A Study of Vemurafenib in Participants With BRAF V600 Mutation-Positive Cancers

Sponsor
Hoffmann-La Roche (Industry)
Overall Status
Completed
CT.gov ID
NCT01524978
Collaborator
(none)
208
34
7
54.5
6.1
0.1

Study Details

Study Description

Brief Summary

This open-label, multi-center study will assess the efficacy and safety of vemurafenib in participants with BRAF V600 mutation-positive cancers (solid tumors and multiple myeloma, except melanoma and papillary thyroid cancer) and for whom vemurafenib is deemed the best treatment option in the opinion of the investigator. Participants will receive twice daily oral doses of 960 mg vemurafenib until disease progression, unacceptable toxicity, or withdrawal of consent. The safety and efficacy of vemurafenib in combination with cetuximab in a subset of participants with colorectal cancer will also be assessed.

Condition or Disease Intervention/Treatment Phase
Phase 2

Study Design

Study Type:
Interventional
Actual Enrollment :
208 participants
Allocation:
Non-Randomized
Intervention Model:
Parallel Assignment
Masking:
None (Open Label)
Primary Purpose:
Treatment
Official Title:
An Open-label, Phase II Study of Vemurafenib in Patients With BRAF V600 Mutation-positive Cancers
Actual Study Start Date :
Apr 12, 2012
Actual Primary Completion Date :
Oct 28, 2016
Actual Study Completion Date :
Oct 28, 2016

Arms and Interventions

Arm Intervention/Treatment
Experimental: Cohort 1: Non-Small Cell Lung Cancer (NSCLC) - vemurafenib

Participants with NSCLC will be treated with vemurafenib monotherapy.

Drug: vemurafenib
960 mg vemurafenib orally twice a day until disease progression, unacceptable toxicity, or withdrawal of consent.
Other Names:
  • Zelboraf
  • Experimental: Cohort 2: Ovarian Cancer - vemurafenib

    Participants with ovarian cancer will be treated with vemurafenib monotherapy.

    Drug: vemurafenib
    960 mg vemurafenib orally twice a day until disease progression, unacceptable toxicity, or withdrawal of consent.
    Other Names:
  • Zelboraf
  • Experimental: Cohort 3a: Colorectal Cancer - vemurafenib

    Participants with colorectal cancer will be treated with vemurafenib monotherapy.

    Drug: vemurafenib
    960 mg vemurafenib orally twice a day until disease progression, unacceptable toxicity, or withdrawal of consent.
    Other Names:
  • Zelboraf
  • Experimental: Cohort 3b: Colorectal Cancer - vemurafenib + cetuximab

    Participants with colorectal cancer will be treated with vemurafenib and cetuximab combination therapy.

    Drug: cetuximab
    Escalating doses administered on Day 1 and then once weekly by intravenous infusion.

    Drug: vemurafenib
    Escalating doses given orally twice a day starting on Day 2
    Other Names:
  • Zelboraf
  • Experimental: Cohort 4: Cholangiocarcinoma - vemurafenib

    Participants with cholangiocarcinoma will be treated with vemurafenib monotherapy.

    Drug: vemurafenib
    960 mg vemurafenib orally twice a day until disease progression, unacceptable toxicity, or withdrawal of consent.
    Other Names:
  • Zelboraf
  • Experimental: Cohort 6: Multiple Myeloma - vemurafenib

    Participants with multiple myeloma will be treated with vemurafenib monotherapy.

    Drug: vemurafenib
    960 mg vemurafenib orally twice a day until disease progression, unacceptable toxicity, or withdrawal of consent.
    Other Names:
  • Zelboraf
  • Experimental: Cohort 7: Other Solid Tumors - vemurafenib

    Participants with Erdheim-Chester disease (ECD), Langerhans cell histiocytosis (LCH), anaplastic thyroid cancer, advanced stage astrocytoma, early stage astrocytoma and other BRAF V600-positive tumors will be treated with vemurafenib monotherapy. Subcohorts will be analyzed separately if 7 or more participants are enrolled for each indication.

    Drug: vemurafenib
    960 mg vemurafenib orally twice a day until disease progression, unacceptable toxicity, or withdrawal of consent.
    Other Names:
  • Zelboraf
  • Outcome Measures

    Primary Outcome Measures

    1. Confirmed Best Overall Response Rate (BORR) [Up to approximately 3 years]

      Confirmed BORR: percentage of participants with an objective response (OR) (complete response [CR], partial response [PR], stringent CR [sCR] or very good PR [VGPR]) on 2 occasions >/= 4 weeks apart as assessed by the Investigator using Response Evaluation Criteria in Solid Tumors (RECIST) v1.1. or International Myeloma Working Group (IMWG) criteria. RECIST v1.1: CR: disappearance of all target lesions; PR: >/= 30% decrease in the sum of diameters of target lesions. IMWG: CR: negative immunofixation on serum and urine, disappearance of any soft tissue plasmacytomas and </= 5% plasma cells in bone marrow; PR: >/= 50% reduction of serum M-protein and reduction in 24-hour urinary M-protein by >/= 90% or to <200 mg per 24 hours. VGPR: serum and urine M-protein detectable by immunofixation but not on electrophoresis or >/= 90% reduction in serum M-protein plus urine M-protein level < 100 mg per 24 hour; sCR: CR plus normal free light chain (FLC) ratio and no clonal cells in bone marrow.

    Secondary Outcome Measures

    1. Percentage of Participants With Confirmed Clinical Benefit [Up to approximately 3 years]

      Included were participants with confirmed PR or CR or Stable Disease (SD) that had lasted at least 6 months according to RECIST v1.1 or confirmed CR, PR, VGPR, sCR or SD for at least 6 months according to IMWG criteria. RECIST v1.1: PR: >/= 30% decrease in the sum of diameters of target lesions; CR: disappearance of all target lesions; SD: not meeting criteria for CR, PR or progressive disease (PD). IMWG: CR: negative immunofixation on serum and urine, disappearance of any soft tissue plasmacytomas and </= 5% plasma cells in bone marrow; PR: >/= 50% reduction of serum M-protein and reduction in 24-hour urinary M-protein by >/= 90% or to <200 mg per 24 hours. VGPR: serum and urine M-protein detectable by immunofixation but not on electrophoresis or >/= 90% reduction in serum M-protein plus urine M-protein level < 100 mg per 24 hour; sCR: CR plus normal FLC ratio and no clonal cells in bone marrow; SD: not meeting criteria for CR, VGPR, PR or PD.

    2. Overall Response Rate (ORR) [Up to approximately 3 years]

      ORR: percentage of participants with an objective response (OR) (CR, PR, sCR or VGPR) on 2 occasions >/= 4 weeks apart as assessed by the Investigator using RECIST v1.1. or IMWG criteria. RECIST v1.1: CR: disappearance of all target lesions; PR: >/= 30% decrease in the sum of diameters of target lesions. IMWG: CR: negative immunofixation on serum and urine, disappearance of any soft tissue plasmacytomas and </= 5% plasma cells in bone marrow; PR: >/= 50% reduction of serum M-protein and reduction in 24-hour urinary M-protein by >/= 90% or to <200 mg per 24 hours. VGPR: serum and urine M-protein detectable by immunofixation but not on electrophoresis or >/= 90% reduction in serum M-protein plus urine M-protein level < 100 mg per 24 hour; sCR: CR plus normal FLC ratio and no clonal cells in bone marrow.

    3. Duration of Response (DOR) [Up to approximately 3 years]

      DOR was defined as the period from the date of initial PR or CR for solid tumors according to RECISTv1.1 and CR, PR, VGPR or sCR for multiple myeloma according to IMWG criteria, until the date of PD or death from any cause. RECIST v1.1: PD: At least a 20% increase in the sum of diameters of target lesions and an absolute increase of at least 5 mm. IMWG: PD: increase of >/= 25% from lowest response value in serum or urine M-protein or bone marrow plasma cell percentage or development of new or increase in size of bone lesions or soft tissue plasmacytomas.

    4. Time to Response [Up to approximately 3 years]

      Time to response was defined as the time from the first day of study treatment to the date of first CR, or PR for solid tumors according to RECISTv1.1 and CR, PR, VGPR or sCR for multiple myeloma according to IMWG criteria. RECIST v1.1: CR: disappearance of all target lesions; PR: at least a 30% decrease in the sum of diameters of target lesions. IMWG criteria: CR: negative immunofixation on serum and urine and disappearance of any soft tissue plasmacytomas and </= 5% plasma cells in bone marrow; PR: >/= 50% reduction of serum M-protein and reduction in 24-hour urinary M-protein by >/= 90% or to < 200 mg per 24 hours. VGPR: serum and urine M-protein detectable by immunofixation but not on electrophoresis or >/= 90% reduction in serum M-protein plus urine M-protein level < 100 mg per 24 hour; sCR: CR plus normal FLC ratio and no clonal cells in bone marrow.

    5. Time to Tumor Progression (TTP) [Up to approximately 3 years]

      TTP was defined as time from the first day of study treatment to the first occurrence of progressive disease (PD). RECIST v1.1: PD: at least a 20% increase in the sum of diameters of target lesions and an absolute increase of at least 5 mm. IMWG: PD: increase of >/= 25% from lowest response value in serum or urine M-protein or bone marrow plasma cell percentage or development of new or increase in size of bone lesions or soft tissue plasmacytomas.

    6. Progression Free Survival (PFS) [Up to approximately 3 years]

      PFS was defined as the time from the first day of study treatment, until the first documented PD or death from any cause, whichever occurs first. RECIST v1.1: PD: at least a 20% increase in the sum of diameters of target lesions and an absolute increase of at least 5 mm. IMWG criteria: PD: increase of >/= 25% from lowest response value in serum or urine M-protein or bone marrow plasma cell percentage or development of new or increase in size of bone lesions or soft tissue plasmacytomas.

    7. Overall Survival (OS) [Up to approximately 3 years]

      OS was defined as time between the first day of study treatment and date of death of any cause.

    8. Maximum Tolerated Dose for Vemurafenib in Combination With Cetuximab [Up to approximately 3 years]

      Cohort 3b included participants with colorectal cancer treated with escalating doses of vemurafenib and cetuximab. The escalating doses were as follows: Dose Level 1: 720 milligrams (mg) of vemurafenib orally twice daily starting on Day 2 of Cycle 1 and 300 milligrams per square meter (mg/m^2) loading dose of cetuximab by infusion and then 200 mg/m^2 weekly; Dose Level 2: 720 mg of vemurafenib twice daily starting on Day 2 of Cycle 1 and 400 mg/m^2 loading dose of cetuximab and then 250 mg/m^2 weekly; Dose Level 3: 960 mg of vemurafenib twice daily starting on Day 2 of Cycle 1 and 400 mg/m^2 loading dose of cetuximab and then 250 mg/m^2 weekly. Reported here are the maximum tolerated doses for each vemurafenib and cetuximab.

    9. Number of Dose-limiting Toxicities of Vemurafenib in Combination With Cetuximab [Up to 28 days]

      Cohort 3b included participants with colorectal cancer treated with escalating doses of vemurafenib and cetuximab. The escalating doses were as follows: Dose Level 1: 720 milligrams (mg) of vemurafenib orally twice daily starting on Day 2 of Cycle 1 and 300 milligrams per square meter (mg/m^2) loading dose of cetuximab by infusion and then 200 mg/m^2 weekly; Dose Level 2: 720 mg of vemurafenib twice daily starting on Day 2 of Cycle 1 and 400 mg/m^2 loading dose of cetuximab and then 250 mg/m^2 weekly; Dose Level 3: 960 mg of vemurafenib twice daily starting on Day 2 of Cycle 1 and 400 mg/m^2 loading dose of cetuximab and then 250 mg/m^2 weekly. Reported here are type and number of dose limited toxicities observed.

    10. Safety: Percentage of Participants With Adverse Event [Up to approximately 3 years]

      An adverse event is any untoward medical occurrence in a subject administered a pharmaceutical product and which does not necessarily have to have a causal relationship with the treatment. An adverse event can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding, for example), symptom, or disease temporally associated with the use of a pharmaceutical product, whether or not considered related to the pharmaceutical product. Preexisting conditions which worsen during a study are also considered as adverse events.

    Eligibility Criteria

    Criteria

    Ages Eligible for Study:
    16 Years and Older
    Sexes Eligible for Study:
    All
    Accepts Healthy Volunteers:
    No
    Inclusion Criteria:
    • Eastern Cooperative Oncology Group (ECOG) performance status of 0-2

    • Must have recovered from all side effects of their most recent systemic or local treatment

    • Adequate hematological, renal and liver function

    For solid tumors only:
    • Histologically confirmed cancers (excluding melanoma and papillary thyroid cancer) with a BRAF V600 mutation and that are resistant to standard therapy or for which standard or curative therapy does not exist

    • Measurable disease according to Response Evaluation Criteria In Solid Tumors (RECIST)

    For multiple myeloma only:
    • Confirmed diagnosis of multiple myeloma with a BRAF V600 mutation

    • Must have received at least one prior systemic therapy for the treatment of multiple myeloma

    • Treated with local radiotherapy

    • Must have relapsed and/or refractory multiple myeloma with measurable disease

    Exclusion Criteria:
    • Melanoma, papillary thyroid cancer or hematological malignancies (with the exception of multiple myeloma)

    • Uncontrolled concurrent malignancy

    • Multiple myeloma: solitary bone or solitary extramedullary plasmacytoma as the only evidence of plasma cell dyscrasia

    • Active or untreated central nervous system (CNS) metastases

    • History of or known carcinomatous meningitis

    • Concurrent administration of any anti-cancer therapies other than those administered in this study

    • Other severe, acute, or chronic medical or psychiatric condition or laboratory abnormality that would, in the investigator's opinion, contraindicate participation in this study

    Contacts and Locations

    Locations

    Site City State Country Postal Code
    1 Arizona Oncology Tucson Arizona United States 85704
    2 Rocky Mountain Cancer Centers, LLP Aurora Colorado United States 80012
    3 Massachusetts General Hospital;Oncology Boston Massachusetts United States 02114
    4 Beth Israel Deaconess Medical Center Boston Massachusetts United States 02215
    5 Dana-Farber Cancer Institute Boston Massachusetts United States 02215
    6 Karmanos Cancer Institute Detroit Michigan United States 48201
    7 Washington University Saint Louis Missouri United States 63110
    8 Memorial Sloan-Kettering Cancer Center New York New York United States
    9 Vanderbilt Nashville Tennessee United States 37232
    10 University of Texas M.D. Anderson Cancer Center Houston Texas United States 77030
    11 Yakima Valley Memorial Hospital/North Star Lodge Yakima Washington United States 98902
    12 Tianjin Cancer Hospital Tianjin China 300060
    13 Institut Bergonie; Oncologie Bordeaux France 33076
    14 Centre Francois Baclesse; Oncologie Caen France 14076
    15 Centre Georges François Leclerc Dijon France 21000
    16 Centre Leon Berard; Departement Oncologie Medicale Lyon France 69373
    17 Institut Paoli-Calmettes; Oncologie Medicale 1 Marseille Cedex 09 France 13273
    18 Centre Rene Gauducheau Saint Herblain France 44805
    19 Institut Claudius Regaud; Departement Oncologie Medicale Toulouse France 31059
    20 Institut Gustave Roussy; Sitep VILLEJUIF Cedex France 94805
    21 Universitätsklinikum Essen; Innere Klinik und Poliklinik für Tumorforschung Essen Germany 45122
    22 Klinik der Uni zu Koeln; Klinik I für Innere Medizin; Onkologie Köln Germany 50937
    23 Universitätsklinikum Mannheim, Tagestherapiezentrum, Interdisziplinäres Tumorzentrum Mannheim Germany 68167
    24 Hospital Univ. Central de Asturias; Servicio de Oncologia Oviedo Asturias Spain 33011
    25 Hospital del Mar; Servicio de Oncologia Barcelona Spain 08003
    26 Hospital Univ Vall d'Hebron; Servicio de Oncologia Barcelona Spain 08035
    27 Hospital General Universitario Gregorio Marañon; Servicio de Oncologia Madrid Spain 28007
    28 Fundacion Jimenez Diaz; Servicio de Oncologia Madrid Spain 28040
    29 Centro Integral Oncologico Clara Campal (CIOCC); Dirección Médica Madrid Spain 28050
    30 Hospital Clinico Universitario de Salamanca; Servicio de Oncologia Salamanca Spain 37007
    31 Hospital Clinico Universitario de Valencia; Servicio de Onco-hematologia Valencia Spain 46010
    32 Aberdeen Royal Infirmary Aberdeen United Kingdom AB25 2ZN
    33 The Royal Marsden Hospital; Dept of Medicine London United Kingdom SW3 5PT
    34 The Royal Marsden Hospital Sutton United Kingdom SM2 5PT

    Sponsors and Collaborators

    • Hoffmann-La Roche

    Investigators

    • Study Director: Clinical Trials, Hoffmann-La Roche

    Study Documents (Full-Text)

    None provided.

    More Information

    Additional Information:

    Publications

    None provided.
    Responsible Party:
    Hoffmann-La Roche
    ClinicalTrials.gov Identifier:
    NCT01524978
    Other Study ID Numbers:
    • MO28072
    • 2011-004426-10
    First Posted:
    Feb 2, 2012
    Last Update Posted:
    Nov 20, 2017
    Last Verified:
    Oct 1, 2017
    Studies a U.S. FDA-regulated Drug Product:
    Yes
    Studies a U.S. FDA-regulated Device Product:
    No
    Additional relevant MeSH terms:

    Study Results

    Participant Flow

    Recruitment Details
    Pre-assignment Detail One participant with breast cancer was screened shortly after Cohort 5 (Breast Cancer) had been closed. This participant was allowed to enter the study in Cohort 7: Other BRAF V600-positive tumors. For analysis purposes Cohort 7 was split into sub-cohorts for indications with sufficient participants.
    Arm/Group Title Cohort 1: Non-Small Cell Lung Cancer (NSCLC) - Vemurafenib Cohort 2: Ovarian Cancer - Vemurafenib Cohort 3a: Colorectal Cancer - Vemurafenib Cohort 3b: Colorectal Cancer - Vemurafenib + Cetuximab Cohort 4: Cholangiocarcinoma - Vemurafenib Cohort 6: Multiple Myeloma - Vemurafenib Cohort 7a: ECD/LCH - Vemurafenib Cohort 7b: Anaplastic Thyroid Cancer - Vemurafenib Cohort 7c: Advanced Stage Astrocytoma - Vemurafenib Cohort 7d: Early Stage Astrocytoma - Vemurafenib Cohort 7: Other BRAF V600-positive Tumors - Vemurafenib
    Arm/Group Description Participants with NSCLC were treated with vemurafenib monotherapy. Participants with ovarian cancer were treated with vemurafenib monotherapy. Participants with colorectal cancer were treated with vemurafenib monotherapy. Participants with colorectal cancer were treated with vemurafenib and cetuximab combination therapy. Participants with cholangiocarcinoma were treated with vemurafenib monotherapy. Participants with multiple myeloma were treated with vemurafenib monotherapy. Participants with Erdheim-Chester disease (ECD) or Langerhans cell histiocytosis (LCH) were treated with vemurafenib monotherapy. Participants with anaplastic thyroid cancer were treated with vemurafenib monotherapy. Participants with advanced stage astrocytoma were treated with vemurafenib monotherapy. Participants with early stage astrocytoma were treated with vemurafenib monotherapy. Participants with other BRAF V600-positive tumors were treated with vemurafenib monotherapy.
    Period Title: Overall Study
    STARTED 62 4 10 27 9 9 26 12 12 9 28
    COMPLETED 0 0 0 0 0 0 0 0 0 0 0
    NOT COMPLETED 62 4 10 27 9 9 26 12 12 9 28

    Baseline Characteristics

    Arm/Group Title Cohort 1: Non-Small Cell Lung Cancer (NSCLC) - Vemurafenib Cohort 2: Ovarian Cancer - Vemurafenib Cohort 3a: Colorectal Cancer - Vemurafenib Cohort 3b: Colorectal Cancer - Vemurafenib + Cetuximab Cohort 4: Cholangiocarcinoma - Vemurafenib Cohort 6: Multiple Myeloma - Vemurafenib Cohort 7a: ECD/LCH - Vemurafenib Cohort 7b: Anaplastic Thyroid Cancer - Vemurafenib Cohort 7c: Advanced Stage Astrocytoma - Vemurafenib Cohort 7d: Early Stage Astrocytoma - Vemurafenib Cohort 7: Other BRAF V600-positive Tumors - Vemurafenib Total
    Arm/Group Description Participants with NSCLC were treated with vemurafenib monotherapy. Participants with ovarian cancer were treated with vemurafenib monotherapy. Participants with colorectal cancer were treated with vemurafenib monotherapy. Participants with colorectal cancer were treated with vemurafenib and cetuximab combination therapy. Participants with cholangiocarcinoma were treated with vemurafenib monotherapy. Participants with multiple myeloma were treated with vemurafenib monotherapy. Participants with Erdheim-Chester disease (ECD) or Langerhans cell histiocytosis (LCH) were treated with vemurafenib monotherapy. Participants with anaplastic thyroid cancer were treated with vemurafenib monotherapy. Participants with advanced stage astrocytoma were treated with vemurafenib monotherapy. Participants with early stage astrocytoma were treated with vemurafenib monotherapy. Participants with other BRAF V600-positive tumors were treated with vemurafenib monotherapy. Total of all reporting groups
    Overall Participants 62 4 10 27 9 9 26 12 12 9 28 208
    Age (years) [Mean (Standard Deviation) ]
    Mean (Standard Deviation) [years]
    65.4
    (10.2)
    45.8
    (5.3)
    57.3
    (5.4)
    64.3
    (8.8)
    53.2
    (9.7)
    62.1
    (4.3)
    60.8
    (13.3)
    66.8
    (9.2)
    41.6
    (12.2)
    34.3
    (20.7)
    53.7
    (17.5)
    59.0
    (14.5)
    Sex: Female, Male (Count of Participants)
    Female
    27
    43.5%
    4
    100%
    5
    50%
    18
    66.7%
    5
    55.6%
    3
    33.3%
    14
    53.8%
    3
    25%
    8
    66.7%
    9
    100%
    15
    53.6%
    111
    53.4%
    Male
    35
    56.5%
    0
    0%
    5
    50%
    9
    33.3%
    4
    44.4%
    6
    66.7%
    12
    46.2%
    9
    75%
    4
    33.3%
    0
    0%
    13
    46.4%
    97
    46.6%

    Outcome Measures

    1. Primary Outcome
    Title Confirmed Best Overall Response Rate (BORR)
    Description Confirmed BORR: percentage of participants with an objective response (OR) (complete response [CR], partial response [PR], stringent CR [sCR] or very good PR [VGPR]) on 2 occasions >/= 4 weeks apart as assessed by the Investigator using Response Evaluation Criteria in Solid Tumors (RECIST) v1.1. or International Myeloma Working Group (IMWG) criteria. RECIST v1.1: CR: disappearance of all target lesions; PR: >/= 30% decrease in the sum of diameters of target lesions. IMWG: CR: negative immunofixation on serum and urine, disappearance of any soft tissue plasmacytomas and </= 5% plasma cells in bone marrow; PR: >/= 50% reduction of serum M-protein and reduction in 24-hour urinary M-protein by >/= 90% or to <200 mg per 24 hours. VGPR: serum and urine M-protein detectable by immunofixation but not on electrophoresis or >/= 90% reduction in serum M-protein plus urine M-protein level < 100 mg per 24 hour; sCR: CR plus normal free light chain (FLC) ratio and no clonal cells in bone marrow.
    Time Frame Up to approximately 3 years

    Outcome Measure Data

    Analysis Population Description
    ITT population included all participants enrolled in the study irrespective of whether they had received study drug or not.
    Arm/Group Title Cohort 1: Non-Small Cell Lung Cancer (NSCLC) - Vemurafenib Cohort 2: Ovarian Cancer - Vemurafenib Cohort 3a: Colorectal Cancer - Vemurafenib Cohort 3b: Colorectal Cancer - Vemurafenib + Cetuximab Cohort 4: Cholangiocarcinoma - Vemurafenib Cohort 6: Multiple Myeloma - Vemurafenib Cohort 7a: ECD/LCH - Vemurafenib Cohort 7b: Anaplastic Thyroid Cancer - Vemurafenib Cohort 7c: Advanced Stage Astrocytoma - Vemurafenib Cohort 7d: Early Stage Astrocytoma - Vemurafenib Cohort 7: Other BRAF V600-positive Tumors - Vemurafenib
    Arm/Group Description Participants with NSCLC were treated with vemurafenib monotherapy. Participants with ovarian cancer were treated with vemurafenib monotherapy. Participants with colorectal cancer were treated with vemurafenib monotherapy. Participants with colorectal cancer were treated with vemurafenib and cetuximab combination therapy. Participants with cholangiocarcinoma were treated with vemurafenib monotherapy. Participants with multiple myeloma were treated with vemurafenib monotherapy. Participants with Erdheim-Chester disease (ECD) or Langerhans cell histiocytosis (LCH) were treated with vemurafenib monotherapy. Participants with anaplastic thyroid cancer were treated with vemurafenib monotherapy. Participants with advanced stage astrocytoma were treated with vemurafenib monotherapy. Participants with early stage astrocytoma were treated with vemurafenib monotherapy. Participants with other BRAF V600-positive tumors were treated with vemurafenib monotherapy.
    Measure Participants 62 4 10 27 9 9 26 12 12 9 28
    Number (95% Confidence Interval) [percentage of participants]
    37.1
    59.8%
    50.0
    1250%
    0
    0%
    7.4
    27.4%
    22.2
    246.7%
    22.2
    246.7%
    61.5
    236.5%
    25.0
    208.3%
    16.7
    139.2%
    33.3
    370%
    17.9
    63.9%
    2. Secondary Outcome
    Title Percentage of Participants With Confirmed Clinical Benefit
    Description Included were participants with confirmed PR or CR or Stable Disease (SD) that had lasted at least 6 months according to RECIST v1.1 or confirmed CR, PR, VGPR, sCR or SD for at least 6 months according to IMWG criteria. RECIST v1.1: PR: >/= 30% decrease in the sum of diameters of target lesions; CR: disappearance of all target lesions; SD: not meeting criteria for CR, PR or progressive disease (PD). IMWG: CR: negative immunofixation on serum and urine, disappearance of any soft tissue plasmacytomas and </= 5% plasma cells in bone marrow; PR: >/= 50% reduction of serum M-protein and reduction in 24-hour urinary M-protein by >/= 90% or to <200 mg per 24 hours. VGPR: serum and urine M-protein detectable by immunofixation but not on electrophoresis or >/= 90% reduction in serum M-protein plus urine M-protein level < 100 mg per 24 hour; sCR: CR plus normal FLC ratio and no clonal cells in bone marrow; SD: not meeting criteria for CR, VGPR, PR or PD.
    Time Frame Up to approximately 3 years

    Outcome Measure Data

    Analysis Population Description
    ITT population included all participants enrolled in the study irrespective of whether they had received study medication or not.
    Arm/Group Title Cohort 1: Non-Small Cell Lung Cancer (NSCLC) - Vemurafenib Cohort 2: Ovarian Cancer - Vemurafenib Cohort 3a: Colorectal Cancer - Vemurafenib Cohort 3b: Colorectal Cancer - Vemurafenib + Cetuximab Cohort 4: Cholangiocarcinoma - Vemurafenib Cohort 6: Multiple Myeloma - Vemurafenib Cohort 7a: ECD/LCH - Vemurafenib Cohort 7b: Anaplastic Thyroid Cancer - Vemurafenib Cohort 7c: Advanced Stage Astrocytoma - Vemurafenib Cohort 7d: Early Stage Astrocytoma - Vemurafenib Cohort 7: Other BRAF V600-positive Tumors - Vemurafenib
    Arm/Group Description Participants with NSCLC were treated with vemurafenib monotherapy. Participants with ovarian cancer were treated with vemurafenib monotherapy. Participants with colorectal cancer were treated with vemurafenib monotherapy. Participants with colorectal cancer were treated with vemurafenib and cetuximab combination therapy. Participants with cholangiocarcinoma were treated with vemurafenib monotherapy. Participants with multiple myeloma were treated with vemurafenib monotherapy. Participants with Erdheim-Chester disease (ECD) or Langerhans cell histiocytosis (LCH) were treated with vemurafenib monotherapy. Participants with anaplastic thyroid cancer were treated with vemurafenib monotherapy. Participants with advanced stage astrocytoma were treated with vemurafenib monotherapy. Participants with early stage astrocytoma were treated with vemurafenib monotherapy. Participants with other BRAF V600-positive tumors were treated with vemurafenib monotherapy.
    Measure Participants 62 4 10 27 9 9 26 12 12 9 28
    Number (95% Confidence Interval) [percentage of participants]
    48.4
    78.1%
    50.0
    1250%
    0
    0%
    18.5
    68.5%
    44.4
    493.3%
    22.2
    246.7%
    76.9
    295.8%
    25.0
    208.3%
    33.3
    277.5%
    44.4
    493.3%
    17.9
    63.9%
    3. Secondary Outcome
    Title Overall Response Rate (ORR)
    Description ORR: percentage of participants with an objective response (OR) (CR, PR, sCR or VGPR) on 2 occasions >/= 4 weeks apart as assessed by the Investigator using RECIST v1.1. or IMWG criteria. RECIST v1.1: CR: disappearance of all target lesions; PR: >/= 30% decrease in the sum of diameters of target lesions. IMWG: CR: negative immunofixation on serum and urine, disappearance of any soft tissue plasmacytomas and </= 5% plasma cells in bone marrow; PR: >/= 50% reduction of serum M-protein and reduction in 24-hour urinary M-protein by >/= 90% or to <200 mg per 24 hours. VGPR: serum and urine M-protein detectable by immunofixation but not on electrophoresis or >/= 90% reduction in serum M-protein plus urine M-protein level < 100 mg per 24 hour; sCR: CR plus normal FLC ratio and no clonal cells in bone marrow.
    Time Frame Up to approximately 3 years

    Outcome Measure Data

    Analysis Population Description
    ITT population included all participants enrolled in the study irrespective of whether they had received study medication or not.
    Arm/Group Title Cohort 1: Non-Small Cell Lung Cancer (NSCLC) - Vemurafenib Cohort 2: Ovarian Cancer - Vemurafenib Cohort 3a: Colorectal Cancer - Vemurafenib Cohort 3b: Colorectal Cancer - Vemurafenib + Cetuximab Cohort 4: Cholangiocarcinoma - Vemurafenib Cohort 6: Multiple Myeloma - Vemurafenib Cohort 7a: ECD/LCH - Vemurafenib Cohort 7b: Anaplastic Thyroid Cancer - Vemurafenib Cohort 7c: Advanced Stage Astrocytoma - Vemurafenib Cohort 7d: Early Stage Astrocytoma - Vemurafenib Cohort 7: Other BRAF V600-positive Tumors - Vemurafenib
    Arm/Group Description Participants with NSCLC were treated with vemurafenib monotherapy. Participants with ovarian cancer were treated with vemurafenib monotherapy. Participants with colorectal cancer were treated with vemurafenib monotherapy. Participants with colorectal cancer were treated with vemurafenib and cetuximab combination therapy. Participants with cholangiocarcinoma were treated with vemurafenib monotherapy. Participants with multiple myeloma were treated with vemurafenib monotherapy. Participants with Erdheim-Chester disease (ECD) or Langerhans cell histiocytosis (LCH) were treated with vemurafenib monotherapy. Participants with anaplastic thyroid cancer were treated with vemurafenib monotherapy. Participants with advanced stage astrocytoma were treated with vemurafenib monotherapy. Participants with early stage astrocytoma were treated with vemurafenib monotherapy. Participants with other BRAF V600-positive tumors were treated with vemurafenib monotherapy.
    Measure Participants 62 4 10 27 9 9 26 12 12 9 28
    CR
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    0
    0%
    7.7
    29.6%
    8.3
    69.2%
    8.3
    69.2%
    0
    0%
    3.6
    12.9%
    PR
    37.1
    59.8%
    50.0
    1250%
    0
    0%
    7.4
    27.4%
    22.2
    246.7%
    11.1
    123.3%
    53.8
    206.9%
    16.7
    139.2%
    8.3
    69.2%
    33.3
    370%
    14.3
    51.1%
    VGPR
    NA
    NaN
    NA
    NaN
    NA
    NaN
    NA
    NaN
    NA
    NaN
    11.1
    123.3%
    NA
    NaN
    NA
    NaN
    NA
    NaN
    NA
    NaN
    NA
    NaN
    sCR
    NA
    NaN
    NA
    NaN
    NA
    NaN
    NA
    NaN
    NA
    NaN
    0
    0%
    NA
    NaN
    NA
    NaN
    NA
    NaN
    NA
    NaN
    NA
    NaN
    4. Secondary Outcome
    Title Duration of Response (DOR)
    Description DOR was defined as the period from the date of initial PR or CR for solid tumors according to RECISTv1.1 and CR, PR, VGPR or sCR for multiple myeloma according to IMWG criteria, until the date of PD or death from any cause. RECIST v1.1: PD: At least a 20% increase in the sum of diameters of target lesions and an absolute increase of at least 5 mm. IMWG: PD: increase of >/= 25% from lowest response value in serum or urine M-protein or bone marrow plasma cell percentage or development of new or increase in size of bone lesions or soft tissue plasmacytomas.
    Time Frame Up to approximately 3 years

    Outcome Measure Data

    Analysis Population Description
    ITT population included all participants enrolled in the study irrespective of whether they had received study medication or not.
    Arm/Group Title Cohort 1: Non-Small Cell Lung Cancer (NSCLC) - Vemurafenib Cohort 2: Ovarian Cancer - Vemurafenib Cohort 3a: Colorectal Cancer - Vemurafenib Cohort 3b: Colorectal Cancer - Vemurafenib + Cetuximab Cohort 4: Cholangiocarcinoma - Vemurafenib Cohort 6: Multiple Myeloma - Vemurafenib Cohort 7a: ECD/LCH - Vemurafenib Cohort 7b: Anaplastic Thyroid Cancer - Vemurafenib Cohort 7c: Advanced Stage Astrocytoma - Vemurafenib Cohort 7d: Early Stage Astrocytoma - Vemurafenib Cohort 7: Other BRAF V600-positive Tumors - Vemurafenib
    Arm/Group Description Participants with NSCLC were treated with vemurafenib monotherapy. Participants with ovarian cancer were treated with vemurafenib monotherapy. Participants with colorectal cancer were treated with vemurafenib monotherapy. Participants with colorectal cancer were treated with vemurafenib and cetuximab combination therapy. Participants with cholangiocarcinoma were treated with vemurafenib monotherapy. Participants with multiple myeloma were treated with vemurafenib monotherapy. Participants with Erdheim-Chester disease (ECD) or Langerhans cell histiocytosis (LCH) were treated with vemurafenib monotherapy. Participants with anaplastic thyroid cancer were treated with vemurafenib monotherapy. Participants with advanced stage astrocytoma were treated with vemurafenib monotherapy. Participants with early stage astrocytoma were treated with vemurafenib monotherapy. Participants with other BRAF V600-positive tumors were treated with vemurafenib monotherapy.
    Measure Participants 62 4 10 27 9 9 26 12 12 9 28
    Median (95% Confidence Interval) [months]
    7.16
    8.16
    NA
    6.54
    12.86
    NA
    NA
    9.95
    NA
    3.42
    9.92
    5. Secondary Outcome
    Title Time to Response
    Description Time to response was defined as the time from the first day of study treatment to the date of first CR, or PR for solid tumors according to RECISTv1.1 and CR, PR, VGPR or sCR for multiple myeloma according to IMWG criteria. RECIST v1.1: CR: disappearance of all target lesions; PR: at least a 30% decrease in the sum of diameters of target lesions. IMWG criteria: CR: negative immunofixation on serum and urine and disappearance of any soft tissue plasmacytomas and </= 5% plasma cells in bone marrow; PR: >/= 50% reduction of serum M-protein and reduction in 24-hour urinary M-protein by >/= 90% or to < 200 mg per 24 hours. VGPR: serum and urine M-protein detectable by immunofixation but not on electrophoresis or >/= 90% reduction in serum M-protein plus urine M-protein level < 100 mg per 24 hour; sCR: CR plus normal FLC ratio and no clonal cells in bone marrow.
    Time Frame Up to approximately 3 years

    Outcome Measure Data

    Analysis Population Description
    ITT population included all participants enrolled in the study irrespective of whether they had received study medication or not.
    Arm/Group Title Cohort 1: Non-Small Cell Lung Cancer (NSCLC) - Vemurafenib Cohort 2: Ovarian Cancer - Vemurafenib Cohort 3a: Colorectal Cancer - Vemurafenib Cohort 3b: Colorectal Cancer - Vemurafenib + Cetuximab Cohort 4: Cholangiocarcinoma - Vemurafenib Cohort 6: Multiple Myeloma - Vemurafenib Cohort 7a: ECD/LCH - Vemurafenib Cohort 7b: Anaplastic Thyroid Cancer - Vemurafenib Cohort 7c: Advanced Stage Astrocytoma - Vemurafenib Cohort 7d: Early Stage Astrocytoma - Vemurafenib Cohort 7: Other BRAF V600-positive Tumors - Vemurafenib
    Arm/Group Description Participants with NSCLC were treated with vemurafenib monotherapy. Participants with ovarian cancer were treated with vemurafenib monotherapy. Participants with colorectal cancer were treated with vemurafenib monotherapy. Participants with colorectal cancer were treated with vemurafenib and cetuximab combination therapy. Participants with cholangiocarcinoma were treated with vemurafenib monotherapy. Participants with multiple myeloma were treated with vemurafenib monotherapy. Participants with Erdheim-Chester disease (ECD) or Langerhans cell histiocytosis (LCH) were treated with vemurafenib monotherapy. Participants with anaplastic thyroid cancer were treated with vemurafenib monotherapy. Participants with advanced stage astrocytoma were treated with vemurafenib monotherapy. Participants with early stage astrocytoma were treated with vemurafenib monotherapy. Participants with other BRAF V600-positive tumors were treated with vemurafenib monotherapy.
    Measure Participants 62 4 10 27 9 9 26 12 12 9 28
    Median (95% Confidence Interval) [months]
    7.26
    NA
    NA
    NA
    NA
    5.75
    5.49
    NA
    NA
    NA
    NA
    6. Secondary Outcome
    Title Time to Tumor Progression (TTP)
    Description TTP was defined as time from the first day of study treatment to the first occurrence of progressive disease (PD). RECIST v1.1: PD: at least a 20% increase in the sum of diameters of target lesions and an absolute increase of at least 5 mm. IMWG: PD: increase of >/= 25% from lowest response value in serum or urine M-protein or bone marrow plasma cell percentage or development of new or increase in size of bone lesions or soft tissue plasmacytomas.
    Time Frame Up to approximately 3 years

    Outcome Measure Data

    Analysis Population Description
    ITT population included all participants enrolled in the study irrespective of whether they had received study medication or not.
    Arm/Group Title Cohort 1: Non-Small Cell Lung Cancer (NSCLC) - Vemurafenib Cohort 2: Ovarian Cancer - Vemurafenib Cohort 3a: Colorectal Cancer - Vemurafenib Cohort 3b: Colorectal Cancer - Vemurafenib + Cetuximab Cohort 4: Cholangiocarcinoma - Vemurafenib Cohort 6: Multiple Myeloma - Vemurafenib Cohort 7a: ECD/LCH - Vemurafenib Cohort 7b: Anaplastic Thyroid Cancer - Vemurafenib Cohort 7c: Advanced Stage Astrocytoma - Vemurafenib Cohort 7d: Early Stage Astrocytoma - Vemurafenib Cohort 7: Other BRAF V600-positive Tumors - Vemurafenib
    Arm/Group Description Participants with NSCLC were treated with vemurafenib monotherapy. Participants with ovarian cancer were treated with vemurafenib monotherapy. Participants with colorectal cancer were treated with vemurafenib monotherapy. Participants with colorectal cancer were treated with vemurafenib and cetuximab combination therapy. Participants with cholangiocarcinoma were treated with vemurafenib monotherapy. Participants with multiple myeloma were treated with vemurafenib monotherapy. Participants with Erdheim-Chester disease (ECD) or Langerhans cell histiocytosis (LCH) were treated with vemurafenib monotherapy. Participants with anaplastic thyroid cancer were treated with vemurafenib monotherapy. Participants with advanced stage astrocytoma were treated with vemurafenib monotherapy. Participants with early stage astrocytoma were treated with vemurafenib monotherapy. Participants with other BRAF V600-positive tumors were treated with vemurafenib monotherapy.
    Measure Participants 62 4 10 27 9 9 26 12 12 9 28
    Median (95% Confidence Interval) [months]
    7.33
    6.44
    3.88
    3.68
    3.02
    4.63
    NA
    2.83
    5.62
    5.36
    3.65
    7. Secondary Outcome
    Title Progression Free Survival (PFS)
    Description PFS was defined as the time from the first day of study treatment, until the first documented PD or death from any cause, whichever occurs first. RECIST v1.1: PD: at least a 20% increase in the sum of diameters of target lesions and an absolute increase of at least 5 mm. IMWG criteria: PD: increase of >/= 25% from lowest response value in serum or urine M-protein or bone marrow plasma cell percentage or development of new or increase in size of bone lesions or soft tissue plasmacytomas.
    Time Frame Up to approximately 3 years

    Outcome Measure Data

    Analysis Population Description
    ITT population included all participants enrolled in the study irrespective of whether they had received study medication or not.
    Arm/Group Title Cohort 1: Non-Small Cell Lung Cancer (NSCLC) - Vemurafenib Cohort 2: Ovarian Cancer - Vemurafenib Cohort 3a: Colorectal Cancer - Vemurafenib Cohort 3b: Colorectal Cancer - Vemurafenib + Cetuximab Cohort 4: Cholangiocarcinoma - Vemurafenib Cohort 6: Multiple Myeloma - Vemurafenib Cohort 7a: ECD/LCH - Vemurafenib Cohort 7b: Anaplastic Thyroid Cancer - Vemurafenib Cohort 7c: Advanced Stage Astrocytoma - Vemurafenib Cohort 7d: Early Stage Astrocytoma - Vemurafenib Cohort 7: Other BRAF V600-positive Tumors - Vemurafenib
    Arm/Group Description Participants with NSCLC were treated with vemurafenib monotherapy. Participants with ovarian cancer were treated with vemurafenib monotherapy. Participants with colorectal cancer were treated with vemurafenib monotherapy. Participants with colorectal cancer were treated with vemurafenib and cetuximab combination therapy. Participants with cholangiocarcinoma were treated with vemurafenib monotherapy. Participants with multiple myeloma were treated with vemurafenib monotherapy. Participants with Erdheim-Chester disease (ECD) or Langerhans cell histiocytosis (LCH) were treated with vemurafenib monotherapy. Participants with anaplastic thyroid cancer were treated with vemurafenib monotherapy. Participants with advanced stage astrocytoma were treated with vemurafenib monotherapy. Participants with early stage astrocytoma were treated with vemurafenib monotherapy. Participants with other BRAF V600-positive tumors were treated with vemurafenib monotherapy.
    Measure Participants 62 4 10 27 9 9 26 12 12 9 28
    Median (95% Confidence Interval) [months]
    6.51
    6.44
    3.88
    3.68
    3.02
    4.63
    NA
    2.83
    9.59
    5.26
    3.12
    8. Secondary Outcome
    Title Overall Survival (OS)
    Description OS was defined as time between the first day of study treatment and date of death of any cause.
    Time Frame Up to approximately 3 years

    Outcome Measure Data

    Analysis Population Description
    ITT population included all participants enrolled in the study irrespective of whether they had received study medication or not.
    Arm/Group Title Cohort 1: Non-Small Cell Lung Cancer (NSCLC) - Vemurafenib Cohort 2: Ovarian Cancer - Vemurafenib Cohort 3a: Colorectal Cancer - Vemurafenib Cohort 3b: Colorectal Cancer - Vemurafenib + Cetuximab Cohort 4: Cholangiocarcinoma - Vemurafenib Cohort 6: Multiple Myeloma - Vemurafenib Cohort 7a: ECD/LCH - Vemurafenib Cohort 7b: Anaplastic Thyroid Cancer - Vemurafenib Cohort 7c: Advanced Stage Astrocytoma - Vemurafenib Cohort 7d: Early Stage Astrocytoma - Vemurafenib Cohort 7: Other BRAF V600-positive Tumors - Vemurafenib
    Arm/Group Description Participants with NSCLC were treated with vemurafenib monotherapy. Participants with ovarian cancer were treated with vemurafenib monotherapy. Participants with colorectal cancer were treated with vemurafenib monotherapy. Participants with colorectal cancer were treated with vemurafenib and cetuximab combination therapy. Participants with cholangiocarcinoma were treated with vemurafenib monotherapy. Participants with multiple myeloma were treated with vemurafenib monotherapy. Participants with Erdheim-Chester disease (ECD) or Langerhans cell histiocytosis (LCH) were treated with vemurafenib monotherapy. Participants with anaplastic thyroid cancer were treated with vemurafenib monotherapy. Participants with advanced stage astrocytoma were treated with vemurafenib monotherapy. Participants with early stage astrocytoma were treated with vemurafenib monotherapy. Participants with other BRAF V600-positive tumors were treated with vemurafenib monotherapy.
    Measure Participants 62 4 10 27 9 9 26 12 12 9 28
    Median (95% Confidence Interval) [months]
    15.38
    NA
    9.30
    7.16
    17.94
    24.54
    NA
    5.88
    40.11
    12.75
    11.56
    9. Secondary Outcome
    Title Maximum Tolerated Dose for Vemurafenib in Combination With Cetuximab
    Description Cohort 3b included participants with colorectal cancer treated with escalating doses of vemurafenib and cetuximab. The escalating doses were as follows: Dose Level 1: 720 milligrams (mg) of vemurafenib orally twice daily starting on Day 2 of Cycle 1 and 300 milligrams per square meter (mg/m^2) loading dose of cetuximab by infusion and then 200 mg/m^2 weekly; Dose Level 2: 720 mg of vemurafenib twice daily starting on Day 2 of Cycle 1 and 400 mg/m^2 loading dose of cetuximab and then 250 mg/m^2 weekly; Dose Level 3: 960 mg of vemurafenib twice daily starting on Day 2 of Cycle 1 and 400 mg/m^2 loading dose of cetuximab and then 250 mg/m^2 weekly. Reported here are the maximum tolerated doses for each vemurafenib and cetuximab.
    Time Frame Up to approximately 3 years

    Outcome Measure Data

    Analysis Population Description
    All participants from Cohort 3b who received at least one dose of study medication.
    Arm/Group Title Cohort 1: Non-Small Cell Lung Cancer (NSCLC) - Vemurafenib Cohort 2: Ovarian Cancer - Vemurafenib Cohort 3a: Colorectal Cancer - Vemurafenib Cohort 3b: Colorectal Cancer - Vemurafenib + Cetuximab Cohort 4: Cholangiocarcinoma - Vemurafenib Cohort 6: Multiple Myeloma - Vemurafenib Cohort 7a: ECD/LCH - Vemurafenib Cohort 7b: Anaplastic Thyroid Cancer - Vemurafenib Cohort 7c: Advanced Stage Astrocytoma - Vemurafenib Cohort 7d: Early Stage Astrocytoma - Vemurafenib Cohort 7: Other BRAF V600-positive Tumors - Vemurafenib
    Arm/Group Description Participants with NSCLC were treated with vemurafenib monotherapy. Participants with ovarian cancer were treated with vemurafenib monotherapy. Participants with colorectal cancer were treated with vemurafenib monotherapy. Participants with colorectal cancer were treated with vemurafenib and cetuximab combination therapy. Participants with cholangiocarcinoma were treated with vemurafenib monotherapy. Participants with multiple myeloma were treated with vemurafenib monotherapy. Participants with Erdheim-Chester disease (ECD) or Langerhans cell histiocytosis (LCH) were treated with vemurafenib monotherapy. Participants with anaplastic thyroid cancer were treated with vemurafenib monotherapy. Participants with advanced stage astrocytoma were treated with vemurafenib monotherapy. Participants with early stage astrocytoma were treated with vemurafenib monotherapy. Participants with other BRAF V600-positive tumors were treated with vemurafenib monotherapy.
    Measure Participants 0 0 0 14 0 0 0 0 0 0 0
    vemurafenib
    960
    cetuximab
    400
    10. Secondary Outcome
    Title Number of Dose-limiting Toxicities of Vemurafenib in Combination With Cetuximab
    Description Cohort 3b included participants with colorectal cancer treated with escalating doses of vemurafenib and cetuximab. The escalating doses were as follows: Dose Level 1: 720 milligrams (mg) of vemurafenib orally twice daily starting on Day 2 of Cycle 1 and 300 milligrams per square meter (mg/m^2) loading dose of cetuximab by infusion and then 200 mg/m^2 weekly; Dose Level 2: 720 mg of vemurafenib twice daily starting on Day 2 of Cycle 1 and 400 mg/m^2 loading dose of cetuximab and then 250 mg/m^2 weekly; Dose Level 3: 960 mg of vemurafenib twice daily starting on Day 2 of Cycle 1 and 400 mg/m^2 loading dose of cetuximab and then 250 mg/m^2 weekly. Reported here are type and number of dose limited toxicities observed.
    Time Frame Up to 28 days

    Outcome Measure Data

    Analysis Population Description
    All participants from Cohort 3b who received at least one dose of study medication.
    Arm/Group Title Cohort 1: Non-Small Cell Lung Cancer (NSCLC) - Vemurafenib Cohort 2: Ovarian Cancer - Vemurafenib Cohort 3a: Colorectal Cancer - Vemurafenib Cohort 3b: Colorectal Cancer - Vemurafenib + Cetuximab Cohort 4: Cholangiocarcinoma - Vemurafenib Cohort 6: Multiple Myeloma - Vemurafenib Cohort 7a: ECD/LCH - Vemurafenib Cohort 7b: Anaplastic Thyroid Cancer - Vemurafenib Cohort 7c: Advanced Stage Astrocytoma - Vemurafenib Cohort 7d: Early Stage Astrocytoma - Vemurafenib Cohort 7: Other BRAF V600-positive Tumors - Vemurafenib
    Arm/Group Description Participants with NSCLC were treated with vemurafenib monotherapy. Participants with ovarian cancer were treated with vemurafenib monotherapy. Participants with colorectal cancer were treated with vemurafenib monotherapy. Participants with colorectal cancer were treated with vemurafenib and cetuximab combination therapy. Participants with cholangiocarcinoma were treated with vemurafenib monotherapy. Participants with multiple myeloma were treated with vemurafenib monotherapy. Participants with Erdheim-Chester disease (ECD) or Langerhans cell histiocytosis (LCH) were treated with vemurafenib monotherapy. Participants with anaplastic thyroid cancer were treated with vemurafenib monotherapy. Participants with advanced stage astrocytoma were treated with vemurafenib monotherapy. Participants with early stage astrocytoma were treated with vemurafenib monotherapy. Participants with other BRAF V600-positive tumors were treated with vemurafenib monotherapy.
    Measure Participants 0 0 0 14 0 0 0 0 0 0 0
    Grade 3 amylase increased
    1
    Grade 4 lipase increased
    1
    11. Secondary Outcome
    Title Safety: Percentage of Participants With Adverse Event
    Description An adverse event is any untoward medical occurrence in a subject administered a pharmaceutical product and which does not necessarily have to have a causal relationship with the treatment. An adverse event can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding, for example), symptom, or disease temporally associated with the use of a pharmaceutical product, whether or not considered related to the pharmaceutical product. Preexisting conditions which worsen during a study are also considered as adverse events.
    Time Frame Up to approximately 3 years

    Outcome Measure Data

    Analysis Population Description
    The safety population included all participants who received at least one dose of study medication.
    Arm/Group Title Cohort 1: Non-Small Cell Lung Cancer (NSCLC) - Vemurafenib Cohort 2: Ovarian Cancer - Vemurafenib Cohort 3a: Colorectal Cancer - Vemurafenib Cohort 3b: Colorectal Cancer - Vemurafenib + Cetuximab Cohort 4: Cholangiocarcinoma - Vemurafenib Cohort 6: Multiple Myeloma - Vemurafenib Cohort 7a: ECD/LCH - Vemurafenib Cohort 7b: Anaplastic Thyroid Cancer - Vemurafenib Cohort 7c: Advanced Stage Astrocytoma - Vemurafenib Cohort 7d: Early Stage Astrocytoma - Vemurafenib Cohort 7: Other BRAF V600-positive Tumors - Vemurafenib
    Arm/Group Description Participants with NSCLC were treated with vemurafenib monotherapy. Participants with ovarian cancer were treated with vemurafenib monotherapy. Participants with colorectal cancer were treated with vemurafenib monotherapy. Participants with colorectal cancer were treated with vemurafenib and cetuximab combination therapy. Participants with cholangiocarcinoma were treated with vemurafenib monotherapy. Participants with multiple myeloma were treated with vemurafenib monotherapy. Participants with Erdheim-Chester disease (ECD) or Langerhans cell histiocytosis (LCH) were treated with vemurafenib monotherapy. Participants with anaplastic thyroid cancer were treated with vemurafenib monotherapy. Participants with advanced stage astrocytoma were treated with vemurafenib monotherapy. Participants with early stage astrocytoma were treated with vemurafenib monotherapy. Participants with other BRAF V600-positive tumors were treated with vemurafenib monotherapy.
    Measure Participants 62 4 10 27 9 9 26 12 12 9 28
    Number [percentage of participants]
    100
    161.3%
    100
    2500%
    100
    1000%
    100
    370.4%
    100
    1111.1%
    100
    1111.1%
    100
    384.6%
    91.7
    764.2%
    100
    833.3%
    100
    1111.1%
    100
    357.1%

    Adverse Events

    Time Frame From baseline up to approximately 3 years
    Adverse Event Reporting Description The safety population included all participants who received at least one dose of study medication.
    Arm/Group Title Cohort 3b: Colorectal Cancer - Vemurafenib + Cetuximab Pooled Arm - Vemurafenib
    Arm/Group Description Participants with colorectal cancer were treated with vemurafenib and cetuximab combination therapy. Participants with a variety of cancer types, who were treated with vemurafenib monotherapy, were combined into this arm.
    All Cause Mortality
    Cohort 3b: Colorectal Cancer - Vemurafenib + Cetuximab Pooled Arm - Vemurafenib
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total / (NaN) / (NaN)
    Serious Adverse Events
    Cohort 3b: Colorectal Cancer - Vemurafenib + Cetuximab Pooled Arm - Vemurafenib
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total 11/27 (40.7%) 91/181 (50.3%)
    Blood and lymphatic system disorders
    Pseudolymphoma 0/27 (0%) 1/181 (0.6%)
    Splenic infarction 0/27 (0%) 1/181 (0.6%)
    Cardiac disorders
    Acute coronary syndrome 0/27 (0%) 2/181 (1.1%)
    Pericarditis 0/27 (0%) 2/181 (1.1%)
    Dressler's syndrome 0/27 (0%) 1/181 (0.6%)
    Myocardial infarction 0/27 (0%) 1/181 (0.6%)
    Pericardial effusion 0/27 (0%) 1/181 (0.6%)
    Eye disorders
    Iridocyclitis 0/27 (0%) 1/181 (0.6%)
    Gastrointestinal disorders
    Upper gastrointestinal haemorrhage 1/27 (3.7%) 1/181 (0.6%)
    Subileus 1/27 (3.7%) 0/181 (0%)
    Duodenal perforation 0/27 (0%) 1/181 (0.6%)
    Dysphagia 0/27 (0%) 1/181 (0.6%)
    Gastric ulcer 0/27 (0%) 1/181 (0.6%)
    Stomatitis 0/27 (0%) 1/181 (0.6%)
    General disorders
    Non-cardiac chest pain 1/27 (3.7%) 0/181 (0%)
    Pyrexia 1/27 (3.7%) 2/181 (1.1%)
    Fatigue 0/27 (0%) 2/181 (1.1%)
    Chest pain 0/27 (0%) 1/181 (0.6%)
    Hyperthermia 0/27 (0%) 1/181 (0.6%)
    Hepatobiliary disorders
    Cholestasis 1/27 (3.7%) 0/181 (0%)
    Bile duct obstruction 0/27 (0%) 1/181 (0.6%)
    Drug-induced liver injury 0/27 (0%) 1/181 (0.6%)
    Immune system disorders
    Hypersensitivity 0/27 (0%) 1/181 (0.6%)
    Infections and infestations
    Sepsis 0/27 (0%) 6/181 (3.3%)
    Pneumonia 0/27 (0%) 5/181 (2.8%)
    Lung infection 0/27 (0%) 4/181 (2.2%)
    Bronchitis 0/27 (0%) 3/181 (1.7%)
    Lower respiratory tract infection 0/27 (0%) 2/181 (1.1%)
    Abdominal abscess 0/27 (0%) 1/181 (0.6%)
    Bacteraemia 0/27 (0%) 1/181 (0.6%)
    Cellulitis 0/27 (0%) 1/181 (0.6%)
    Diverticulitis 0/27 (0%) 1/181 (0.6%)
    Furuncle 0/27 (0%) 1/181 (0.6%)
    Septic shock 0/27 (0%) 1/181 (0.6%)
    Soft tissue infection 0/27 (0%) 1/181 (0.6%)
    Staphylococcal sepsis 0/27 (0%) 1/181 (0.6%)
    Urinary tract infection 0/27 (0%) 1/181 (0.6%)
    Injury, poisoning and procedural complications
    Femoral neck fracture 1/27 (3.7%) 0/181 (0%)
    Fracture 0/27 (0%) 1/181 (0.6%)
    Limb injury 0/27 (0%) 1/181 (0.6%)
    Subdural haematoma 0/27 (0%) 1/181 (0.6%)
    Investigations
    Gamma-glutamyltransferase increased 1/27 (3.7%) 0/181 (0%)
    Body temperature increased 0/27 (0%) 1/181 (0.6%)
    Metabolism and nutrition disorders
    Diabetes mellitus 0/27 (0%) 1/181 (0.6%)
    Glucose tolerance impaired 0/27 (0%) 1/181 (0.6%)
    Hypercalcaemia 0/27 (0%) 1/181 (0.6%)
    Dehydration 0/27 (0%) 3/181 (1.7%)
    Musculoskeletal and connective tissue disorders
    Back pain 0/27 (0%) 1/181 (0.6%)
    Neoplasms benign, malignant and unspecified (incl cysts and polyps)
    Squamous cell carcinoma of skin 3/27 (11.1%) 25/181 (13.8%)
    Keratoacanthoma 2/27 (7.4%) 18/181 (9.9%)
    Basal cell carcinoma 1/27 (3.7%) 7/181 (3.9%)
    Squamous cell carcinoma 1/27 (3.7%) 1/181 (0.6%)
    Bowen's disease 0/27 (0%) 4/181 (2.2%)
    Chronic myelomonocytic leukaemia 0/27 (0%) 1/181 (0.6%)
    Papillary thyroid cancer 0/27 (0%) 1/181 (0.6%)
    Paraganglion neoplasm 0/27 (0%) 1/181 (0.6%)
    Skin cancer 0/27 (0%) 1/181 (0.6%)
    Squamous cell carcinoma of lung 0/27 (0%) 1/181 (0.6%)
    Nervous system disorders
    Aphasia 0/27 (0%) 1/181 (0.6%)
    Brain oedema 0/27 (0%) 1/181 (0.6%)
    Haemorrhagic stroke 0/27 (0%) 1/181 (0.6%)
    Partial seizures 0/27 (0%) 1/181 (0.6%)
    Peripheral motor neuropathy 0/27 (0%) 1/181 (0.6%)
    Posterior reversible encephalopathy syndrome 0/27 (0%) 1/181 (0.6%)
    Seizure 0/27 (0%) 1/181 (0.6%)
    Transient ischaemic attack 0/27 (0%) 1/181 (0.6%)
    Psychiatric disorders
    Delirium 0/27 (0%) 1/181 (0.6%)
    Depression 0/27 (0%) 1/181 (0.6%)
    Renal and urinary disorders
    Acute kidney injury 1/27 (3.7%) 4/181 (2.2%)
    Bladder dilatation 1/27 (3.7%) 0/181 (0%)
    Obstructive uropathy 1/27 (3.7%) 0/181 (0%)
    Renal failure 0/27 (0%) 1/181 (0.6%)
    Reproductive system and breast disorders
    Prostatitis 0/27 (0%) 2/181 (1.1%)
    Benign prostatic hyperplasia 0/27 (0%) 1/181 (0.6%)
    Uterine haemorrhage 0/27 (0%) 1/181 (0.6%)
    Vaginal haemorrhage 0/27 (0%) 1/181 (0.6%)
    Respiratory, thoracic and mediastinal disorders
    Pulmonary thrombosis 1/27 (3.7%) 0/181 (0%)
    Dyspnoea 0/27 (0%) 3/181 (1.7%)
    Pulmonary embolism 0/27 (0%) 3/181 (1.7%)
    Respiratory failure 0/27 (0%) 2/181 (1.1%)
    Laryngeal dyspnoea 0/27 (0%) 1/181 (0.6%)
    Pleural effusion 0/27 (0%) 1/181 (0.6%)
    Pneumothorax 0/27 (0%) 1/181 (0.6%)
    Skin and subcutaneous tissue disorders
    Acute febrile neutrophilic dermatosis 0/27 (0%) 1/181 (0.6%)
    Rash 0/27 (0%) 1/181 (0.6%)
    Skin lesion 0/27 (0%) 1/181 (0.6%)
    Vascular disorders
    Jugular vein thrombosis 0/27 (0%) 1/181 (0.6%)
    Other (Not Including Serious) Adverse Events
    Cohort 3b: Colorectal Cancer - Vemurafenib + Cetuximab Pooled Arm - Vemurafenib
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total 26/27 (96.3%) 177/181 (97.8%)
    Blood and lymphatic system disorders
    Anaemia 3/27 (11.1%) 30/181 (16.6%)
    Eye disorders
    Dry eye 0/27 (0%) 11/181 (6.1%)
    Gastrointestinal disorders
    Abdominal pain 12/27 (44.4%) 12/181 (6.6%)
    Abdominal pain upper 4/27 (14.8%) 0/181 (0%)
    Constipation 5/27 (18.5%) 26/181 (14.4%)
    Diarrhoea 13/27 (48.1%) 49/181 (27.1%)
    Dyspepsia 2/27 (7.4%) 0/181 (0%)
    Flatulence 2/27 (7.4%) 0/181 (0%)
    Nausea 9/27 (33.3%) 54/181 (29.8%)
    Rectal haemorrhage 2/27 (7.4%) 0/181 (0%)
    Stomatitis 4/27 (14.8%) 19/181 (10.5%)
    Vomiting 8/27 (29.6%) 41/181 (22.7%)
    Dry mouth 0/27 (0%) 12/181 (6.6%)
    Dysphagia 0/27 (0%) 14/181 (7.7%)
    General disorders
    Asthenia 10/27 (37%) 39/181 (21.5%)
    Chest pain 2/27 (7.4%) 0/181 (0%)
    Chills 2/27 (7.4%) 10/181 (5.5%)
    Fatigue 6/27 (22.2%) 60/181 (33.1%)
    Oedema peripheral 4/27 (14.8%) 21/181 (11.6%)
    Pyrexia 5/27 (18.5%) 26/181 (14.4%)
    Cyst 0/27 (0%) 21/181 (11.6%)
    Xerosis 0/27 (0%) 16/181 (8.8%)
    Hepatobiliary disorders
    Hyperbilirubinaemia 0/27 (0%) 11/181 (6.1%)
    Infections and infestations
    Conjunctivitis 3/27 (11.1%) 0/181 (0%)
    Folliculitis 3/27 (11.1%) 18/181 (9.9%)
    Oral candidiasis 2/27 (7.4%) 0/181 (0%)
    Rash pustular 3/27 (11.1%) 0/181 (0%)
    Skin infection 2/27 (7.4%) 0/181 (0%)
    Urinary tract infection 3/27 (11.1%) 0/181 (0%)
    Injury, poisoning and procedural complications
    Fall 2/27 (7.4%) 0/181 (0%)
    Sunburn 4/27 (14.8%) 22/181 (12.2%)
    Investigations
    Amylase increased 6/27 (22.2%) 0/181 (0%)
    Aspartate aminotransferase increased 2/27 (7.4%) 15/181 (8.3%)
    Blood bilirubin increased 3/27 (11.1%) 10/181 (5.5%)
    Electrocardiogram QT prolonged 4/27 (14.8%) 37/181 (20.4%)
    Lipase increased 9/27 (33.3%) 10/181 (5.5%)
    Lymphocyte count decreased 3/27 (11.1%) 0/181 (0%)
    Weight decreased 6/27 (22.2%) 20/181 (11%)
    Alanine aminotransferase increased 0/27 (0%) 15/181 (8.3%)
    Blood alkaline phosphatase increased 0/27 (0%) 11/181 (6.1%)
    Blood creatinine increased 0/27 (0%) 19/181 (10.5%)
    Metabolism and nutrition disorders
    Decreased appetite 10/27 (37%) 50/181 (27.6%)
    Dehydration 2/27 (7.4%) 0/181 (0%)
    Hyperglycaemia 2/27 (7.4%) 0/181 (0%)
    Hypoalbuminaemia 2/27 (7.4%) 0/181 (0%)
    Hypokalaemia 5/27 (18.5%) 18/181 (9.9%)
    Hyponatraemia 2/27 (7.4%) 0/181 (0%)
    Musculoskeletal and connective tissue disorders
    Arthralgia 14/27 (51.9%) 79/181 (43.6%)
    Back pain 4/27 (14.8%) 18/181 (9.9%)
    Muscle spasms 2/27 (7.4%) 0/181 (0%)
    Myalgia 3/27 (11.1%) 18/181 (9.9%)
    Pain in extremity 2/27 (7.4%) 13/181 (7.2%)
    Musculoskeletal pain 0/27 (0%) 14/181 (7.7%)
    Neoplasms benign, malignant and unspecified (incl cysts and polyps)
    Acrochordon 2/27 (7.4%) 0/181 (0%)
    Melanocytic naevus 4/27 (14.8%) 41/181 (22.7%)
    Seborrhoeic keratosis 3/27 (11.1%) 36/181 (19.9%)
    Skin papilloma 7/27 (25.9%) 50/181 (27.6%)
    Papilloma 0/27 (0%) 17/181 (9.4%)
    Nervous system disorders
    Headache 4/27 (14.8%) 26/181 (14.4%)
    Dysgeusia 0/27 (0%) 24/181 (13.3%)
    Peripheral sensory neuropathy 0/27 (0%) 27/181 (14.9%)
    Psychiatric disorders
    Anxiety 2/27 (7.4%) 14/181 (7.7%)
    Depression 3/27 (11.1%) 10/181 (5.5%)
    Insomnia 0/27 (0%) 18/181 (9.9%)
    Renal and urinary disorders
    Haematuria 2/27 (7.4%) 0/181 (0%)
    Micturition urgency 2/27 (7.4%) 0/181 (0%)
    Respiratory, thoracic and mediastinal disorders
    Cough 2/27 (7.4%) 31/181 (17.1%)
    Dysphonia 2/27 (7.4%) 0/181 (0%)
    Dyspnoea 5/27 (18.5%) 22/181 (12.2%)
    Nasal congestion 0/27 (0%) 10/181 (5.5%)
    Skin and subcutaneous tissue disorders
    Actinic keratosis 4/27 (14.8%) 28/181 (15.5%)
    Alopecia 2/27 (7.4%) 57/181 (31.5%)
    Dermatitis acneiform 2/27 (7.4%) 0/181 (0%)
    Dermatitis bullous 2/27 (7.4%) 0/181 (0%)
    Dry skin 2/27 (7.4%) 39/181 (21.5%)
    Erythema 7/27 (25.9%) 24/181 (13.3%)
    Hyperkeratosis 4/27 (14.8%) 58/181 (32%)
    Photosensitivity reaction 5/27 (18.5%) 39/181 (21.5%)
    Pruritus 5/27 (18.5%) 42/181 (23.2%)
    Rash 10/27 (37%) 44/181 (24.3%)
    Rash generalised 2/27 (7.4%) 0/181 (0%)
    Rash maculo-papular 3/27 (11.1%) 42/181 (23.2%)
    Skin fissures 2/27 (7.4%) 0/181 (0%)
    Toxic skin eruption 2/27 (7.4%) 0/181 (0%)
    Dermal cyst 0/27 (0%) 18/181 (9.9%)
    Dermatitis 0/27 (0%) 10/181 (5.5%)
    Keratosis pilaris 0/27 (0%) 33/181 (18.2%)
    Milia 0/27 (0%) 16/181 (8.8%)
    Palmar-plantar erythrodysaesthesia syndrome 0/27 (0%) 48/181 (26.5%)
    Papule 0/27 (0%) 13/181 (7.2%)
    Rash papular 0/27 (0%) 21/181 (11.6%)
    Skin lesion 0/27 (0%) 11/181 (6.1%)
    Vascular disorders
    Hypertension 3/27 (11.1%) 28/181 (15.5%)

    Limitations/Caveats

    [Not Specified]

    More Information

    Certain Agreements

    Principal Investigators are NOT employed by the organization sponsoring the study.

    The Study being conducted under this Agreement is part of the Overall Study. Investigator is free to publish in reputable journals or to present at professional conferences the results of the Study, but only after the first publication or presentation that involves the Overall Study. The Sponsor may request that Confidential Information be deleted and/or the publication be postponed in order to protect the Sponsor's intellectual property rights.

    Results Point of Contact

    Name/Title Medical Communications
    Organization Hoffmann-La Roche
    Phone 800 821-8590
    Email genentech@druginfo.com
    Responsible Party:
    Hoffmann-La Roche
    ClinicalTrials.gov Identifier:
    NCT01524978
    Other Study ID Numbers:
    • MO28072
    • 2011-004426-10
    First Posted:
    Feb 2, 2012
    Last Update Posted:
    Nov 20, 2017
    Last Verified:
    Oct 1, 2017