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NCT02124772 · OUTCOME

Maximum Observed Plasma Concentration (Cmax) of Trametinib When Administered Alone and in Combination With Dabrafenib

Study to Investigate Safety, Pharmacokinetic (PK), Pharmacodynamic (PD) and Clinical Activity of Trametinib in Subjects With Cancer or Plexiform Neurofibromas and Trametinib in Combination With Dabrafenib in Subjects With Cancers Harboring V600 Mutations · Source last updated 2021-07-14

Results reported by the registry submitting party. Population, time horizon, units and missing values must be read together.

Measure
GEOMETRIC_MEAN
Unit
ng/mL
Interval / dispersion
Geometric Coefficient of Variation
Time frame
pre dose, 1, 2, 4, 7, 10 and 24 hours post trametinib dose on Cycle 1 Day 15 (part A and B) and pre dose, 0.5, 1, 2, 3, 4, 6 and 8 hours post trametinib dose on Cycle 1 Day 15 (part C and D). The duration of 1 cycle was 28 days.

What was measured

Pharmacokinetic (PK) parameters were calculated based on trametinib plasma concentrations by using non-compartmental methods. Cmax is defined as the maximum (peak) observed plasma concentration following a dose.

Analysis population: All subjects who received at least one dose of trametinib in Part A, B, C and D and provided an evaluable PK profile with a value for the outcome measure

Groups in this outcome

Part A - TMT 0.0125 mg/kg/Day

Participants treated with trametinib 0.0125 mg/kg/day

Part A - TMT 0.025 mg/kg/Day

Participants treated with trametinib 0.025 mg/kg/day

Part A - TMT 0.032 mg/kg/Day

Participants under 6 years of age treated with trametinib 0.032 mg/kg/day

Part A - TMT 0.04 mg/kg/Day

Participants treated with trametinib 0.04 mg/kg/day

Part B - Neuroblastoma

Participants with refractory or relapsed neuroblastoma treated with trametinib 0.025 mg/kg/day

Part B - LGG Fusion

Participants with recurrent or unresectable low grade glioma (LGG) with BRAF tandem duplication with fusion treated with trametinib 0.025 mg/kg/day

Part B - NF-1 With PN

Participants with neurofibromatosis Type -1 associated plexiform neurofibromas (NF-1 with PN) treated with trametinib 0.025 mg/kg/day

Part B - BRAF V600 Mutant Solid Tumor

Participants with BRAF V600 mutant solid tumors treated with trametinib 0.025 mg/kg/day

Part B - All Tumor Types TMT 0.025 mg/kg/Day

Participants (all tumor types in Part B) treated with trametinib 0.025 mg/kg/day

Part C - TMT 0.025 mg/kg/Day + 50% DRB RP2D

Participants treated with a combination therapy of trametinib (0.025 mg/kg/day) plus 50% of the recommended phase II dose (RP2D) of dabrafenib monotherapy (2.63 mg/kg/day for \<12 years old subjects and 2.25 mg/kg/day for ≥12 years old subjects)

Part C - TMT 0.025 mg/kg/Day + 100% DRB RP2D

Participants treated with a combination therapy of trametinib (0.025 mg/kg/day) plus 100% of the recommended phase II dose (RP2D) of dabrafenib monotherapy (5.25 mg/kg/day for \<12 years old subjects and 4.5 mg/kg/day for ≥12 years old subjects)

Part C - TMT 0.032 mg/kg/Day + 100% DRB RP2D

Participants under 6 years of age treated with a combination therapy of trametinib (0.032 mg/kg/day) with 100% of the recommended phase II dose (RP2D) of dabrafenib monotherapy (5.25 mg/kg/day)

Part D - LGG

Participants with low grade glioma (LGG) treated with a combination therapy of trametinib (0.032 mg/kg/day for \< 6 years old subjects and 0.025 mg/kg/day for ≥ 6 years old subjects) plus 100% of the recommended phase II dose (RP2D) of dabrafenib monotherapy (5.25 mg/kg/day for \<12 years old subjects and 4.5 mg/kg/day for ≥12 years old subjects)

Part D - LCH

Participants with Langerhans cell histiocytosis (LCH) treated with a combination therapy of trametinib (0.032 mg/kg/day for \< 6 years old subjects and 0.025 mg/kg/day for ≥ 6 years old subjects) plus 100% of the recommended phase II dose (RP2D) of dabrafenib monotherapy (5.25 mg/kg/day for \<12 years old subjects and 4.5 mg/kg/day for ≥12 years old subjects)

Part D - All Tumor Types TMT 0.032 mg/kg/Day + 100% DRB RP2D

Participants under 6 years of age (all tumor types in Part D) treated with a combination therapy of trametinib (0.032 mg/kg/day) with 100% of the recommended phase II dose (RP2D) of dabrafenib monotherapy (5.25 mg/kg/day)

Part D - All Tumor Types TMT 0.025 mg/kg/Day + 100% DRB RP2D

Participants (all tumor types in Part D) treated with a combination therapy of trametinib (0.025 mg/kg/day) plus 100% of the recommended phase II dose (RP2D) of dabrafenib monotherapy (5.25 mg/kg/day for \<12 years old subjects and 4.5 mg/kg/day for ≥12 years old subjects)

Group identifiers and denominators belong to this outcome only. They may differ in another outcome or in safety reporting.

Analysis denominator · Participants

GroupSource count
Part A - TMT 0.0125 mg/kg/Day3
Part A - TMT 0.025 mg/kg/Day18
Part A - TMT 0.032 mg/kg/Day9
Part A - TMT 0.04 mg/kg/Day16
Part B - Neuroblastoma9
Part B - LGG Fusion10
Part B - NF-1 With PN10
Part B - BRAF V600 Mutant Solid Tumor9
Part B - All Tumor Types TMT 0.025 mg/kg/Day38
Part C - TMT 0.025 mg/kg/Day + 50% DRB RP2D1
Part C - TMT 0.025 mg/kg/Day + 100% DRB RP2D1
Part C - TMT 0.032 mg/kg/Day + 100% DRB RP2D6
Part D - LGG20
Part D - LCH6
Part D - All Tumor Types TMT 0.032 mg/kg/Day + 100% DRB RP2D5
Part D - All Tumor Types TMT 0.025 mg/kg/Day + 100% DRB RP2D21

Reported measurements

Source class 1
Values in ng/mL · Interval/dispersion: Geometric Coefficient of Variation
GroupValueSpreadLowerUpperComment
Part A - TMT 0.0125 mg/kg/Day9.6132.9Not reportedNot reportedNot reported
Part A - TMT 0.025 mg/kg/Day21.133.3Not reportedNot reportedNot reported
Part A - TMT 0.032 mg/kg/Day26.116.8Not reportedNot reportedNot reported
Part A - TMT 0.04 mg/kg/Day32.628.9Not reportedNot reportedNot reported
Part B - Neuroblastoma26.639.6Not reportedNot reportedNot reported
Part B - LGG Fusion22.141.9Not reportedNot reportedNot reported
Part B - NF-1 With PN21.626.1Not reportedNot reportedNot reported
Part B - BRAF V600 Mutant Solid Tumor27.531.6Not reportedNot reportedNot reported
Part B - All Tumor Types TMT 0.025 mg/kg/Day24.235.6Not reportedNot reportedNot reported
Part C - TMT 0.025 mg/kg/Day + 50% DRB RP2D26.0Not reportedNot reportedNot reportedNot reported
Part C - TMT 0.025 mg/kg/Day + 100% DRB RP2D24.5Not reportedNot reportedNot reportedNot reported
Part C - TMT 0.032 mg/kg/Day + 100% DRB RP2D23.736.3Not reportedNot reportedNot reported
Part D - LGG22.929.2Not reportedNot reportedNot reported
Part D - LCH15.652.5Not reportedNot reportedNot reported
Part D - All Tumor Types TMT 0.032 mg/kg/Day + 100% DRB RP2D25.935.8Not reportedNot reportedNot reported
Part D - All Tumor Types TMT 0.025 mg/kg/Day + 100% DRB RP2D20.038.1Not reportedNot reportedNot reported
Complete source fields
classes
  1. categories
    1. measurements
      1. group Id
        OG000
        spread
        32.9
        value
        9.61
      2. group Id
        OG001
        spread
        33.3
        value
        21.1
      3. group Id
        OG002
        spread
        16.8
        value
        26.1
      4. group Id
        OG003
        spread
        28.9
        value
        32.6
      5. group Id
        OG004
        spread
        39.6
        value
        26.6
      6. group Id
        OG005
        spread
        41.9
        value
        22.1
      7. group Id
        OG006
        spread
        26.1
        value
        21.6
      8. group Id
        OG007
        spread
        31.6
        value
        27.5
      9. group Id
        OG008
        spread
        35.6
        value
        24.2
      10. group Id
        OG009
        value
        26.0
      11. group Id
        OG010
        value
        24.5
      12. group Id
        OG011
        spread
        36.3
        value
        23.7
denoms
  1. counts
    1. group Id
      OG000
      value
      3
    2. group Id
      OG001
      value
      18
    3. group Id
      OG002
      value
      9
    4. group Id
      OG003
      value
      16
    5. group Id
      OG004
      value
      9
    6. group Id
      OG005
      value
      10
    7. group Id
      OG006
      value
      10
    8. group Id
      OG007
      value
      9
    9. group Id
      OG008
      value
      38
    10. group Id
      OG009
      value
      1
    11. group Id
      OG010
      value
      1
    12. group Id
      OG011
      value
      6
    units
    Participants
description
Pharmacokinetic (PK) parameters were calculated based on trametinib plasma concentrations by using non-compartmental methods. Cmax is defined as the maximum (peak) observed plasma concentration following a dose.
dispersion Type
Geometric Coefficient of Variation
groups
  1. description
    Participants treated with trametinib 0.0125 mg/kg/day
    id
    OG000
    title
    Part A - TMT 0.0125 mg/kg/Day
  2. description
    Participants treated with trametinib 0.025 mg/kg/day
    id
    OG001
    title
    Part A - TMT 0.025 mg/kg/Day
  3. description
    Participants under 6 years of age treated with trametinib 0.032 mg/kg/day
    id
    OG002
    title
    Part A - TMT 0.032 mg/kg/Day
  4. description
    Participants treated with trametinib 0.04 mg/kg/day
    id
    OG003
    title
    Part A - TMT 0.04 mg/kg/Day
  5. description
    Participants with refractory or relapsed neuroblastoma treated with trametinib 0.025 mg/kg/day
    id
    OG004
    title
    Part B - Neuroblastoma
  6. description
    Participants with recurrent or unresectable low grade glioma (LGG) with BRAF tandem duplication with fusion treated with trametinib 0.025 mg/kg/day
    id
    OG005
    title
    Part B - LGG Fusion
  7. description
    Participants with neurofibromatosis Type -1 associated plexiform neurofibromas (NF-1 with PN) treated with trametinib 0.025 mg/kg/day
    id
    OG006
    title
    Part B - NF-1 With PN
  8. description
    Participants with BRAF V600 mutant solid tumors treated with trametinib 0.025 mg/kg/day
    id
    OG007
    title
    Part B - BRAF V600 Mutant Solid Tumor
  9. description
    Participants (all tumor types in Part B) treated with trametinib 0.025 mg/kg/day
    id
    OG008
    title
    Part B - All Tumor Types TMT 0.025 mg/kg/Day
  10. description
    Participants treated with a combination therapy of trametinib (0.025 mg/kg/day) plus 50% of the recommended phase II dose (RP2D) of dabrafenib monotherapy (2.63 mg/kg/day for \<12 years old subjects and 2.25 mg/kg/day for ≥12 years old subjects)
    id
    OG009
    title
    Part C - TMT 0.025 mg/kg/Day + 50% DRB RP2D
  11. description
    Participants treated with a combination therapy of trametinib (0.025 mg/kg/day) plus 100% of the recommended phase II dose (RP2D) of dabrafenib monotherapy (5.25 mg/kg/day for \<12 years old subjects and 4.5 mg/kg/day for ≥12 years old subjects)
    id
    OG010
    title
    Part C - TMT 0.025 mg/kg/Day + 100% DRB RP2D
  12. description
    Participants under 6 years of age treated with a combination therapy of trametinib (0.032 mg/kg/day) with 100% of the recommended phase II dose (RP2D) of dabrafenib monotherapy (5.25 mg/kg/day)
    id
    OG011
    title
    Part C - TMT 0.032 mg/kg/Day + 100% DRB RP2D
param Type
GEOMETRIC_MEAN
population Description
All subjects who received at least one dose of trametinib in Part A, B, C and D and provided an evaluable PK profile with a value for the outcome measure
reporting Status
POSTED
time Frame
pre dose, 1, 2, 4, 7, 10 and 24 hours post trametinib dose on Cycle 1 Day 15 (part A and B) and pre dose, 0.5, 1, 2, 3, 4, 6 and 8 hours post trametinib dose on Cycle 1 Day 15 (part C and D). The duration of 1 cycle was 28 days.
title
Maximum Observed Plasma Concentration (Cmax) of Trametinib When Administered Alone and in Combination With Dabrafenib
type
SECONDARY
unit Of Measure
ng/mL

Download exact source JSON → · Snapshot ctgov-results-191f4516d4760045304b24a0

Preserved source evidence · Independent clinical review pending · Not medical advice