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NCT02684058 · OUTCOME

LGG Cohort: Kaplan-Meier Estimates of Duration of Response (DOR) as Per Central Independent Assessment Using RANO Criteria

Study of Efficacy and Safety of Dabrafenib in Combination With Trametinib in Pediatric Patients With BRAF V600 Mutation Positive LGG or Relapsed or Refractory HGG Tumors · Source last updated 2023-12-13

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

Measure
MEDIAN
Unit
Months
Interval / dispersion
95% Confidence Interval
Time frame
Up to approx. 3 years and up to approx 4.2 years

What was measured

Time from first documented response (PR or CR) until disease progression or death as per RANO criteria. Confidence Intervals were estimated using the Brookmeyer Crowley method. Patients who had not progressed or died or had received further anticancer therapy, were censored at the date of the last adequate tumor evaluation. CR: Complete disappearance of all enhancing measurable and nonmeasurable disease sustained for at least 4 weeks; no new lesions; and stable or improved nonenhancing (T2/FLAIR) lesions. Patient must be off steroids or only on physiologic replacement doses. PR: ≥ 50% reduction, compared to baseline, in the sum of products of the perpendicular diameters for all measurable lesions for at least 4 weeks, no progression of nonmeasureable disease, no new lesions, and stable or improved nonenhancing (T2/FLAIR) lesions. Patient must be on a corticosteroid dose not greater than the dose at the time of baseline scan and be stable or improving clinically.

Analysis population: Participants on the LGG cohort to whom study treatment had been assigned by randomization regardless of whether or not treatment was administered with a confirmed CR or PR as per central independent review assessment using RANO criteria. According to the intent to treat principle, patients were analyzed according to the treatment they had been assigned to during the randomization procedure.

Groups in this outcome

LGG Cohort: Dabrafenib and Trametinib

Participants in the LGG cohort randomized to receive dabrafenib (orally, twice daily and dosed based on weight and age) in combination with trametinib (orally, once daily in combination with the first daily dose of dabrafenib and was dosed based on weight)

LGG Cohort: Carboplatin and Vincristine

Participants in the LGG cohort randomized to receive active comparator chemotherapy (carboplatin and vincristine). Participants received one course of induction (10 weeks of chemotherapy with 2 weeks of rest), followed by 8 cycles of maintenance chemotherapy. Participants were allowed to crossover to dabrafenib and trametinib after centrally confirmed and RANO-defined disease progression.

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

Analysis denominator · Participants

GroupSource count
LGG Cohort: Dabrafenib and Trametinib40
LGG Cohort: Carboplatin and Vincristine6

Reported measurements

Up to approx. 3 years
Values in Months · Interval/dispersion: 95% Confidence Interval
GroupValueSpreadLowerUpperComment
LGG Cohort: Dabrafenib and Trametinib20.3Not reported12.0NANot estimable (NA) due to the insufficient number of participants with events
LGG Cohort: Carboplatin and VincristineNANot reported6.6NANot estimable (NA) due to the insufficient number of participants with events
Up to approx 4.2 years
Values in Months · Interval/dispersion: 95% Confidence Interval
GroupValueSpreadLowerUpperComment
LGG Cohort: Dabrafenib and Trametinib30.0Not reported16.6NANot estimable (NA) due to the insufficient number of participants with events
LGG Cohort: Carboplatin and Vincristine19.4Not reported6.6NANot estimable (NA) due to the insufficient number of participants with events
Complete source fields
classes
  1. categories
    1. measurements
      1. comment
        Not estimable (NA) due to the insufficient number of participants with events
        group Id
        OG000
        lower Limit
        12.0
        upper Limit
        NA
        value
        20.3
      2. comment
        Not estimable (NA) due to the insufficient number of participants with events
        group Id
        OG001
        lower Limit
        6.6
        upper Limit
        NA
        value
        NA
    title
    Up to approx. 3 years
  2. categories
    1. measurements
      1. comment
        Not estimable (NA) due to the insufficient number of participants with events
        group Id
        OG000
        lower Limit
        16.6
        upper Limit
        NA
        value
        30.0
      2. comment
        Not estimable (NA) due to the insufficient number of participants with events
        group Id
        OG001
        lower Limit
        6.6
        upper Limit
        NA
        value
        19.4
    title
    Up to approx 4.2 years
denoms
  1. counts
    1. group Id
      OG000
      value
      40
    2. group Id
      OG001
      value
      6
    units
    Participants
description
Time from first documented response (PR or CR) until disease progression or death as per RANO criteria. Confidence Intervals were estimated using the Brookmeyer Crowley method. Patients who had not progressed or died or had received further anticancer therapy, were censored at the date of the last adequate tumor evaluation. CR: Complete disappearance of all enhancing measurable and nonmeasurable disease sustained for at least 4 weeks; no new lesions; and stable or improved nonenhancing (T2/FLAIR) lesions. Patient must be off steroids or only on physiologic replacement doses. PR: ≥ 50% reduction, compared to baseline, in the sum of products of the perpendicular diameters for all measurable lesions for at least 4 weeks, no progression of nonmeasureable disease, no new lesions, and stable or improved nonenhancing (T2/FLAIR) lesions. Patient must be on a corticosteroid dose not greater than the dose at the time of baseline scan and be stable or improving clinically.
dispersion Type
95% Confidence Interval
groups
  1. description
    Participants in the LGG cohort randomized to receive dabrafenib (orally, twice daily and dosed based on weight and age) in combination with trametinib (orally, once daily in combination with the first daily dose of dabrafenib and was dosed based on weight)
    id
    OG000
    title
    LGG Cohort: Dabrafenib and Trametinib
  2. description
    Participants in the LGG cohort randomized to receive active comparator chemotherapy (carboplatin and vincristine). Participants received one course of induction (10 weeks of chemotherapy with 2 weeks of rest), followed by 8 cycles of maintenance chemotherapy. Participants were allowed to crossover to dabrafenib and trametinib after centrally confirmed and RANO-defined disease progression.
    id
    OG001
    title
    LGG Cohort: Carboplatin and Vincristine
param Type
MEDIAN
population Description
Participants on the LGG cohort to whom study treatment had been assigned by randomization regardless of whether or not treatment was administered with a confirmed CR or PR as per central independent review assessment using RANO criteria. According to the intent to treat principle, patients were analyzed according to the treatment they had been assigned to during the randomization procedure.
reporting Status
POSTED
time Frame
Up to approx. 3 years and up to approx 4.2 years
title
LGG Cohort: Kaplan-Meier Estimates of Duration of Response (DOR) as Per Central Independent Assessment Using RANO Criteria
type
SECONDARY
unit Of Measure
Months

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