113
Enrolled / 125 Target
Simulated
66.7%
ORR CNS (MAPKi-naïve)
Verified
13.9m
Median DoR (CNS)
Verified
<2%
Discontinuation Rate
Verified
>75%
Clinical Benefit Rate
Verified
54
Sites (9 Countries)
Verified
Verified ORR/DoR
SUB-PROTOCOL A: CNS Tumors
BRAF V600 Primary CNS | RANO
25+/50
Enrolled*
66.7%
ORR ✓
13.9m
mDoR ✓
Interim analysis passed efficacy threshold (n=25) ✓
Verified ORR/DoR
SUB-PROTOCOL B: Solid Tumors
Other BRAF V600 | RECIST v1.1
--/25
Enrolled*
41.7%
ORR ✓
17.8m
mDoR ✓
Time to response: 3.5 months median ✓
No Data Yet
SUB-PROTOCOL C: Rare Tumors
Rare BRAF V600 (≤40K US/yr) | RECIST
--/25
Enrolled
--
ORR
--
mDoR
Includes: Ovarian, Cholangiocarcinoma, GI, NEC
No Data Yet
SUB-PROTOCOL D: BRAF Fusions
Class 2 Alterations | RECIST v1.1
--/25
Enrolled
--
ORR
--
mDoR
No MEK inhibitor combination required
Dual Response Criteria Assessment
Simulated DataRECIST v1.1 (Solid Tumors)
Applies to:
Cohort A, D
Assessments:
Q9W (48W) → Q12W
CR Definition:
Complete disappearance
PR Definition:
≥30% decrease SLD
| CR | 8 (12%) | ■■ |
| PR | 23 (35%) | ■■■■■ |
| SD | 24 (36%) | ■■■■■ |
| PD | 11 (17%) | ■■■ |
RANO HGG/LGG (CNS Tumors)
Applies to:
Cohort B, C
Baseline:
Post-RT MRI
Pseudoprogression:
12-week window monitored
Steroid Requirement:
CR needs ≤2mg dex
| CR | 6 (10%) | ■■ |
| PR | 31 (53%) | ■■■■■■■ |
| SD | 15 (25%) | ■■■■ |
| PD | 7 (12%) | ■■ |
BICR / Imaging Core Lab
Operational Simulated18
Pending QC
12
Reader 1
8
Reader 2
3
Adjudication
QC Pass Rate
96.2%
Reader Agreement (κ)
0.84
BTIP Compliance (CNS)
91.5%
⚠ RANO Alert: 4 cases in pseudoprogression window - confirmation scans pending
Safety Summary (Phase 1/2a, n=113)
Favorable Profile Verified| TEAE (Most Common) | All Grade | Grade 3+ |
|---|---|---|
| LFT Elevations (ALT/AST) | Grade 1-2 | Rare |
| Fatigue | Grade 1 | 0% |
| Nausea | Grade 1 | 0% |
| Diarrhea | Grade 1 | 0% |
| Headache (CNS pts only) | Variable | <5% |
0
DLTs at RP2D
DLTs at RP2D
<2%
Discontinuation
Discontinuation
No
Paradoxical Activation
Paradoxical Activation
vs BRAF/MEK Inhibitors: Lower rash, fever; reduced intratumoral bleeding, cardiac, ocular, growth effects
Efficacy by Tumor Category
Phase 1/2a (MAPKi-naïve) Verified| Tumor Category | N | ORR | 95% CI |
|---|---|---|---|
| Primary CNS V600 (MAPKi-naïve) | 9 | 66.7% | [29.9-92.5] |
| → LGG/Glioneuronal | -- | mPFS: NR | [1.6-27.8+ mo] |
| → HGG (Grade 3-4) | -- | mPFS: 6.7m | [2.8-34.1 mo] |
| → mDoR (Solid Tumors) | -- | 17.8m | [3.7-59.2 mo] |
| → Time to Response | -- | 3.5m | Median |
Note: Excludes CRC adenocarcinoma, pancreatic ductal, NSCLC, cutaneous melanoma (V600E), thyroid (ATC/PTC) per protocol
Top Enrolling Sites
Simulated Data| Site | Country | Enrolled | Status |
|---|---|---|---|
| MD Anderson | US | 14 | Top |
| Dana-Farber | US | 11 | Top |
| Gustave Roussy | FR | 9 | Top |
| Peter Mac | AU | 8 | Good |
| Princess Margaret | CA | 7 | Good |
Duration of Response
Simulated Chart
[Kaplan-Meier DoR Curve by Cohort]
CNS: 13.9 mo (3.7-32.3) | Solid: 17.8 mo (3.7-59.2)
CNS: 13.9 mo (3.7-32.3) | Solid: 17.8 mo (3.7-59.2)
78%
6-month DoR Rate
62%
12-month DoR Rate
CNS Tumor Monitoring (RANO Requirements)
Simulated DataPseudoprogression
4
In 12-week window
Confirmation scans scheduled
Steroid Use
38%
On corticosteroids
12% on >2mg dex equivalent
Intracranial Response
63%
iORR (37/59)
6 CR, 31 PR
BTIP Imaging
91.5%
Protocol compliant
3D T1W + FLAIR per spec