Period | Screening | Baseline study procedures | Â | Vemurafenib/ Cobimetinib Treatment Period | Follow-up after treatment | |||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Cycle | Within 28Â days before start therapy | Within 14Â days before start therapy | Cycle1 | Cycle2 | Cycle3 | Cycle4 | Cycle5 | Cycle6 | Cycle7+ | At progression (EoS) | Every 12Â weeks | |||
Day | 1 | 14 | 15 | 1 | 21 | 1 (± 3) | 1 (± 3) | 1 (± 3) | 1 (± 3) | 1 (± 3) | Within 7 days (on therapy) | |||
In- and exclusion criteria | X | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â |
Medical history and demographics | X | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â |
Interval medical history | Â | X | Â | Â | X | X | X | X | X | X | X | X | X | X |
Physical examination | X | X | Â | Â | X | X | X | X | X | X | X | X | X | X |
Vital signs (Temp, HR, RR) | Â | X | Â | Â | X | Â | X | X | X | X | X | X | X | Â |
Pregnancy test (if indicated) | X | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â |
Dermatologic examination | X | Â | Â | Â | Â | X | Â | Â | Â | X | Â | X | Â | X |
Ophthalmologic examination | if indicated | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â |
MUGA scan | X | Â | Â | Â | Â | X | Â | Â | Â | X | Â | X | X | Â |
12-lead electrocardiography (ECG) | X | X | Â | Â | X | X | X | X | Â | X | Â | X | Â | Â |
Contrast Enhanced CT (CECT) | X | X | Â | Â | X | Â | X | Â | X | Â | X | X | X | Â |
ECOG performance status | X | X | Â | Â | X | X | X | X | X | X | X | X | X | X |
Blood samples | X | X | Â | Â | X | X | X | X | X | X | X | X | X | Â |
Informed consent | X | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â |
PK blood sample | Â | X | Â | Â | X | Â | Â | Â | Â | Â | Â | Â | X | Â |
DNA blood sample (Substudy 1 and 2) | Â | X | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â | X | Â |
18F-FLT PET (Substudy 1) | Â | X | Â | X | Â | Â | Â | Â | Â | Â | Â | Â | X | Â |
18F-FDG PET | Â | X | Â | Â | X | Â | X | Â | Â | Â | Â | Â | X | Â |
Tumor biopsy (Substudy 1 and 2) | Â | X | Â | Â | X | Â | Â | Â | Â | Â | Â | Â | X | Â |
Adverse events | Â | X | Â | Â | X | X | X | X | X | X | X | X | X | X |
Start vemurafenib cobimetinib | Â | Â | X | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â | Â |