A phase 2/3, multiarm, multistage, open-label study in HLA-A*02:01-negative patients1

NCT05987332

Currently active but not enrolling

The trial at a glance

OptimUM-02 is designed to evaluate the safety, tolerability, pharmacokinetics, dose-exposure relationship, and anti-tumor activity of darovasertib in combination with crizotinib versus the investigator’s choice of treatment (pembrolizumab, ipilimumab + nivolumab, or dacarbazine) in HLA-A*02:01-negative patients with metastatic uveal melanoma (mUM).1

Patients with treatment-naive HLA-A*02:01-negative mUM

Phase 2b (N≈260) | Phase 3 (N≈120 additional patients)1,2

Randomization (2:1)2
Darovasertib 300 mg BID + crizotinib 200 mg BID1,2
Investigator’s choice1,2*

*Pembrolizumab, ipilimumab + nivolumab, or dacarbazine.

Primary endpoints1

  • Progression-free survival by blinded independent review committee
  • Overall survival
Image
Checkmark

SELECT INCLUSION CRITERIA1

  • Age 18 years or older
  • Histologically or cytologically confirmed metastatic uveal HLA-A*02:01-negative melanoma
  • No prior systemic therapy in the metastatic or advanced setting or regional, liver-directed therapy. Ablations or surgical resection of oligometastatic disease, and neoadjuvant or adjuvant therapy, are allowed
  • Measurable disease per RECIST 1.1
  • Ability to be safely administered and absorb study therapy
  • ECOG performance status ≤1 and life expectancy ≥3 months
  • Adequate organ function
Image
X Mark

SELECT EXCLUSION CRITERIA1

  • Prior treatment with a PKC inhibitor, MET inhibitor, or GNAQ/11 inhibitor
  • Concurrent malignant disease
  • AEs from prior anti-cancer therapy that have not resolved to Grade ≤1
  • Symptomatic or untreated central nervous system (CNS) metastases or CNS metastases that require corticosteroids
  • High risk of syncope
  • Known AIDS-related illness or active hepatitis B or hepatitis C
  • Active adrenal insufficiency, active colitis, or active inflammatory bowel disease
  • History of interstitial lung disease, active pneumonitis, or history of pneumonitis
  • Active infection requiring systemic antibiotic therapy
  • Use of hematopoietic colony-stimulating factors prior to start of study drug
  • History of stroke within the last 6 months of the first dose of study drug

AE, adverse event; BID, twice daily; ECOG, Eastern Cooperative Oncology Group; HLA-A*02:01, human leukocyte antigen A02:01 major histocompatibility complex class I allele; MET, mesenchymal-epithelial transition; PKC, protein kinase C; RECIST, Response Evaluation Criteria in Solid Tumors.

Trial site locations

OptimUM-02 is available globally. Browse below to view participating sites.

New South Wales, Australia

Westmead Hospital

Sydney, NSW 2145

Queensland, Australia

Princess Alexander Hospital

Brisbane 4102

South Australia, Australia

Queen Elizabeth Hospital

Adelaide 5011

Victoria, Australia

Peter MacCallum Cancer Centre

Melbourne, Victoria 3000

Victoria, Australia

Alfred Health

Melbourne, Victoria 3168

Washington, Australia

Sir Charles Gairdner Hospital

Perth, Washington 6009

Brabant, Belgium

Algemene Medische Oncologie UZ

Leuven 3000

Brussels, Belgium

Cliniques Universitaires Saint Luc

Brussels 1200

Alberta, Canada

Cross Cancer Institute, University of Alberta

Edmonton, AB T6G 1Z2

British Columbia, Canada

BC Cancer Agency

Vancouver, British Columbia V5Z4C2

Ontario, Canada

Princess Margaret Cancer Centre

Toronto, Ontario M5G 2M9

Quebec, Canada

Centre Hospitalier de l'Universite de Montreal-CHUM

Montreal, Quebec H2X 0C1

London, England

Mount Vernon Cancer Centre East & North Herts NHS Trust

Northwood HA6 2RN

Merseyside, England

The Clatterbridge Cancer Centre NHS Foundation Trust

Wirral CH63 4JY

Auvergne-Rhône-Alpes, France

Le Centre Léon Bérard

Lyon 69008

Île-de-France, France

Institut Curie

Paris 75005

Baden-Württemberg, Germany

NCT Heidelberg

Heidelberg 69120

Berlin, Germany

Charité–Universitätsmedizin Berlin

Berlin 12203

North Rhine-Westphalia, Germany

Universitätsklinikum Köln

Cologne 50937

North Rhine-Westphalia, Germany

Universitätsklinikum Essen (AöR)

Essen 45147

Saxony, Germany

Universitätsklinikum Carl Gustav Carus Dresden

Dresden 1307

Jerusalem District, Israel

Hadassah Medical Center

Jerusalem 91120

Tel Aviv District, Israel

Sheba Medical Center

Ramat Gan 52621

Campania, Italy

Istituto Nazionale dei Tumori Fondazione Pascale

Naples 80131

Lazio, Italy

Fondazione Policlinico Gemelli IRCCS

Rome 00168

Lombardy, Italy

Fondazione IRCCS Istituto Nazionale dei Tumori

MIlan 20133

Tuscany, Italy

AOUS Policlinico Le Scotte

Siena 53100

South Holland, Netherlands

LUMC (Leids Universitair Medisch Centrum)

Leiden 2333 ZA

Pomeranian Voivodeship, Poland

Ośrodek Badań Klinicznych Wczesnych Faz, Uniwersyteckie Centrum Kliniczne w Gdańsku

Gdansk 80-214

Warsaw, Poland

Narodowy Instytut Onkologii im. Marii Skłodowskiej-Curie Państwowy Instytut Badawczy

Warsaw 02-781

Glasgow, Scotland

The Beatson West of Scotland Cancer Centre

Glasgow G12 0YN

Andalusia, Spain

Hospital Universitario Virgen Macarena

Seville 41009

Catalonia, Spain

Catalan Institute of Oncology

Llobregat 8908

Galicia, Spain

Hospital Clínico Universitario de Santiago de Compostela

Santiago de Compostela 15706

Madrid, Spain

Hospital Universitario La Paz

Madrid 28046

Valencia, Spain

Hospital General Universitario Valencia

Valencia 46014

Zurich, Switzerland

Dermatologische Klinik, USZ Flughafen Geschoss 7 - Klinische Forschung

Zürich 8058

Arizona, United States

Honor Health

Scottsdale, AZ 85258

California, United States

Moores Cancer Center

La Jolla, CA  92093

California, United States

UCLA Medical Center

Los Angeles, CA 90024

California, United States

The Angeles Clinic and Research Institute

Los Angeles, CA 90025

California, United States

California Pacific Medical Center (CPMC)

San Francisco, CA 94115

California, United States

University of California San Francisco

San Francisco, CA 94143

Colorado, United States

University of Colorado Cancer Center

Aurora, CO 80045

Colorado, United States

SCRI at HealthONE

Denver, CO 80218

Florida, United States

University of Miami Sylvester Comprehensive Cancer Center

Miami, FL 33136

Florida, United States

Moffitt Cancer Center

Tampa, FL 33612

Georgia, United States

Northside Hospital Atlanta

Atlanta, GA 30342

Iowa, United States

University of Iowa

Iowa City, IA 52242

Massachusetts, United States

Massachusetts General Hospital

Boston, MA 02114

Massachusetts, United States

Dana Farber Cancer Institute

Boston, MA 02215

Michigan, United States

The Cancer and Hematology Centers

Grand Rapids, MI 49546

Minnesota, United States

Minnesota Oncology Hematology, PA

Burnsville, MN 55337

Minnesota, United States

Mayo Clinic

Rochester, MN 55905

Missouri, United States

Washington University School of Medicine

St Louis, MO 63110

New York, United States

Roswell Park Cancer Institute

Buffalo, NY 14263

New York, United States

Northwell Health

Manhasset, NY 11030

New York, United States

Memorial Sloan Kettering Cancer Center

New York, NY 10065

North Carolina, United States

Duke University Health System

Durham, NC 27710

Ohio, United States

University of Cincinnati

Cincinnati, OH 45267

Ohio, United States

The Cleveland Clinic Foundation

Cleveland, OH 44195

Pennsylvania, United States

Thomas Jefferson University

Philadelphia, PA 19107

Pennsylvania, United States

University of Pittsburgh Medical Center

Pittsburgh, PA 15232

Tennessee, United States

SCRI Oncology Partners

Nashville, TN 37203

Texas, United States

Texas Oncology- DFW

Dallas, TX 75246

Texas, United States

UT Southwestern Medical Center

Dallas, TX 75390

Texas, United States

Houston Methodist Cancer Center

Houston, TX 77030

Texas, United States

MD Anderson Cancer Center

Houston, TX 77030

See more

Image
See more arrow

Contact IDEAYA Clinical Trials to learn more.

Get in Touch

Darovasertib is an investigational product and has not been approved by the U.S. Food and Drug Administration for safety or effectiveness.

References: 1. IDE196 (Darovasertib) in combination with crizotinib as first-line therapy in metastatic uveal melanoma. ClinicalTrials.gov identifier: NCT05987332. Updated November 7, 2025. Accessed January 14, 2026. https://clinicaltrials.gov/study/NCT05987332 2. Data on file. Ideaya Biosciences, 2025.