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OncoMatch/Clinical Trials/NCT04741997

Adjuvant Therapy Based on Pathologic Response After Neoadjuvant Encorafenib Binimetinib in Melanoma

Is NCT04741997 recruiting? Yes, currently enrolling (May 2026). This Early Phase 1 trial studies multiple treatments including Encorafenib Pill and Binimetinib Pill for melanoma stage iii.

Early Phase 1RecruitingH. Lee Moffitt Cancer Center and Research InstituteNCT04741997Data as of May 2026

Treatment: Encorafenib Pill · Binimetinib Pill · NivolumabThe purpose of this study is to assess rate of disease relapse and hazard rate of disease relapse after neoadjuvant therapy based on the statuses of pathologic complete response or non-pathologic complete response, and postoperative adjuvant therapy.

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Extracted eligibility criteria

Cancer type

Melanoma

Biomarker criteria

Required: BRAF V600

Melanoma must have a BRAFV600 mutation (using a CLIA-validated assay)

Disease stage

Required: Stage III B, III C, III D, IV (AJCC 8th edition)

either stage III (B/C/D) or Stage IV (AJCC 8th edition)

Performance status

ECOG 0–2(Ambulatory, capable of self-care)

Prior therapy

Cannot have received: BRAF inhibitor

Exception: if completed at least 6 months prior to study enrollment and no prior disease progression while on BRAF/MEK inhibitor therapy

Participants may have received prior therapy with BRAF and/or a MEK inhibitor if it was completed at least 6 months prior to study enrollment. Patients who had prior disease progression while on BRAF/MEK inhibitor therapy are not eligible. (Progression after stopping treatment is permitted.)

Cannot have received: MEK inhibitor

Exception: if completed at least 6 months prior to study enrollment and no prior disease progression while on BRAF/MEK inhibitor therapy

Participants may have received prior therapy with BRAF and/or a MEK inhibitor if it was completed at least 6 months prior to study enrollment. Patients who had prior disease progression while on BRAF/MEK inhibitor therapy are not eligible. (Progression after stopping treatment is permitted.)

Cannot have received: encorafenib (encorafenib)

Exception: no adverse events related to encorafenib and/or binimetinib that required discontinuation due to toxicity

Participants must not have had adverse events related to encorafenib and/or binimetinib specifically, that required discontinuation of one or both drugs due to toxicity.

Cannot have received: binimetinib (binimetinib)

Exception: no adverse events related to encorafenib and/or binimetinib that required discontinuation due to toxicity

Participants must not have had adverse events related to encorafenib and/or binimetinib specifically, that required discontinuation of one or both drugs due to toxicity.

Lab requirements

Blood counts

Hemoglobin ≥ 8 g/dL; Platelets ≥ 75 × 10^9/L

Kidney function

Serum creatinine ≤ 2.0 × ULN

Liver function

AST and ALT ≤ 2.5 × ULN; in participants with liver metastases ≤ 5 × ULN; Total bilirubin ≤ 1.5 × ULN and < 2 mg/dL; OR total bilirubin >1.5 × ULN with indirect bilirubin < 1.5 × ULN

Cardiac function

Baseline QTcF interval < 500 ms; no congestive heart failure requiring treatment (NYHA Grade ≥ 3); no uncontrolled atrial fibrillation or uncontrolled paroxysmal supraventricular tachycardia

Adequate laboratory parameters as well: a. Hemoglobin ≥ 8 g/dL. b. Platelets ≥ 75 × 10^9/L; c. AST and ALT ≤ 2.5 × ULN; in participants with liver metastases ≤ 5 × ULN; d. Total bilirubin ≤ 1.5 × ULN and < 2 mg/dL; OR total bilirubin >1.5 × ULN with indirect bilirubin < 1.5 × ULN; e. Serum creatinine ≤ 2.0 × ULN; Impaired cardiovascular function as below: a. Congestive heart failure requiring treatment (New York Heart Association Grade ≥ 3); b. presence of uncontrolled atrial fibrillation or uncontrolled paroxysmal supraventricular tachycardia c. Baseline QTcF interval ≥ 500 ms.

Structured fields extracted by AI. May contain errors — verify against the official protocol.

US trial sites

  • Moffitt Cancer Center · Tampa, Florida

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