Description:
This trial will evaluate the activity of dasatinib in combination with everolimus for
children with gliomas harboring PDGFR alterations, including newly diagnosed high-grade
glioma (HGG) or diffuse intrinsic pontine glioma (DIPG) after radiation (stratum A); and
recurrent/progressive glioma (grade II-IV, including DIPG) (stratum B).
Title
- Brief Title: Study of Dasatinib in Combination With Everolimus for Children and Young Adults With Gliomas Harboring PDGFR Alterations
- Official Title: A Phase 2 Study of Dasatinib in Combination With Everolimus for Children With Gliomas Harboring PDGFR Alterations
Clinical Trial IDs
- ORG STUDY ID:
UMCC 2017.042
- SECONDARY ID:
HUM00123094
- NCT ID:
NCT03352427
Conditions
- Glioma
- High Grade Glioma
- Pontine Tumors
Interventions
Drug | Synonyms | Arms |
---|
Dasatinib | | Dasatinib+Everolimus |
Everolimus | | Dasatinib+Everolimus |
Purpose
This trial will evaluate the activity of dasatinib in combination with everolimus for
children with gliomas harboring PDGFR alterations, including newly diagnosed high-grade
glioma (HGG) or diffuse intrinsic pontine glioma (DIPG) after radiation (stratum A); and
recurrent/progressive glioma (grade II-IV, including DIPG) (stratum B).
Trial Arms
Name | Type | Description | Interventions |
---|
Dasatinib+Everolimus | Experimental | Dasatinib = 60 mg/m2 orally twice daily
Everolimus = starting dose of 3.0 mg/m2, with titration of dosing after first cycle to keep everolimus trough level of 5-15 ug/ml
Both agents will be taken daily for 28 day cycles. Cycles will be repeated every 28 days and patients may receive up to 24 cycles. | |
Eligibility Criteria
Inclusion Criteria:
- Histological confirmation of a newly diagnosed high-grade glioma or diffuse intrinsic
pontine glioma (DIPG) (Stratum A)
- Histological confirmation (at diagnosis or relapse) of a recurrent or progressive
grade II-IV glioma (including DIPG) (Stratum B)
- Participants must have a genomic (DNA and/or RNA) alteration (mutation, fusion, and/or
amplification) involving PDGF-A, PDGF-B, PDGFR-A or PDGFR-B, as identified by tumor
sequencing.
- Age at enrollment: Greater than 1 year and less than 50 years
- BSA (body surface area): BSA greater than 0.3 m2
- Karnofsky (Measure of performance for cancer patients where 100% represents perfect
health) > 50% for patients > 16 years of age and Lansky (Measure of performance for
pediatric cancer patients where 100% represents perfect health) > 50% for patients <
16 years of age. Neurologic deficits in patients with CNS tumors must have been
relatively stable for a minimum of 7 days. Patients who are unable to walk because of
paralysis, but who are able to sit in a wheelchair, will be considered ambulatory for
the purpose of assessing the performance score.
- Adequate bone marrow function per protocol
- Adequate liver function per protocol
- Adequate renal and metabolic function per protocol
- Patients with known seizure disorder must have seizures adequately controlled with
non- enzyme inducing antiepileptic medications
- No increase in steroid dose within the past 7 days
- Primary brain or spine tumor are eligible, including tumors with metastases, multiple
lesions.
- Patients must have fully recovered from the acute toxic effects of all prior
chemotherapy, immunotherapy, or radiotherapy.
- Myelosuppressive chemotherapy: Must not have received within 3 weeks.
- Hematopoietic growth factors: At least 7 days since the completion of therapy with a
growth factor, 14 days for long- acting.
- Biologic (anti-neoplastic agent): At least 7 days or 3 half-lives (whichever is
longer) since the completion of therapy.
- Radiation therapy:
- Stratum A: ≥ 2 weeks and </= to 12 weeks must have elapsed from radiation.
- Stratum B: ≥ 2 weeks must have elapsed from focal radiation.
- > 3 weeks from major surgery. If recent craniotomy, adequate wound healing must be
determined by neurosurgical team.
- Autologous Stem Cell Transplant or Rescue: No evidence of active graft vs. host
disease and ≥ 4 weeks must have elapsed.
- All patients and/or a legal guardian must sign institutionally approved written
informed consent and assent documents.
Exclusion Criteria:
- Patients who are breastfeeding, pregnant or refuse to use an effective form of birth
control are excluded.
- Patients with uncontrolled infection are excluded.
- Patients receiving other anti-neoplastic agents are excluded.
- Patients requiring strong CYP3A4 or PGP inhibitors are excluded (per protocol)
- Patients requiring anticoagulation or with uncontrolled bleeding are excluded.
- Patients on steroids for symptom management must be on a stable dose for 7 days prior
to start of treatment.
- Patients within 1 year of allogeneic stem cell transplant, patients with active GVHD
or requiring immunosuppression are excluded.
- Previous hypersensitivity to rapamycin or rapamycin derivatives
Maximum Eligible Age: | 50 Years |
Minimum Eligible Age: | 1 Year |
Eligible Gender: | All |
Healthy Volunteers: | No |
Primary Outcome Measures
Measure: | Progression-free survival in participants with newly diagnosed diffuse intrinsic pontine glioma (DIPG) |
Time Frame: | 8 months |
Safety Issue: | |
Description: | Percentage of participants without progression, defined as 25% increase in the size of the tumor or appearance of new lesions. |
Secondary Outcome Measures
Measure: | Overall Survival |
Time Frame: | 1 year |
Safety Issue: | |
Description: | |
Measure: | Overall Survival |
Time Frame: | 2 years |
Safety Issue: | |
Description: | |
Details
Phase: | Phase 2 |
Primary Purpose: | Interventional |
Overall Status: | Recruiting |
Lead Sponsor: | University of Michigan Rogel Cancer Center |
Last Updated
June 11, 2020