkpoint inhibitor treatment (anti-CTLA4 [Cytotoxic T-Lymphocyte Antigen-4] and/or anti-PD(L)1 [Programmed cell Death protein 1]) in the unresectable advanced or metastatic setting.

Who cannot join

  • Previous treatment with a BRAF- and/or MEK [Mitogen-Activated Protein/Extracellular-signal Regulated Kinase]- inhibitor except for:
  • -- prior adjuvant treatment with BRAF+MEK-inhibitor combination therapy that ended > 6 months prior start of Encorafenib/Binimetinib treatment;
  • More than one prior line of checkpoint inhibitor treatment in the unresectable advanced or metastatic setting;
  • Any previous chemotherapeutic treatment of the melanoma disease;
  • Presence of any contraindication with regard to the encorafenib-binimetinib-treatment as specified in the corresponding SmPCs;
  • Current or upcoming participation in an interventional clinical trial;
  • Current or upcoming systemic treatment of any other tumor than melanoma;
  • Prisoners or persons who are compulsorily detained (involuntarily incarcerated).

Trial locations and contacts

59 sites in 3 countries. Contact the study team or a site near you to ask about taking part.

Andrea Schmidt, MSc contact

+49 641 94436 ext. 0

ansc@alcedis.de

59 sites in 3 countries

Germany42 sites, 42 recruiting
  • 45

    Ahaus

    Recruiting
  • 8

    Aschaffenburg

    Recruiting
  • 56

    Augsburg

    Recruiting
  • 51

    Berlin

    Recruiting
  • 27

    Bremerhaven

    Recruiting
  • 1

    Buxtehude

    Recruiting
  • 43

    Chemnitz

    Recruiting
  • 34

    Donauwörth

    Recruiting
  • 49

    Dresden

    Recruiting
  • 47

    Duisburg

    Recruiting
  • 40

    Erfurt

    Recruiting
  • 20

    Essen

    Recruiting
  • 9

    Gera

    Recruiting
  • 28

    Giessen

    Recruiting
  • 42

    Goslar

    Recruiting
  • 59

    Göttingen

    Recruiting
  • 19

    Hamburg

    Recruiting
  • 21

    Hanover

    Recruiting
  • 2

    Heidelberg

    Recruiting
  • 33

    Karlsruhe

    Recruiting
  • 39

    Kiel

    Recruiting
  • 29

    Landshut

    Recruiting
  • 44

    Leipzig

    Recruiting
  • 4

    Lübeck

    Recruiting
  • 30

    Ludwigshafen

    Recruiting
  • 46

    Magdeburg

    Recruiting
  • 15

    Mainz

    Recruiting
  • 5

    Mannheim

    Recruiting
  • 57

    Marburg

    Recruiting
  • 6

    Minden

    Recruiting
  • 31

    München

    Recruiting
  • 7

    München

    Recruiting
  • 16

    Münster

    Recruiting
  • 35

    Münster

    Recruiting
  • 18

    Nuremberg

    Recruiting
  • 50

    Regensburg

    Recruiting
  • 41

    Schorndorf

    Recruiting
  • 17

    Schwerin

    Recruiting
  • 48

    Stolberg

    Recruiting
  • 55

    Trier

    Recruiting
  • 54

    Tübingen

    Recruiting
  • 32

    Zwickau

    Recruiting

Other trials in Germany

Austria9 sites, 9 recruiting
  • 11

    Graz

    Recruiting
  • 13

    Innsbruck

    Recruiting
  • 14

    Klagenfurt

    Recruiting
  • 10

    Linz

    Recruiting
  • 3

    Linz

    Recruiting
  • 12

    Salzburg

    Recruiting
  • 22

    Vienna

    Recruiting
  • 53

    Vienna

    Recruiting
  • 23

    Wiener Neustadt

    Recruiting

Other trials in Austria

Switzerland8 sites, 8 recruiting
  • 38

    Aarau

    Recruiting
  • 52

    Bellinzona, Canton Ticino, 6500

    Recruiting
  • 37

    Bern, 3010

    Recruiting
  • 24

    Chur

    Recruiting
  • 36

    Lausanne

    Recruiting
  • 58

    Lucerne, 6000

    Recruiting
  • 26

    Winterthur

    Recruiting
  • 25

    Zurich

    Recruiting

Other trials in Switzerland

About this study

Official title: Encorafenib Plus Binimetinib in Patients With Locally Advanced, Unresectable or Metastatic BRAFV600-mutated Melanoma: a Multi-centric, Multinational, Prospective, Longitudinal, Non-interventional Study in Germany, Austria and Switzerland - BERING MELANOMA

BERING-MELANOMA - designed as a prospective, longitudinal, non-interventional study - investigates real-world effectiveness, quality of life, safety and tolerability of encorafenib plus binimetinib in unresectable advanced or metastatic BRAF(Rapidly Accelerated Fibrosarcoma isoform B)-V600-mutant malignant melanoma after commercial availability of these two products in Germany, Austria and Switzerland. The study focusses on the documentation of the first and second line setting (i.e. after one line of prior checkpoint inhibition) by documenting patients treated according to the SmPC (Summary of Product Characteristics).

Being tested
Encorafenib, Binimetinib
Keywords
BERING, Encorafenib, Binimetinib
Medical subject headings
Melanoma

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • EncorafenibDrug

    Observation of real-life treatment with encorafenib and binimetinib

  • BinimetinibDrug

    Observation of real-life treatment with encorafenib and binimetinib

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Progression-free survival

    Progression-free survival rate

    Measured: At 12 months after start of treatment

Secondary outcomes (24)
  1. Patient and disease profiles at start of treatment with encorafenib plus binimetinib

    Demographic and disease characteristics

    Measured: Baseline

  2. Type of treatments before and after encorafenib plus binimetinib

    Treatment sequence prior to and after encorafenib plus binimetinib; by documenting pre-treatments with adjuvant therapy and systemic therapy in palliative setting; and by documenting subsequent systemic treatment lines after administration of encorafenib plus binimetinib

    Measured: Complete observation time-frame (the total observation period of this study will amount to 90 months).

  3. Sequence of treatments before and after encorafenib plus binimetinib

    Treatment sequence prior to and after encorafenib plus binimetinib; by documenting pre-treatments with adjuvant therapy and systemic therapy in palliative setting; and by documenting subsequent systemic treatment lines after administration of encorafenib plus binimetinib

    Measured: Complete observation time-frame (the total observation period of this study will amount to 90 months).

  4. Characteristics of treatment with encorafenib plus binimetinib

    Evaluation of reason for treatment selection (efficacy, safety profile, quality of life, patients preference, physician's preference, comorbidities, other)

    Measured: From start to end of treatment (anticipated median treatment duration ca. 12 months)

  5. Effectiveness of treatment with encorafenib plus binimetinib

    Further progression-free survival parameters

    Measured: From start to end of treatment (anticipated median treatment duration ca. 12 months)

  6. Effectiveness of treatment with encorafenib plus binimetinib

    Time-to-progression

    Measured: From start to end of treatment (anticipated median treatment duration ca. 12 months)

  7. Effectiveness of treatment with encorafenib plus binimetinib

    Best observed tumor response

    Measured: From start to end of treatment (anticipated median treatment duration ca. 12 months)

  8. Effectiveness of treatment with encorafenib plus binimetinib

    Overall response rate

    Measured: From start to end of treatment (anticipated median treatment duration ca. 12 months)

  9. Effectiveness of treatment with encorafenib plus binimetinib

    Duration of response

    Measured: From start to end of treatment (anticipated median treatment duration ca. 12 months)

  10. Effectiveness of treatment with encorafenib plus binimetinib

    Disease control rate

    Measured: From start to end of treatment (anticipated median treatment duration ca. 12 months)

  11. Effectiveness of treatment with encorafenib plus binimetinib

    Duration of disease control

    Measured: From start to end of treatment (anticipated median treatment duration ca. 12 months)

  12. Effectiveness of treatment with encorafenib plus binimetinib

    Overall survival

    Measured: Complete observation time-frame (the total observation period of this study will amount to 90 months).

  13. Patient reported outcomes during treatment with encorafenib plus binimetinib - evaluated with EORTC QLQ C-30

    EORTC QLQ C-30 questionnaires (European Organisation for Research and Treatment of Cancer Quality of Life C-30 questionnaires) to assess quality of life of cancer patients; comprises 30 items, 24 of which are aggregated into nine multi-item scales, that is, five functioning scales (physical, role, cognitive, emotional and social), three symptom scales (fatigue, pain and nausea/vomiting) and one global health status scale. The remaining six single-item (dyspnoea, appetite loss, sleep disturbance, constipation, diarrhoea and the financial impact) scales assess symptoms.

    Measured: From start to end of treatment (anticipated median treatment duration ca. 12 months)

  14. Patient reported outcomes during treatment with encorafenib plus binimetinib evaluated with WPAI

    WPAI questionnaires (Work Productivity and Activity Impairment questionnaires). The following questions ask about the effect of patients melanoma on the ability to work and perform regular activities.

    1. Are you currently employed (working for pay)?
    2. During the past seven days, how many hours did you miss from work because of problems associated with your melanoma?
    3. During the past seven days, how many hours did you miss from work because of any other reason?
    4. During the past seven days, how many hours did you actually work?
    5. During the past seven days, how much did your melanoma affect your productivity while you were working?
    6. During the past seven days, how much did your melanoma affect your ability to do your regular daily activities, other than work at a job?

    Measured: From start to end of treatment (anticipated median treatment duration ca. 12 months)

  15. Patient reported outcomes during treatment with encorafenib plus binimetinib evaluated with CTSQ

    CTSQ questionnaires (Cancer Therapy Satisfaction Questionnaire) to assess patients' opinions and feelings concerning their cancer therapy and associated adverse events:

    1. Questions to patients thoughts about cancer therapy (IV/pills). Scale: [Always, Most of the time, Some-times, Rarely, Never];
    2. Questions to patients satisfaction with the most recent cancer therapy (IV/pills):
    3. Scale reg. benefit: [Much better than my expectations Somewhat better than my expectations, Met my expectations, Somewhat worse than my expectations, Much worse than my expectations];
    4. Scale reg. side effects: [Much better than I expected, Somewhat better than I expected, Exactly as I expected, Somewhat worse than I expected, Much worse than I expected];
    5. Scale reg. satisfaction: [Very satisfied, Satisfied, Neither satisfied nor dissatisfied, Dissatisfied, Very dissatisfied];
    6. Scale reg. choice of therapy: [Yes, definitely, Probably Yes, I don't know, Probably not, Definitely not]

    Measured: From start to end of treatment (anticipated median treatment duration ca. 12 months)

  16. Physicians' satisfaction with regard the treatment with encorafenib plus binimetinib

    Physicians' satisfaction questionnaires (measuring Physician's Satisfaction with regard to Effictiveness and Safety, as well as Physician's Overall Treatment Satisfaction) using the following scale construct:

    1. Physician's Satisfaction with regard to Efficiency
    2. Physician's Satisfaction with regard to Safety
    3. Physician's Overall Treatment Satisfaction

    Scale:

    • very dissatisfied
    • dissatisfied
    • moderately satisfied
    • satisfied
    • very satisfied

    Measured: From start to end of treatment (anticipated median treatment duration ca. 12 months)

  17. Safety and tolerability of treatment with encorafenib plus binimetinib - Adverse events and adverse reactions including time to onset and time to resolution

    Number of patients with Adverse Events and maximum grade per patient, Adverse Drug Reactions, Adverse Drug Reactions grade 3/4, Serious Adverse Events, Serious Adverse Drug Reactions.

    Measured: Complete observation time-frame (the total observation period of this study will amount to 90 months).

  18. Prognostic factors

    Influence of prognostic factors on quality of life outcome parameters

    Measured: Complete observation time-frame (the total observation period of this study will amount to 90 months).

  19. Prognostic factors

    Influence of prognostic factors on effectiveness

    Measured: Complete observation time-frame (the total observation period of this study will amount to 90 months).

  20. Prognostic factors

    Influence of prognostic factors on safety

    Measured: Complete observation time-frame (the total observation period of this study will amount to 90 months).

  21. Treatment duration

    From date of first treatment (encorafenib or binimetinib, whichever occurs first) until date of last treatment (encorafenib or binimetinib, whichever occurs last)

    Measured: From start to end of treatment (anticipated median treatment duration ca. 12 months)

  22. Treatment dose intensity

    From date of first treatment (encorafenib or binimetinib, whichever occurs first) until date of last treatment (encorafenib or binimetinib, whichever occurs last)

    Measured: From start to end of treatment (anticipated median treatment duration ca. 12 months)

  23. Number of treatment interruptions

    From date of first treatment (encorafenib or binimetinib, whichever occurs first) until date of last treatment (encorafenib or binimetinib, whichever occurs last)

    Measured: From start to end of treatment (anticipated median treatment duration ca. 12 months)

  24. Duration of treatment interruptions

    From date of first treatment (encorafenib or binimetinib, whichever occurs first) until date of last treatment (encorafenib or binimetinib, whichever occurs last)

    Measured: From start to end of treatment (anticipated median treatment duration ca. 12 months)

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted5 Aug 2019
  2. Study start17 Oct 2019
  3. Primary completionDec 2026 (estimated)
  4. Study completionSep 2027 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Cohort
Time perspective
Prospective
Enrolment
750 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04045691
Sponsor's protocol ID
NIS-PFO-2019-1921
Acronym
BERING
Status last verified
Jan 2021
First submitted
25 Jul 2019
Last updated
19 Jan 2021
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

An observational study of Melanoma Stage IV and Melanoma Stage III, run by Pierre Fabre Pharma GmbH at 59 sites in 3 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 6 inclusion and 8 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: looking for participants now, as of the sponsor's last update on 19 Jan 2021. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 59 sites in Germany, Austria, Switzerland. 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. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Christian A Rosé, MD (+49 761 45261 ext. 0, bering_de@pierre-fabre.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Progression-free survival (time frame: At 12 months after start of treatment). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 19 Jan 2021.

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