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.
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
Interventions
Drug | Synonyms | Arms |
---|
DAY101 | | Single 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
Name | Type | Description | Interventions |
---|
Single Arm | Experimental | DAY101, an oral pan-RAF inhibitor in immediate-release tablet form in 2 strengths, 20 mg and 100 mg. | |
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