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RecruitingNCT07449754Updated Mar 4, 2026

Belvarafenib in Combination With Cobimetinib in Patients With Locally Advanced or Metastatic NRAS-Mutant Melanoma

A Phase 2 interventional study of Belvarafenib and Cobimetinib in Advanced or Metastatic Melanoma, sponsored by Hanmi Pharmaceutical Company Limited. Recruiting at 10 sites in South Korea. Open to participants aged 19 Years and older. Per ClinicalTrials.gov, last updated 2026-03-04.

Sponsored by Hanmi Pharmaceutical Company Limited · Phase 2, Interventional, and Treatment

From the registry’s dates

  • Started Feb 2026; still recruiting 7 months later.
Phase
Phase 2
Study type
Interventional
Enrollment
45
Allocation
Not applicable
Ages
19 Years and older
Sex
All
01

Study summary

This is a Phase 2 open-label, multicenter, single-arm study evaluating the combination of Belvarafenib and Cobimetinib in patients with locally advanced or metastatic melanoma with NRAS mutations. The study plans to assess ORR, DCR, DOR, TTP, PFS, OS and safety of the participating subjects.

Treatment cycles for all subjects will be 28 days in duration and Belvarafenib and Cobimetinib will be administered orally in combination.

02

Conditions studied

  • Advanced or Metastatic Melanoma

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Keywords

  • NRAS-Mutant
  • Melanoma
03

In context

Melanoma

3,006 studies on the registry are indexed under Melanoma; 520 are open to participants now.

This study's planned enrollment of 45 is above the median of 38 across 2,351 interventional studies indexed under Melanoma.

Browse Melanoma studies →

Lead sponsor

Hanmi Pharmaceutical Company Limited is the lead sponsor of 188 studies on the registry; 10 are open to participants now.

Of its 11 completed or terminated interventional studies of FDA-regulated products, 6 (55%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
19 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Eligibility criteria

Key Inclusion Criteria:

  • Have histologically, cytologically confirmed locally advanced or metastatic melanoma for which no adequate standard of care exists, or for which standard of care has failed or is not tolerated.
  • Have NRAS mutation.
  • Have at least one measurable lesion at baseline per RECIST v1.1
  • Eastern Cooperative Oncology Group (ECOG) performance status ≤2
  • Age of 19 years or older
  • Adequate renal, hematologic and liver function.

Key Exclusion Criteria:

  • Have a history of prior treatment with RAF, MEK, or ERK inhibitor.
  • Have past history or ongoing retinal pathology that is considered a risk factor for retinopathy or RVO.
  • Have past history or ongoing cardiac function-related disorders.
  • Had hemorrhage or bleeding corresponding to CTCAE Grade ≥3 within 4 weeks prior to the first dose of study drug treatment (Cycle 1 Day 1).
05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
45 participants (estimated)

Study arms

  • Experimental
    Belvarafenib + Cobimetinib

    Belvarafenib in combination with Cobimetinib

    Drug: Belvarafenib · Combination Product: Cobimetinib

Interventions

  • DrugBelvarafenib

    Belvarafenib will be taken twice daily (BID) on Days 1-28 of each cycle

    Also known as: HM95573

  • Combination productCobimetinib

    Cobimetinib will be taken on Days 1, 3, 5, 8, 10, 12, 15, 17, and 19 of each cycle (three times weekly, TIW), followed by a drug holiday through Day 28

    Also known as: Cotellic

06

What researchers measure

Primary outcomes

  1. Objective response rate (ORR)

    ORR will be measured as the proportion of subjects with a confirmed response of complete response (CR) or partial response (PR) as per Response Evaluation Criteria in Solid Tumors (RECIST) v1.1 by Independent Central Review (ICR)

    Time frame: Throughout the study until disease progression or death whichever occurs first (up to approximately 3 years)

Secondary outcomes

  1. Disease Control Rate (DCR)

    DCR will be measured as the proportion of subject with confirmed CR, PR, or Stable Disease (SD) as per RECIST v1.1 by Independent Central Review (ICR)

    Time frame: Throughout the study until disease progression or death whichever occurs first (up to approximately 3 years)

  2. Duration of response (DOR)

    DOR will be measured as the time from initial onset of CR or PR to first radiographic progression as per RECIST v1.1 by Independent Central Review (ICR) or death from any cause, whichever occurs first.

    Time frame: Throughout the study until disease progression or death whichever occurs first (up to approximately 3 years)

  3. Progression-free survival (PFS)

    PFS will be measured from date of first treatment until date of radiographic progression as per RECIST v1.1 by Independent Central Review (ICR) or until death from any cause, whichever occurs first

    Time frame: Throughout the study until disease progression or death whichever occurs first (up to approximately 3 years)

  4. Time to progression (TTP)

    TTI will be measured from date of first treatment until date of rediographic progression as per RECIST v1.1 by Independent Central Review (ICR)

    Time frame: Throughout the study until disease progression (up to approximately 3 years)

  5. Overall survival (OS)

    OS will be measured from the first administration of the study drug to the date of death due to any cause

    Time frame: Throughout the study until the date of death (up to approximately 3 years)

07

Study locations

4 of 10 sites recruiting
  • Seoul National University Bundang Hospital
    Seongnam-si, Gyeonggi-do 13620, South Korea
    Not yet recruiting
  • Chonnam National University Hwasun Hospital
    Hwasun, Jeollanam-do 58128, South Korea
    Not yet recruiting
  • Dong-A University Medical Center
    Busan, 49201, South Korea
    Recruiting
  • Kyungpook National University Chilgok Hospital
    Daegu, 41404, South Korea
    Not yet recruiting
  • Chungnam National University Hospital
    Daejeon, 35015, South Korea
    Not yet recruiting
  • Seoul National University Hospital
    Seoul, 03080, South Korea
    Not yet recruiting
  • Severance Hospital
    Seoul, 03722, South Korea
    Recruiting
  • Asan Medical Center
    Seoul, 05505, South Korea
    Recruiting
  • Samsung Medical Center
    Seoul, 06351, South Korea
    Recruiting
  • Korea University Guro Hospital
    Seoul, 08308, South Korea
    Not yet recruiting
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 4, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07449754
Lead sponsor
Hanmi Pharmaceutical Company Limited
Responsible party
Sponsor
First posted
Mar 4, 2026
Start date
Feb 12, 2026
Primary completion
Sep 2029 (estimated)
Completion
Mar 2030 (estimated)
Last update
Mar 4, 2026

Study contacts

Young Su (Bobby) Noh
Contact
63forever@hanmi.co.kr
82-2-410-9277

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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