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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT05987332
Registration number
NCT05987332
Ethics application status
Date submitted
12/07/2023
Date registered
14/08/2023
Date last updated
29/08/2024
Titles & IDs
Public title
IDE196 (Darovasertib) in Combination With Crizotinib as First-line Therapy in Metastatic Uveal Melanoma
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Scientific title
IDE196 (Darovasertib) in Combination With Crizotinib Versus Investigator's Choice of Treatment as First-line Therapy in HLA-A2 Negative Metastatic Uveal Melanoma (DAR-UM-2)
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Secondary ID [1]
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IDE196-002
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Metastatic Uveal Melanoma
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Condition category
Condition code
Cancer
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Malignant melanoma
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Cancer
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Other cancer types
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Eye
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Diseases / disorders of the eye
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Drugs - IDE196
Treatment: Drugs - Crizotinib
Treatment: Drugs - Pembrolizumab
Treatment: Drugs - Ipilimumab
Treatment: Drugs - Nivolumab
Treatment: Drugs - Dacarbazine
Experimental: Phase 2a Dose Optimization of IDE196 + crizotinib - Multiple doses of IDE196 will be tested in combination with fixed dose of crizotinib to identify the optimal combination dose.
Experimental: Phase 2b / 3 Chosen Combination dose of IDE196 + crizotinib - Chosen combination dose of IDE196 + crizotinib will be tested in additional participants.
Active comparator: Phase 2a / 2b / 3 Comparator Arm - Participants will receive investigator's choice of Pembrolizumab, Ipilimumab + Nivolumab, or Dacarbazine.
Treatment: Drugs: IDE196
Dosed orally, twice daily
Treatment: Drugs: Crizotinib
Dosed orally, twice daily
Treatment: Drugs: Pembrolizumab
IV administration every 3 weeks
Treatment: Drugs: Ipilimumab
IV administration every 3 weeks for 4 Cycles
Treatment: Drugs: Nivolumab
IV administration every 3 Weeks for 4 Cycles, thereafter every 4 Weeks maintenance
Treatment: Drugs: Dacarbazine
IV administration every 3 Weeks
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Intervention code [1]
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Treatment: Drugs
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Progression-Free Survival (PFS) by blinded independent central review (BICR) of IDE196 + Crizotinib compared to investigator's choice of treatment
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Assessment method [1]
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PFS per RECIST 1.1
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Timepoint [1]
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Approximately 2 years
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Primary outcome [2]
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Overall Survival (OS) of IDE196 + Crizotinib compared to investigator's choice of treatment
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Assessment method [2]
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OS from randomization to date of death due to any cause
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Timepoint [2]
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Approximately 4 years
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Secondary outcome [1]
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Safety of IDE196 + Crizotinib: Incidence of Adverse Events
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Assessment method [1]
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Treatment emergent adverse events will be summarized by all AEs, all Grade 3-4-5 AEs, all treatment related AEs, all AEs leading to study drug modifications or discontinuations, all SAEs as measured by CTCAE V5.0
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Timepoint [1]
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Approximately 2 years
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Secondary outcome [2]
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Phase 2a: Dose exposure response of IDE196
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Assessment method [2]
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Dose-exposure-response of IDE196 as measured by concentration of IDE196 in plasma
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Timepoint [2]
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Approximately 5 months
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Secondary outcome [3]
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Phase 2a: Dose exposure response of Crizotinib
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Assessment method [3]
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Dose-exposure-response of Crizotinib as measured by concentration of Crizotinib in plasma
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Timepoint [3]
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Approximately 5 months
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Secondary outcome [4]
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Progression-Free Survival (PFS) per Investigator of IDE196 + Crizotinib compared to investigator's choice of treatment
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Assessment method [4]
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PFS per RECIST 1.1
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Timepoint [4]
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Approximately 2 years
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Secondary outcome [5]
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Objective Response Rate (ORR) per BICR and Investigator assessment of IDE196 + Crizotinib compared to investigator's choice of treatment
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Assessment method [5]
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ORR per RECIST 1.1
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Timepoint [5]
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Approximately 2 years
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Secondary outcome [6]
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Duration of Response (DOR) per BICR and Investigator assessment of IDE196 + Crizotinib compared to investigator's choice of treatment
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Assessment method [6]
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DOR per RECIST 1.1
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Timepoint [6]
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Approximately 2 years
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Secondary outcome [7]
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Change from baseline over time and between treatment arms in EORTC QLQ-C30
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Assessment method [7]
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Global health status and quality of life will be assessed using the EORTC QLQ-C30 questionnaire. The score range for the EORTC QLQ-C30 is from 0 to 100, with higher scores indicating better functioning and better global health status and health-related quality of life. A positive change indicates improvement.
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Timepoint [7]
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Approximately 2 years
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Secondary outcome [8]
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Change from baseline over time and between treatment arms in EuroQoL (EQ)-5D-5L scores
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Assessment method [8]
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General health status will be assessed using the EQ-5D,5L questionnaire, which includes five dimensions (5D): mobility, self-care, usual activities, pain/discomfort, and anxiety/depression. Each dimension has 3 scoring levels, where 1 indicates a better health state (no problems) and 3 indicates a worse health state. A positive change indicates improvement.
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Timepoint [8]
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Approximately 2 years
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Eligibility
Key inclusion criteria
* Histological or cytological confirmed Metastatic Uveal Melanoma
* HLA-A*02:01 negative
* No prior systemic therapy in the metastatic or advanced setting, regional or liver-directed therapy, ablations or surgical resection of oligometastatic disease, or neoadjuvant or adjuvant therapy is allowed
* Measurable disease per RECIST 1.1
* Able to be safely administered and absorb study therapy
* ECOG performance status 0 or 1
* Life expectancy of =3 months
* Adequate organ function
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
* Previous treatment with a PKC inhibitor (including prior treatment with IDE196), an inhibitor directly targeting MET, or an inhibitor directly targeting GNAQ/11
* Concurrent malignant disease
* AEs from prior anti-cancer therapy that have not resolved to Grade =1
* Symptomatic or untreated central nervous system (CNS) metastases, or CNS metastases that require corticosteroids
* Active HIV infection or Hep B/C
* Active adrenal insufficiency, active colitis, or active inflammatory bowel disease
* History of interstitial lung disease, active pneumonitis, or history of pneumonitis
* Active infection requiring systemic antibiotic therapy
* Use of hematopoietic colony-stimulating factors (CSF) prior to start of study drug
* Females who are pregnant or breastfeeding
* History of severe hypersensitivity reactions (eg, anaphylaxis) to other biologic drugs or monoclonal antibodies
* Contraindication for treatment with investigator's choice therapies as per applicable labelling
* Has any other condition that may increase the risk associated with study participation or may interfere with the interpretation of study results and, in the opinion of the investigator, would make the participant inappropriate for entry into the study
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Other
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Other design features
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Phase
Phase 2
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Recruiting
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
31/10/2023
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
15/01/2028
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Actual
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Sample size
Target
380
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
NSW,QLD,VIC,WA
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Recruitment hospital [1]
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Westmead Hospital - Sydney
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Recruitment hospital [2]
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Princess Alexander Hospital - Brisbane
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Recruitment hospital [3]
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Peter MacCallum Cancer Centre - Melbourne
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Recruitment hospital [4]
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Alfred Health - Melbourne
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Recruitment hospital [5]
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Sir Charles Gairdner Hospital - Perth
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Recruitment hospital [6]
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Queen Elizabeth Hospital - Adelaide
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Recruitment postcode(s) [1]
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2145 - Sydney
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Recruitment postcode(s) [2]
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4102 - Brisbane
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Recruitment postcode(s) [3]
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3000 - Melbourne
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Recruitment postcode(s) [4]
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3168 - Melbourne
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Recruitment postcode(s) [5]
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6009 - Perth
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Recruitment postcode(s) [6]
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- Adelaide
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Recruitment outside Australia
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United States of America
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Arizona
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California
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Colorado
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Florida
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Georgia
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Iowa
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Massachusetts
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L'Hospitalet de Llobregat
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Madrid
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Valencia
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Zuerich
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Glasgow
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Northwood
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Wirral
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
IDEAYA Biosciences
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Address
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Ethics approval
Ethics application status
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Summary
Brief summary
This is a Phase 2/3, multi-arm, multi-stage, open-label study of human leukocyte antigen (HLA)-A\*02:01 negative participants with metastatic uveal melanoma (MUM) who will be randomized to receive either IDE196 + crizotinib or investigator's choice of treatment (pembrolizumab, ipilimumab + nivolumab, or dacarbazine).
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Trial website
https://clinicaltrials.gov/study/NCT05987332
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Darrin Beaupre, MD, Ph.D
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Address
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IDEAYA Biosciences
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Contact person for public queries
Name
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IDEAYA Clinical Trials
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Address
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Phone
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1 650-534-3616
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Fax
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Email
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[email protected]
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Contact person for scientific queries
No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT05987332
Download to PDF