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    Clinical Trial Results:
    A Phase 2, Open-Label, Randomized, Multicenter Trial of Encorafenib + Binimetinib Evaluating a Standard-dose and a High-dose Regimen in Patients With BRAFV600-Mutant Melanoma Brain Metastasis

    Summary
    EudraCT number
    2018-004555-21
    Trial protocol
    BE   NL   IT  
    Global end of trial date
    02 Jun 2021

    Results information
    Results version number
    v1(current)
    This version publication date
    15 Jan 2023
    First version publication date
    15 Jan 2023
    Other versions

    Trial information

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    Trial identification
    Sponsor protocol code
    C4221006
    Additional study identifiers
    ISRCTN number
    -
    US NCT number
    -
    WHO universal trial number (UTN)
    -
    Other trial identifiers
    Alias ID: ARRAY-818-201
    Sponsors
    Sponsor organisation name
    Pfizer Inc.
    Sponsor organisation address
    235 E 42nd Street, New York, United States, 10017
    Public contact
    Pfizer ClinicalTrials.gov Call Center, Pfizer Inc., 001 18007181021, ClinicalTrials.gov_Inquiries@pfizer.com
    Scientific contact
    Pfizer ClinicalTrials.gov Call Center, Pfizer Inc., 001 18007181021, ClinicalTrials.gov_Inquiries@pfizer.com
    Paediatric regulatory details
    Is trial part of an agreed paediatric investigation plan (PIP)
    No
    Does article 45 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Does article 46 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Results analysis stage
    Analysis stage
    Final
    Date of interim/final analysis
    05 Jul 2022
    Is this the analysis of the primary completion data?
    No
    Global end of trial reached?
    Yes
    Global end of trial date
    02 Jun 2021
    Was the trial ended prematurely?
    Yes
    General information about the trial
    Main objective of the trial
    Safety Lead-in: Evaluate the safety of a high-dose regimen of encorafenib + binimetinib combination therapy in subjects with BRAFV600-mutant melanoma who had asymptomatic brain metastasis. Phase 2: 1) If the high-dose regimen was determined to be safe based on results of the Safety Lead-in phase, then evaluate the antitumor activity in brain metastases of the standard and high dose regimens of encorafenib + binimetinib combination therapy in subjects with BRAFV600-mutant melanoma who had asymptomatic brain metastasis; 2) If the high-dose regimen was determined not to be safe based on the results of the Safety Lead-in phase, then evaluate the antitumor activity in brain metastases of the standard dosing regimen of encorafenib + binimetinib combination in subjects with BRAFV600-mutant melanoma who have asymptomatic brain metastasis.
    Protection of trial subjects
    The study was in compliance with the ethical principles derived from the Declaration of Helsinki and in compliance with all International Council for Harmonization (ICH) Good Clinical Practice (GCP) Guidelines. All the local regulatory requirements pertinent to safety of trial subjects were followed.
    Background therapy
    -
    Evidence for comparator
    -
    Actual start date of recruitment
    30 Apr 2019
    Long term follow-up planned
    No
    Independent data monitoring committee (IDMC) involvement?
    No
    Population of trial subjects
    Number of subjects enrolled per country
    Country: Number of subjects enrolled
    Argentina: 2
    Country: Number of subjects enrolled
    Australia: 1
    Country: Number of subjects enrolled
    Belgium: 1
    Country: Number of subjects enrolled
    Italy: 1
    Country: Number of subjects enrolled
    United States: 8
    Worldwide total number of subjects
    13
    EEA total number of subjects
    2
    Number of subjects enrolled per age group
    In utero
    0
    Preterm newborn - gestational age < 37 wk
    0
    Newborns (0-27 days)
    0
    Infants and toddlers (28 days-23 months)
    0
    Children (2-11 years)
    0
    Adolescents (12-17 years)
    0
    Adults (18-64 years)
    8
    From 65 to 84 years
    5
    85 years and over
    0

    Subject disposition

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    Recruitment
    Recruitment details
    Study had 2 parts, Safety lead-in (SLI) and Phase 2. In Phase 2, subjects would be randomised either to the standard-dose or high-dose treatment, only if high dose was determined to be safe in safety lead-in.

    Pre-assignment
    Screening details
    Pfizer and the Steering Committee reviewed safety lead-in data and decided not to evaluate high dose combination of encorafenib + binimetinib in Phase 2 of the study.

    Period 1
    Period 1 title
    Overall Study (overall period)
    Is this the baseline period?
    Yes
    Allocation method
    Randomised - controlled
    Blinding used
    Not blinded

    Arms
    Are arms mutually exclusive
    Yes

    Arm title
    SLI Phase: Encorafenib 300 mg BID+Binimetinib 45 mg BID
    Arm description
    Subjects diagnosed with BRAFV600-mutant melanoma brain metastasis received combination therapy of encorafenib (300 milligram [mg] orally, twice daily [BID]) and binimetinib (45 mg orally, BID) in 28-day cycles and continued until disease progression, unacceptable toxicity, withdrawal of consent, start of subsequent anticancer therapy, or death, whichever occurred first. Subjects were followed up to 30 days after last dose of study drug.
    Arm type
    Experimental

    Investigational medicinal product name
    Encorafenib + Binimetinib
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Capsule, Tablet
    Routes of administration
    Oral use
    Dosage and administration details
    Subjects received Encorafenib 300 mg BID and Binimetinib 45 mg BID in 28 days cycle.

    Arm title
    Phase 2: Encorafenib 450 mg QD + Binimetinib 45 mg BID
    Arm description
    Subjects diagnosed with BRAFV600-mutant melanoma brain metastasis received standard combination therapy of encorafenib (450 mg orally, once daily [QD]) and binimetinib (45 mg orally, BID) in 28-day cycles and subjects who were able to tolerate the encorafenib 450 mg dose further received 600 mg QD after 4 Weeks. Subjects were followed up to 30 days after last dose of study drug.
    Arm type
    Experimental

    Investigational medicinal product name
    Encorafenib + Binimetinib
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Capsule, Tablet
    Routes of administration
    Oral use
    Dosage and administration details
    Subjects received Encorafenib 450 mg QD and Binimetinib 45 mg BID in 28 days cycle.

    Number of subjects in period 1
    SLI Phase: Encorafenib 300 mg BID+Binimetinib 45 mg BID Phase 2: Encorafenib 450 mg QD + Binimetinib 45 mg BID
    Started
    10
    3
    Completed
    0
    0
    Not completed
    10
    3
         Death
    7
    3
         Unspecified
    1
    -
         Study termination by sponsor
    2
    -

    Baseline characteristics

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    Baseline characteristics reporting groups
    Reporting group title
    SLI Phase: Encorafenib 300 mg BID+Binimetinib 45 mg BID
    Reporting group description
    Subjects diagnosed with BRAFV600-mutant melanoma brain metastasis received combination therapy of encorafenib (300 milligram [mg] orally, twice daily [BID]) and binimetinib (45 mg orally, BID) in 28-day cycles and continued until disease progression, unacceptable toxicity, withdrawal of consent, start of subsequent anticancer therapy, or death, whichever occurred first. Subjects were followed up to 30 days after last dose of study drug.

    Reporting group title
    Phase 2: Encorafenib 450 mg QD + Binimetinib 45 mg BID
    Reporting group description
    Subjects diagnosed with BRAFV600-mutant melanoma brain metastasis received standard combination therapy of encorafenib (450 mg orally, once daily [QD]) and binimetinib (45 mg orally, BID) in 28-day cycles and subjects who were able to tolerate the encorafenib 450 mg dose further received 600 mg QD after 4 Weeks. Subjects were followed up to 30 days after last dose of study drug.

    Reporting group values
    SLI Phase: Encorafenib 300 mg BID+Binimetinib 45 mg BID Phase 2: Encorafenib 450 mg QD + Binimetinib 45 mg BID Total
    Number of subjects
    10 3 13
    Age categorical
    Units: Subjects
        In utero
    0 0 0
        Preterm newborn infants (gestational age < 37 wks)
    0 0 0
        Newborns (0-27 days)
    0 0 0
        Infants and toddlers (28 days-23 months)
    0 0 0
        Children (2-11 years)
    0 0 0
        Adolescents (12-17 years)
    0 0 0
        Adults (18-64 years)
    5 3 8
        From 65-84 years
    5 0 5
        85 years and over
    0 0 0
    Age Continuous
    Units: Years
        arithmetic mean (standard deviation)
    63.2 ( 12.94 ) 45.7 ( 5.86 ) -
    Sex: Female, Male
    Units: Subjects
        Female
    2 1 3
        Male
    8 2 10
    Race
    Units: Subjects
        American Indian or Alaska Native
    0 0 0
        Asian
    0 0 0
        Native Hawaiian or Other Pacific Islander
    0 0 0
        Black or African American
    0 0 0
        White
    9 3 12
        More than one race
    0 0 0
        Unknown or Not Reported
    1 0 1
    Ethnicity
    Units: Subjects
        Hispanic or Latino
    2 1 3
        Not Hispanic or Latino
    8 2 10
        Unknown or Not Reported
    0 0 0

    End points

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    End points reporting groups
    Reporting group title
    SLI Phase: Encorafenib 300 mg BID+Binimetinib 45 mg BID
    Reporting group description
    Subjects diagnosed with BRAFV600-mutant melanoma brain metastasis received combination therapy of encorafenib (300 milligram [mg] orally, twice daily [BID]) and binimetinib (45 mg orally, BID) in 28-day cycles and continued until disease progression, unacceptable toxicity, withdrawal of consent, start of subsequent anticancer therapy, or death, whichever occurred first. Subjects were followed up to 30 days after last dose of study drug.

    Reporting group title
    Phase 2: Encorafenib 450 mg QD + Binimetinib 45 mg BID
    Reporting group description
    Subjects diagnosed with BRAFV600-mutant melanoma brain metastasis received standard combination therapy of encorafenib (450 mg orally, once daily [QD]) and binimetinib (45 mg orally, BID) in 28-day cycles and subjects who were able to tolerate the encorafenib 450 mg dose further received 600 mg QD after 4 Weeks. Subjects were followed up to 30 days after last dose of study drug.

    Primary: Number of Subjects With Dose Limiting Toxicities (DLTs): Safety Lead-in (SLI) Phase

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    End point title
    Number of Subjects With Dose Limiting Toxicities (DLTs): Safety Lead-in (SLI) Phase [1] [2]
    End point description
    DLT: any adverse event (AE) or laboratory abnormality not explained by underlying disease/disease progression/intercurrent illness/concomitant therapies/resulting in inability to tolerate 75% of planned dose of binimetinib or encorafenib during Cycle 1. LVEF >10%, Grade (G)>=3 cardiac disorders; G3/4 hypertension vascular disorders; G3/4 rash,hand foot skin reaction, photosensitivity; G3/4 diarrhea, nausea/vomiting; Total bilirubin (TBL) G>=3 (>3.0*upper limit of normal [ULN)]);AST/ALT>5-8*ULN>5 days,>8*ULN,>3*ULN concurrent TBL>2*ULN;G>=3 serum creatinine, CK elevation, ECG QTcF prolonged,G3 troponin, electrolyte>72 hours,G3/4 amylase/lipase.G4 ANC, platelet count>7 days;G3/4 platelet count, other AE except lymphopenia. G>=3 retinopathy, other disorder>21 days; G2 uveitis/eye pain/blurred vision/decreased visual acuity; G4 other disorder; Other hematologic/non hematologic G>=3 AE. This endpoint was planned to be analysed in SLI phase only. Dose-determining set included.
    End point type
    Primary
    End point timeframe
    Cycle 1 of safety lead-in phase (up to 28 days)
    Notes
    [1] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: Only descriptive data was planned to be analysed for this endpoint.
    [2] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: Only Safety-Lead in arm was planned to be analysed for this endpoint.
    End point values
    SLI Phase: Encorafenib 300 mg BID+Binimetinib 45 mg BID
    Number of subjects analysed
    9
    Units: Subjects
    3
    No statistical analyses for this end point

    Primary: Number of Subjects With Treatment Emergent Adverse Events Graded by National Cancer Institute Common Toxicity Criteria for Adverse Events (NCI _CTCAE) Version (v) 4.03: SLI Phase

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    End point title
    Number of Subjects With Treatment Emergent Adverse Events Graded by National Cancer Institute Common Toxicity Criteria for Adverse Events (NCI _CTCAE) Version (v) 4.03: SLI Phase [3] [4]
    End point description
    AE:any untoward medical occurrence in subject who received study drug without regard to possibility of causal relationship.TEAEs: events between 1st dose of study drug up to 30 days after last dose that were absent before treatment or that worsened relative to pretreatment state or start of subsequent anticancer drug therapy-1 day, whichever occurred first. Grades by NCI CTCAE v.4.03: G1=asymptomatic or mild ,clinical or diagnostic observations only,intervention not indicated; G2=moderate,minimal,local/noninvasive intervention indicated,limiting age-appropriate instrumental activities of daily life (ADL); G3=severe or medically significant but not immediately life-threatening,hospitalisation or prolongation of existing hospitalisation indicated,disabling,limiting self-care ADL; G4=life-threatening consequence,urgent intervention indicated; G5=death related to AE. Subjects with AEs per maximum grades were reported.Safety set:all subjects who received at least 1 dose of any study drug.
    End point type
    Primary
    End point timeframe
    Day 1 of dosing up to 30 days after last dose of study drug in SLI Phase, maximum duration up to 10.4 months
    Notes
    [3] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: Only descriptive data was planned to be analysed for this endpoint.
    [4] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: Only Safety-Lead in arm was planned to be analysed for this endpoint.
    End point values
    SLI Phase: Encorafenib 300 mg BID+Binimetinib 45 mg BID
    Number of subjects analysed
    10
    Units: Subjects
        Grade 1
    1
        Grade 2
    3
        Grade 3
    5
        Grade 4
    1
        Grade 5
    0
    No statistical analyses for this end point

    Primary: Number of Subjects With Hepatology Laboratory Test Abnormalities: SLI Phase

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    End point title
    Number of Subjects With Hepatology Laboratory Test Abnormalities: SLI Phase [5] [6]
    End point description
    Hepatology laboratory abnormalities included following parameters: alanine aminotransferase (ALT), aspartate aminotransferase (AST), ALT or AST greater than or equal to (>=) 3*upper limit normal (ULN), >=5*ULN, >=10*ULN, >=20*ULN; total bilirubin (TBILI): >=2*ULN; ALT >=3*ULN and TBILI >=2*ULN; AST >=3*ULN and TBILI >=2*ULN; ALT or AST >=3*ULN and TBILI >=2*ULN; ALT or AST >=3*ULN and TBILI >=2*ULN and ALP >2*ULN; ALT or AST >=3*ULN and TBILI >=2*ULN and ALP <=2*ULN or missing. Only those laboratory test parameters in which at least 1 subject had data were reported. The safety set included all subjects who received at least 1 dose of any study drug. This endpoint was planned to be analysed in SLI phase only.
    End point type
    Primary
    End point timeframe
    Baseline (Day 1) up to 30 days after last dose of study drug in SLI Phase, maximum duration up to 10.4 months
    Notes
    [5] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: Only descriptive data was planned to be analysed for this endpoint.
    [6] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: Only Safety-Lead in arm was planned to be analysed for this endpoint.
    End point values
    SLI Phase: Encorafenib 300 mg BID+Binimetinib 45 mg BID
    Number of subjects analysed
    10
    Units: Subjects
        ALT: >=3*ULN
    3
        ALT: >=5*ULN
    1
        AST: >=3*ULN
    3
        ALT or AST: >=3*ULN
    3
        ALT or AST: >=5*ULN
    1
    No statistical analyses for this end point

    Primary: Number of Subjects With Shift From Baseline for Hematology and Coagulation Laboratory Test Abnormalities Based on NCI-CTCAE v4.03: SLI Phase

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    End point title
    Number of Subjects With Shift From Baseline for Hematology and Coagulation Laboratory Test Abnormalities Based on NCI-CTCAE v4.03: SLI Phase [7] [8]
    End point description
    Hematology and coagulation laboratory test included: activated partial thromboplastin time prolonged (APTTP), anemia, hemoglobin (Hg) increased (inc), international normalised ratio (INR) increased, leukocytosis (Lkc), lymphocyte count decreased (LCD), lymphocyte count increased (LCI), neutrophil count decreased (NCD), platelet count decreased (PCD), and white blood cell decreased (WBCD). Laboratory results were categorically summarised according to the NCI-CTCAE criteria v4.03. Grade 1= mild; Grade 2= moderate; Grade 3= severe and Grade 4= life-threatening or disabling. Number of subjects with shift from baseline for hematology and coagulation laboratory test were assessed. Only those laboratory test parameters in which at least 1 subject had data were reported. The safety set included all subjects who received at least 1 dose of any study drug. Here, "n" signifies subjects evaluable for specified rows.
    End point type
    Primary
    End point timeframe
    Baseline (Day 1) up to 30 days after last dose of study drug in SLI Phase, maximum duration up to 10.4 months
    Notes
    [7] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: Only descriptive data was planned to be analysed for this endpoint.
    [8] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: Only Safety-Lead in arm was planned to be analysed for this endpoint.
    End point values
    SLI Phase: Encorafenib 300 mg BID+Binimetinib 45 mg BID
    Number of subjects analysed
    10
    Units: Subjects
        APTTP: G0 (baseline) to G0 (post-baseline), n=6
    5
        APTTP: G0 (baseline) to G1 (post-baseline), n=6
    1
        Anemia: G0 (baseline) to G0 (post-baseline), n=10
    2
        Anemia: G0 (baseline) to G1 (post-baseline), n=10
    7
        Anemia: G0 (baseline) to G2 (post-baseline), n=10
    1
        Hg inc: G0 (baseline) to G0 (post-baseline), n=10
    10
        INR inc: G0 (baseline) to G0 (post-baseline), n=10
    10
        Lkc: G0 (baseline) to G0 (post-baseline), n=10
    10
        LCD: G0 (baseline) to G0 (post-baseline), n=9
    2
        LCD: G0 (baseline) to G1 (post-baseline), n=9
    2
        LCD: G0 (baseline) to G2 (post-baseline), n=9
    2
        LCD: G0 (baseline) to G3 (post-baseline), n=9
    3
        LCI: G0 (baseline) to G0 (post-baseline), n=9
    8
        LCI: G0 (baseline) to G2 (post-baseline), n=9
    1
        NCD: G0 (baseline) to G0 (post-baseline), n=9
    8
        NCD: G0 (baseline) to G2 (post-baseline), n=9
    1
        PCD: G0 (baseline) to G0 (post-baseline), n=10
    7
        PCD: G0 (baseline) to G1 (post-baseline), n=10
    3
        WBCD: G0 (baseline) to G0 (post-baseline), n=10
    8
        WBCD: G0 (baseline) to G2 (post-baseline), n=10
    2
    No statistical analyses for this end point

    Primary: Number of Subjects With Shift From Baseline for Biochemistry Laboratory Test Abnormalities Based on NCI-CTCAE v4.03: SLI Phase

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    End point title
    Number of Subjects With Shift From Baseline for Biochemistry Laboratory Test Abnormalities Based on NCI-CTCAE v4.03: SLI Phase [9] [10]
    End point description
    Biochemistry laboratory test included:alanine aminotransferase increased (AAI),alkaline phosphatase increased (API),aspartate aminotransferase increased (AsAI),blood bilirubin increased (BBI),creatine kinase increased (CKI), creatinine increased (CrI),hypercalcemia (hypercal),hyperglycemia (hypergly),hyperkalemia (hyperkal),hypermagnesemia (hypermag),hypernatremia (hypernat),hypoalbuminemia (hypoalb),hypocalcemia (hypocal),hypoglycemia (hypogly),hypokalemia (hypokal),hypomagnesemia (hypomag),hyponatremia (hyponat),hypophosphatemia (hypophos),lipase increased (LI), and serum amylase increased (SMI).Laboratory results were categorically summarised according to the NCI-CTCAE criteria v4.03.G1= mild;G2= moderate;G3= severe,G4= life-threatening or disabling.Number of subjects with shift from baseline for biochemistry lab test were assessed. Only those lab test parameters in which at least 1 subject had data were reported.Safety set included. Here, n=subjects evaluable for specified rows.
    End point type
    Primary
    End point timeframe
    Baseline (Day 1) up to 30 days after last dose of study drug in SLI Phase, maximum duration up to 10.4 months
    Notes
    [9] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: Only descriptive data was planned to be analysed for this endpoint.
    [10] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: Only Safety-Lead in arm was planned to be analysed for this endpoint.
    End point values
    SLI Phase: Encorafenib 300 mg BID+Binimetinib 45 mg BID
    Number of subjects analysed
    10
    Units: Subjects
        AAI: G0 (baseline) to G0 (post-baseline), n=8
    2
        AAI: G0 (baseline) to G1 (post-baseline), n=8
    3
        AAI: G0 (baseline) to G2 (post-baseline), n=8
    2
        AAI: G0 (baseline) to G3 (post-baseline), n=8
    1
        AAI: G1 (baseline) to G1 (post-baseline), n=2
    2
        API: G0 (baseline) to G0 (post-baseline), n=8
    5
        API: G0 (baseline) to G1 (post-baseline), n=8
    3
        API: G1 (baseline) to G0 (post-baseline), n=2
    2
        AsAI: G0 (baseline) to G0 (post-baseline), n=8
    4
        AsAI: G0 (baseline) to G1 (post-baseline), n=8
    2
        AsAI: G0 (baseline) to G2 (post-baseline), n=8
    2
        AsAI: G1 (baseline) to G0 (post-baseline), n=2
    1
        AsAI: G1 (baseline) to G1 (post-baseline), n=2
    1
        BBI: G0 (baseline) to G0 (post-baseline), n=10
    10
        CKI: G0 (baseline) to G0 (post-baseline), n=10
    6
        CKI: G0 (baseline) to G1 (post-baseline), n=10
    3
        CKI: G0 (baseline) to G4 (post-baseline), n=10
    1
        CrI: G0 (baseline) to G1 (post-baseline), n=10
    9
        CrI: G0 (baseline) to G2 (post-baseline), n=10
    1
        Hypercal: G0(baseline) to G0(post-baseline),n=10
    10
        Hypergly:G0(baseline) to G0 (post-baseline),n=8
    5
        Hypergly: G0(baseline) to G1(post-baseline),n=8
    1
        Hypergly: G0(baseline) to G3(post-baseline),n=8
    2
        Hypergly:Baseline to post-baseline,n=2
    1
        Hypergly:Missing(baseline)toG1 (post-baseline)n=2
    1
        Hyperkal:G0(baseline) to G0(post-baseline),n=10
    10
        Hypermag:G0(baseline) to G0(post-baseline),n=10
    9
        Hypermag:G0(baseline) to G1(post-baseline),n=10
    1
        Hypernat:G0(baseline) to G0(post-baseline),n=10
    10
        Hypoalb:G0(baseline) to G0(post-baseline),n=9
    6
        Hypoalb:G0(baseline) to G1(post-baseline),n=9
    3
        Hypoalb:G2(baseline) to G2(post-baseline),n=1
    1
        Hypocal:G0(baseline) to G0(post-baseline),n=10
    8
        Hypocal:G0(baseline) to G1(post-baseline),n=10
    2
        Hypogly:G0(baseline) to G0(post-baseline),n=10
    10
        Hypokal:G0(baseline) to G0(post-baseline),n=10
    10
        Hypomag:G0(baseline) to G0(post-baseline),n=10
    10
        Hyponat:G0(baseline) to G0(post-baseline),n=8
    3
        Hyponat:G0(baseline) to G1(post-baseline),n=8
    2
        Hyponat:G0(baseline) to G3(post-baseline),n=8
    3
        Hyponat:G1(baseline) to G0(post-baseline),n=2
    1
        Hyponat:G1(baseline) to G3(post-baseline),n=2
    1
        Hypophos:G0(baseline)toG0(post-baseline),n=7
    6
        Hypophos:G0(baseline)toG2(post-baseline),n=7
    1
        Hypophos:Missing(baseline)toG0(post-baseline),n=2
    1
        Hypophos:Missing(baseline)toG2(post-baseline),n=2
    1
        LI: G0(baseline) to G0(post-baseline), n=10
    7
        LI: G0(baseline) to G1(post-baseline), n=10
    3
        SMI: G0(baseline) to G0(post-baseline), n=10
    10
    No statistical analyses for this end point

    Primary: Number of Subjects With Notable Abnormal Vital Signs: SLI Phase

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    End point title
    Number of Subjects With Notable Abnormal Vital Signs: SLI Phase [11] [12]
    End point description
    Vital signs:systolic & diastolic blood pressure (BP),pulse rate,weight & temperature.Systolic & diastolic BP was measured in millimeters of mercury (mmHg) based on criteria: High Systolic BP:>=160 mmHg & increase>=20 mmHg from baseline; High Diastolic BP:>=100 mmHg & increase>=15 mmHg from baseline; Low Systolic BP:<=90 mmHg with decrease from baseline of >=20 mmHg; Low Diastolic BP:<=50 mmHg with decrease from baseline of >=15 mmHg; Pulse rate was measured in beats per minute (bpm) based on criteria:High pulse rate>=120 bpm with increase from baseline of >=15 bpm;Low pulse rate <=50 bpm with decrease from baseline of >=15 bpm;Weight was measured in in kilogram (kg) based on criteria:Increase from baseline of >=10%,:>=20% decrease from baseline; Temperature was measured in degree Celsius (C) based on criteria:High body temperature>=37.5 degree C,Low body temperature<=36 degree C.Only those vital signs parameters in which at least 1 subject had data were reported.Safety set included.
    End point type
    Primary
    End point timeframe
    Baseline (Day 1) up to 30 days after last dose of study drug in SLI Phase, maximum duration up to 10.4 months
    Notes
    [11] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: Only descriptive data was planned to be analysed for this endpoint.
    [12] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: Only Safety-Lead in arm was planned to be analysed for this endpoint.
    End point values
    SLI Phase: Encorafenib 300 mg BID+Binimetinib 45 mg BID
    Number of subjects analysed
    10
    Units: Subjects
        High systolic BP
    2
        Low diastolic BP
    1
        High pulse rate
    1
        Low pulse rate
    1
        Increased body weight
    2
        High body temperature
    1
        Low body temperature
    3
    No statistical analyses for this end point

    Primary: Number of Subjects With Notable Abnormal Electrocardiogram (ECG) Values: SLI Phase

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    End point title
    Number of Subjects With Notable Abnormal Electrocardiogram (ECG) Values: SLI Phase [13] [14]
    End point description
    In this endpoint, number of subjects with notable abnormal ECG values included: Fridericia's Correction Formula (QTcF) values in millisecond (msec) based on following criteria: 1) Increase from baseline >30 msec; 2) Increase from baseline >60 msec; 3) New >450 msec; 4) New >480 msec; and 5) New >500 msec; heart rate (HR) values in bpm based on following criteria: 1) Increase from baseline >25% and to a value >100; 2) Decrease from baseline >25% and to a value <50. Only those ECG parameters in which at least 1 subject had data were reported. The safety set included all subjects who received at least 1 dose of any study drug. This endpoint was planned to be analysed in phase 2 only.
    End point type
    Primary
    End point timeframe
    Baseline (Day 1) up to 30 days after last dose of study drug in SLI Phase, maximum duration up to 10.4 months
    Notes
    [13] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: Only descriptive data was planned to be analysed for this endpoint.
    [14] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: Only Safety-Lead in arm was planned to be analysed for this endpoint.
    End point values
    SLI Phase: Encorafenib 300 mg BID+Binimetinib 45 mg BID
    Number of subjects analysed
    10
    Units: Subjects
        QTcF: New >450 msec
    6
        QTcF:Increase from baseline >30 msec
    5
        HR:Increase from baseline >25% & to a value >100
    1
    No statistical analyses for this end point

    Primary: Number of Subjects With Incidence of Dose Interruptions, Dose Modifications and Discontinuations due to AEs: SLI Phase

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    End point title
    Number of Subjects With Incidence of Dose Interruptions, Dose Modifications and Discontinuations due to AEs: SLI Phase [15] [16]
    End point description
    An AE is any untoward medical occurrence in clinical investigation subject administered a product or medical device; event need not necessarily to have a causal relationship with treatment or usage. In this endpoint, number of subjects with incidence of dose interruptions, dose modifications and discontinuations due to AEs were reported. The safety set included all subjects who received at least 1 dose of any study drug. This endpoint was planned to be analysed in SLI phase only.
    End point type
    Primary
    End point timeframe
    Baseline (Day 1) up to 30 days after last dose of study drug in SLI Phase, maximum duration up to 10.4 months
    Notes
    [15] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: Only descriptive data was planned to be analysed for this endpoint.
    [16] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: Only Safety-Lead in arm was planned to be analysed for this endpoint.
    End point values
    SLI Phase: Encorafenib 300 mg BID+Binimetinib 45 mg BID
    Number of subjects analysed
    10
    Units: Subjects
        Dose interruptions due to AE
    6
        Dose modifications due to AE
    4
        Discontinuations due to AE
    1
    No statistical analyses for this end point

    Primary: Brain Metastasis Response Rate (BMRR) Based on Modified Response Evaluation Criteria in Solid Tumors Version 1.1 (mRECIST v1.1): Phase 2

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    End point title
    Brain Metastasis Response Rate (BMRR) Based on Modified Response Evaluation Criteria in Solid Tumors Version 1.1 (mRECIST v1.1): Phase 2 [17] [18]
    End point description
    BMRR was reported in terms of percentage of subjects who achieved a confirmed best overall response (BOR) of confirmed complete response (CR) or partial response (PR) in brain metastasis per mRECIST v1.1 from date of first dose until disease progression, death due to any cause, or start of subsequent anticancer therapy, whichever occurred first. BOR: best response recorded from date of first dose of study treatment until progression by investigator assessment at each time point. CR: disappearance of all target lesions. PR: at least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters. Progressive Disease (PD): at least a 20% increase in sum of diameters of target lesions, taking as reference smallest sum of diameters recorded since treatment started. In addition, sum must have absolute increase of at least 5 mm. The safety set included all subjects who received at least 1 dose of any study drug.
    End point type
    Primary
    End point timeframe
    From date of first dose until disease progression, death due to any cause or subsequent therapy initiation, whichever occurred first in Phase 2 (approximately up to 8.3 months)
    Notes
    [17] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: Only descriptive data was planned to be analysed for this endpoint.
    [18] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: Only Phase 2 arm was planned to be analysed for this endpoint.
    End point values
    Phase 2: Encorafenib 450 mg QD + Binimetinib 45 mg BID
    Number of subjects analysed
    3
    Units: Percentage of subjects
        number (confidence interval 95%)
    66.7 (9.4 to 99.2)
    No statistical analyses for this end point

    Secondary: Extracranial Response Rate Based on RECIST v1.1: SLI Phase and Phase 2

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    End point title
    Extracranial Response Rate Based on RECIST v1.1: SLI Phase and Phase 2
    End point description
    Extracranial response rate was defined as the percentage of subjects with a BOR of confirmed CR or confirmed PR in extracranial lesions by investigator assessment per RECIST v1.1. BOR: best response recorded from date of first dose of study treatment until progression by investigator assessment at each time point. CR: disappearance of all target lesions. PD: at least a 20% increase in sum of diameters of target lesions, taking as reference smallest sum of diameters recorded since treatment started. In addition, sum must have absolute increase of at least 5 mm. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to <10 mm. PR: at least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters. The safety set included all subjects who received at least 1 dose of any study drug.
    End point type
    Secondary
    End point timeframe
    From date of first dose until disease progression, death due to any cause or subsequent therapy initiation, whichever occurred first in SLI Phase (approximately up to 10.4 months) and Phase 2 (approximately up to 8.3 months)
    End point values
    SLI Phase: Encorafenib 300 mg BID+Binimetinib 45 mg BID Phase 2: Encorafenib 450 mg QD + Binimetinib 45 mg BID
    Number of subjects analysed
    10
    3
    Units: Percentage of subjects
        number (confidence interval 95%)
    60.0 (26.2 to 87.8)
    100 (29.2 to 100)
    No statistical analyses for this end point

    Secondary: Global Response Rate: SLI Phase and Phase 2

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    End point title
    Global Response Rate: SLI Phase and Phase 2
    End point description
    Global response rate was defined as the percentage of subjects with a BOR of confirmed CR or confirmed PR by investigator assessment in brain metastasis and extracranial lesions per combined mRECIST v1.1 and RECIST v1.1, respectively. BOR: best response recorded from date of first dose of study treatment until progression by investigator assessment at each time point. CR: disappearance of all target lesions. Any pathological lymph nodes must be <10 mm on the short axis. PR: at least a 30% decrease in the sum of the diameters of target lesions, taking as a reference the baseline sum of the diameters (e.g., percent change from baseline). PD: at least a 20% increase in sum of diameters of target lesions, taking as reference smallest sum of diameters recorded since treatment started. In addition, sum must have absolute increase of at least 5 mm. The safety set included all subjects who received at least 1 dose of any study drug.
    End point type
    Secondary
    End point timeframe
    From date of first dose until disease progression, death due to any cause or subsequent therapy initiation, whichever occurred first in SLI Phase (approximately up to 10.4 months) and Phase 2 (approximately up to 8.3 months)
    End point values
    SLI Phase: Encorafenib 300 mg BID+Binimetinib 45 mg BID Phase 2: Encorafenib 450 mg QD + Binimetinib 45 mg BID
    Number of subjects analysed
    10
    3
    Units: Percentage of subjects
        number (confidence interval 95%)
    50.0 (18.7 to 81.3)
    100 (29.2 to 100)
    No statistical analyses for this end point

    Secondary: Disease Control Rate (DCR) for Brain Metastasis Response Based on mRECIST v1.1: SLI Phase and Phase 2

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    End point title
    Disease Control Rate (DCR) for Brain Metastasis Response Based on mRECIST v1.1: SLI Phase and Phase 2
    End point description
    DCR was defined as the percentage of subjects with a BOR of CR, PR or stable disease (SD) by investigator assessment per mRECIST v1.1. CR: disappearance of all target lesions. PR: at least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters. SD: neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD. PD: at least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum of diameters recorded since the treatment started. The safety set included all subjects who received at least 1 dose of any study drug.
    End point type
    Secondary
    End point timeframe
    From date of first dose until disease progression, death due to any cause or subsequent therapy initiation, whichever occurred first in SLI Phase (approximately up to 10.4 months) and Phase 2 (approximately up to 8.3 months)
    End point values
    SLI Phase: Encorafenib 300 mg BID+Binimetinib 45 mg BID Phase 2: Encorafenib 450 mg QD + Binimetinib 45 mg BID
    Number of subjects analysed
    10
    3
    Units: Percentage of subjects
        number (confidence interval 95%)
    100 (69.2 to 100)
    100 (29.2 to 100)
    No statistical analyses for this end point

    Secondary: DCR for Extracranial Response Based on RECIST v1.1: SLI Phase and Phase 2

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    End point title
    DCR for Extracranial Response Based on RECIST v1.1: SLI Phase and Phase 2
    End point description
    DCR was defined as the percentage of subjects with a BOR of CR, PR or SD by Investigator assessment per RECIST v1.1. CR: disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to <10 mm. PR: at least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters. SD: neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for PD, taking as reference the smallest sum diameters while on study. PD: at least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum on study (this includes the baseline sum if that is the smallest on study). In addition to the relative increase of 20%, the sum demonstrates an absolute increase of at least 5 mm. The appearance of one or more new lesions was also considered progression. The safety set included all subjects who received at least 1 dose of any study drug.
    End point type
    Secondary
    End point timeframe
    From date of first dose until disease progression, death due to any cause or subsequent therapy initiation, whichever occurred first in SLI Phase (approximately up to 10.4 months) and Phase 2 (approximately up to 8.3 months)
    End point values
    SLI Phase: Encorafenib 300 mg BID+Binimetinib 45 mg BID Phase 2: Encorafenib 450 mg QD + Binimetinib 45 mg BID
    Number of subjects analysed
    10
    3
    Units: Percentage of subjects
        number (confidence interval 95%)
    70.0 (34.8 to 93.3)
    100 (29.2 to 100)
    No statistical analyses for this end point

    Secondary: Duration of Response (DOR) for Brain Metastasis Response Based on mRECIST v1.1: SLI Phase and Phase 2

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    End point title
    Duration of Response (DOR) for Brain Metastasis Response Based on mRECIST v1.1: SLI Phase and Phase 2
    End point description
    DOR: time from date of first radiographic response (CR or PR) to earliest documented disease progression or death due to any cause. CR: disappearance of all target lesions. PR: at least 30% decrease in sum of diameters of target lesions, taking as reference the baseline sum diameters. PD: at least a 20% increase in sum of diameters of target lesions, taking as reference smallest sum of diameters recorded since treatment started. In addition, sum must have absolute increase of at least 5 mm. DOR (months)=(date of event or censoring – date of first CR or PR + 1)/30.4375. If subject with CR or PR did not have an event at time of analysis cutoff or with an event more than 16 weeks (for first 11 cycles after treatment start date) or 24 weeks (after Cycle 11) after last adequate tumor assessment, subject was censored on date of last adequate tumor assessment that documented no progression. Safety set included all subjects who received at least 1 dose of any study drug.
    End point type
    Secondary
    End point timeframe
    From date of first radiographic response (CR or PR) to earliest documented disease progression or death due to any cause in SLI Phase (approximately up to 10.4 months) and Phase 2 (approximately up to 8.3 months)
    End point values
    SLI Phase: Encorafenib 300 mg BID+Binimetinib 45 mg BID Phase 2: Encorafenib 450 mg QD + Binimetinib 45 mg BID
    Number of subjects analysed
    10
    3
    Units: Months
        median (confidence interval 95%)
    3.3 (2.8 to 8.5)
    5.6 (5.0 to 6.2)
    No statistical analyses for this end point

    Secondary: DCR for Global Response: SLI Phase and Phase 2

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    End point title
    DCR for Global Response: SLI Phase and Phase 2
    End point description
    DCR was defined as the percentage of subjects with a BOR of CR, PR or SD by Investigator assessment per RECIST v1.1. CR: disappearance of all target lesions. Any pathological lymph nodes must be <10 mm on the short axis. PR: at least a 30% decrease in the sum of the diameters of target lesions, taking as a reference the baseline sum of the diameters (e.g., percent change from baseline). SD: neither sufficient shrinkage to qualify for PR nor sufficient increase to quality for PD. PD: at least a 20% increase in the sum of the diameters of target lesions, taking as a reference the smallest sum of diameters recorded since the treatment started (i.e., percent change from nadir, where nadir is defined as the smallest sum of diameters recorded since treatment start). In addition, the sum must have an absolute increase from nadir of at least 5 mm. The safety set included all subjects who received at least 1 dose of any study drug.
    End point type
    Secondary
    End point timeframe
    From date of first dose until disease progression, death due to any cause or subsequent therapy initiation, whichever occurred first in SLI Phase (approximately up to 10.4 months) and Phase 2 (approximately up to 8.3 months)
    End point values
    SLI Phase: Encorafenib 300 mg BID+Binimetinib 45 mg BID Phase 2: Encorafenib 450 mg QD + Binimetinib 45 mg BID
    Number of subjects analysed
    10
    3
    Units: Percentage of subjects
        number (confidence interval 95%)
    90.0 (55.5 to 99.7)
    100 (29.2 to 100)
    No statistical analyses for this end point

    Secondary: DOR for Global Response: SLI Phase and Phase 2

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    End point title
    DOR for Global Response: SLI Phase and Phase 2
    End point description
    DOR: time from date of first radiographic response (CR or PR) to earliest documented disease progression or death due to any cause. CR: disappearance of all target lesions. PR: at least 30% decrease in sum of diameters of target lesions, taking as reference the baseline sum diameters. PD: at least a 20% increase in sum of diameters of target lesions, taking as reference smallest sum of diameters recorded since treatment started. In addition, sum must have absolute increase of at least 5 mm. DOR (months) = (date of event or censoring – date of first CR or PR + 1)/30.4375. If a subject with CR or PR did not have an event at time of analysis cutoff or with an event more than 16 weeks (for first 11 cycles after treatment start date) or 24 weeks (after Cycle 11) after last adequate tumor assessment, subject was censored on date of last adequate tumor assessment that documented no progression. Safety set included all subjects who received at least 1 dose of any study drug.
    End point type
    Secondary
    End point timeframe
    From date of first radiographic response (CR or PR) to earliest documented disease progression or death due to any cause in SLI Phase (approximately up to 10.4 months) and Phase 2 (approximately up to 8.3 months)
    End point values
    SLI Phase: Encorafenib 300 mg BID+Binimetinib 45 mg BID Phase 2: Encorafenib 450 mg QD + Binimetinib 45 mg BID
    Number of subjects analysed
    10
    3
    Units: Months
        median (confidence interval 95%)
    2.9 (2.8 to 8.5)
    5.0 (3.9 to 6.2)
    No statistical analyses for this end point

    Secondary: Progression Free Survival (PFS) for Brain Metastasis Based on mRECIST v1.1: SLI Phase and Phase 2

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    End point title
    Progression Free Survival (PFS) for Brain Metastasis Based on mRECIST v1.1: SLI Phase and Phase 2
    End point description
    PFS was defined as the time from date of the first dose of study treatment to the earliest documented disease progression (PD) by Investigator assessment, or death due to any cause, whichever occurs first. PD: at least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum of diameters recorded since the treatment started (e.g., percent change from nadir, where nadir is defined as the smallest sum of diameters recorded since treatment start). In addition, the sum must have an absolute increase of at least 5 mm. If a subject did not had a PFS event at the time of the analysis cutoff or at the start of any new anticancer therapy, PFS was censored at the date of last adequate tumor assessment. Data for this endpoint was not evaluated, due to limited number of subjects who had event.
    End point type
    Secondary
    End point timeframe
    From date of first dose of study treatment to the earliest documented disease progression by investigator assessment, or death due to any cause, whichever occurs first in SLI (approximately up to 10.4 months) and Phase 2 (approximately up to 8.3 months)
    End point values
    SLI Phase: Encorafenib 300 mg BID+Binimetinib 45 mg BID Phase 2: Encorafenib 450 mg QD + Binimetinib 45 mg BID
    Number of subjects analysed
    0 [19]
    0 [20]
    Units: Months
        median (confidence interval 95%)
    ( to )
    ( to )
    Notes
    [19] - Data was not evaluated, due to limited number of subjects who had event.
    [20] - Data was not evaluated, due to limited number of subjects who had event.
    No statistical analyses for this end point

    Secondary: DOR for Extracranial Response Based on RECIST v1.1: SLI Phase and Phase 2

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    End point title
    DOR for Extracranial Response Based on RECIST v1.1: SLI Phase and Phase 2
    End point description
    DOR: time from date of first radiographic response (CR or PR) to earliest documented disease progression or death due to any cause. CR: disappearance of all target lesions. PR: at least 30% decrease in sum of diameters of target lesions, taking as reference the baseline sum diameters. PD: at least a 20% increase in sum of diameters of target lesions, taking as reference smallest sum of diameters recorded since treatment started. In addition, sum must have absolute increase of at least 5 mm. DOR (months) = (date of event or censoring – date of first CR or PR + 1)/30.4375. If a subject with CR or PR did not have an event at time of analysis cutoff or with an event more than 16 weeks (for first 11 cycles after treatment start date) or 24 weeks (after Cycle 11) after last adequate tumor assessment, subject was censored on date of last adequate tumor assessment that documented no progression. Data for this endpoint was not evaluated, due to limited number of subjects who had event.
    End point type
    Secondary
    End point timeframe
    From date of first radiographic response (CR or PR) to earliest documented disease progression or death due to any cause in SLI Phase (approximately up to 10.4 months) and Phase 2 (approximately up to 8.3 months)
    End point values
    SLI Phase: Encorafenib 300 mg BID+Binimetinib 45 mg BID Phase 2: Encorafenib 450 mg QD + Binimetinib 45 mg BID
    Number of subjects analysed
    0 [21]
    0 [22]
    Units: Months
        median (confidence interval 95%)
    ( to )
    ( to )
    Notes
    [21] - Data was not evaluated, due to limited number of subjects who had event.
    [22] - Data was not evaluated, due to limited number of subjects who had event.
    No statistical analyses for this end point

    Secondary: PFS for Global Tumor Assessment: SLI Phase and Phase 2

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    End point title
    PFS for Global Tumor Assessment: SLI Phase and Phase 2
    End point description
    PFS was defined as the time from date of the first dose of study treatment to the earliest documented disease progression (PD) by Investigator assessment, or death due to any cause, whichever occurs first. PD: at least a 20% increase in the sum of the diameters of target lesions, taking as a reference the smallest sum of diameters recorded since the treatment started (i.e., percent change from nadir, where nadir is defined as the smallest sum of diameters recorded since treatment start). In addition, the sum must have an absolute increase from nadir of at least 5 mm. Global tumor assessment consists of brain metastasis and extracranial lesions. If a subject did not had a PFS event at the time of the analysis cutoff or at the start of any new anticancer therapy, PFS was censored at the date of last adequate tumor assessment. Data for this outcome measure was not evaluated, due to limited number of subjects who had event.
    End point type
    Secondary
    End point timeframe
    From date of first dose of study treatment to the earliest documented disease progression by investigator assessment, or death due to any cause, whichever occurs first in SLI (approximately up to 10.4 months) and Phase 2 (approximately up to 8.3 months)
    End point values
    SLI Phase: Encorafenib 300 mg BID+Binimetinib 45 mg BID Phase 2: Encorafenib 450 mg QD + Binimetinib 45 mg BID
    Number of subjects analysed
    0 [23]
    0 [24]
    Units: Months
        median (confidence interval 95%)
    ( to )
    ( to )
    Notes
    [23] - Data was not evaluated, due to limited number of subjects who had event.
    [24] - Data was not evaluated, due to limited number of subjects who had event.
    No statistical analyses for this end point

    Secondary: BMRR Based on mRECIST v1.1: SLI Phase

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    End point title
    BMRR Based on mRECIST v1.1: SLI Phase [25]
    End point description
    BMRR: percentage of subjects who achieved a confirmed best overall response (BOR) of confirmed CR or PR in brain metastasis per mRECIST v1.1 from date of first dose until disease progression, death due to any cause, or start of subsequent anticancer therapy, whichever occurs first. BOR: best response recorded from date of first dose of study treatment until progression by investigator assessment at each time point. CR: Disappearance of all target lesions. PR: at least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters (e.g., percent change from baseline). The safety set included all subjects who received at least 1 dose of any study drug. This endpoint was planned to be analysed in SLI phase only.
    End point type
    Secondary
    End point timeframe
    From date of first dose until disease progression, death due to any cause or subsequent therapy initiation, whichever occurred first in SLI Phase (approximately up to 10.4 months)
    Notes
    [25] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: Only Safety-Lead in arm was planned to be analysed for this endpoint.
    End point values
    SLI Phase: Encorafenib 300 mg BID+Binimetinib 45 mg BID
    Number of subjects analysed
    10
    Units: Percentage of subjects
        number (confidence interval 95%)
    60.0 (26.2 to 87.8)
    No statistical analyses for this end point

    Secondary: Overall Survival: Safety Lead-in Phase and Phase 2

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    End point title
    Overall Survival: Safety Lead-in Phase and Phase 2
    End point description
    Overall survival (OS) was defined as the time from date of the first dose of study treatment to the date of death due to any cause. If a death was not observed by the date of the analysis cutoff, OS was censored at the date of last contact. OS (months) = (date of death or censoring – date of first dose +1)/30.4375. Data for this endpoint was not evaluated, due to limited number of subjects who had event.
    End point type
    Secondary
    End point timeframe
    From date of first dose of study treatment to the earliest documented disease progression by investigator assessment, or death due to any cause, whichever occurs first in SLI (approximately up to 10.4 months) and Phase 2 (approximately up to 8.3 months)
    End point values
    SLI Phase: Encorafenib 300 mg BID+Binimetinib 45 mg BID Phase 2: Encorafenib 450 mg QD + Binimetinib 45 mg BID
    Number of subjects analysed
    0 [26]
    0 [27]
    Units: Months
        arithmetic mean (standard deviation)
    ( )
    ( )
    Notes
    [26] - Data was not evaluated, due to limited number of subjects who had event.
    [27] - Data was not evaluated, due to limited number of subjects who had event.
    No statistical analyses for this end point

    Secondary: Number of Subjects With Treatment Emergent AEs of Maximum Severity Grades Based on NCI CTCAE v4.03: Phase 2

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    End point title
    Number of Subjects With Treatment Emergent AEs of Maximum Severity Grades Based on NCI CTCAE v4.03: Phase 2 [28]
    End point description
    AE: any untoward medical occurrence in subject who received study drug without regard to possibility of causal relationship. TEAEs: event between 1st dose of study drug up to 30 days after last dose that were absent before treatment or that worsened relative to pretreatment state or start of subsequent anticancer drug therapy 1 day, whichever occurred first. Grades by NCI CTCAE v.4.03: G1=asymptomatic or mild, clinical or diagnostic observations only,intervention not indicated;G2=moderate, minimal,local/noninvasive intervention indicated, limiting age-appropriate instrumental ADL); G3=severe or medically significant but not immediately life-threatening, hospitalisation or prolongation of existing hospitalisation indicated,disabling,limiting self-care ADL; G4=life-threatening consequence,urgent intervention indicated; G5=death related to AE. Only those categories in which at least 1 subject had data were reported. Safety set:all subjects who received at least 1 dose of any study drug.
    End point type
    Secondary
    End point timeframe
    Day 1 of dosing up to 30 days after last dose of study drug in Phase 2, maximum duration up to 8.3 months
    Notes
    [28] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: Only Phase 2 arm was planned to be analysed for this endpoint.
    End point values
    Phase 2: Encorafenib 450 mg QD + Binimetinib 45 mg BID
    Number of subjects analysed
    3
    Units: Subjects
        Grade 2
    2
        Grade 4
    1
    No statistical analyses for this end point

    Secondary: Number of Subjects With Hepatology Laboratory Test Abnormalities: Phase 2

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    End point title
    Number of Subjects With Hepatology Laboratory Test Abnormalities: Phase 2 [29]
    End point description
    Hepatology laboratory abnormalities included following parameters: ALT, AST, ALT or AST >=3*ULN, >=5*ULN, >=10*ULN, >=20*ULN; TBILI: >=2*ULN; ALT >=3*ULN and TBILI >=2*ULN; AST >=3*ULN and TBILI >=2*ULN; ALT or AST >=3*ULN and TBILI >=2*ULN; ALT or AST >=3*ULN and TBILI >=2*ULN and ALP >2*ULN; ALT or AST >=3*ULN and TBILI >=2*ULN and ALP <=2*ULN or missing. Only those laboratory test parameters in which at least 1 subject had data were reported. The safety set included all subjects who received at least 1 dose of any study drug. This endpoint was planned to be analysed in phase 2 only.
    End point type
    Secondary
    End point timeframe
    Baseline (Day 1) up to 30 days after last dose of study drug in Phase 2, maximum duration up to 8.3 months
    Notes
    [29] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: Only Phase 2 arm was planned to be analysed for this endpoint.
    End point values
    Phase 2: Encorafenib 450 mg QD + Binimetinib 45 mg BID
    Number of subjects analysed
    3
    Units: Subjects
        ALT: >=3*ULN
    2
        ALT: >=5*ULN
    1
        ALT: >=10*ULN
    1
        ALT: >=20*ULN
    1
        AST: >=3*ULN
    1
        AST: >=5*ULN
    1
        AST: >=10*ULN
    1
        ALT or AST: >=3*ULN
    2
        ALT or AST: >=5*ULN
    1
        ALT or AST: >=10*ULN
    1
        ALT or AST: >=20*ULN
    1
    No statistical analyses for this end point

    Secondary: Number of Subjects With Shift From Baseline for Hematology and Coagulation Laboratory Test Abnormalities Based on NCI-CTCAE v4.03: Phase 2

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    End point title
    Number of Subjects With Shift From Baseline for Hematology and Coagulation Laboratory Test Abnormalities Based on NCI-CTCAE v4.03: Phase 2 [30]
    End point description
    Hematology and coagulation laboratory test included: activated partial thromboplastin time prolonged (APTTP), anemia, hemoglobin (Hg) increased (inc), international normalised ratio (INR) increased, leukocytosis (Lkc), lymphocyte count decreased (LCD), lymphocyte count increased (LCI), neutrophil count decreased (NCD), platelet count decreased (PCD), and white blood cell decreased (WBCD). Laboratory results were categorically summarised according to the NCI-CTCAE criteria v4.03. Grade 1= mild; Grade 2= moderate; Grade 3= severe and Grade 4= life-threatening or disabling. Number of subjects with shift from baseline for hematology and coagulation laboratory test were assessed. Only those laboratory test parameters in which at least 1 subject had data were reported. The safety set included all subjects who received at least 1 dose of any study drug. Here, "n" signifies subjects evaluable for specified rows.
    End point type
    Secondary
    End point timeframe
    Baseline (Day 1) up to 30 days after last dose of study drug in Phase 2, maximum duration up to 8.3 months
    Notes
    [30] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: Only Phase 2 arm was planned to be analysed for this endpoint.
    End point values
    Phase 2: Encorafenib 450 mg QD + Binimetinib 45 mg BID
    Number of subjects analysed
    3
    Units: Subjects
        APTTP: G0 (baseline) to G0 (post-baseline), n=1
    1
        Anemia: G0 (baseline) to G1 (post-baseline), n=2
    1
        Anemia: G0 (baseline) to G2 (post-baseline), n=2
    1
        Anemia: G1 (baseline) to G1 (post-baseline), n=1
    1
        Hg inc: G0 (baseline) to G0 (post-baseline), n=3
    3
        INR inc: G0 (baseline) to G0 (post-baseline), n=1
    1
        Lkc: G0 (baseline) to G0 (post-baseline), n=3
    3
        LCD: G0 (baseline) to G0 (post-baseline), n=3
    2
        LCD: G0 (baseline) to G1 (post-baseline), n=3
    1
        LCI: G0 (baseline) to G0 (post-baseline), n=3
    3
        NCD: G0 (baseline) to G0 (post-baseline), n=3
    2
        NCD: G0 (baseline) to G2 (post-baseline), n=3
    1
        PCD: G0 (baseline) to G0 (post-baseline), n=3
    2
        PCD: G0 (baseline) to G1 (post-baseline), n=3
    1
        WBCD: G0 (baseline) to G0 (post-baseline), n=3
    2
        WBCD: G0 (baseline) to G1 (post-baseline), n=3
    1
    No statistical analyses for this end point

    Secondary: Number of Subjects With Shift From Baseline for Biochemistry Laboratory Test Abnormalities Based on NCI-CTCAE v4.03: Phase 2

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    End point title
    Number of Subjects With Shift From Baseline for Biochemistry Laboratory Test Abnormalities Based on NCI-CTCAE v4.03: Phase 2 [31]
    End point description
    Biochemistry laboratory test included:alanine aminotransferase increased (AAI),alkaline phosphatase increased (API),aspartate aminotransferase increased (AsAI),blood bilirubin increased (BBI),creatine kinase increased (CKI), creatinine increased (CrI),hypercalcemia (hypercal),hyperglycemia (hypergly),hyperkalemia (hyperkal),hypermagnesemia (hypermag),hypernatremia (hypernat),hypoalbuminemia (hypoalb),hypocalcemia (hypocal),hypoglycemia (hypogly),hypokalemia (hypokal),hypomagnesemia (hypomag),hyponatremia (hyponat),hypophosphatemia (hypophos),lipase increased (LI), and serum amylase increased (SMI).Laboratory results were categorically summarised according to the NCI-CTCAE criteria v4.03.G1= mild;G2= moderate;G3= severe,G4= life-threatening or disabling.Number of subjects with shift from baseline for biochemistry lab test were assessed. Only those lab test parameters in which at least 1 subject had data were reported.Safety set included. Here, n=subjects evaluable for specified rows.
    End point type
    Secondary
    End point timeframe
    Baseline (Day 1) up to 30 days after last dose of study drug in Phase 2, maximum duration up to 8.3 months
    Notes
    [31] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: Only Phase 2 arm was planned to be analysed for this endpoint.
    End point values
    Phase 2: Encorafenib 450 mg QD + Binimetinib 45 mg BID
    Number of subjects analysed
    3
    Units: Subjects
        AAI: G0 (baseline) to G2 (post-baseline), n=1
    1
        AAI: G1 (baseline) to G0 (post-baseline), n=2
    1
        AAI: G1 (baseline) to G4 (post-baseline), n=2
    1
        API: G0 (baseline) to G0 (post-baseline), n=2
    1
        API: G0 (baseline) to G1 (post-baseline), n=2
    1
        API: G2 (baseline) to G2 (post-baseline), n=1
    1
        AsAI: G0 (baseline) to G1 (post-baseline), n=2
    1
        AsAI: G0 (baseline) to G3 (post-baseline), n=2
    1
        AsAI: G1 (baseline) to G0 (post-baseline), n=1
    1
        BBI: G0 (baseline) to G0 (post-baseline), n=3
    3
        CK inc: G0 (baseline) to G1 (post-baseline), n=3
    2
        CK inc: G0 (baseline) to G2 (post-baseline), n=3
    1
        CrI: G0 (baseline) to G1 (post-baseline), n=3
    1
        CrI: G0 (baseline) to G2 (post-baseline), n=3
    2
        Hypercal: G0 (baseline) to G0 (post-baseline), n=3
    3
        Hypergly: G0 (baseline) to G0 (post-baseline), n=3
    3
        Hyperkal: G0 (baseline) to G0 (post-baseline), n=3
    3
        Hypermag: G0 (baseline) to G0 (post-baseline), n=3
    3
        Hypernat: G0 (baseline) to G0 (post-baseline), n=3
    3
        Hypoalb: G0 (baseline) to G0 (post-baseline), n=2
    2
        Hypoalb: G1 (baseline) to G0 (post-baseline), n=1
    1
        Hypocal: G0 (baseline) to G0 (post-baseline), n=3
    1
        Hypocal: G0 (baseline) to G1 (post-baseline), n=3
    2
        Hypogly: G0 (baseline) to G0 (post-baseline), n=3
    3
        Hypokal: G0 (baseline) to G0 (post-baseline), n=3
    2
        Hypokal: G0 (baseline) to G1 (post-baseline), n=3
    1
        Hypomag: G0 (baseline) to G0 (post-baseline), n=3
    3
        Hyponat: G0 (baseline) to G0 (post-baseline), n=3
    3
        Hypophos: G0 (baseline) to G0 (post-baseline), n=3
    3
        LI: G0 (baseline) to G0 (post-baseline), n=3
    2
        LI: G0 (baseline) to G1 (post-baseline), n=3
    1
        SAI: G0 (baseline) to G0 (post-baseline), n=3
    2
        SAI: G0 (baseline) to G1 (post-baseline), n=3
    1
    No statistical analyses for this end point

    Secondary: Number of Subjects With Clinically Significant Change in Notable Abnormal Vital Signs: Phase 2

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    End point title
    Number of Subjects With Clinically Significant Change in Notable Abnormal Vital Signs: Phase 2 [32]
    End point description
    Vital signs: systolic & diastolic BP, pulse rate, weight & temperature. Systolic & diastolic BP was measured in mmHg based on criteria: High Systolic BP:>=160 mmHg & increase>=20 mmHg from baseline; High Diastolic BP:>=100 mmHg & increase>=15 mmHg from baseline; Low Systolic BP:<=90 mmHg with decrease from baseline of >=20 mmHg; Low Diastolic BP:<=50 mmHg with decrease from baseline of >=15 mmHg; Pulse rate was measured in bpm based on criteria: High pulse rate>=120 bpm with increase from baseline of >=15 bpm; Low pulse rate <=50 bpm with decrease from baseline of >=15 bpm; Weight was measured in in kg based on criteria: Increase from baseline of >=10%,:>=20% decrease from baseline; Temperature was measured in degree C based on criteria: High body temperature>=37.5 degree C, Low body temperature<=36 degree C. Only those vital signs parameters in which at least 1 subject had data were reported. Safety set included.
    End point type
    Secondary
    End point timeframe
    Baseline (Day 1) up to 30 days after last dose of study drug in Phase 2, maximum duration up to 8.3 months
    Notes
    [32] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: Only Phase 2 arm was planned to be analysed for this endpoint.
    End point values
    Phase 2: Encorafenib 450 mg QD + Binimetinib 45 mg BID
    Number of subjects analysed
    3
    Units: Subjects
        Increased body weight
    1
        Low body temperature
    2
    No statistical analyses for this end point

    Secondary: Number of Subjects With Notable Abnormal Electrocardiogram (ECG) Values: Phase 2

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    End point title
    Number of Subjects With Notable Abnormal Electrocardiogram (ECG) Values: Phase 2 [33]
    End point description
    In this end point, number of subjects with notable abnormal ECG values included: QTcF values in msec based on following criteria: 1) increase from baseline >30 msec; 2) increase from baseline >60 msec; 3) new >450 msec; 4) new >480 msec; and 5) new >500 msec; heart rate values in bpm based on following criteria: 1) Increase from baseline >25% and to a value >100; 2) Decrease from baseline >25% and to a value <50. Only those vital ECG parameters in which at least 1 subject had data were reported. The safety set included all subjects who received at least 1 dose of any study drug. This endpoint was planned to be analysed in phase 2 only.
    End point type
    Secondary
    End point timeframe
    Baseline (Day 1) up to 30 days after last dose of study drug in Phase 2, maximum duration up to 8.3 months
    Notes
    [33] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: Only Phase 2 arm was planned to be analysed for this endpoint.
    End point values
    Phase 2: Encorafenib 450 mg QD + Binimetinib 45 mg BID
    Number of subjects analysed
    3
    Units: Subjects
        QTcF: Increase from baseline >30
    1
    No statistical analyses for this end point

    Secondary: Plasma Concentrations of Encorafenib and its Metabolite LHY746: SLI Phase

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    End point title
    Plasma Concentrations of Encorafenib and its Metabolite LHY746: SLI Phase [34]
    End point description
    In this end point, plasma concentrations (in nanogram per milliliter [ng/mL]) of encorafenib and its metabolite LHY746 at Cycle 1 Day 1 (C1D1), Cycle 1 Day 15 (C1D15), Cycle 2 Day 1 (C2D1), and Cycle 3 Day 1 (C3D1) at different time points were reported. The pharmacokinetic (PK) analysis set included all subjects who received at least 1 dose of any study drug and had at least 1 PK blood collection after the first dose of study drug with associated bioanalytical results. Here 'N' signifies subjects evaluable for this endpoint and 'n' signifies subjects evaluable for specified rows. This endpoint was planned to be analysed in SLI phase only.
    End point type
    Secondary
    End point timeframe
    Cycle 1 Day 1: 0.5, 1.5, 3, 6 hours post-dose, Cycle 1 Day 15: Predose, 0.5, 1.5, 3, 6 hours (hrs.) post-dose, Cycle 2, Cycle 3 Day 1: Pre-dose
    Notes
    [34] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: Only Safety-Lead in arm was planned to be analysed for this endpoint.
    End point values
    SLI Phase: Encorafenib 300 mg BID+Binimetinib 45 mg BID
    Number of subjects analysed
    8
    Units: ng/mL
    geometric mean (geometric coefficient of variation)
        Encorafenib C1D1: 0.5 hrs post dose, n=8
    65.5 ( 328.8 )
        Encorafenib C1D1: 1.5 hrs post dose, n=8
    1830 ( 325.5 )
        Encorafenib C1D1: 3 hrs post dose, n=8
    2120 ( 36.3 )
        Encorafenib C1D1: 6 hrs post dose, n=7
    1170 ( 67.7 )
        Encorafenib C1D15: pre-dose, n=6
    92.3 ( 87.9 )
        Encorafenib C1D15: 0.5 hrs post dose, n=6
    182 ( 243.5 )
        Encorafenib C1D15: 1.5 hrs post dose, n=6
    745 ( 132.7 )
        Encorafenib C1D15: 3 hrs post dose, n=6
    953 ( 50.0 )
        Encorafenib C1D15: 6 hrs post dose, n=6
    332 ( 61.0 )
        Encorafenib C2D1: pre-dose, n=4
    59.7 ( 65.7 )
        Encorafenib C3D1: pre-dose, n=5
    50.1 ( 47.8 )
        LHY746 C1D1: 0.5 hrs post dose, n=8
    6.46 ( 114.1 )
        LHY746 C1D1: 1.5 hrs post dose, n=8
    123 ( 345.5 )
        LHY746 C1D1: 3 hrs post dose, n=6
    296 ( 46.7 )
        LHY746 C1D1: 6 hrs post dose, n=7
    277 ( 62.7 )
        LHY746 C1D15: pre-dose, n=6
    892 ( 101.1 )
        LHY746 C1D15: 0.5 hrs post dose, n=6
    941 ( 88.2 )
        LHY746 C1D15: 1.5 hrs post dose, n=6
    1040 ( 93.4 )
        LHY746 C1D15: 3 hrs post dose, n=8
    1690 ( 64.3 )
        LHY746 C1D15: 6 hrs post dose, n=6
    1520 ( 59.0 )
        LHY746 C2D1: pre-dose, n=4
    655 ( 91.3 )
        LHY746 C3D1: pre-dose, n=5
    256 ( 2956.0 )
    No statistical analyses for this end point

    Secondary: Plasma Concentrations of Binimetinib and its Metabolite AR00426032: SLI Phase

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    End point title
    Plasma Concentrations of Binimetinib and its Metabolite AR00426032: SLI Phase [35]
    End point description
    In this end point, plasma concentrations of binimetinib and its metabolite AR00426032 at C1D1, C1D15, C2D1, and C3D1 at different time points were reported. PK analysis set included all subjects who received at least 1 dose of any study drug and had at least 1 PK blood collection after the first dose of study drug with associated bioanalytical results. Here 'N' signifies subjects evaluable for this endpoint and 'n' signifies subjects evaluable for specified rows. This endpoint was planned to be analysed in SLI phase only.
    End point type
    Secondary
    End point timeframe
    Cycle 1 Day 1: 0.5, 1.5, 3, 6 hours post-dose: Cycle 1 Day 15: Predose, 0.5, 1.5, 3, 6 hours (hrs.) post-dose: Cycle 2, Cycle 3 Day 1: Pre-dose
    Notes
    [35] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: Only Safety-Lead in arm was planned to be analysed for this endpoint.
    End point values
    SLI Phase: Encorafenib 300 mg BID+Binimetinib 45 mg BID
    Number of subjects analysed
    8
    Units: ng/mL
    geometric mean (geometric coefficient of variation)
        Binimetinib C1D1: 0.5 hrs post dose, n=8
    86.6 ( 567.4 )
        Binimetinib C1D1: 1.5 hrs post dose, n=8
    297 ( 341.9 )
        Binimetinib C1D1: 3 hrs post dose, n=8
    233 ( 83.2 )
        Binimetinib C1D1: 6 hrs post dose, n=7
    151 ( 91.6 )
        Binimetinib C1D15: pre-dose, n=6
    47.7 ( 71.8 )
        Binimetinib C1D15: 0.5 hrs post dose, n=6
    151 ( 67.8 )
        Binimetinib C1D15: 1.5 hrs post dose, n=6
    232 ( 121.1 )
        Binimetinib C1D15: 3 hrs post dose, n=6
    215 ( 55.2 )
        Binimetinib C1D15: 6 hrs post dose, n=6
    79.9 ( 56.6 )
        Binimetinib C2D1: pre-dose, n=4
    42.0 ( 47.8 )
        Binimetinib C3D1: pre-dose, n=5
    30.0 ( 65.3 )
        AR00426032 C1D1: 0.5 hrs post dose, n=8
    8.10 ( 132.4 )
        AR00426032 C1D1: 1.5 hrs post dose, n=8
    30.3 ( 345.7 )
        AR00426032 C1D1: 3 hrs post dose, n=8
    31.7 ( 60.1 )
        AR00426032 C1D1: 6 hrs post dose, n=7
    21.9 ( 36.6 )
        AR00426032 C1D15: pre-dose, n=6
    3.13 ( 53.0 )
        AR00426032 C1D15: 0.5 hrs post dose, n=6
    5.89 ( 136.9 )
        AR00426032 C1D15: 1.5 hrs post dose, n=6
    10.6 ( 56.8 )
        AR00426032 C1D15: 3 hrs post dose, n=6
    12.5 ( 58.0 )
        AR00426032 C1D15: 6 hrs post dose, n=6
    4.71 ( 62.8 )
        AR00426032 C2D1: pre-dose, n=4
    2.97 ( 29.6 )
        AR00426032 C3D1: pre-dose, n=5
    1.57 ( 42.2 )
    No statistical analyses for this end point

    Secondary: Area Under the Plasma Concentration-Time Curve From Time Zero to 6 Hours (AUC 0-6) of Encorafenib and its Metabolite LHY746: SLI Phase

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    End point title
    Area Under the Plasma Concentration-Time Curve From Time Zero to 6 Hours (AUC 0-6) of Encorafenib and its Metabolite LHY746: SLI Phase [36]
    End point description
    In this end point, area under the plasma concentration-time curve from zero to 6 hours (AUC 0-6) after administration of encorafenib and its metabolite LHY746 in nanogram*hour per milliliter (ng*hr/mL) at C1D1, and C1D15 were assessed. PK analysis set included all subjects who received at least 1 dose of any study drug and had at least 1 PK blood collection after the first dose of study drug with associated bioanalytical results. Here 'N' signifies subjects evaluable for this endpoint and 'n' signifies subjects evaluable for specified rows. This endpoint was planned to be analysed in SLI phase only.
    End point type
    Secondary
    End point timeframe
    Cycle 1 Day 1: 0.5, 1.5, 3, 6 hours post-dose: Cycle 1 Day 15: Predose, 0.5, 1.5, 3, 6 hours (hrs.) post-dose
    Notes
    [36] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: Only Safety-Lead in arm was planned to be analysed for this endpoint.
    End point values
    SLI Phase: Encorafenib 300 mg BID+Binimetinib 45 mg BID
    Number of subjects analysed
    7
    Units: ng*hr/mL
    geometric mean (geometric coefficient of variation)
        Encorafenib: C1D1, n=7
    9530 ( 50.6 )
        Encorafenib: C1D15, n=6
    3930 ( 52.8 )
        LHY746: C1D1, n=7
    1230 ( 60.1 )
        LHY746: C1D15, n=6
    8160 ( 67.7 )
    No statistical analyses for this end point

    Secondary: AUC0-6 of Binimetinib and its Metabolite AR00426032: SLI Phase

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    End point title
    AUC0-6 of Binimetinib and its Metabolite AR00426032: SLI Phase [37]
    End point description
    In this end point, area under the plasma concentration-time curve from zero to 6 hours (AUC 0-6) after administration of binimetinib and its metabolite AR00426032 at C1D1, and C1D15 were assessed. PK analysis set included all subjects who received at least 1 dose of any study drug and had at least 1 PK blood collection after the first dose of study drug with associated bioanalytical results. Here 'N' signifies subjects evaluable for this endpoint and 'n' signifies subjects evaluable for specified rows. This endpoint was planned to be analysed in SLI phase only.
    End point type
    Secondary
    End point timeframe
    Cycle 1 Day 1: 0.5, 1.5, 3, 6 hours post-dose: Cycle 1 Day 15: Predose, 0.5, 1.5, 3, 6 hours (hrs.) post-dose
    Notes
    [37] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: Only Safety-Lead in arm was planned to be analysed for this endpoint.
    End point values
    SLI Phase: Encorafenib 300 mg BID+Binimetinib 45 mg BID
    Number of subjects analysed
    7
    Units: ng*hr/mL
    geometric mean (geometric coefficient of variation)
        Binimetinib: C1D1n =7
    1410 ( 85.5 )
        Binimetinib: C1D15, n=6
    1050 ( 39.7 )
        AR00426032: C1D1, n=7
    159 ( 65.9 )
        AR00426032: C1D15, n=6
    53.9 ( 48.6 )
    No statistical analyses for this end point

    Secondary: Area Under the Plasma Concentration-Time Curve From Time Zero to last Time Point (AUClast) of Encorafenib and its Metabolite LHY746: SLI Phase

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    End point title
    Area Under the Plasma Concentration-Time Curve From Time Zero to last Time Point (AUClast) of Encorafenib and its Metabolite LHY746: SLI Phase [38]
    End point description
    In this end point, area under the plasma concentration-time curve from zero to the last measurable time point (AUClast) after administration of encorafenib and its metabolite LHY746 at C1D1, and C1D15 were assessed. PK analysis set included all subjects who received at least 1 dose of any study drug and had at least 1 PK blood collection after the first dose of study drug with associated bioanalytical results. Here 'N' signifies subjects evaluable for this endpoint and 'n' signifies subjects evaluable for specified rows. This endpoint was planned to be analysed in SLI phase only.
    End point type
    Secondary
    End point timeframe
    Cycle 1 Day 1: 0.5, 1.5, 3, 6 hours post-dose: Cycle 1 Day 15: Predose, 0.5, 1.5, 3, 6 hours (hrs.) post-dose
    Notes
    [38] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: Only Safety-Lead in arm was planned to be analysed for this endpoint.
    End point values
    SLI Phase: Encorafenib 300 mg BID+Binimetinib 45 mg BID
    Number of subjects analysed
    8
    Units: ng*hr/mL
    geometric mean (geometric coefficient of variation)
        Encorafenib: C1D1, n=8
    9190 ( 47.8 )
        Encorafenib: C1D15, n=6
    7490 ( 52.8 )
        LHY746: C1D1, n=8
    1180 ( 56.9 )
        LHY746: C1D15, n=6
    29600 ( 73.0 )
    No statistical analyses for this end point

    Secondary: AUClast of Binimetinib and its Metabolite AR00426032: SLI Phase

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    End point title
    AUClast of Binimetinib and its Metabolite AR00426032: SLI Phase [39]
    End point description
    In this end point, area under the plasma concentration-time curve from zero to the last measurable time point (AUClast) after administration of binimetinib and its metabolite AR00426032 at C1D1, and C1D15 were assessed. PK analysis set included all subjects who received at least 1 dose of any study drug and had at least 1 PK blood collection after the first dose of study drug with associated bioanalytical results. Here 'N' signifies subjects evaluable for this endpoint and 'n' signifies subjects evaluable for specified rows. This endpoint was planned to be analysed in SLI phase only.
    End point type
    Secondary
    End point timeframe
    Cycle 1 Day 1: 0.5, 1.5, 3, 6 hours post-dose: Cycle 1 Day 15: Predose, 0.5, 1.5, 3, 6 hours (hrs.) post-dose
    Notes
    [39] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: Only Safety-Lead in arm was planned to be analysed for this endpoint.
    End point values
    SLI Phase: Encorafenib 300 mg BID+Binimetinib 45 mg BID
    Number of subjects analysed
    8
    Units: ng*hr/mL
    geometric mean (geometric coefficient of variation)
        Binimetinib: C1D1, n=8
    1350 ( 79.1 )
        Binimetinib: C1D15, n=6
    1440 ( 43.9 )
        AR00426032: C1D1, n=8
    156 ( 60.6 )
        AR00426032: C1D15, n=6
    77.9 ( 49.7 )
    No statistical analyses for this end point

    Secondary: Area Under the Plasma Concentration-Time Curve From Time Zero to Tau (AUCtau) of Encorafenib and its Metabolite LHY746: SLI Phase

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    End point title
    Area Under the Plasma Concentration-Time Curve From Time Zero to Tau (AUCtau) of Encorafenib and its Metabolite LHY746: SLI Phase [40]
    End point description
    In this end point, area under the plasma concentration-time curve from time zero to the last measurable time point Tau (AUCtau) of encorafenib and its metabolite LHY746 over a dosing interval (6 hours as appropriate) of C1D15 were assessed. PK analysis set included all subjects who received at least 1 dose of any study drug and had at least 1 PK blood collection after the first dose of study drug with associated bioanalytical results. Here 'N' signifies subjects evaluable for this endpoint and 'n' signifies subjects evaluable for specified rows. This endpoint was planned to be analysed in SLI phase only.
    End point type
    Secondary
    End point timeframe
    Cycle 1 Day 15: Predose, 0.5, 1.5, 3, 6 hours (hrs.) post-dose
    Notes
    [40] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: Only Safety-Lead in arm was planned to be analysed for this endpoint.
    End point values
    SLI Phase: Encorafenib 300 mg BID+Binimetinib 45 mg BID
    Number of subjects analysed
    6
    Units: ng*hr/mL
    geometric mean (geometric coefficient of variation)
        Encorafenib, n=6
    7490 ( 52.8 )
        LHY746, n=6
    29600 ( 73.0 )
    No statistical analyses for this end point

    Secondary: AUCtau of Binimetinib and its Metabolite AR00426032: SLI Phase

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    End point title
    AUCtau of Binimetinib and its Metabolite AR00426032: SLI Phase [41]
    End point description
    In this end point, area under the plasma concentration-time curve from time zero to the last measurable time point Tau (AUCtau) of encorafenib and its metabolite LHY746 over a dosing interval (6 hours as appropriate) of C1D15 were assessed. PK analysis set included all subjects who received at least 1 dose of any study drug and had at least 1 PK blood collection after the first dose of study drug with associated bioanalytical results. Here 'N' signifies subjects evaluable for this endpoint and 'n' signifies subjects evaluable for specified rows. This endpoint was planned to be analysed in SLI phase only.
    End point type
    Secondary
    End point timeframe
    Cycle 1 Day 15: Predose, 0.5, 1.5, 3, 6 hours (hrs.) post-dose
    Notes
    [41] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: Only Safety-Lead in arm was planned to be analysed for this endpoint.
    End point values
    SLI Phase: Encorafenib 300 mg BID+Binimetinib 45 mg BID
    Number of subjects analysed
    6
    Units: ng*hr/mL
    geometric mean (geometric coefficient of variation)
        Binimetinib, n=6
    1440 ( 43.9 )
        AR00426032, n=6
    77.9 ( 49.7 )
    No statistical analyses for this end point

    Secondary: Maximum Observed Plasma Concentration (Cmax) After Drug Administration of Encorafenib and its Metabolite LHY746: SLI Phase

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    End point title
    Maximum Observed Plasma Concentration (Cmax) After Drug Administration of Encorafenib and its Metabolite LHY746: SLI Phase [42]
    End point description
    In this end point, maximum observed plasma concentration (Cmax) after administration of encorafenib and its metabolite LHY746 at C1D1, and C1D15 were assessed. PK analysis set included all subjects who received at least 1 dose of any study drug and had at least 1 PK blood collection after the first dose of study drug with associated bioanalytical results. Here 'N' signifies subjects evaluable for this endpoint and 'n' signifies subjects evaluable for specified rows. This endpoint was planned to be analysed in SLI phase only.
    End point type
    Secondary
    End point timeframe
    Cycle 1 Day 1: 0.5, 1.5, 3, 6 hours post-dose: Cycle 1 Day 15: Predose, 0.5, 1.5, 3, 6 hours (hrs.) post-dose
    Notes
    [42] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: Only Safety-Lead in arm was planned to be analysed for this endpoint.
    End point values
    SLI Phase: Encorafenib 300 mg BID+Binimetinib 45 mg BID
    Number of subjects analysed
    8
    Units: ng/mL
    geometric mean (geometric coefficient of variation)
        Encorafenib: C1D1, n=8
    3210 ( 47.7 )
        Encorafenib: C1D15, n=6
    1370 ( 79.3 )
        LHY746: C1D1, n=8
    340 ( 47.2 )
        LHY746: C1D15, n=6
    1720 ( 65.3 )
    No statistical analyses for this end point

    Secondary: Cmax of Binimetinib and its Metabolite AR00426032: SLI Phase

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    End point title
    Cmax of Binimetinib and its Metabolite AR00426032: SLI Phase [43]
    End point description
    In this end point, maximum observed plasma concentration (Cmax) after administration of binimetinib and its metabolite AR00426032 at C1D1, and C1D15 were assessed. PK analysis set included all subjects who received at least 1 dose of any study drug and had at least 1 PK blood collection after the first dose of study drug with associated bioanalytical results. Here 'N' signifies subjects evaluable for this endpoint and 'n' signifies subjects evaluable for specified rows. This endpoint was planned to be analysed in SLI phase only.
    End point type
    Secondary
    End point timeframe
    Cycle 1 Day 1: 0.5, 1.5, 3, 6 hours post-dose: Cycle 1 Day 15: Predose, 0.5, 1.5, 3, 6 hours (hrs.) post-dose
    Notes
    [43] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: Only Safety-Lead in arm was planned to be analysed for this endpoint.
    End point values
    SLI Phase: Encorafenib 300 mg BID+Binimetinib 45 mg BID
    Number of subjects analysed
    8
    Units: ng/mL
    geometric mean (geometric coefficient of variation)
        Binimetinib: C1D1, n=8
    506 ( 85.5 )
        Binimetinib: C1D15, n=6
    359 ( 40.5 )
        AR00426032: C1D1, n=8
    53.9 ( 77.8 )
        AR00426032: C1D15, n=6
    16.9 ( 54.0 )
    No statistical analyses for this end point

    Secondary: Minimum Observed Plasma Concentration (Cmin) at the end of a Dosing Interval at Steady State of Encorafenib and its Metabolite LHY746: SLI Phase

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    End point title
    Minimum Observed Plasma Concentration (Cmin) at the end of a Dosing Interval at Steady State of Encorafenib and its Metabolite LHY746: SLI Phase [44]
    End point description
    In this end point, minimum observed plasma concentration (Cmin) after administration of encorafenib and its metabolite LHY746 at C1D15 were assessed. PK analysis set included all subjects who received at least 1 dose of any study drug and had at least 1 PK blood collection after the first dose of study drug with associated bioanalytical results. Here 'N' signifies subjects evaluable for this endpoint and 'n' signifies subjects evaluable for specified rows. This endpoint was planned to be analysed in SLI phase only.
    End point type
    Secondary
    End point timeframe
    Cycle 1 Day 15: Predose, 0.5, 1.5, 3, 6 hours (hrs.) post-dose
    Notes
    [44] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: Only Safety-Lead in arm was planned to be analysed for this endpoint.
    End point values
    SLI Phase: Encorafenib 300 mg BID+Binimetinib 45 mg BID
    Number of subjects analysed
    6
    Units: ng/mL
    geometric mean (geometric coefficient of variation)
        Encorafenib, n=6
    91.1 ( 88.3 )
        LHY746, n=6
    829 ( 99.3 )
    No statistical analyses for this end point

    Secondary: Cmin of Binimetinib and its Metabolite AR00426032: SLI Phase

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    End point title
    Cmin of Binimetinib and its Metabolite AR00426032: SLI Phase [45]
    End point description
    In this end point, minimum observed plasma concentration (Cmin) after administration of binimetinib and its metabolite AR00426032 at C1D15 were assessed. PK analysis set included all subjects who received at least 1 dose of any study drug and had at least 1 PK blood collection after the first dose of study drug with associated bioanalytical results. Here 'N' signifies subjects evaluable for this endpoint and 'n' signifies subjects evaluable for specified rows. This endpoint was planned to be analysed in SLI phase only.
    End point type
    Secondary
    End point timeframe
    Cycle 1 Day 15: Predose, 0.5, 1.5, 3, 6 hours (hrs.) post-dose
    Notes
    [45] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: Only Safety-Lead in arm was planned to be analysed for this endpoint.
    End point values
    SLI Phase: Encorafenib 300 mg BID+Binimetinib 45 mg BID
    Number of subjects analysed
    6
    Units: ng/mL
    geometric mean (geometric coefficient of variation)
        Binimetinib, n=6
    47.7 ( 71.8 )
        AR00426032, n=6
    3.04 ( 47.8 )
    No statistical analyses for this end point

    Secondary: Ctrough of Encorafenib and its Metabolite LHY746: SLI Phase

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    End point title
    Ctrough of Encorafenib and its Metabolite LHY746: SLI Phase [46]
    End point description
    In this end point, measured concentration at the end of a dosing interval (Ctrough) of encorafenib and its metabolite LHY746 at C1D15 were assessed. PK analysis set included all subjects who received at least 1 dose of any study drug and had at least 1 PK blood collection after the first dose of study drug with associated bioanalytical results. Here 'N' signifies subjects evaluable for this endpoint and 'n' signifies subjects evaluable for specified rows. This endpoint was planned to be analysed in SLI phase only.
    End point type
    Secondary
    End point timeframe
    Cycle 1 Day 15: Predose, 0.5, 1.5, 3, 6 hours (hrs.) post-dose
    Notes
    [46] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: Only Safety-Lead in arm was planned to be analysed for this endpoint.
    End point values
    SLI Phase: Encorafenib 300 mg BID+Binimetinib 45 mg BID
    Number of subjects analysed
    6
    Units: ng/mL
    geometric mean (geometric coefficient of variation)
        Encorafenib, n=6
    332 ( 61.0 )
        LHY746, n=6
    1520 ( 59.0 )
    No statistical analyses for this end point

    Secondary: Ctrough of Binimetinib and its Metabolite AR00426032: SLI Phase

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    End point title
    Ctrough of Binimetinib and its Metabolite AR00426032: SLI Phase [47]
    End point description
    In this end point, measured concentration at the end of a dosing interval (Ctrough) of binimetinib and its metabolite AR00426032 at C1D15 were assessed. PK analysis set included all subjects who received at least 1 dose of any study drug and had at least 1 PK blood collection after the first dose of study drug with associated bioanalytical results. Here 'N' signifies subjects evaluable for this endpoint and 'n' signifies subjects evaluable for specified rows. This endpoint was planned to be analysed in SLI phase only.
    End point type
    Secondary
    End point timeframe
    Cycle 1 Day 15: Predose, 0.5, 1.5, 3, 6 hours (hrs.) post-dose
    Notes
    [47] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: Only Safety-Lead in arm was planned to be analysed for this endpoint.
    End point values
    SLI Phase: Encorafenib 300 mg BID+Binimetinib 45 mg BID
    Number of subjects analysed
    6
    Units: ng/mL
    geometric mean (geometric coefficient of variation)
        Binimetinib, n=6
    79.9 ( 56.6 )
        AR00426032, n=6
    4.71 ( 62.8 )
    No statistical analyses for this end point

    Secondary: Time to Reach Maximum Concentration (Tmax) of Encorafenib and its Metabolite LHY746: SLI Phase

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    End point title
    Time to Reach Maximum Concentration (Tmax) of Encorafenib and its Metabolite LHY746: SLI Phase [48]
    End point description
    In this end point, time to reach maximum concentration (Tmax) of encorafenib and its metabolite LHY746 at C1D1, and C1D15 were assessed. PK analysis set included all subjects who received at least 1 dose of any study drug and had at least 1 PK blood collection after the first dose of study drug with associated bioanalytical results. Here 'N' signifies subjects evaluable for this endpoint and 'n' signifies subjects evaluable for specified rows. This endpoint was planned to be analysed in SLI phase only.
    End point type
    Secondary
    End point timeframe
    Cycle 1 Day 1: 0.5, 1.5, 3, 6 hours post-dose: Cycle 1 Day 15: Predose, 0.5, 1.5, 3, 6 hours (hrs.) post-dose
    Notes
    [48] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: Only Safety-Lead in arm was planned to be analysed for this endpoint.
    End point values
    SLI Phase: Encorafenib 300 mg BID+Binimetinib 45 mg BID
    Number of subjects analysed
    8
    Units: hours
    median (full range (min-max))
        Encorafenib: C1D1, n=8
    1.53 (1.47 to 3.00)
        Encorafenib: C1D15, n=6
    1.55 (0.43 to 3.00)
        LHY746: C1D1, n=8
    4.33 (1.47 to 6.00)
        LHY746: C1D15, n=6
    3.00 (2.92 to 5.73)
    No statistical analyses for this end point

    Secondary: Tmax of Binimetinib and its Metabolite AR00426032: SLI Phase

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    End point title
    Tmax of Binimetinib and its Metabolite AR00426032: SLI Phase [49]
    End point description
    In this end point, time to reach maximum concentration (Tmax) of binimetinib and its metabolite AR00426032 at C1D1, and C1D15 were assessed. PK analysis set included all subjects who received at least 1 dose of any study drug and had at least 1 PK blood collection after the first dose of study drug with associated bioanalytical results. Here 'N' signifies subjects evaluable for this endpoint and 'n' signifies subjects evaluable for specified rows. This endpoint was planned to be analysed in SLI phase only.
    End point type
    Secondary
    End point timeframe
    Cycle 1 Day 1: 0.5, 1.5, 3, 6 hours post-dose: Cycle 1 Day 15: Predose, 0.5, 1.5, 3, 6 hours (hrs.) post-dose
    Notes
    [49] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: Only Safety-Lead in arm was planned to be analysed for this endpoint.
    End point values
    SLI Phase: Encorafenib 300 mg BID+Binimetinib 45 mg BID
    Number of subjects analysed
    8
    Units: hours
    median (full range (min-max))
        Binimetinib: C1D1, n=8
    1.50 (1.45 to 6.08)
        Binimetinib: C1D15, n=6
    1.55 (0.43 to 2.98)
        AR00426032: C1D1, n=8
    1.53 (1.47 to 6.08)
        AR00426032: C1D15, n=6
    1.58 (0.43 to 3.07)
    No statistical analyses for this end point

    Secondary: Time of Last PK Sample (Tlast) of Encorafenib and its Metabolite LHY746: SLI Phase

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    End point title
    Time of Last PK Sample (Tlast) of Encorafenib and its Metabolite LHY746: SLI Phase [50]
    End point description
    In this end point, time of last PK sample (Tlast) of encorafenib and its metabolite LHY746 at C1D1, and C1D15 were assessed. PK analysis set included all subjects who received at least 1 dose of any study drug and had at least 1 PK blood collection after the first dose of study drug with associated bioanalytical results. Here 'N' signifies subjects evaluable for this endpoint and 'n' signifies subjects evaluable for specified rows. This endpoint was planned to be analysed in SLI phase only.
    End point type
    Secondary
    End point timeframe
    Cycle 1 Day 1: 0.5, 1.5, 3, 6 hours post-dose: Cycle 1 Day 15: Predose, 0.5, 1.5, 3, 6 hours (hrs.) post-dose
    Notes
    [50] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: Only Safety-Lead in arm was planned to be analysed for this endpoint.
    End point values
    SLI Phase: Encorafenib 300 mg BID+Binimetinib 45 mg BID
    Number of subjects analysed
    8
    Units: hours
    median (full range (min-max))
        Encorafenib: C1D1, n=8
    5.78 (3.00 to 6.08)
        Encorafenib: C1D15, n=6
    24.00 (24.00 to 24.00)
        LHY746: C1D1, n=8
    5.78 (3.00 to 6.08)
        LHY746: C1D15, n=6
    24.00 (24.00 to 24.00)
    No statistical analyses for this end point

    Secondary: Tlast of Binimetinib and its Metabolite AR00426032: SLI Phase

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    End point title
    Tlast of Binimetinib and its Metabolite AR00426032: SLI Phase [51]
    End point description
    In this end point, time of last PK sample (Tlast) of binimetinib and its metabolite AR00426032 at C1D1, and C1D15 were assessed. PK analysis set included all subjects who received at least 1 dose of any study drug and had at least 1 PK blood collection after the first dose of study drug with associated bioanalytical results. Here 'N' signifies subjects evaluable for this endpoint and 'n' signifies subjects evaluable for specified rows. This endpoint was planned to be analysed in SLI phase only.
    End point type
    Secondary
    End point timeframe
    Cycle 1 Day 1: 0.5, 1.5, 3, 6 hours post-dose: Cycle 1 Day 15: Predose, 0.5, 1.5, 3, 6 hours (hrs.) post-dose
    Notes
    [51] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: Only Safety-Lead in arm was planned to be analysed for this endpoint.
    End point values
    SLI Phase: Encorafenib 300 mg BID+Binimetinib 45 mg BID
    Number of subjects analysed
    8
    Units: hours
    median (full range (min-max))
        Binimetinib: C1D1, n=8
    5.78 (3.00 to 6.08)
        Binimetinib: C1D15, n=6
    12.00 (12.00 to 12.00)
        AR00426032: C1D1, n=8
    5.78 (3.00 to 6.08)
        AR00426032: C1D15, n=6
    12.00 (12.00 to 12.00)
    No statistical analyses for this end point

    Secondary: Accumulation Ratio Between AUClast,ss and AUClast (RAUC) of Encorafenib and its Metabolite LHY746: SLI Phase

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    End point title
    Accumulation Ratio Between AUClast,ss and AUClast (RAUC) of Encorafenib and its Metabolite LHY746: SLI Phase [52]
    End point description
    In this end point, accumulation ratio of encorafenib and its metabolite LHY746 calculated as: C1D15 AUC0-6 divided by C1D1 AUC0-6 was assessed. PK analysis set included all subjects who received at least 1 dose of any study drug and had at least 1 PK blood collection after the first dose of study drug with associated bioanalytical results. Here 'N' signifies subjects evaluable for this endpoint and 'n' signifies subjects evaluable for specified rows. This endpoint was planned to be analysed in SLI phase only.
    End point type
    Secondary
    End point timeframe
    Cycle 1 Day 15: Predose, 0.5, 1.5, 3, 6 hours (hrs.) post-dose
    Notes
    [52] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: Only Safety-Lead in arm was planned to be analysed for this endpoint.
    End point values
    SLI Phase: Encorafenib 300 mg BID+Binimetinib 45 mg BID
    Number of subjects analysed
    6
    Units: ratio
    geometric mean (geometric coefficient of variation)
        Encorafenib, n=6
    0.468 ( 46.0 )
        LHY746, n=6
    7.25 ( 46.7 )
    No statistical analyses for this end point

    Secondary: RAUC of Binimetinib and its Metabolite AR00426032: SLI Phase

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    End point title
    RAUC of Binimetinib and its Metabolite AR00426032: SLI Phase [53]
    End point description
    In this end point, accumulation ratio of binimetinib and its metabolite AR00426032 calculated as: C1D15 AUC0-6 divided by C1D1 AUC0-6 was assessed. PK analysis set included all subjects who received at least 1 dose of any study drug and had at least 1 PK blood collection after the first dose of study drug with associated bioanalytical results. Here 'N' signifies subjects evaluable for this endpoint and 'n' signifies subjects evaluable for specified rows. This endpoint was planned to be analysed in SLI phase only.
    End point type
    Secondary
    End point timeframe
    Cycle 1 Day 15: Predose, 0.5, 1.5, 3, 6 hours (hrs.) post-dose
    Notes
    [53] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: Only Safety-Lead in arm was planned to be analysed for this endpoint.
    End point values
    SLI Phase: Encorafenib 300 mg BID+Binimetinib 45 mg BID
    Number of subjects analysed
    6
    Units: ratio
    geometric mean (geometric coefficient of variation)
        Binimetinib, n=6
    0.877 ( 60.4 )
        AR00426032, n=6
    0.359 ( 93.0 )
    No statistical analyses for this end point

    Secondary: Accumulation Ratio Between Cmax,ss and Cmax (RCmax) of Encorafenib and its Metabolite LHY746: SLI Phase

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    End point title
    Accumulation Ratio Between Cmax,ss and Cmax (RCmax) of Encorafenib and its Metabolite LHY746: SLI Phase [54]
    End point description
    In this endpoint, accumulation ratio of encorafenib and its metabolite LHY746 calculated as: C1D15 Cmax divided by C1D1 Cmax was assessed. PK analysis set included all subjects who received at least 1 dose of any study drug and had at least 1 PK blood collection after the first dose of study drug with associated bioanalytical results. Here 'N' signifies subjects evaluable for this endpoint and 'n' signifies subjects evaluable for specified rows. This endpoint was planned to be analysed in SLI phase only.
    End point type
    Secondary
    End point timeframe
    Cycle 1 Day 15: Predose, 0.5, 1.5, 3, 6 hours (hrs.) post-dose
    Notes
    [54] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: Only Safety-Lead in arm was planned to be analysed for this endpoint.
    End point values
    SLI Phase: Encorafenib 300 mg BID+Binimetinib 45 mg BID
    Number of subjects analysed
    6
    Units: ratio
    geometric mean (geometric coefficient of variation)
        Encorafenib, n=6
    0.490 ( 71.8 )
        LHY746, n=6
    5.78 ( 41.7 )
    No statistical analyses for this end point

    Secondary: Rcmax of Binimetinib and its Metabolite AR00426032: SLI Phase

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    End point title
    Rcmax of Binimetinib and its Metabolite AR00426032: SLI Phase [55]
    End point description
    In this end point, accumulation ratio of binimetinib and its metabolite AR00426032 calculated as: C1D15 Cmax divided by C1D1 Cmax was assessed. PK analysis set included all subjects who received at least 1 dose of any study drug and had at least 1 PK blood collection after the first dose of study drug with associated bioanalytical results. Here 'N' signifies subjects evaluable for this endpoint and 'n' signifies subjects evaluable for specified rows. This endpoint was planned to be analysed in SLI phase only.
    End point type
    Secondary
    End point timeframe
    Cycle 1 Day 15: Predose, 0.5, 1.5, 3, 6 hours (hrs.) post-dose
    Notes
    [55] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: Only Safety-Lead in arm was planned to be analysed for this endpoint.
    End point values
    SLI Phase: Encorafenib 300 mg BID+Binimetinib 45 mg BID
    Number of subjects analysed
    6
    Units: ratio
    geometric mean (geometric coefficient of variation)
        Binimetinib, n=6
    0.818 ( 95.9 )
        AR00426032, n=6
    0.347 ( 130.9 )
    No statistical analyses for this end point

    Secondary: Ratio of AUClast Values of the Metabolite Compared to Parent (MRAUClast) of LHY746: SLI Phase

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    End point title
    Ratio of AUClast Values of the Metabolite Compared to Parent (MRAUClast) of LHY746: SLI Phase [56]
    End point description
    In this end point, ratio of AUClast values of the metabolite compared to parent, corrected for molecular weight, for LHY746/encorafenib at C1D1, and C1D15 was assessed. PK analysis set included all subjects who received at least 1 dose of any study drug and had at least 1 PK blood collection after the first dose of study drug with associated bioanalytical results. Here 'N' signifies subjects evaluable for this endpoint and 'n' signifies subjects evaluable for specified rows. This endpoint was planned to be analysed in SLI phase only.
    End point type
    Secondary
    End point timeframe
    Cycle 1 Day 1: 0.5, 1.5, 3, 6 hours post-dose: Cycle 1 Day 15: Predose, 0.5, 1.5, 3, 6 hours (hrs.) post-dose
    Notes
    [56] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: Only Safety-Lead in arm was planned to be analysed for this endpoint.
    End point values
    SLI Phase: Encorafenib 300 mg BID+Binimetinib 45 mg BID
    Number of subjects analysed
    7
    Units: ratio
    geometric mean (geometric coefficient of variation)
        C1D1, n=7
    0.164 ( 21.7 )
        C1D15, n=6
    2.64 ( 36.0 )
    No statistical analyses for this end point

    Secondary: MRAUClast of AR00426032: SLI Phase

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    End point title
    MRAUClast of AR00426032: SLI Phase [57]
    End point description
    In this end point, ratio of AUClast values of the metabolite compared to parent, corrected for molecular weight, for AR00426032/binimetinib at C1D1, and C1D15 was assessed. PK analysis set included all subjects who received at least 1 dose of any study drug and had at least 1 PK blood collection after the first dose of study drug with associated bioanalytical results. Here 'N' signifies subjects evaluable for this endpoint and 'n' signifies subjects evaluable for specified rows. This endpoint was planned to be analysed in SLI phase only.
    End point type
    Secondary
    End point timeframe
    Cycle 1 Day 1: 0.5, 1.5, 3, 6 hours post-dose: Cycle 1 Day 15: Predose, 0.5, 1.5, 3, 6 hours (hrs.) post-dose
    Notes
    [57] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: Only Safety-Lead in arm was planned to be analysed for this endpoint.
    End point values
    SLI Phase: Encorafenib 300 mg BID+Binimetinib 45 mg BID
    Number of subjects analysed
    7
    Units: ratio
    geometric mean (geometric coefficient of variation)
        C1D1, n=7
    0.109 ( 54.1 )
        C1D15, n=6
    0.0494 ( 63.9 )
    No statistical analyses for this end point

    Secondary: Ratio of Cmax Values of the Metabolite Compared to Parent (MRCmax) of LHY746: SLI Phase

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    End point title
    Ratio of Cmax Values of the Metabolite Compared to Parent (MRCmax) of LHY746: SLI Phase [58]
    End point description
    In this end point, ratio of Cmax values of the metabolite compared to parent, corrected for molecular weight, for LHY746/encorafenib at C1D1, and C1D15 was assessed. PK analysis set included all subjects who received at least 1 dose of any study drug and had at least 1 PK blood collection after the first dose of study drug with associated bioanalytical results. Here 'N' signifies subjects evaluable for this endpoint and 'n' signifies subjects evaluable for specified rows. This endpoint was planned to be analysed in SLI phase only.
    End point type
    Secondary
    End point timeframe
    Cycle 1 Day 1: 0.5, 1.5, 3, 6 hours post-dose: Cycle 1 Day 15: Predose, 0.5, 1.5, 3, 6 hours (hrs.) post-dose
    Notes
    [58] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: Only Safety-Lead in arm was planned to be analysed for this endpoint.
    End point values
    SLI Phase: Encorafenib 300 mg BID+Binimetinib 45 mg BID
    Number of subjects analysed
    8
    Units: ratio
    geometric mean (geometric coefficient of variation)
        C1D1, n=8
    0.135 ( 16.7 )
        C1D15, n=6
    1.59 ( 47.8 )
    No statistical analyses for this end point

    Secondary: MRCmax of AR00426032: SLI Phase

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    End point title
    MRCmax of AR00426032: SLI Phase [59]
    End point description
    In this end point, ratio of Cmax values of the metabolite compared to parent, corrected for molecular weight, for AR00426032/ binimetinib at C1D1, and C1D15 was assessed. PK analysis set included all subjects who received at least 1 dose of any study drug and had at least 1 PK blood collection after the first dose of study drug with associated bioanalytical results. Here 'N' signifies subjects evaluable for this endpoint and 'n' signifies subjects evaluable for specified rows. This endpoint was planned to be analysed in SLI phase only.
    End point type
    Secondary
    End point timeframe
    Cycle 1 Day 1: 0.5, 1.5, 3, 6 hours post-dose: Cycle 1 Day 15: Predose, 0.5, 1.5, 3, 6 hours (hrs.) post-dose
    Notes
    [59] - The end point is not reporting statistics for all the arms in the baseline period. It is expected all the baseline period arms will be reported on when providing values for an end point on the baseline period.
    Justification: Only Safety-Lead in arm was planned to be analysed for this endpoint.
    End point values
    SLI Phase: Encorafenib 300 mg BID+Binimetinib 45 mg BID
    Number of subjects analysed
    8
    Units: ratio
    geometric mean (geometric coefficient of variation)
        C1D1, n=8
    0.103 ( 49.3 )
        C1D15, n=6
    0.0453 ( 53.8 )
    No statistical analyses for this end point

    Adverse events

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    Adverse events information
    Timeframe for reporting adverse events
    Day 1 of dosing up to 30 days after last dose of study drug in Safety Lead-in Phase (maximum up to 10.4 months) and Phase 2 (maximum up to 8.3 months)
    Adverse event reporting additional description
    Same event may appear as both an AE and SAE. However, what is presented are distinct events. An event may be categorised as serious in 1 subject and as non-serious in another, or a subject may have experienced both a serious and non-serious event.
    Assessment type
    Non-systematic
    Dictionary used for adverse event reporting
    Dictionary name
    MedDRA
    Dictionary version
    24.1
    Reporting groups
    Reporting group title
    Phase 2: Encorafenib 450 mg QD + Binimetinib 45 mg BID
    Reporting group description
    Subjects diagnosed with BRAFV600-mutant melanoma brain metastasis received standard combination therapy of encorafenib (450 mg orally, QD) and binimetinib (45 mg orally, BID) in 28-day cycles and subjects who were able to tolerate the encorafenib 450 mg dose further received 600 mg QD after 4 Weeks. Subjects were followed up to 30 days after last dose of study drug.

    Reporting group title
    SLI Phase: Encorafenib 300 mg BID + Binimetinib 45 mg BID
    Reporting group description
    Subjects diagnosed with BRAFV600-mutant melanoma brain metastasis received combination therapy of encorafenib (300 mg orally, BID) and binimetinib (45 mg orally, BID) in 28-day cycles and continued until disease progression, unacceptable toxicity, withdrawal of consent, start of subsequent anticancer therapy, or death, whichever occurred first. Subjects were followed up to 30 days after last dose of study drug.

    Serious adverse events
    Phase 2: Encorafenib 450 mg QD + Binimetinib 45 mg BID SLI Phase: Encorafenib 300 mg BID + Binimetinib 45 mg BID
    Total subjects affected by serious adverse events
         subjects affected / exposed
    1 / 3 (33.33%)
    4 / 10 (40.00%)
         number of deaths (all causes)
    3
    7
         number of deaths resulting from adverse events
    Vascular disorders
    Air embolism
         subjects affected / exposed
    1 / 3 (33.33%)
    0 / 10 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Nervous system disorders
    Paraesthesia
         subjects affected / exposed
    0 / 3 (0.00%)
    1 / 10 (10.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Peripheral sensory neuropathy
         subjects affected / exposed
    0 / 3 (0.00%)
    1 / 10 (10.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    General disorders and administration site conditions
    Pyrexia
         subjects affected / exposed
    0 / 3 (0.00%)
    1 / 10 (10.00%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Endocrine disorders
    Inappropriate antidiuretic hormone secretion
         subjects affected / exposed
    0 / 3 (0.00%)
    1 / 10 (10.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Metabolism and nutrition disorders
    Dehydration
         subjects affected / exposed
    0 / 3 (0.00%)
    1 / 10 (10.00%)
         occurrences causally related to treatment / all
    0 / 0
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    Frequency threshold for reporting non-serious adverse events: 0%
    Non-serious adverse events
    Phase 2: Encorafenib 450 mg QD + Binimetinib 45 mg BID SLI Phase: Encorafenib 300 mg BID + Binimetinib 45 mg BID
    Total subjects affected by non serious adverse events
         subjects affected / exposed
    3 / 3 (100.00%)
    10 / 10 (100.00%)
    Neoplasms benign, malignant and unspecified (incl cysts and polyps)
    Acrochordon
         subjects affected / exposed
    0 / 3 (0.00%)
    1 / 10 (10.00%)
         occurrences all number
    0
    2
    Neoplasm skin
         subjects affected / exposed
    0 / 3 (0.00%)
    1 / 10 (10.00%)
         occurrences all number
    0
    1
    Seborrhoeic keratosis
         subjects affected / exposed
    0 / 3 (0.00%)
    1 / 10 (10.00%)
         occurrences all number
    0
    1
    Vascular disorders
    Hypertension
         subjects affected / exposed
    0 / 3 (0.00%)
    2 / 10 (20.00%)
         occurrences all number
    0
    2
    General disorders and administration site conditions
    Asthenia
         subjects affected / exposed
    0 / 3 (0.00%)
    1 / 10 (10.00%)
         occurrences all number
    0
    1
    Chills
         subjects affected / exposed
    0 / 3 (0.00%)
    1 / 10 (10.00%)
         occurrences all number
    0
    3
    Facial pain
         subjects affected / exposed
    0 / 3 (0.00%)
    1 / 10 (10.00%)
         occurrences all number
    0
    1
    Oedema peripheral
         subjects affected / exposed
    0 / 3 (0.00%)
    2 / 10 (20.00%)
         occurrences all number
    0
    2
    Influenza like illness
         subjects affected / exposed
    0 / 3 (0.00%)
    2 / 10 (20.00%)
         occurrences all number
    0
    3
    Fatigue
         subjects affected / exposed
    1 / 3 (33.33%)
    6 / 10 (60.00%)
         occurrences all number
    1
    9
    Pyrexia
         subjects affected / exposed
    0 / 3 (0.00%)
    4 / 10 (40.00%)
         occurrences all number
    0
    4
    Respiratory, thoracic and mediastinal disorders
    Nasal discomfort
         subjects affected / exposed
    0 / 3 (0.00%)
    1 / 10 (10.00%)
         occurrences all number
    0
    1
    Wheezing
         subjects affected / exposed
    0 / 3 (0.00%)
    1 / 10 (10.00%)
         occurrences all number
    0
    1
    Rhinorrhoea
         subjects affected / exposed
    0 / 3 (0.00%)
    1 / 10 (10.00%)
         occurrences all number
    0
    1
    Respiratory tract congestion
         subjects affected / exposed
    0 / 3 (0.00%)
    1 / 10 (10.00%)
         occurrences all number
    0
    1
    Psychiatric disorders
    Stress
         subjects affected / exposed
    0 / 3 (0.00%)
    1 / 10 (10.00%)
         occurrences all number
    0
    1
    Insomnia
         subjects affected / exposed
    0 / 3 (0.00%)
    3 / 10 (30.00%)
         occurrences all number
    0
    3
    Investigations
    Aspartate aminotransferase increased
         subjects affected / exposed
    2 / 3 (66.67%)
    3 / 10 (30.00%)
         occurrences all number
    3
    4
    Alanine aminotransferase increased
         subjects affected / exposed
    2 / 3 (66.67%)
    5 / 10 (50.00%)
         occurrences all number
    6
    8
    Blood creatine phosphokinase increased
         subjects affected / exposed
    0 / 3 (0.00%)
    2 / 10 (20.00%)
         occurrences all number
    0
    4
    Blood creatinine increased
         subjects affected / exposed
    0 / 3 (0.00%)
    2 / 10 (20.00%)
         occurrences all number
    0
    3
    Lipase increased
         subjects affected / exposed
    0 / 3 (0.00%)
    1 / 10 (10.00%)
         occurrences all number
    0
    1
    Lymphocyte count decreased
         subjects affected / exposed
    0 / 3 (0.00%)
    2 / 10 (20.00%)
         occurrences all number
    0
    5
    Platelet count decreased
         subjects affected / exposed
    0 / 3 (0.00%)
    2 / 10 (20.00%)
         occurrences all number
    0
    2
    Transaminases increased
         subjects affected / exposed
    0 / 3 (0.00%)
    1 / 10 (10.00%)
         occurrences all number
    0
    2
    Troponin T increased
         subjects affected / exposed
    0 / 3 (0.00%)
    1 / 10 (10.00%)
         occurrences all number
    0
    2
    White blood cell count decreased
         subjects affected / exposed
    0 / 3 (0.00%)
    1 / 10 (10.00%)
         occurrences all number
    0
    1
    Injury, poisoning and procedural complications
    Contusion
         subjects affected / exposed
    0 / 3 (0.00%)
    1 / 10 (10.00%)
         occurrences all number
    0
    1
    Cardiac disorders
    Sinus tachycardia
         subjects affected / exposed
    0 / 3 (0.00%)
    1 / 10 (10.00%)
         occurrences all number
    0
    1
    Nervous system disorders
    Dizziness
         subjects affected / exposed
    0 / 3 (0.00%)
    2 / 10 (20.00%)
         occurrences all number
    0
    2
    Disturbance in attention
         subjects affected / exposed
    0 / 3 (0.00%)
    1 / 10 (10.00%)
         occurrences all number
    0
    1
    Facial paresis
         subjects affected / exposed
    0 / 3 (0.00%)
    1 / 10 (10.00%)
         occurrences all number
    0
    2
    Hypoaesthesia
         subjects affected / exposed
    0 / 3 (0.00%)
    2 / 10 (20.00%)
         occurrences all number
    0
    3
    Headache
         subjects affected / exposed
    1 / 3 (33.33%)
    3 / 10 (30.00%)
         occurrences all number
    1
    5
    Lethargy
         subjects affected / exposed
    0 / 3 (0.00%)
    1 / 10 (10.00%)
         occurrences all number
    0
    1
    Memory impairment
         subjects affected / exposed
    1 / 3 (33.33%)
    1 / 10 (10.00%)
         occurrences all number
    1
    1
    Neuropathy peripheral
         subjects affected / exposed
    0 / 3 (0.00%)
    1 / 10 (10.00%)
         occurrences all number
    0
    1
    Paraesthesia
         subjects affected / exposed
    0 / 3 (0.00%)
    2 / 10 (20.00%)
         occurrences all number
    0
    2
    Peripheral sensory neuropathy
         subjects affected / exposed
    0 / 3 (0.00%)
    1 / 10 (10.00%)
         occurrences all number
    0
    3
    Blood and lymphatic system disorders
    Anaemia
         subjects affected / exposed
    0 / 3 (0.00%)
    3 / 10 (30.00%)
         occurrences all number
    0
    4
    Eye disorders
    Macular oedema
         subjects affected / exposed
    1 / 3 (33.33%)
    0 / 10 (0.00%)
         occurrences all number
    1
    0
    Retinopathy
         subjects affected / exposed
    0 / 3 (0.00%)
    1 / 10 (10.00%)
         occurrences all number
    0
    1
    Vision blurred
         subjects affected / exposed
    0 / 3 (0.00%)
    1 / 10 (10.00%)
         occurrences all number
    0
    1
    Visual impairment
         subjects affected / exposed
    0 / 3 (0.00%)
    1 / 10 (10.00%)
         occurrences all number
    0
    1
    Gastrointestinal disorders
    Abdominal distension
         subjects affected / exposed
    0 / 3 (0.00%)
    1 / 10 (10.00%)
         occurrences all number
    0
    1
    Abdominal pain upper
         subjects affected / exposed
    0 / 3 (0.00%)
    1 / 10 (10.00%)
         occurrences all number
    0
    2
    Abdominal pain
         subjects affected / exposed
    1 / 3 (33.33%)
    5 / 10 (50.00%)
         occurrences all number
    3
    7
    Constipation
         subjects affected / exposed
    0 / 3 (0.00%)
    3 / 10 (30.00%)
         occurrences all number
    0
    4
    Diarrhoea
         subjects affected / exposed
    2 / 3 (66.67%)
    5 / 10 (50.00%)
         occurrences all number
    3
    9
    Dysphagia
         subjects affected / exposed
    1 / 3 (33.33%)
    0 / 10 (0.00%)
         occurrences all number
    1
    0
    Gastritis
         subjects affected / exposed
    1 / 3 (33.33%)
    0 / 10 (0.00%)
         occurrences all number
    1
    0
    Gastrooesophageal reflux disease
         subjects affected / exposed
    0 / 3 (0.00%)
    1 / 10 (10.00%)
         occurrences all number
    0
    1
    Haematochezia
         subjects affected / exposed
    0 / 3 (0.00%)
    1 / 10 (10.00%)
         occurrences all number
    0
    1
    Haemorrhoids
         subjects affected / exposed
    1 / 3 (33.33%)
    0 / 10 (0.00%)
         occurrences all number
    1
    0
    Nausea
         subjects affected / exposed
    2 / 3 (66.67%)
    5 / 10 (50.00%)
         occurrences all number
    3
    8
    Stomatitis
         subjects affected / exposed
    0 / 3 (0.00%)
    1 / 10 (10.00%)
         occurrences all number
    0
    1
    Vomiting
         subjects affected / exposed
    1 / 3 (33.33%)
    4 / 10 (40.00%)
         occurrences all number
    2
    4
    Skin and subcutaneous tissue disorders
    Actinic keratosis
         subjects affected / exposed
    0 / 3 (0.00%)
    1 / 10 (10.00%)
         occurrences all number
    0
    1
    Hyperkeratosis
         subjects affected / exposed
    0 / 3 (0.00%)
    2 / 10 (20.00%)
         occurrences all number
    0
    2
    Erythema
         subjects affected / exposed
    1 / 3 (33.33%)
    0 / 10 (0.00%)
         occurrences all number
    1
    0
    Dermal cyst
         subjects affected / exposed
    0 / 3 (0.00%)
    1 / 10 (10.00%)
         occurrences all number
    0
    1
    Melanocytic hyperplasia
         subjects affected / exposed
    0 / 3 (0.00%)
    1 / 10 (10.00%)
         occurrences all number
    0
    1
    Angioedema
         subjects affected / exposed
    0 / 3 (0.00%)
    1 / 10 (10.00%)
         occurrences all number
    0
    1
    Pain of skin
         subjects affected / exposed
    0 / 3 (0.00%)
    1 / 10 (10.00%)
         occurrences all number
    0
    1
    Papule
         subjects affected / exposed
    0 / 3 (0.00%)
    1 / 10 (10.00%)
         occurrences all number
    0
    1
    Pruritus
         subjects affected / exposed
    0 / 3 (0.00%)
    2 / 10 (20.00%)
         occurrences all number
    0
    2
    Photosensitivity reaction
         subjects affected / exposed
    0 / 3 (0.00%)
    1 / 10 (10.00%)
         occurrences all number
    0
    1
    Purpura
         subjects affected / exposed
    0 / 3 (0.00%)
    1 / 10 (10.00%)
         occurrences all number
    0
    1
    Rash
         subjects affected / exposed
    0 / 3 (0.00%)
    2 / 10 (20.00%)
         occurrences all number
    0
    2
    Rash macular
         subjects affected / exposed
    0 / 3 (0.00%)
    1 / 10 (10.00%)
         occurrences all number
    0
    1
    Rash maculo-papular
         subjects affected / exposed
    0 / 3 (0.00%)
    4 / 10 (40.00%)
         occurrences all number
    0
    4
    Rash pruritic
         subjects affected / exposed
    0 / 3 (0.00%)
    1 / 10 (10.00%)
         occurrences all number
    0
    1
    Seborrhoea
         subjects affected / exposed
    0 / 3 (0.00%)
    1 / 10 (10.00%)
         occurrences all number
    0
    1
    Vitiligo
         subjects affected / exposed
    0 / 3 (0.00%)
    1 / 10 (10.00%)
         occurrences all number
    0
    1
    Skin disorder
         subjects affected / exposed
    0 / 3 (0.00%)
    1 / 10 (10.00%)
         occurrences all number
    0
    1
    Renal and urinary disorders
    Acute kidney injury
         subjects affected / exposed
    0 / 3 (0.00%)
    1 / 10 (10.00%)
         occurrences all number
    0
    1
    Proteinuria
         subjects affected / exposed
    0 / 3 (0.00%)
    1 / 10 (10.00%)
         occurrences all number
    0
    1
    Pollakiuria
         subjects affected / exposed
    0 / 3 (0.00%)
    2 / 10 (20.00%)
         occurrences all number
    0
    3
    Renal impairment
         subjects affected / exposed
    0 / 3 (0.00%)
    1 / 10 (10.00%)
         occurrences all number
    0
    1
    Endocrine disorders
    Hypothyroidism
         subjects affected / exposed
    0 / 3 (0.00%)
    1 / 10 (10.00%)
         occurrences all number
    0
    1
    Musculoskeletal and connective tissue disorders
    Arthralgia
         subjects affected / exposed
    0 / 3 (0.00%)
    3 / 10 (30.00%)
         occurrences all number
    0
    4
    Back pain
         subjects affected / exposed
    0 / 3 (0.00%)
    1 / 10 (10.00%)
         occurrences all number
    0
    1
    Flank pain
         subjects affected / exposed
    0 / 3 (0.00%)
    1 / 10 (10.00%)
         occurrences all number
    0
    1
    Muscular weakness
         subjects affected / exposed
    0 / 3 (0.00%)
    1 / 10 (10.00%)
         occurrences all number
    0
    2
    Myositis
         subjects affected / exposed
    0 / 3 (0.00%)
    1 / 10 (10.00%)
         occurrences all number
    0
    1
    Osteoarthritis
         subjects affected / exposed
    0 / 3 (0.00%)
    1 / 10 (10.00%)
         occurrences all number
    0
    1
    Pain in extremity
         subjects affected / exposed
    0 / 3 (0.00%)
    2 / 10 (20.00%)
         occurrences all number
    0
    2
    Infections and infestations
    Bronchitis
         subjects affected / exposed
    1 / 3 (33.33%)
    1 / 10 (10.00%)
         occurrences all number
    1
    1
    Folliculitis
         subjects affected / exposed
    0 / 3 (0.00%)
    1 / 10 (10.00%)
         occurrences all number
    0
    1
    Onychomycosis
         subjects affected / exposed
    0 / 3 (0.00%)
    1 / 10 (10.00%)
         occurrences all number
    0
    1
    Otitis media
         subjects affected / exposed
    0 / 3 (0.00%)
    1 / 10 (10.00%)
         occurrences all number
    0
    1
    Rhinitis
         subjects affected / exposed
    0 / 3 (0.00%)
    1 / 10 (10.00%)
         occurrences all number
    0
    1
    Metabolism and nutrition disorders
    Decreased appetite
         subjects affected / exposed
    0 / 3 (0.00%)
    2 / 10 (20.00%)
         occurrences all number
    0
    5
    Abnormal loss of weight
         subjects affected / exposed
    0 / 3 (0.00%)
    1 / 10 (10.00%)
         occurrences all number
    0
    1
    Dehydration
         subjects affected / exposed
    0 / 3 (0.00%)
    1 / 10 (10.00%)
         occurrences all number
    0
    1
    Hypocalcaemia
         subjects affected / exposed
    0 / 3 (0.00%)
    1 / 10 (10.00%)
         occurrences all number
    0
    1
    Hyponatraemia
         subjects affected / exposed
    0 / 3 (0.00%)
    2 / 10 (20.00%)
         occurrences all number
    0
    4

    More information

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    Substantial protocol amendments (globally)

    Were there any global substantial amendments to the protocol? Yes
    Date
    Amendment
    13 Mar 2020
    To revise subject eligibility criteria based on investigator feedback and changes in standard of care for the treatment of asymptomatic brain metastases. Study design was updated to allow for flexibility regarding if the high-dose regimen was not tolerated and to simplify the overall study design.
    07 Aug 2020
    To evaluate the safety, tolerability and efficacy for subjects with intra-patient dose escalation up to 600 mg QD encorafenib in Phase 2. To include update safety/risk data. Adverse events and serious adverse events revised to align with Pfizer standard operating procedures. Per Pfizer TLF reduction initiative, the safety parameters (body weight, ECOG PS, dermatologic, ECHO/MUGA and ophthalmic examination) were not summarised descriptively in the tables.
    04 Jan 2021
    1) Clarification of Safety reporting for cardiovascular and death events; 2) Inclusion of Health Canada recommendations for additional ECG criteria that may qualify as serious adverse events.

    Interruptions (globally)

    Were there any global interruptions to the trial? Yes
    Date
    Interruption
    Restart date
    02 Jun 2021
    Pfizer and the Steering Committee reviewed safety lead-in data and decided not to evaluate high dose combination of encorafenib + binimetinib in Phase 2 of the study.
    -

    Limitations and caveats

    Limitations of the trial such as small numbers of subjects analysed or technical problems leading to unreliable data.
    Data for pharmacokinetic end points for “Phase 2” was not collected and analysed as sampling was insufficient to support noncompartmental analysis in subjects.
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