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NCT03231306: NF108-BINI

Phase II Study of Binimetinib in Children and Adults With NF1 Plexiform Neurofibromas

Completed Phase 2 Results posted Last updated 2 May 2025
What this trial tests

Phase 2 trial testing Binimetinib in Neurofibromatosis Type 1 in 45 participants. Completed in 17 April 2024.

Timeline
28 November 2017
Primary endpoint
17 April 2024
17 April 2024

Quick facts

Lead sponsorUniversity of Alabama at Birmingham
PhasePhase 2
StatusCompleted
Study typeINTERVENTIONAL
Allocationna
Designsingle group
Maskingnone
Primary purposetreatment
Enrollment45
Start date28 November 2017
Primary completion17 April 2024
Estimated completion17 April 2024
Sites22 locations across United States

Drugs / interventions tested

Conditions studied

Sponsor

University of Alabama at Birmingham

Who can join

1 and older, any sex, with Neurofibromatosis Type 1 or Plexiform Neurofibroma. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Change From Baseline Target Tumor Volume at 12 Months Primary · Approximately 12 months

To determine the objective response defined as 20% or greater tumor volume reduction. Patients will undergo volumetric assays of their target PN using MRI.

GroupValue95% CI
Open Label Study of Binimetinib (MEK162)27
Open Label Study of Binimetinib (MEK162)17
Incidence of Treatment-Emergent Adverse Events Secondary · Up to 24 months

To evaluate the toxicity of protracted binimetinib administration in this patient population. Subjects will be monitored continuously for adverse events and serious adverse events throughout the study.

GroupValue95% CI
Open Label Study of Binimetinib (MEK162)45

Adverse events — posted to ClinicalTrials.gov

Time frame: 24 Months. Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Open Label Study of Binimetinib (MEK162)
Serious: 11/45 (24%)
Deaths: 0/45

Serious adverse events (14 terms)

ReactionSystemOpen Label Study of Binime…
AnemiaBlood and lymphatic system disorders
Abdominal painGastrointestinal disorders
DiarrheaGastrointestinal disorders
Gastric HemorrhageGastrointestinal disorders
NauseaGastrointestinal disorders
VomitingGastrointestinal disorders
FeverGeneral disorders
AnaphylaxisImmune system disorders
AppendicitisInfections and infestations
Skin InfectionInfections and infestations
Weight LossMetabolism and nutrition disorders
Suicide attemptPsychiatric disorders
HematuriaRenal and urinary disorders
Rash maculo-papularSkin and subcutaneous tissue disorders
Other adverse events (200 terms — click to expand)

ReactionSystemOpen Label Study of Binime…
Rash acneiformSkin and subcutaneous tissue disorders
CPK increasedInvestigations
DiarrheaGastrointestinal disorders
NauseaGastrointestinal disorders
VomitingGastrointestinal disorders
Aspartate Aminotransferase IncreasedInvestigations
FatigueGeneral disorders
Dry SkinSkin and subcutaneous tissue disorders
ParonychiaInfections and infestations
AnemiaBlood and lymphatic system disorders
AlopeciaSkin and subcutaneous tissue disorders
Rash maculo-papularSkin and subcutaneous tissue disorders
Abdominal PainGastrointestinal disorders
Skin InfectionInfections and infestations
Alanine Aminotransferase IncreasedInvestigations
HypoalbuminemiaMetabolism and nutrition disorders
Edema LimbsGeneral disorders
FeverGeneral disorders
HeadacheNervous system disorders
ConstipationGastrointestinal disorders
DizzinessNervous system disorders
PruritusSkin and subcutaneous tissue disorders
Weight GainInvestigations
Mucositis oralGastrointestinal disorders
Edema FaceGeneral disorders
Neutrophil Count DecreasedInvestigations
White Blood Cell DecreasedInvestigations
HypocalcemiaMetabolism and nutrition disorders
HypokalemiaMetabolism and nutrition disorders
MyalgiaMusculoskeletal and connective tissue disorders
HypertensionVascular disorders
AnorexiaMetabolism and nutrition disorders
DehydrationMetabolism and nutrition disorders
InsomniaPsychiatric disorders
EpistaxisRespiratory, thoracic and mediastinal disorders
DyspepsiaGastrointestinal disorders
ChillsGeneral disorders
Platelet Count DecreasedInvestigations
HyperkalemiaMetabolism and nutrition disorders
Generalized Muscle WeaknessMusculoskeletal and connective tissue disorders

Most-reported serious reactions: Anemia, Abdominal pain, Diarrhea, Gastric Hemorrhage, Nausea, Vomiting, Fever, Anaphylaxis.

Data from ClinicalTrials.gov NCT03231306 adverse events section.

Sponsor's own description

This is a phase II open label study that will evaluate children ≥ 1 year of age and adults with neurofibromatosis type 1 (NF1) and plexiform neurofibromas treated with the MEK inhibitor, binimetinib. The primary objective is to determine if there is an adequate level of disease responsiveness to binimetinib in children and adults with NF1 and inoperable plexiform neurofibromas. The objective response to binimetinib is defined as ≥ 20% decrease in tumor volume reduction by 12 courses.

Publications & conference data

8 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Current Understanding of Neurofibromatosis Type 1, 2, and Schwannomatosis.
    Tamura R. · · 2021 · cited 153× · PMID 34072574 · DOI 10.3390/ijms22115850
  2. Management of neurofibromatosis type 1-associated plexiform neurofibromas.
    Fisher MJ, Blakeley JO, Weiss BD, Dombi E, et al · · 2022 · cited 104× · PMID 35657359 · DOI 10.1093/neuonc/noac146
  3. MEK inhibitors for neurofibromatosis type 1 manifestations: Clinical evidence and consensus.
    de Blank PMK, Gross AM, Akshintala S, Blakeley JO, et al · · 2022 · cited 72× · PMID 35788692 · DOI 10.1093/neuonc/noac165
  4. Treatment decisions and the use of MEK inhibitors for children with neurofibromatosis type 1-related plexiform neurofibromas.
    Armstrong AE, Belzberg AJ, Crawford JR, Hirbe AC, et al · · 2023 · cited 46× · PMID 37328781 · DOI 10.1186/s12885-023-10996-y
  5. MEK inhibitors for the treatment of NRAS mutant melanoma.
    Sarkisian S, Davar D. · · 2018 · cited 41× · PMID 30154648 · DOI 10.2147/dddt.s131721
  6. Novel molecular targeted therapies for patients with neurofibromatosis type 1 with inoperable plexiform neurofibromas: a comprehensive review.
    Solares I, Viñal D, Morales-Conejo M, Rodriguez-Salas N, et al · · 2021 · cited 35× · PMID 34388689 · DOI 10.1016/j.esmoop.2021.100223
  7. Neurofibromatosis in the Era of Precision Medicine: Development of MEK Inhibitors and Recent Successes with Selumetinib.
    Galvin R, Galvin R, Watson AL, Largaespada DA, et al · · 2021 · cited 19× · PMID 33721151 · DOI 10.1007/s11912-021-01032-y
  8. Understanding the Biological Activities of Vitamin D in Type 1 Neurofibromatosis: New Insights into Disease Pathogenesis and Therapeutic Design.
    Riccardi C, Perrone L, Napolitano F, Sampaolo S, et al · · 2020 · cited 15× · PMID 33066259 · DOI 10.3390/cancers12102965

Verify or expand the search:

Other trials of Binimetinib

Trials testing the same drug.

Other recruiting trials for Neurofibromatosis Type 1

Currently open trials in the same condition.

Other University of Alabama at Birmingham trials

Trials by the same sponsor.

Verify against primary sources

Data sources for this page

Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT03231306.

Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing