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MAPK Inhibitor
Binimetinib + Encorafenib for Recurrent Brain Cancer (BRAF Trial)
Phase 2
Waitlist Available
Led By Karisa C Schreck, MD
Research Sponsored by Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial Must have
Patients must be 18 years of age or older.
Patients must be able to swallow tablets and capsules.
Must not have
History of recent thromboembolic or cerebrovascular event.
Patients who previously received BRAF or MEK inhibitors are excluded.
Timeline
Screening 3 weeks
Treatment Varies
Follow Up up to 3 year
Awards & highlights
Summary
This trial is testing a new combination of drugs to see if it can shrink tumors in people with a type of brain cancer that has come back.
Who is the study for?
Adults with recurrent high-grade brain tumors and BRAF V600 mutation can join. They must be over 18, have measurable disease by MRI, good organ function, no severe neuromuscular disorders or uncontrolled infections like HIV/Hepatitis B/C (with exceptions), not on certain medications, able to swallow pills, and agree to contraception. Those with other cancers must be disease-free for 2 years.Check my eligibility
What is being tested?
The trial is testing the effectiveness of two drugs—Encorafenib and Binimetinib—in treating recurrent brain tumors by observing changes in tumor size through MRI scans. Participants will take these oral medications under specific conditions regarding prior treatments and health status.See study design
What are the potential side effects?
Potential side effects include muscle pain or weakness (myopathy), inflammation of the pancreas (pancreatitis), blocked blood vessels in the eye (retinal vein occlusion), liver issues due to Hepatitis B/C reactivation, skin reactions at drug application sites, increased risk of infection from HIV/Hepatitis B/C.
Eligibility Criteria
Inclusion Criteria
You may be eligible if you check “Yes” for the criteria belowSelect...
I am 18 years old or older.
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I can swallow pills.
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I am mostly able to care for myself but may need occasional help.
Exclusion Criteria
You may be eligible for the trial if you check “No” for criteria below:Select...
I have had a recent blood clot or stroke.
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I have never taken BRAF or MEK inhibitors.
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I do not have any severe illnesses or social situations that would stop me from following the study's requirements.
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My tumor does not have a RAS activating mutation.
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I have heart problems or significant heart disease.
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I am not pregnant.
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I am allergic to binimetinib, encorafenib, or their ingredients.
Timeline
Screening ~ 3 weeks3 visits
Treatment ~ Varies
Follow Up ~ up to 3 year
Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~up to 3 year
Treatment Details
Study Objectives
Outcome measures can provide a clearer picture of what you can expect from a treatment.Primary outcome measures
Tumor Radiographic Response Per RANO for 3 Treatment Cohorts
Secondary outcome measures
Duration of Response - Complete and Partial
Number of Participants With Adverse Events as Defined by Common Terminology Criteria for Adverse Events Version 5.0 (CTCAE v5.0)
Overall Survival
+1 moreTrial Design
4Treatment groups
Experimental Treatment
Group I: Treatment Cohort 3 Other TumorsExperimental Treatment4 Interventions
Encorafenib 450mg QD Binimetinib 45mg BID 28 day cycle
Research Bloods
Group II: Treatment Cohort 2 anaplastic PXAsExperimental Treatment4 Interventions
Encorafenib 450mg QD Binimetinib 45mg BID 28 day cycle
Research Bloods
Group III: Treatment Cohort 1 AA & GBMExperimental Treatment4 Interventions
Encorafenib 450mg QD Binimetinib 45mg BID 28 day cycle
Research Bloods
Group IV: Surgical ArmExperimental Treatment4 Interventions
Pre-op -14 days: Encorafenib 450mg QD and Binimetinib 45mg BID last dose of both drugs 2hrs prior to surgery
Tumor; research blood; CSF samples
post surgery: Encorafenib 450mg QD Binimetinib 45mg BID 28 day cycle
Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
Encorafenib
2022
Completed Phase 3
~970
Binimetinib
2018
Completed Phase 3
~1100
Tumor Tissue
2012
N/A
~500
Find a Location
Who is running the clinical trial?
Sidney Kimmel Comprehensive Cancer Center at Johns HopkinsLead Sponsor
563 Previous Clinical Trials
33,319 Total Patients Enrolled
2 Trials studying Gliosarcoma
76 Patients Enrolled for Gliosarcoma
National Cancer Institute (NCI)NIH
13,748 Previous Clinical Trials
40,959,396 Total Patients Enrolled
142 Trials studying Gliosarcoma
10,829 Patients Enrolled for Gliosarcoma
PfizerIndustry Sponsor
4,595 Previous Clinical Trials
12,868,765 Total Patients Enrolled
1 Trials studying Gliosarcoma
23 Patients Enrolled for Gliosarcoma
Media Library
Eligibility Criteria:
This trial includes the following eligibility criteria:- I am 18 years old or older.I have a low-grade glioma suspected to be progressing and need surgery without any issues for sample collection.I do not have any stomach or intestine problems that affect how I absorb medication.I have had a recent blood clot or stroke.I can swallow pills.I have never taken BRAF or MEK inhibitors.I do not have any severe illnesses or social situations that would stop me from following the study's requirements.My tumor does not have a RAS activating mutation.I do not have certain muscle, pancreas, eye diseases, uncontrolled HIV, or active hepatitis.I have heart problems or significant heart disease.My organs and bone marrow are working well.I am mostly able to care for myself but may need occasional help.My steroid dose has been stable or decreasing for the last 5 days.My tumor tissue form is signed, and I have available archived tissue from my most recent or an earlier surgery.I have no other cancers, or I've been cancer-free for 2 years, except for certain skin cancers or early-stage cervical, breast, or bladder cancer.I have waited the required time after my last cancer treatment before joining this trial.I am not pregnant.I am allergic to binimetinib, encorafenib, or their ingredients.I am not using any prohibited medications or supplements.I still experience side effects from previous treatments, but they are mild or stable chronic conditions.You cannot be taking any other approved or experimental medications.
Research Study Groups:
This trial has the following groups:- Group 1: Surgical Arm
- Group 2: Treatment Cohort 1 AA & GBM
- Group 3: Treatment Cohort 2 anaplastic PXAs
- Group 4: Treatment Cohort 3 Other Tumors
Awards:
This trial has 1 awards, including:- No Placebo-Only Group - All patients enrolled in this study will receive some form of active treatment.
Timeline:
This trial has the following timeline:- Screening: It may take up to 3 Weeks to process to see if you qualify in this trial.
- Treatment: The duration you will receive the treatment varies.
- Follow Ups: You may be asked to continue sharing information regarding the trial for 6 Months after you stop receiving the treatment.
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