Clinical trial Recruiting at 4 sites Phase 3 Interventional Ages 18 and up

Adjuvant darovasertib and crizotinib in high-risk non-metastatic uveal melanoma

Official title: A Randomized, Phase 3, Open-label Study of Adjuvant Darovasertib and Crizotinib in Participants With Primary Non-metastatic Uveal Melanoma

Run by IDEAYA Biosciences · NCT07804186 · Data updated 2026-11-12

Researchers are testing whether adding darovasertib and crizotinib after local eye tumor treatment can help prevent recurrence in people with high-risk, non-metastatic uveal melanoma.

Quick facts

PhasePhase 3
Study typeInterventional
Ages18 Years and up
SexAll
Enrollment450 (estimated)
SponsorIDEAYA Biosciences
Industry-sponsored
Drugs / interventionscrizotinib, radiation
Locations13 sites (Scottsdale, Arizona and 12 other locations)
StatusRecruiting
StartedSeptember 2026
Main results expectedMarch 2034
Study endsApril 2034
Registry record updatedSeptember 15, 2026
Trial IDNCT07804186 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults with primary uveal melanoma at high risk of relapse (AJCC II or III) who completed definitive local therapy within 120 days and have good organ function and performance status.

Probably not a fit

Patients with metastatic disease, poor performance status, inadequate organ function, or prior systemic treatment for uveal melanoma may not benefit and could be excluded.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This is a phase 3, randomized, multi-center trial examining adjuvant therapy with darovasertib plus crizotinib versus observation in patients who completed primary local treatment for high-risk uveal melanoma. Participants are adults with non-metastatic disease and good performance status who have had plaque brachytherapy, proton beam therapy, or enucleation and show no active disease. Participants in the treatment arm receive the combination for a defined period, while the control arm is followed to monitor for recurrence and survival over up to five years. The study aims to determine if the adjuvant regimen can reduce tumor recurrence and improve longer-term outcomes compared with observation alone.

Why it matters

Potential benefit: If successful, the regimen could reduce the risk of melanoma returning and potentially improve survival after primary eye-area treatment.

How similar studies have gone: Previous studies in adjuvant settings for uveal melanoma have explored targeted therapies, but this specific combination after local therapy is novel endpoint-wise and evidence-adjusting.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Primary Uveal Melanoma, classified as high-risk of relapse (AJCC Stage II or Stage 3)
* Completed primary local therapy (enucleation, proton beam therapy, plaque brachytherapy)
* ECOG performance status of 0 or 1
* Adequate organ function
* Age 18 or older
* Written informed consent and ability to comply
* Primary local therapy completed within 120 days before C1D1/randomization.
* Contraception requirements

Exclusion Criteria:

* Previous systemic treatment for Uveal Melanoma
* Clinical or radiological evidence of metastatic UM
* Concurrent malignant disease with the following exceptions: malignancies that were treated curatively and have not recurred within 2 years prior to randomization, completely resected basal cell and squamous cell skin cancers, any malignancy considered to be indolent and never required systemic therapy, and any type of carcinoma in situ receiving curative therapy (resection)
* Known AIDS related illness
* History of interstitial lung disease, active pneumonitis, or history of noninfectious pneumonitis requiring steroids
* History of syncope may be exclusionary, but will be reviewed on a case-by-case basis
* Active Hepatitis B or C infection
* Any gastrointestinal condition (eg, inflammatory bowel disease, major gastric or intestinal surgery) that could affect absorption or ability to swallow
* Females who are pregnant or breastfeeding
* Impaired cardiac function
* History of stroke within the last 6 months of randomization
* Ongoing use of medication use for infections, other antineoplastic therapies, or other prohibited medications, including medications that interact with the metabolism of darovasertib+crizotinib
* allergy to mammalian meat products or gelatin

Where it's running

  • Honor Health Research Institute
    Scottsdale, Arizona, United States
    Recruiting
  • Wills Eye Hospital at Thomas Jefferson University
    Philadelphia, Pennsylvania, United States
    Recruiting
  • Sarah Cannon Research Institute (SCRI)
    Nashville, Tennessee, United States
    Recruiting
  • Princess Margaret Cancer Centre
    Toronto, Ontario, Canada
    Recruiting
  • UCLA Medical Center
    Los Angeles, California, United States
    Not yet recruiting
  • Dana Farber Cancer Institute
    Boston, Massachusetts, United States
    Not yet recruiting
Show 7 more locations
  • Cancer Hematology Centers Western Michigan
    Grand Rapids, Michigan, United States
    Not yet recruiting
  • Memorial Sloan Kettering Cancer Center
    New York, New York, United States
    Not yet recruiting
  • Northwell Health
    New York, New York, United States
    Not yet recruiting
  • Duke Cancer Center
    Raleigh, North Carolina, United States
    Not yet recruiting
  • Cleveland Clinic
    Cleveland, Ohio, United States
    Not yet recruiting
  • University of Wisconsin Health
    Madison, Wisconsin, United States
    Not yet recruiting
  • Universite de Montreal - Centre de Recherche du Centre Hospitalier de l'Universite de Montreal
    Montréal, Ontario, Canada
    Not yet recruiting

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.