Darovasertib before local treatment for primary uveal melanoma
Official title: A Randomized, Phase 3, Open-label Study of Neoadjuvant Darovasertib in Subjects With Primary Non-metastatic Uveal Melanoma (OptimUM-10)
Run by IDEAYA Biosciences · NCT07015190 · Data updated 2026-11-12
This trial tests whether giving darovasertib before surgery or radiation helps people with primary non-metastatic uveal melanoma.
Quick facts
| Phase | Phase 3 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 520 (estimated) |
| Sponsor | IDEAYA Biosciences Industry-sponsored |
| Drugs / interventions | radiation |
| Locations | 94 sites (Scottsdale, Arizona and 93 other locations) |
| Status | Recruiting |
| Started | January 25, 2026 |
| Main results expected | October 2030 |
| Study ends | March 2031 |
| Registry record updated | May 6, 2026 |
| Trial ID | NCT07015190 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults with primary non-metastatic uveal melanoma who are ECOG 0–1, have adequate organ function, no prior UM treatment, and whose tumors do not require immediate enucleation are ideal candidates.
✕Probably not a fit
Patients with metastatic disease, prior treatment for uveal melanoma, tumors that mandate enucleation regardless of shrinkage, or other ocular conditions that prevent reliable vision assessment are unlikely to benefit.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This Phase 3, randomized, multicenter, open-label trial enrolls patients with primary non-metastatic uveal melanoma and assigns them to receive neoadjuvant darovasertib or immediate local therapy. The study is split into two cohorts: one compares darovasertib followed by plaque brachytherapy versus immediate plaque brachytherapy, and the other compares darovasertib followed by definitive local therapy versus immediate enucleation. After neoadjuvant therapy participants receive planned local treatment and are followed for up to three years to track vision, tumor control, and recurrence. Key outcomes include eye preservation rates, visual acuity changes, and longer-term tumor recurrence.
Why it matters
Potential benefit: If successful, pre-treatment with darovasertib could shrink tumors to increase the chance of saving the eye and preserving vision while lowering recurrence risk.
How similar studies have gone: Early-phase trials of darovasertib and other PKC inhibitors have shown tumor shrinkage signals and tolerable safety but no definitive survival benefit yet, making this a promising but not proven approach.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Primary non-metastatic uveal melanoma * Able and willing to provide written, informed consent before initiation of any study-related procedures, and in the opinion of the Investigator, to comply with all study requirements * ECOG 0 or 1 * Adequate organ function Exclusion Criteria: * Previous treatment for UM * Evidence of metastatic UM * Attributes that necessitate enucleation regardless of response to therapy * Evidence of progressive secondary underlying ocular disease that would confound longitudinal VA assessments * Presence of a malignant disease other than the one being treated in this study
Where it's running
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Mayo Clinic Scottsdale - PPDS
Scottsdale, Arizona, United States Recruiting -
Stanford Comprehensive Cancer Center
Palo Alto, California, United States Recruiting -
Kaiser Permanente-Riverside Medical Center
Riverside, California, United States Recruiting -
University of Colorado Hospital
Aurora, Colorado, United States Recruiting -
Mayo Clinic Jacksonville
Jacksonville, Florida, United States Recruiting -
Wilmer Eye Institute
Baltimore, Maryland, United States Recruiting
Show 44 more locations
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The Cancer and Hematology Centers of West Michigan (CHCWM)
Grand Rapids, Michigan, United States Recruiting -
Mayo Clinic - PPDS
Rochester, Minnesota, United States Recruiting -
Herbert Irving Comprehensive Cancer Center
New York, New York, United States Recruiting -
SCRI Oncology Partners
Nashville, Tennessee, United States Recruiting -
Austin Retina Associates - Central
Austin, Texas, United States Recruiting -
Texas Retina Associates - Dallas
Dallas, Texas, United States Recruiting -
University of Texas Southwestern Medical Center-5323 Harry Hines Blvd
Dallas, Texas, United States Recruiting -
Cliniques Universitaires Saint-Luc - PPDS
Brussels, Belgium Recruiting -
Princess Margaret Cancer Centre
Toronto, Ontario, Canada Recruiting -
Ustredni vojenska nemocnice - Vojenska fakultni nemocnice Praha
Prague, Prague, Czechia Recruiting -
The Chaim Sheba Medical Center - PPDS
Ramat Gan, Central District, Israel Recruiting -
Hadassah Medical Center - PPDS
Jerusalem, Jerusalem, Israel Recruiting -
Azienda Ospedaliera Universitaria Careggi
Florence, Tuscany, Italy Recruiting -
Hospital Clinico Universitario de Santiago
Santiago de Compostela, A Coruña, Spain Recruiting -
Clinica Universidad Navarra
Pamplona, Navarre, Spain Recruiting -
Hospital Clinico Universitario de Valladolid
Valladolid, Valladolid, Spain Recruiting -
Hospital Universitario Virgen Macarena
Seville, Spain Recruiting -
Universitätsspital Basel
Basel, Switzerland Recruiting -
Universitätsspital Zürich
Zurich, Switzerland Recruiting -
UCSD Moores Cancer Center
La Jolla, California, United States Not yet recruiting -
Jules Stein Eye Institute
Los Angeles, California, United States Not yet recruiting -
USC Norris Comprehensive Cancer Center
Los Angeles, California, United States Not yet recruiting -
University of California Irvine Medical Center
Orange, California, United States Not yet recruiting -
UCSF Wayne and Gladys Valley Center for Vision
San Francisco, California, United States Not yet recruiting -
The Melanoma and Skin Cancer Institute
Englewood, Colorado, United States Not yet recruiting -
USF Health Eye Institute
Tampa, Florida, United States Not yet recruiting -
Moffit Cancer Center
Tampa, Florida, United States Not yet recruiting -
Massachusetts General Hospital
Boston, Massachusetts, United States Not yet recruiting -
W Kellogg Eye Center
Ann Arbor, Michigan, United States Not yet recruiting -
TIERING Percentiles
Omaha, Nebraska, United States Not yet recruiting -
Memorial Sloan Kettering Cancer Center - 1275 York Ave
New York, New York, United States Not yet recruiting -
Northwell Health Cancer Institute
New York, New York, United States Not yet recruiting -
Cole Eye Institute-9500 Euclid Ave
Cleveland, Ohio, United States Not yet recruiting -
Ohio State Eye and Ear Institute
Columbus, Ohio, United States Not yet recruiting -
Retina Consultants of Oklahoma
Oklahoma City, Oklahoma, United States Not yet recruiting -
Jefferson Health Honickman Center
Philadelphia, Pennsylvania, United States Not yet recruiting -
UPMC Hillman Cancer Center
Pittsburgh, Pennsylvania, United States Not yet recruiting -
Vanderbilt Eye Institute
Nashville, Tennessee, United States Not yet recruiting -
Retina Consultants of Texas - (Houston)
Houston, Texas, United States Not yet recruiting -
Augusta Health, Center for Cancer and Blood Disorders
Fishersville, Virginia, United States Not yet recruiting -
University of Wisconsin Health
Madison, Wisconsin, United States Not yet recruiting -
Gallipoli Medical Research Foundation
Greenslopes, Queensland, Australia Not yet recruiting -
The Queen Elizabeth Hospital
Woodville South, South Australia, Australia Not yet recruiting -
The Alfred Hospital
Melbourne, Victoria, Australia Not yet recruiting
+44 more sites. See ClinicalTrials.gov for the full list.
Study contacts
- Study coordinator: IDEAYA Clinical Trials
- Email: IDEAYAClinicalTrials@ideayabio.com
- Phone: +1-855-433-2246
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.