Testing a New Drug (Darovasertib) to Help Prevent Eye Cancer from Spreading
(Neo)Adjuvant IDE196 (Darovasertib) in Patients With Localized Ocular Melanoma
In Plain English
This trial is testing whether a new drug called darovasertib can help protect you from uveal melanoma coming back or spreading to other parts of your body. Here's how it works: you'll take this drug by mouth for up to 12 months *before* you have your main eye cancer treatment (either surgery to remove your eye or radiation therapy). The goal is to start fighting the cancer cells early, before your doctor removes the tumor or treats it with radiation. After your main treatment, you may continue taking the drug for another 6 months to keep working against any cancer cells that might be hiding. Doctors will then follow you for up to 3 years to watch for any signs that the cancer has come back or spread. This is a Phase 2 trial, which means the drug has already been tested in a small group of people and showed some promise—now doctors want to see if it really works and is safe in more patients like you. You'll be closely monitored throughout, with regular check-ups to make sure the drug is helping and not causing serious side effects. This trial offers a chance to try a new approach that might give you better odds of staying cancer-free.
What This Trial Does
Neoadjuvant/adjuvant IDE196 (darovasertib) in patients with primary uveal melanoma
How It Works
multi-center open-label IDE196 study in patients with primary uveal melanoma (UM) requiring either enucleation or plaque brachytherapy. Patients will be treated in neoadjuvant setting up to 12 months (or maximum benefit) followed by primary local therapy. An additional 6 months of adjuvant treatment may be given to some patients. All patients will have long term follow-up (up to 3 years) to assess visual outcome, disease recurrence, and development of disease.
Who Can Join
Inclusion Criteria
- Primary localized uveal melanoma requiring either enucleation or plaque brachytherapy
- Cohort 3 (patients with small UM tumors) - clinically diagnosed uveal (not iris) melanoma that is \< 4 mm in thickness requiring treatment
- Able to dose orally
- ECOG Performance status of 0-1
- No other significant underlying ocular disease
- Adequate organ function
- Not pregnant/nursing or planning to become pregnant. Willing to use birth control
Exclusion Criteria
- Previous treatment with a Protein Kinase C (PKC) inhibitor
- Concurrent malignant disease
- Active HIV infection or Hep B/C
- Malabsorption disorder
- Unable to discontinue prohibited medication
- Impaired cardiac function or clinically significant cardiac disease
- Any other condition which may interfere with study interpretation or results
Treatments
Darovasertib (DRUG)
Oral, potent, selective inhibitor of Protein Kinase C
Trial Sites (18)
HonorHealth Research Institute
Scottsdale, Arizona, United States
Moores Cancer Center
La Jolla, California, United States
Stanford Cancer Institute
Palo Alto, California, United States
University of Miami
Miami, Florida, United States
The Cancer and Hematology Centers
Grand Rapids, Michigan, United States
Mayo Clinic Rochester
Rochester, Minnesota, United States
Northwell
Manhasset, New York, United States
Thomas Jefferson University
Philadelphia, Pennsylvania, United States
Sarah Cannon Research Institute
Nashville, Tennessee, United States
University of Texas Southwestern Medical Center
Dallas, Texas, United States
St. Vincent's Health Sydney
Sydney, New South Wales, Australia
Alfred Health
Melbourne, Victoria, Australia
Princess Margaret Cancer Centre
Toronto, Ontario, Canada
Institute Curie
Paris, France
Charité - Universitätsmedizin Berlin
Berlin, Germany
Fondazione IRCCS Istituto Nazionale Tumori
Milan, Italy
Fondazione Policlinico Universitario Agostino Gemelli IRCCS
Rome, Italy
Leiden University Medical Center
Leiden, Netherlands