Clinical trial Recruiting at 25 sites Phase 3 Interventional Ages 18 and up

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.

More Uveal Melanoma trials

Quick facts

PhasePhase 3
Study typeInterventional
Ages18 Years and up
SexAll
Enrollment520 (estimated)
SponsorIDEAYA Biosciences
Industry-sponsored
Drugs / interventionsradiation
Locations94 sites (Scottsdale, Arizona and 93 other locations)
StatusRecruiting
StartedJanuary 25, 2026
Main results expectedOctober 2030
Study endsMarch 2031
Registry record updatedMay 6, 2026
Trial IDNCT07015190 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

  • 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
  • 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

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.