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A Randomized, Phase III, Open-label Study of Neoadjuvant Darovasertib in Subjects with Primary Non-metastatic Uveal Melanoma (OptimUM-10)

Cancer
Poorva Vaidya
Melanoma skin

Study Description

The study is divided into 2 cohorts of patients with primary uveal melanoma requiring either plaque brachytherapy or enucleation.

In cohort 1, patients in the treatment arm will receive neoadjuvant darovasertib followed by plaque brachytherapy compared to immediate plaque brachytherapy (control arm).

In cohort 2, the treatment arm will receive neoadjuvant darovasertib followed by definitive primary local therapy (i.e., plaque brachytherapy, proton beam radiation, or enucleation). Subjects in the control arm will go onto immediate enucleation.

Subjects will then receive primary local therapy following neoadjuvant darovasertib.

All patients will be followed for up to 3 years to assess longer term outcomes such as vision and tumor recurrence.

Eligibility

Primary non-metastatic uveal melanoma

Able and willing to provide written, informed consent before initiation of any study-related procedures, and in the opinion of the Investigator, to comply with all study requirements

ECOG 0 or 1

Adequate organ function

Previous treatment for UM

Evidence of metastatic UM

Attributes that necessitate enucleation regardless of response to therapy

Evidence of progressive secondary underlying ocular disease that would confound longitudinal VA assessments

Presence of a malignant disease other than the one being treated in this study

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