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Completed

NCT Number: NCT04547946

Observational Study for Melanoma Adjuvant Treatment With Tafinlar® + Mekinist® (Dabrafenib + Trametinib)

The primary objective for this non-interventional study was to assess the quality of life of melanoma patients under adjuvant treatment with dabrafenib and trametinib in real world setting in Portugal through disease specific FACT-M questionnaire and generic EQ-5D-3L questionnaire. The secondary study objectives were to assess the usage of adjuvant dabrafenib and trametinib in clinical practice and to evaluate clinical outcomes in patients that started adjuvant treatment with dabrafenib and trametinib. In addition, this study aimed to explore if treatment discontinuation affects clinical outcomes in real-world practice.

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Key information

Age range

18 year–100 year

Sex eligibility

All sexes

Study type

Observational

Primary location

Novartis Investigative Site, Coimbra, Center, Portugal

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About this study

The prospective registration of completely resected high-risk stage III melanoma patients treated with dabrafenib and trametinib in the adjuvant setting was planned to be based on collaboration with 8 centers of excellence on melanoma patients treatment, according to their expertise and experience.

Patients were recruited from participating centers in the routine setting. This was done only if the decision about starting treatment with dabrafenib and trametinib had already been made. All patients that complied with the inclusion criteria and that started treatment with dabrafenib+ trametinib during the recruitment period were considered to participate in the study, at investigator discretion.

Health related quality of life had to be assessed by FACT-M and EQ-5D-3L questionnaires after treatment initiation in a quarterly base, according to clinical practice, including the first visit after treatment completion.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Patients with complete surgical resection of histologically confirmed AJCC (8th edition) clinical stage III (IIIA, IIIB, IIIC, IIID) melanoma, in whom a decision for adjuvant treatment with dabrafenib and trametinib has been made before entering the study
  • V600E/K mutation-positive cutaneous melanoma
  • Adjuvant treatment with combination therapy of Dabrafenib (Tafinlar®) and Trametinib (Mekinist®) as indicated in the SmPC and by prescription, that has been started before inclusion of the patient into the study;
  • ≥ 18 years of age
  • Written informed consent signed.

Exclusion criteria

  • Lack of basic demographic (gender, age, age at diagnosis) and staging data (Stage at diagnosis; Breslow index; Clark level; BRAF mutation; BRAF test date; Surgery date).

Treatment and study plan

Dabrafenib + Trametinib

Drug

There was no treatment allocation. Patients administered adjuvant treatment with combination therapy of Dabrafenib (Tafinlar®) and Trametinib (Mekinist®) by prescription that had started before inclusion of the patient into the study could be enrolled.

Primary outcomes

  1. Change from baseline in FACT-M score

    Time frame: Baseline, months 3-4, months 6-8, months 9-12, months 12, months 15-16

    Health-related quality of life in melanoma patients defined as the mean difference in FACT-M (Functional Assessment of Cancer Therapy - Melanoma ) score.

    FACT-M is a specific version of FACT questionnaire validated for patients with any stage of melanoma and includes items related to physical, functional, social and emotional well-being, and specific concerns of melanoma patients and melanoma patients undergoing surgery. The FACT-M Total Score (FACT-M TS) ranges from 0 to 172. Higher scores represent a better quality of life.

  2. Change from baseline in EQ-5D-3L score

    Time frame: Baseline, months 3-4, months 6-8, months 9-12, months 12, months 15-16

    Health-related quality of life in melanoma patients defined as the mean difference in EQ-5D-3L score.

    EQ-5D-3L is a descriptive questionnaire comprising five dimensions regarding mobility, self-care, usual activities, pain/discomfort and anxiety/depression. Each dimension has three response levels of severity: no problems, some problems, extreme problems. The respondent was asked to indicate his/her health state by checking the box next to the most appropriate response level of each of the five dimensions.

Secondary outcomes

  1. Total duration of treatment

    Time frame: months 12

    Total duration of treatment defined as median time on adjuvant treatment (from start to end of treatment/permanent treatment discontinuation).

  2. Proportion of patients on treatment in each visit

    Time frame: Baseline, months 3-4, months 6-8, months 9-12, month 12

    Proportion of patients on treatment in each visit

  3. Rate of permanent study drug discontinuation due to any reason

    Time frame: month 12

    Rate of permanent study drug discontinuation due to any reason.

  4. Rate of permanent drug discontinuation due to pirexia

    Time frame: month 12

    Rate of permanent drug discontinuation due to pirexia over the course of adjuvant treatment.

  5. Rate of permanent drug discontinuation due to AEs

    Time frame: month 12

    Rate of permanent drug discontinuation due to AEs over the course of adjuvant treatment

  6. Reason of treatment discontinuation

    Time frame: month 12

    Reason of treatment discontinuation (death, relapse, AEs, significant change in FACT-M, significant change in EQ-5D-3L , withdrawal of consent, other).

  7. Average dose of dabrafenib and trametinib used during the treatment

    Time frame: month 12

    Average dose of dabrafenib and trametinib used during the treatment, including dose reductions.

  8. Proportion of patients who had dose reduction

    Time frame: month 12

    Percentage of patients with dose reduction during treatment, and in this case, reason for dose reduction

  9. Relapse Free Survival rate

    Time frame: month 12

    RFS (Relapse Free Survival)

  10. distant-metastasis-free survival rate

    Time frame: month 12

    DMFS (distant-metastasis-free survival) rate

  11. Overall Survival rate

    Time frame: month 12

    OS (Overall Survival) rate

Sponsors and collaborators

Lead sponsor

Novartis Pharmaceuticals

Industry

Registry information

Official study title

Impact of Melanoma Adjuvant Treatment With Tafinlar® + Mekinist® (Dabrafenib + Trametinib) on Patients Quality of Life (QoL) and Clinical Outcomes in Portuguese Real World Setting

Important dates

Study start
2021
Primary completion
2022
Study completion
2022
First posted
Sep 14, 2020
Registry last updated
May 30, 2023

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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