Evidence map›Paper›PMID 40106536›Full record

Trial reportClinical cancer research : an official journal of the American Association for Cancer Research2025

Longitudinal Genomic Analysis to Fine-tune Targeted Therapy: Results of the Phase II LOGIC 2 Trial in Patients with BRAFV600-Mutant Metastatic Melanoma.

Reinhard Dummer, Shahneen Sandhu, Wilson H Miller, Marcus O Butler, Matthew H Taylor, Lucie Heinzerling, Christian U Blank, Eva Muñoz-Couselo, Howard A Burris, Michael A Postow and 11 more

Registry-linked trialAbstract readClinical Trial, Phase IIMulticenter Study
In one paragraph

Trial report in Clinical cancer research : an official journal of the American Association for Cancer Research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02159066 (The LOGIC 2 Trial A Phase II, Multi-center, Open-label Study of Sequential LGX818/MEK162 Combination Followed by a Rational Combination With Targeted Agents After Progression, to Overcome Resistance in Adult Patients With Locally Advanced or Metastatic BRAF V600 Melanoma.), which is not on this map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02159066 phase2completednot on this map

The LOGIC 2 Trial A Phase II, Multi-center, Open-label Study of Sequential LGX818/MEK162 Combination Followed by a Rational Combination With Targeted Agents After Progression, to Overcome Resistance in Adult Patients With Locally Advanced or Metastatic BRAF V600 Melanoma.

TypeinterventionalSponsorPfizerRan2014 to 2023Enrolled158ConditionsMelanomaArmsLGX818, MEK162, LEE011, BGJ398, BKM120
3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

21 authors.

Reinhard DummerDepartment of Dermatology, Skin Cancer Unit, University Hospital Zurich, Zurich, Switzerland.ORCID 0000-0002-2279-6906
Shahneen SandhuSir Peter MacCallum Cancer Department of Oncology, University of Melbourne, Melbourne, Australia.ORCID 0000-0002-8660-4475
Wilson H MillerLady Davis Institute and Segal Cancer Centre, Jewish General Hospital, Montreal, Canada.ORCID 0000-0002-7408-1574
Marcus O ButlerPrincess Margaret Cancer Centre, University Health Network, Toronto, Canada.ORCID 0000-0002-9840-7057
Matthew H TaylorEarle A. Chiles Research Institute, Providence Cancer Institute, Portland, Oregon.ORCID 0000-0003-2409-9001
Lucie HeinzerlingDepartment of Dermatology and Allergy, University Hospital, Ludwig Maximilian University, Munich, Germany.ORCID 0000-0001-5718-3643
Christian U BlankDepartment of Medical Oncology, Netherlands Cancer Institute, Amsterdam, the Netherlands.ORCID 0000-0002-7945-5846
Eva Muñoz-CouseloDepartment of Medical Oncology, Melanoma and Other Skin Cancers Unit, Vall d'Hebron Hospital and Vall d'Hebron Institute of Oncology (VHIO), Barcelona, Spain.ORCID 0000-0001-7556-7608
Howard A BurrisSarah Cannon Research Institute, Nashville, Tennessee.ORCID 0000-0002-1501-2931
Michael A PostowDepartment of Medicine, Memorial Sloan Kettering Cancer Center and Weill Cornell Medical College, New York, New York.ORCID 0000-0002-3367-7961
Bartosz ChmielowskiDivision of Hematology-Oncology, Department of Medicine, Jonsson Comprehensive Cancer Center, University of California Los Angeles, Los Angeles, California.ORCID 0000-0002-2374-3320
Mark R MiddletonNIHR Oxford Biomedical Research Centre, Oxford University Hospitals NHS Foundation Trust, John Radcliffe Hospital, Oxford, United Kingdom.ORCID 0000-0003-0167-1685
Carola BerkingDepartment of Dermatology, Uniklinikum Erlangen, CCC Erlangen - EMN, Friedrich-Alexander-University Erlangen-Nürnberg (FAU), Erlangen, Germany.ORCID 0000-0003-0229-8931
Jessica C HasselDepartment of Dermatology and National Center for Tumor Diseases (NCT), Heidelberg University, Medical Faculty Heidelberg, NCT Heidelberg, A Partnership Between DKFZ and University Hospital Heidelberg, Heidelberg, Germany.ORCID 0000-0001-7575-6230
Anja Heike GesierichDepartment of Dermatology, Venerology and Allergology, University Hospital Würzburg, Würzburg, Germany.ORCID 0009-0003-7129-3699
Cornelia MauchDepartment of Dermatology and Venereology, Faculty of Medicine and University Hospital of Cologne, Cologne, Germany.ORCID 0000-0002-3989-0536
Joseph F KlehaPfizer, New York, New York.ORCID 0009-0002-9930-1139
Anna PolliPfizer, Milan, Italy.ORCID 0009-0003-5440-6129
Allison S HarneyPfizer Boulder Research Unit, Boulder, Colorado.ORCID 0000-0002-7653-5154
Alessandra di PietroPfizer, Milan, Italy.ORCID 0009-0009-1887-6610
Paolo A AsciertoMelanoma, Cancer Immunotherapy and Innovative Therapies Unit, Istituto Nazionale Tumori IRCCS Fondazione Pascale, Napoli, Italy.ORCID 0000-0002-8322-475X

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI SELWYN M VICKERS · 1985 to 2026
$347.4M
NCI NIH HHS P30 CA008748Pfizer (Davis) N/A
6 · The paper itself

Abstract

purposeLOGIC 2 (NCT02159066), a multicenter, open-label, two-part, phase II study, assessed encorafenib plus binimetinib combined with a third targeted agent after tumor progression on encorafenib plus binimetinib in patients with locally advanced, unresectable or metastatic BRAFV600-mutant melanoma. PATIENTS AND

methodsAdults with locally advanced, unresectable or metastatic BRAFV600-mutant melanoma who were BRAF inhibitor/MEK inhibitor (BRAFi/MEKi) treatment-naïve or pretreated received encorafenib plus binimetinib (part I/run-in). Based on the genomic testing at disease progression following encorafenib plus binimetinib, patients were assigned to one of four treatment arms to receive encorafenib plus binimetinib with an appropriate molecularly targeted agent (ribociclib, infigratinib, capmatinib, or buparlisib; part II). The primary endpoint was best overall response; safety, biomarkers, pharmacokinetics, and other efficacy endpoints were also assessed.

resultsIn part I/run-in, 75 BRAFi/MEKi-naïve patients and 83 BRAFi/MEKi-pretreated patients were treated; in part II, 58 patients were treated (ribociclib, n = 38; infigratinib, n = 1; capmatinib, n = 13; buparlisib, n = 6). The overall confirmed response rate was 73.3% [95% confidence interval (CI), 61.9-82.9] in BRAFi/MEKi-naïve patients, 25.3% (95% CI, 16.4-36.0) in pretreated patients, 2.6% (95% CI, 0.1-13.8) in the ribociclib arm, and 0% in the other three arms. Adverse events were manageable and consistent with the known safety profile of each drug.

conclusionsLOGIC 2 supports the use of encorafenib plus binimetinib for treatment-naïve and previously treated, locally advanced, unresectable or metastatic BRAFV600-mutant melanoma. However, adding a third targeted agent following disease progression did not show meaningful efficacy; further research is needed to identify other therapeutic targets to circumvent resistance.

Indexed as

Antineoplastic Combined Chemotherapy ProtocolsMelanomaMutationProto-Oncogene Proteins B-rafAdultAgedAged, 80 and overBenzimidazolesBiomarkers, TumorCarbamatesFemaleGenomicsHumansMaleMiddle AgedMolecular Targeted TherapyBenzimidazolesbinimetinibBiomarkers, TumorBRAF protein, humanCarbamatesencorafenibProtein Kinase InhibitorsProto-Oncogene Proteins B-rafSulfonamides

Identifiers

PMID40106536
PMCPMC12130804

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.