We conducted a multicenter phase II clinical trial of regorafenib in patients with metastatic melanoma positive for C-KIT mutations whose disease progressed after at least one line of systemic treatment....The DCR was 73.9%, with 2 patients (8.7%) showing complete response, 5 patients (21.7%) partial response, and 10 patients (43.5%) showing stable disease, and ORR was 30.4% (7/23 patients). Median follow-up duration was 15.2 months (95% confidential interval [CI], 10.0 – 21.5), and median PFS and OS were 7.0 months (95% CI, 1.5 – 12.5) and 16.3 months (95% CI, 12.6 – 19.9), respectively.