Clinical Trials /

A Study to Evaluate DAY101 in Pediatric and Young Adult Patients With Relapsed or Progressive Low-Grade Glioma

NCT04775485

Description:

FIREFLY-1 is a Phase 2, multi center, open-label study to evaluate the safety and efficacy of oral pan-RAF inhibitor DAY101 in pediatric, adolescent, and young adult patients with recurrent or progressive low-grade glioma harboring a known BRAF alteration.

Related Conditions:
  • Low Grade Glioma
Recruiting Status:

Recruiting

Phase:

Phase 2

Trial Eligibility

Document

Title

  • Brief Title: A Study to Evaluate DAY101 in Pediatric and Young Adult Patients With Relapsed or Progressive Low-Grade Glioma
  • Official Title: FIREFLY-1: A Phase 2, Open-Label, Multicenter Study to Evaluate the Safety and Efficacy of the Oral Pan-RAF Inhibitor DAY101 in Pediatric Patients With BRAF-Altered, Recurrent or Progressive Low-Grade Glioma

Clinical Trial IDs

  • ORG STUDY ID: DAY101-001/PNOC026
  • NCT ID: NCT04775485

Conditions

  • Low-grade Glioma

Interventions

DrugSynonymsArms
DAY101Single Arm

Purpose

FIREFLY-1 is a Phase 2, multi center, open-label study to evaluate the safety and efficacy of oral pan-RAF inhibitor DAY101 in pediatric, adolescent, and young adult patients with recurrent or progressive low-grade glioma harboring a known BRAF alteration.

Detailed Description

      Approximately 60 pediatric patients will be treated with DAY101, an oral pan-RAF inhibitor,
      for a planned period of 26 cycles will be treated with DAY101 for a planned period of 26
      cycles (approximately 24 months).

      DAY101 will be administered at the recommended Phase 2 dose (RP2D) of 420 mg/m2 (not to
      exceed 600 mg) orally once weekly (QW) for each 28-day treatment cycle.

      Treatment cycles will repeat every 28 days in the absence of disease progression or
      unacceptable toxicity. Patients will undergo radiographic evaluation of their disease at the
      end of every third cycle. Patients will continue on DAY101 until radiographic evidence of
      disease progression by RANO criteria as determined by treating investigator, unacceptable
      toxicity, patient withdrawal of consent, or death.

      Patients who have radiographic evidence of disease progression may be allowed to continue
      DAY101 if, in the opinion of the investigator and approval by the Sponsor, the patient is
      deriving clinical benefit from continuing study treatment. Disease assessments for patients
      being treated beyond progression should continue as per regular schedule.

      DAY101 is an oral pan-RAF inhibitor administered as an oral tablet at 420 mg/m2 (not to
      exceed 600 mg).
    

Trial Arms

NameTypeDescriptionInterventions
Single ArmExperimentalDAY101, an oral pan-RAF inhibitor in immediate-release tablet form in 2 strengths, 20 mg and 100 mg.
  • DAY101

Eligibility Criteria

        Inclusion Criteria:

          -  Age 6 months to 25 years with a relapsed or progressive LGG with known activating BRAF
             alteration

          -  Confirmation of histopathologic diagnosis of LGG and molecular diagnosis of activating
             BRAF alteration

          -  Must have received at least one line of systemic therapy and have evidence of
             radiographic progression

          -  Must have at least 1 measurable lesion as defined by RANO criteria

        Exclusion Criteria:

          -  Patient's tumor has additional previously-known activating molecular alterations

          -  Patient has symptoms of clinical progression in the absence of radiographic
             progression

          -  Known or suspected diagnosis of neurofibromatosis type 1 (NF-1)

          -  Other inclusion/exclusion criteria as stipulated by protocol may apply
      
Maximum Eligible Age:25 Years
Minimum Eligible Age:6 Months
Eligible Gender:All
Healthy Volunteers:No

Primary Outcome Measures

Measure:Overall response rate (ORR) by independent radiology review committee (IRC) based on RANO criteria
Time Frame:Up to 48 months
Safety Issue:
Description:

Secondary Outcome Measures

Measure:Assess the safety and tolerability of DAY101
Time Frame:Up to 48 months
Safety Issue:
Description:Type, frequency, and severity of treatment-emergent adverse events and laboratory abnormalities
Measure:Relationship between pharmacokinetics (PK) and drug effects
Time Frame:Up to 48 months
Safety Issue:
Description:Pharmacokinetic profile of DAY101 (e.g., area under the concentration-time curve [AUC], Cmin, etc.)
Measure:Effect on electrocardiogram (ECG) and QT interval corrected for heart rate by Fridericia's formula (QTcF) prolongation
Time Frame:Up to 48 months
Safety Issue:
Description:Change from baseline QT interval corrected for HR by Fridericia's formula (ΔQTcF); change from baseline PR interval (ΔPR); change from baseline QRS interval (ΔQRS); change from baseline heart rate (ΔHR); ECG waveform morphology
Measure:ORR by Investigator using RANO criteria
Time Frame:Up to 48 months
Safety Issue:
Description:Measured by the proportion of patients with best overall confirmed response of CR or PR by RANO criteria
Measure:ORR by IRC and Investigator using RAPNO criteria
Time Frame:Up to 48 months
Safety Issue:
Description:Measured by the proportion of patients with best overall confirmed response of CR or PR by RAPNO-LGG criteria
Measure:Progression free survival (PFS) by IRC and Investigator using RANO and RAPNO criteria
Time Frame:Up to 48 months
Safety Issue:
Description:Measured by the time following initiation of DAY101 to progression or death in patients treated with DAY101
Measure:Duration of response (DOR) with best overall response of CR or PR using RANO and RAPNO criteria
Time Frame:Up to 48 months
Safety Issue:
Description:Measured by the length of response in patients with best overall confirmed response of CR or PR by RANO criteria
Measure:Time to response following initiation of DAY101
Time Frame:Up to 48 months
Safety Issue:
Description:Measured by the time to first response following initiation of DAY101 in patients with best overall confirmed response of CR or PR by RANO criteria
Measure:Clinical benefit rate based on the proportion of patients with best overall response
Time Frame:Up to 48 months
Safety Issue:
Description:Measured on the proportion of patients with best overall response of CR, PR, or SD lasting 12 months or more following initiation of DAY101
Measure:Evaluate visual acuity (VA) outcomes compared with baseline
Time Frame:Up to 48 months
Safety Issue:
Description:Measured by Teller Acuity Cards® II
Measure:Evaluate the concordance of prior local laboratory BRAF molecular profiling with a central BRAF alteration assay being evaluated by the Sponsor
Time Frame:Up to 48 months
Safety Issue:
Description:Molecular analysis of cells obtained from archival tissue

Details

Phase:Phase 2
Primary Purpose:Interventional
Overall Status:Recruiting
Lead Sponsor:Day One Biopharmaceuticals, Inc.

Last Updated

August 12, 2021