Annotation Detail

Information
Associated Genes
BRAF
Associated Variants
BRAF V600
BRAF V600
Associated Disease
melanoma
Source Database
CIViC Evidence
Description
In this Phase III trial (NCT01584648 COMBI-d), 423 previously untreated patients with unrescectable stage IIIC or IV BRAF V600E or V600K melanoma received dabrafenib and trametinib or dabrafenib alone with primary endpoint of progression free survival with secondary endpoints including disease response. Hazard ratio for progression or death in the dabrafenib–trametinib group, 0.75; (95% confidence interval, 0.57 to 0.99; P=0.03). Of 210 patients in the dabrafenib + trametinib group, 67% of patients had a response, which was 16 percentage points higher than in the dabrafenib group. (95% CI, 6 to 25; P=0.002)
Variant Origin
somatic
Variant Origin
Somatic
Evidence URL
https://civic.genome.wustl.edu/links/evidence_items/6937
Gene URL
https://civic.genome.wustl.edu/links/genes/5
Variant URL
https://civic.genome.wustl.edu/links/variants/17
Rating
5
Evidence Type
Predictive
Disease
Melanoma
Evidence Direction
Supports
Drug
Trametinib,Dabrafenib
Evidence Level
B
Clinical Significance
Sensitivity/Response
Pubmed
25265492
Drugs
Drug NameSensitivitySupported
DabrafenibSensitivitytrue
TrametinibSensitivitytrue