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← KEYTRUDA QLEX: unresectable metastatic Melanoma

NCT02224781 · STUDY IN CONTEXT

Dabrafenib and Trametinib Followed by Ipilimumab and Nivolumab or Ipilimumab and Nivolumab Followed by Dabrafenib and Trametinib in Treating Patients With Stage III-IV BRAFV600 Mel

Draft scope assessment: unclear. Attached because the study's own record describes metastatic disease. The study was not selected for this indication by its sponsor, and its eligibility has not been reconciled against this page in full. Found because this study's registry identifier is printed in an FDA approval notice, an FDA product label or an NCI summary held by this site. The citing document and the exact position of the identifier inside it are recorded. Being cited is not a statement that the study supports this treatment.

Read the full study record and all posted results →

Linked outcomes

Measures are not ranked. Open each original source section for treatment groups, denominators, units and results.

primary · POSTED

Overall Survival (OS) was defined as the time from randomization to death from any cause. Patients who have not died would be censored at the date of last known alive. 2-year OS rate was defined as a proportion of patients who are alive after two years of follow-up time among all cases who have died within 2 years or alive after 2-year follow-up time. Kaplan-Meier method was used to estimate 2-year OS.

All randomized patients (ie, intent-to-treat population)

→

secondary · NOT_POSTED

Overall Survival (OS) was defined as the time from randomization to death from any cause. Patients who have not died would be censored at the date of last known alive. Median overall survival was estimated using Kaplan-Meier method.

Source null

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secondary · NOT_POSTED

Overall Survival (OS) was defined as the time from randomization to death from any cause. Patients who have not died would be censored at the date of last known alive. 3-year OS rate was defined as a proportion of patients who are alive after three years of follow-up time among all cases who have died within 3 years or alive after 3-year follow-up time. Kaplan-Meier method was used to estimate 3-year OS.

Source null

→

secondary · NOT_POSTED

Progression-Free Survival (PFS) was defined as the time from randomization to disease progression or death (whichever occurs first). Cases without an event to date was censored at the date of last disease assessment documenting the patient was free of progression. Progression was evaluated based on international criteria proposed by the revised Response Evaluation Criteria in Solid Tumors (RECIST) guideline (version 1.1). Median PFS was estimated using Kaplan-Meier method.

Source null

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secondary · NOT_POSTED

Progression-Free Survival (PFS) was defined as the time from randomization (arm A) or crossover (arm D) to disease progression or death (whichever occurs first). Cases without an event to date was censored at the date of last disease assessment documenting the patient was free of progression. Progression was evaluated based on international criteria proposed by the revised Response Evaluation Criteria in Solid Tumors (RECIST) guideline (version 1.1). Median PFS was estimated using Kaplan-Meier method.

Source null

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secondary · NOT_POSTED

Progression-Free Survival (PFS) was defined as the time from randomization (arm B) or crossover (arm C) to disease progression or death (whichever occurs first). Cases without an event to date was censored at the date of last disease assessment documenting the patient was free of progression. Progression was evaluated based on international criteria proposed by the revised Response Evaluation Criteria in Solid Tumors (RECIST) guideline (version 1.1). Median PFS was estimated using Kaplan-Meier method.

Source null

→

Reported safety

Serious events are not the same as severe events. Compare the original safety groups and their at-risk populations.

Open the study safety table →

Quality of life and patient-reported measures

No linked quality-of-life measure is recorded for this setting and study.

Full draft applicability and source-link record
trial
release id
clinical-indications-draft-1
disease state id
ds-melanoma-keytruda-qlex-b6745983
nct id
NCT02224781
trial label
Dabrafenib and Trametinib Followed by Ipilimumab and Nivolumab or Ipilimumab and Nivolumab Followed by Dabrafenib and Trametinib in Treating Patients With Stage III-IV BRAFV600 Mel
applicability
unclear
applicability note
Attached because the study's own record describes metastatic disease. The study was not selected for this indication by its sponsor, and its eligibility has not been reconciled against this page in full.
curation status
draft
reviewed by
Source null
reviewed at
Source null
created at
2026-09-10T00:00:00Z
provenance class
regulator-cited
discovery note
Found because this study's registry identifier is printed in an FDA approval notice, an FDA product label or an NCI summary held by this site. The citing document and the exact position of the identifier inside it are recorded. Being cited is not a statement that the study supports this treatment.
outcome Count
6
harms Count
4
qol Count
0
outcomes
  1. release id
    clinical-indications-draft-1
    disease state id
    ds-melanoma-keytruda-qlex-b6745983
    nct id
    NCT02224781
    outcome key
    om-0000
    source section id
    NCT02224781-om-0000
    source outcome index
    0
    endpoint
    2-year Overall Survival (OS)
    endpoint definition
    Overall Survival (OS) was defined as the time from randomization to death from any cause. Patients who have not died would be censored at the date of last known alive. 2-year OS rate was defined as a proportion of patients who are alive after two years of follow-up time among all cases who have died within 2 years or alive after 2-year follow-up time. Kaplan-Meier method was used to estimate 2-year OS.
    time origin
    assessed every 3 months if patient is < 2 years from study entry and every 6 months if patient is 2-5 years from study entry
    analysis role
    primary
    reporting status
    POSTED
    data cutoff
    Source null
    population note
    All randomized patients (ie, intent-to-treat population)
    curation status
    draft
    reviewed by
    Source null
    reviewed at
    Source null
    created at
    2026-09-10T00:00:00Z
  2. release id
    clinical-indications-draft-1
    disease state id
    ds-melanoma-keytruda-qlex-b6745983
    nct id
    NCT02224781
    outcome key
    om-0001
    source section id
    NCT02224781-om-0001
    source outcome index
    1
    endpoint
    Median Overall Survival
    endpoint definition
    Overall Survival (OS) was defined as the time from randomization to death from any cause. Patients who have not died would be censored at the date of last known alive. Median overall survival was estimated using Kaplan-Meier method.
    time origin
    assessed every 3 months if patient is < 2 years from study entry and every 6 months if patient is 2-5 years from study entry
    analysis role
    secondary
    reporting status
    NOT_POSTED
    data cutoff
    Source null
    population note
    Source null
    curation status
    draft
    reviewed by
    Source null
    reviewed at
    Source null
    created at
    2026-09-10T00:00:00Z
  3. release id
    clinical-indications-draft-1
    disease state id
    ds-melanoma-keytruda-qlex-b6745983
    nct id
    NCT02224781
    outcome key
    om-0002
    source section id
    NCT02224781-om-0002
    source outcome index
    2
    endpoint
    3-year OS
    endpoint definition
    Overall Survival (OS) was defined as the time from randomization to death from any cause. Patients who have not died would be censored at the date of last known alive. 3-year OS rate was defined as a proportion of patients who are alive after three years of follow-up time among all cases who have died within 3 years or alive after 3-year follow-up time. Kaplan-Meier method was used to estimate 3-year OS.
    time origin
    assessed every 3 months if patient is < 2 years from study entry and every 6 months if patient is 2-5 years from study entry
    analysis role
    secondary
    reporting status
    NOT_POSTED
    data cutoff
    Source null
    population note
    Source null
    curation status
    draft
    reviewed by
    Source null
    reviewed at
    Source null
    created at
    2026-09-10T00:00:00Z
  4. release id
    clinical-indications-draft-1
    disease state id
    ds-melanoma-keytruda-qlex-b6745983
    nct id
    NCT02224781
    outcome key
    om-0003
    source section id
    NCT02224781-om-0003
    source outcome index
    3
    endpoint
    Median Progression-free Survival (Arm A vs Arm B)
    endpoint definition
    Progression-Free Survival (PFS) was defined as the time from randomization to disease progression or death (whichever occurs first). Cases without an event to date was censored at the date of last disease assessment documenting the patient was free of progression. Progression was evaluated based on international criteria proposed by the revised Response Evaluation Criteria in Solid Tumors (RECIST) guideline (version 1.1). Median PFS was estimated using Kaplan-Meier method.
    time origin
    assessed at baseline and then every 12 weeks from start of treatment if patient is < 2 years from study entry (or < 2 years from crossover), then every 6 months until 5 years from study entry
    analysis role
    secondary
    reporting status
    NOT_POSTED
    data cutoff
    Source null
    population note
    Source null
    curation status
    draft
    reviewed by
    Source null
    reviewed at
    Source null
    created at
    2026-09-10T00:00:00Z
  5. release id
    clinical-indications-draft-1
    disease state id
    ds-melanoma-keytruda-qlex-b6745983
    nct id
    NCT02224781
    outcome key
    om-0004
    source section id
    NCT02224781-om-0004
    source outcome index
    4
    endpoint
    Median Progression-free Survival (Arm A vs Arm D)
    endpoint definition
    Progression-Free Survival (PFS) was defined as the time from randomization (arm A) or crossover (arm D) to disease progression or death (whichever occurs first). Cases without an event to date was censored at the date of last disease assessment documenting the patient was free of progression. Progression was evaluated based on international criteria proposed by the revised Response Evaluation Criteria in Solid Tumors (RECIST) guideline (version 1.1). Median PFS was estimated using Kaplan-Meier method.
    time origin
    assessed at baseline and then every 12 weeks from start of treatment if patient is < 2 years from study entry (or < 2 years from crossover), then every 6 months until 5 years from study entry
    analysis role
    secondary
    reporting status
    NOT_POSTED
    data cutoff
    Source null
    population note
    Source null
    curation status
    draft
    reviewed by
    Source null
    reviewed at
    Source null
    created at
    2026-09-10T00:00:00Z
  6. release id
    clinical-indications-draft-1
    disease state id
    ds-melanoma-keytruda-qlex-b6745983
    nct id
    NCT02224781
    outcome key
    om-0005
    source section id
    NCT02224781-om-0005
    source outcome index
    5
    endpoint
    Median Progression-free Survival (Arm B vs Arm C)
    endpoint definition
    Progression-Free Survival (PFS) was defined as the time from randomization (arm B) or crossover (arm C) to disease progression or death (whichever occurs first). Cases without an event to date was censored at the date of last disease assessment documenting the patient was free of progression. Progression was evaluated based on international criteria proposed by the revised Response Evaluation Criteria in Solid Tumors (RECIST) guideline (version 1.1). Median PFS was estimated using Kaplan-Meier method.
    time origin
    assessed at baseline and then every 12 weeks from start of treatment if patient is < 2 years from study entry (or < 2 years from crossover), then every 6 months until 5 years from study entry
    analysis role
    secondary
    reporting status
    NOT_POSTED
    data cutoff
    Source null
    population note
    Source null
    curation status
    draft
    reviewed by
    Source null
    reviewed at
    Source null
    created at
    2026-09-10T00:00:00Z
arms
  1. release id
    clinical-indications-draft-1
    disease state id
    ds-melanoma-keytruda-qlex-b6745983
    nct id
    NCT02224781
    outcome key
    om-0000
    arm key
    OG000
    arm label
    Arm A (Immunotherapy)
    regimen
    IMMUNOTHERAPY INDUCTION (CYCLES 1-2): Patients receive nivolumab IV over 30-60 minutes and ipilimumab IV over 30-90 minutes on days 1 and 22. Treatment repeats every 6 weeks for 2 cycles in the absence of disease progression or unacceptable toxicity. IMMUNOTHERAPY MAINTENANCE (CYCLES 3-14): Patients receive nivolumab IV over 30-60 minutes on days 1, 15, and 29. Treatment repeats every 6 weeks for up to 12 cycles in the absence of disease progression or unacceptable toxicity. Upon disease progression (or before), patients re-register and cross over to Arm C. Patients also undergo CT, ECHO or MUGA, and collection of blood samples throughout the trial. Biospecimen Collection: Undergo collection of blood samples Computed Tomography: Undergo CT Echocardiography Test: Undergo ECHO Ipilimumab: Given IV Multigated Acquisition Scan: Undergo MUGA scan Nivolumab: Given IV Quality-of-Life Assessment: Ancillary studies
    analyzed count
    135
    analyzed unit
    Participants
    is comparator
    Source null
    source pointer
    NCT02224781-om-0000#groups/OG000
  2. release id
    clinical-indications-draft-1
    disease state id
    ds-melanoma-keytruda-qlex-b6745983
    nct id
    NCT02224781
    outcome key
    om-0000
    arm key
    OG001
    arm label
    Arm B (BRAF Inhibitor Therapy)
    regimen
    Patients receive dabrafenib mesylate PO BID and trametinib dimethyl sulfoxide PO daily on days 1-42. Cycles repeat every 6 weeks in the absence of disease progression or unacceptable toxicity. Upon disease progression (or before), patients re-register and cross over to Arm D. Patients also undergo CT, ECHO or MUGA, and collection of blood samples throughout the trial. Biospecimen Collection: Undergo collection of blood samples Computed Tomography: Undergo CT Dabrafenib Mesylate: Given PO Echocardiography Test: Undergo ECHO Multigated Acquisition Scan: Undergo MUGA scan Quality-of-Life Assessment: Ancillary studies Trametinib Dimethyl Sulfoxide: Given PO
    analyzed count
    132
    analyzed unit
    Participants
    is comparator
    Source null
    source pointer
    NCT02224781-om-0000#groups/OG001
harms
  1. release id
    clinical-indications-draft-1
    disease state id
    ds-melanoma-keytruda-qlex-b6745983
    nct id
    NCT02224781
    harm key
    EG000
    source section id
    NCT02224781-ae
    event group key
    EG000
    event group label
    Arm A (Immunotherapy)
    serious affected
    83
    serious at risk
    131
    other affected
    124
    other at risk
    131
    frequency threshold
    5
    collection period
    Assessed every cycle (1 cycle=42 days) while on treatment and for 30 days after the end of treatment, up to 8 years
    event definition
    All-cause mortality was assessed among all randomized patients, while serious adverse events and other adverse events were assessed among patients who received protocol therapy.
    undenominated note
    Source null
    curation status
    draft
    reviewed by
    Source null
    reviewed at
    Source null
    created at
    2026-09-10T00:00:00Z
  2. release id
    clinical-indications-draft-1
    disease state id
    ds-melanoma-keytruda-qlex-b6745983
    nct id
    NCT02224781
    harm key
    EG001
    source section id
    NCT02224781-ae
    event group key
    EG001
    event group label
    Arm B (BRAF Inhibitor Therapy)
    serious affected
    75
    serious at risk
    132
    other affected
    129
    other at risk
    132
    frequency threshold
    5
    collection period
    Assessed every cycle (1 cycle=42 days) while on treatment and for 30 days after the end of treatment, up to 8 years
    event definition
    All-cause mortality was assessed among all randomized patients, while serious adverse events and other adverse events were assessed among patients who received protocol therapy.
    undenominated note
    Source null
    curation status
    draft
    reviewed by
    Source null
    reviewed at
    Source null
    created at
    2026-09-10T00:00:00Z
  3. release id
    clinical-indications-draft-1
    disease state id
    ds-melanoma-keytruda-qlex-b6745983
    nct id
    NCT02224781
    harm key
    EG002
    source section id
    NCT02224781-ae
    event group key
    EG002
    event group label
    Arm C (BRAF Inhibitor Therapy)
    serious affected
    17
    serious at risk
    29
    other affected
    29
    other at risk
    29
    frequency threshold
    5
    collection period
    Assessed every cycle (1 cycle=42 days) while on treatment and for 30 days after the end of treatment, up to 8 years
    event definition
    All-cause mortality was assessed among all randomized patients, while serious adverse events and other adverse events were assessed among patients who received protocol therapy.
    undenominated note
    Source null
    curation status
    draft
    reviewed by
    Source null
    reviewed at
    Source null
    created at
    2026-09-10T00:00:00Z
  4. release id
    clinical-indications-draft-1
    disease state id
    ds-melanoma-keytruda-qlex-b6745983
    nct id
    NCT02224781
    harm key
    EG003
    source section id
    NCT02224781-ae
    event group key
    EG003
    event group label
    Arm D (Immunotherapy)
    serious affected
    24
    serious at risk
    52
    other affected
    44
    other at risk
    52
    frequency threshold
    5
    collection period
    Assessed every cycle (1 cycle=42 days) while on treatment and for 30 days after the end of treatment, up to 8 years
    event definition
    All-cause mortality was assessed among all randomized patients, while serious adverse events and other adverse events were assessed among patients who received protocol therapy.
    undenominated note
    Source null
    curation status
    draft
    reviewed by
    Source null
    reviewed at
    Source null
    created at
    2026-09-10T00:00:00Z
quality of life
    setting source links

      Preserved source evidence · Not medical advice