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Trial · NCT04985604

Tovorafenib (DAY101) Monotherapy for Patients With Melanoma and Other Solid Tumors

NCT04985604, Phase 2, Terminated, Day One Biopharmaceuticals, Inc.; results first posted 2025-10-02

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. Tovorafenib (DAY101) Monotherapy for Patients With Melanoma and Other Solid Tumors. Trials, record NCT04985604. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT04985604

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
Tovorafenib (DAY101) Monotherapy for Patients With Melanoma and Other Solid Tumors
NCT number
NCT04985604
Status
Terminated
Phases
Phase 2
Enrollment
23 participants, actual
Lead sponsor
Day One Biopharmaceuticals, Inc.
Conditions
Melanoma, Solid Tumor, CRAF Gene Amplification, RAF1 Gene Amplification, BRAF Gene Fusion, BRAF Fusion, CRAF Gene Fusion, CRAF Fusion, RAF1 Gene Fusion, RAF1 Fusion, Thyroid Cancer, Papillary, Spitzoid Melanoma, Pilocytic Astrocytoma, Pilocytic Astrocytoma, Adult, Non Small Cell Lung Cancer, Non-Small Cell Adenocarcinoma, Colorectal Cancer, Pancreatic Acinar Carcinoma, Spitzoid Malignant Melanoma, Bladder Cancer, Bladder Urothelial Carcinoma, MAP Kinase Family Gene Mutation, RAF Mutation
Interventions
Tovorafenib
First posted
2021-08-02
Last updated
2025-10-02
Other registries' IDs
eudract:2021-003768-29
Results first posted
2025-10-02

Source ClinicalTrials.gov

Registered outcomes8

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryOverall Response Rate (ORR) by the InvestigatorUp to 23 months
ORR was defined as the percentage of participants with the best overall confirmed response of complete response (CR) or partial response (PR) according to the appropriate response assessment criteria including Response Evaluation Criteria in Solid Tumors (RECIST 1.1) or Response Assessment in Neuro-Oncology (RANO) for the disease setting as assessed by the Investigator. CR or PR was confirmed at a subsequent scan (\>=4 weeks) if the criteria for each are met . The exact 95% confidence intervals (CIs) were calculated using Clopper-Pearson method.
SecondaryNumber of Participants With Treatment Emergent Adverse Events (TEAEs)Up to 23 months
An adverse event (AE) is any untoward medical occurrence in a participant or clinical study participant, temporally associated with the use of study intervention, whether or not considered related to the study intervention. An serious adverse event (SAE) is any untoward medical occurrence that, at any dose results in death, is life-threatening, requires inpatient hospitalization or prolongation of existing hospitalization, results in persistent disability/incapacity, is a congenital anomaly/birth defect or any other situation according to medical or scientific judgment. An AE is considered to be treatment-emergent if it has a start date/time on or after the first administration of study drug until 30 days after the last dose of study drug and before the start of subsequent therapy, whichever comes earlier. The distribution of AEs was analyzed by the type, frequency and severity for TEAEs.
SecondaryNumber of Participants With Worst Case Hematology Results by Maximum Grade Increase Post-baseline Relative to BaselineBaseline and up to 23 months
Blood samples were collected for the analysis of following hematology parameters: anemia, neutrophil count decreased and white blood cell decreased. Grade 1 (G1): mild; Grade 2 (G2): moderate; Grade 3 (G3): severe; Grade 4 (G4) life-threatening or disabling. Higher grade indicates greater severity and an increase in CTCAE grade was defined relative to the Baseline grade. Any worst-case post baseline increase to G2, G3, and G4 are presented. The laboratory parameters were graded according to Common Terminology Criteria for Adverse Events (CTCAE) version 5.
SecondaryNumber of Participants With Worst Case Chemistry Results by Maximum Grade Increase Post-baseline Relative to BaselineBaseline and up to 23 months
Blood samples were collected for the analysis of following chemistry parameters: creatine phosphokinase (CPK) increased, hypokalemia, hypoalbuminemia, hypercalcemia, hypocalcemia and hyponatremia. Grade 1 (G1): mild; Grade 2 (G2): moderate; Grade 3 (G3): severe; Grade 4 (G4) life-threatening or disabling. Higher grade indicates greater severity and an increase in CTCAE grade was defined relative to the Baseline grade. Any worst-case post baseline increase to G2, G3, and G4 are presented. The laboratory parameters were graded according to CTCAE version 5.
SecondaryDuration of Response (DOR) in Participants With Best Overall ResponseUp to 23 months
Duration of response was defined as the interval from the date of the first documentation of tumor response (CR or PR) that was subsequently confirmed by investigator assessment to the date of first occurrence of radiographic disease progression based on RECIST 1.1 or RANO criteria or death due to any cause, whichever occurs earlier. DOR was estimated using Kaplan-Meier method.
SecondaryDuration of Progression Free SurvivalUp to 23 months
Progression free survival was defined as the interval from the date of the first dose to the first occurrence of radiographic disease progression based on RECIST 1.1 or RANO criteria or death due to any cause, whichever occurs earlier. Progression free survival was estimated using Kaplan-Meier method.
SecondaryDuration of Overall SurvivalUp to 23 monthsOverall survival is defined as the interval from the date of the first dose until the recorded date of death due to any cause. Overall survival was estimated using Kaplan-Meier method.
SecondaryTime to ResponseUp to 23 months
Time to Response was defined in participants with best overall response of complete response or partial response as determined by Investigator. It is the interval from the date of the first dose to date of first documentation of tumor response that was subsequently confirmed by investigator assessment.

Outcomes8

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYOverall Response Rate (ORR) by the InvestigatorUp to 23 monthsEfficacy Analysis Set comprises of all participants who received at least one dose of study drug and have measurable disease as determined by the Investigator at baseline.Percentage of participantsNUMBER
SECONDARYNumber of Participants With Treatment Emergent Adverse Events (TEAEs)Up to 23 monthsSafety Analysis Set comprises of all patients enrolled in the study who receive at least one dose of study drug.ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYNumber of Participants With Worst Case Hematology Results by Maximum Grade Increase Post-baseline Relative to BaselineBaseline and up to 23 monthsSafety Analysis Set comprises of all patients enrolled in the study who receive at least one dose of study drug.ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYNumber of Participants With Worst Case Chemistry Results by Maximum Grade Increase Post-baseline Relative to BaselineBaseline and up to 23 monthsSafety Analysis Set comprises of all patients enrolled in the study who receive at least one dose of study drug.ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYDuration of Response (DOR) in Participants With Best Overall ResponseUp to 23 monthsParticipants in the Efficacy Analysis Set who have a confirmed response of CR or PR.MonthsMEDIAN
SECONDARYDuration of Progression Free SurvivalUp to 23 monthsEfficacy Analysis Set comprises of all participants who received at least one dose of study drug and have measurable disease as determined by the Investigator at baseline.MonthsMEDIAN
SECONDARYDuration of Overall SurvivalUp to 23 monthsEfficacy Analysis Set comprises of all participants who received at least one dose of study drug and have measurable disease as determined by the Investigator at baseline.MonthsMEDIAN
SECONDARYTime to ResponseUp to 23 monthsParticipants in the Efficacy Analysis Set who have a confirmed response of CR or PR were analyzed.MonthsMEDIAN

Results by group84

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Overall Response Rate (ORR) by the InvestigatorMelanoma Cohort50.095% Confidence Interval 15.7 to 84.3Percentage of participants
Overall Response Rate (ORR) by the InvestigatorTissue Agnostic Cohort40.095% Confidence Interval 16.3 to 67.7Percentage of participants
Number of Participants With Treatment Emergent Adverse Events (TEAEs)Melanoma CohortAny TEAE8Participants
Number of Participants With Treatment Emergent Adverse Events (TEAEs)Tissue Agnostic CohortAny TEAE15Participants
Number of Participants With Treatment Emergent Adverse Events (TEAEs)Melanoma CohortTEAEs Related to Study Drug8Participants
Number of Participants With Treatment Emergent Adverse Events (TEAEs)Tissue Agnostic CohortTEAEs Related to Study Drug13Participants
Number of Participants With Treatment Emergent Adverse Events (TEAEs)Melanoma CohortAny serious TEAE2Participants
Number of Participants With Treatment Emergent Adverse Events (TEAEs)Tissue Agnostic CohortAny serious TEAE8Participants
Number of Participants With Treatment Emergent Adverse Events (TEAEs)Melanoma CohortSerious TEAEs Related to Study Drug0Participants
Number of Participants With Treatment Emergent Adverse Events (TEAEs)Tissue Agnostic CohortSerious TEAEs Related to Study Drug1Participants

Participant flow6

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDMelanoma Cohort8
Overall StudySTARTEDTissue Agnostic Cohort15
Overall StudyCOMPLETEDMelanoma Cohort4
Overall StudyCOMPLETEDTissue Agnostic Cohort8
Overall StudyNOT COMPLETEDMelanoma Cohort4
Overall StudyNOT COMPLETEDTissue Agnostic Cohort7

Adverse events256

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherConstipationGastrointestinal disordersMelanoma Cohort38
otherConstipationGastrointestinal disordersTissue Agnostic Cohort315
otherVomitingGastrointestinal disordersMelanoma Cohort18
otherVomitingGastrointestinal disordersTissue Agnostic Cohort415
otherDyspepsiaGastrointestinal disordersMelanoma Cohort08
otherDyspepsiaGastrointestinal disordersTissue Agnostic Cohort315
otherNauseaGastrointestinal disordersMelanoma Cohort08
otherNauseaGastrointestinal disordersTissue Agnostic Cohort215
otherAbdominal painGastrointestinal disordersMelanoma Cohort08
otherAbdominal painGastrointestinal disordersTissue Agnostic Cohort215

Adverse event totals6

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityMelanoma Cohort48
Total, all-cause mortalityTissue Agnostic Cohort615
Total, other adverse eventsMelanoma Cohort88
Total, other adverse eventsTissue Agnostic Cohort1515
Total, serious adverse eventsMelanoma Cohort28
Total, serious adverse eventsTissue Agnostic Cohort815

Papers1

The papers the trial lists on ClinicalTrials.gov.

PMIDListed as
42826365DERIVED

Source PubMed

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons2

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

ComparisonSource
Melanoma Cohort vs Tissue Agnostic Cohort: deaths from any causeTrial comparisons
Melanoma Cohort vs Tissue Agnostic Cohort: serious adverse eventsTrial comparisons

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT04985604

GET https://conductscience.org/api/trials/v1/NCT04985604/results?page=2