- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04166409
- Original Trial
A Study of the Drugs Selumetinib vs. Carboplatin and Vincristine in Patients With Low-Grade Glioma
A Phase 3 Randomized Non-Inferiority Study of Carboplatin and Vincristine Versus Selumetinib (NSC# 748727) in Newly Diagnosed or Previously Untreated Low-Grade Glioma (LGG) Not Associated With BRAFV600E Mutations or Systemic Neurofibromatosis Type 1 (NF1)
Study Overview
Status
Conditions
Detailed Description
PRIMARY OBJECTIVE:
I. To demonstrate that the efficacy of treatment with selumetinib as measured by event-free survival (EFS) is non-inferior compared to treatment with carboplatin/vincristine (CV) in previously-untreated low-grade glioma (LGG) not associated with BRAFV600E mutations or systemic neurofibromatosis type 1 (NF1).
SECONDARY OBJECTIVES:
I. To estimate tumor response rates to each regimen of chemotherapy. II. To evaluate visual acuity (VA) outcomes utilizing Teller Acuity Cards (TAC) and HOTV letter acuity testing in previously-untreated optic pathway gliomas (OPGs).
III. To describe the improvement in motor function as measured by the Vineland Scale in children with previously-untreated LGG that have motor deficits at enrollment.
IV. To estimate the difference in EFS and tumor response rate between BRAF rearranged and non-BRAF rearranged patients treated on each chemotherapy regimen.
V. To prospectively evaluate the quality of life of children with LGG not associated with BRAFV600E or systemic NF1 treated with either CV or selumetinib.
VI. To prospectively evaluate the cognitive, social, emotional, and behavioral functioning of children with LGG not associated with BRAFV600E or systemic NF1 treated with either CV or selumetinib.
EXPLORATORY OBJECTIVE:
I. To obtain paired blood and tumor specimens for future biology studies as well as data from Molecular Characterization Initiative (MCI) testing, to correlate genomic drivers to efficacy outcomes.
OUTLINE: Patients are randomized to 1 of 2 arms.
ARM I:
INDUCTION: Patients receive vincristine sulfate intravenously (IV) on days 1, 8, 15, 22, 29, 36, 43, 50, 57, and 64, and carboplatin IV over 60 minutes on days 1, 8, 15, 22, 43, 50, 57, and 64 in the absence of disease progression or unacceptable toxicity. Patients also undergo collection of blood and magnetic resonance imaging (MRI) throughout the trial.
MAINTENANCE: Patients receive vincristine sulfate IV on days 1, 8, and 15, and carboplatin IV over 60 minutes on days 1, 8, 15, and 22 of each cycle. Cycles repeat every 42 days for up to 8 cycles in the absence of disease progression or unacceptable toxicity. Patients also undergo collection of blood and MRI throughout the trial.
ARM II: Patients receive selumetinib sulfate orally (PO) twice daily (BID) on days 1-28 of each cycle. Cycles repeat every 28 days for up to 27 cycles in the absence of disease progression or unacceptable toxicity. Patients also undergo echocardiography (ECHO) at baseline and undergo collection of blood and MRI throughout the trial.
After completion of study treatment, patients are followed up every 3 months for year 1, every 6 months for years 2-3, and then annually for years 4-10.
Study Type
Enrollment (Estimated)
Phase
- Phase 3
Contacts and Locations
Study Locations
-
-
-
Québec, Canada, G1V 4G2
- Recruiting
- CHU de Quebec-Centre Hospitalier de l'Universite Laval (CHUL)
-
Principal Investigator:
- Bruno Michon
-
Contact:
- Site Public Contact
- Phone Number: 418-525-4444
- Email: rechclinique@crchudequebec.ulaval.ca
-
-
British Columbia
-
Vancouver, British Columbia, Canada, V6H 3V4
- Recruiting
- British Columbia Children's Hospital
-
Contact:
- Site Public Contact
- Phone Number: 6477 604-875-2345
-
Principal Investigator:
- Rebecca J. Deyell
-
-
Newfoundland and Labrador
-
St. John's, Newfoundland and Labrador, Canada, A1B 3V6
- Recruiting
- Janeway Child Health Centre
-
Principal Investigator:
- Lisa A. Goodyear
-
Contact:
- Site Public Contact
- Phone Number: 709-777-8727
- Email: beverlyj.mitchell@easternhealth.ca
-
-
Nova Scotia
-
Halifax, Nova Scotia, Canada, B3K 6R8
- Recruiting
- IWK Health Centre
-
Contact:
- Site Public Contact
- Phone Number: 902-470-8520
- Email: Research@iwk.nshealth.ca
-
Principal Investigator:
- Chelsea Ash
-
-
Quebec
-
Montreal, Quebec, Canada, H3H 1P3
- Recruiting
- The Montreal Children's Hospital of the MUHC
-
Contact:
- Site Public Contact
- Phone Number: 514-412-4445
- Email: info@thechildren.com
-
Principal Investigator:
- Stephanie Mourad
-
Montreal, Quebec, Canada, H3T 1C5
- Recruiting
- Centre Hospitalier Universitaire Sainte-Justine
-
Principal Investigator:
- Monia Marzouki
-
Contact:
- Site Public Contact
- Phone Number: 514-345-4931
- Email: yvan.samson@umontreal.ca
-
Sherbrooke, Quebec, Canada, J1H 5N4
- Recruiting
- Centre Hospitalier Universitaire de Sherbrooke-Fleurimont
-
Contact:
- Site Public Contact
- Phone Number: 819-820-6480
- Email: crcinformation.chus@ssss.gouv.qc.ca
-
Principal Investigator:
- Josee Brossard
-
-
-
-
-
Caguas, Puerto Rico, 00726
- Active, not recruiting
- HIMA San Pablo Oncologic Hospital
-
-
-
-
Alabama
-
Birmingham, Alabama, United States, 35233
- Recruiting
- Children's Hospital of Alabama
-
Contact:
- Site Public Contact
- Phone Number: 205-638-9285
- Email: oncologyresearch@peds.uab.edu
-
Principal Investigator:
- Laura K. Metrock
-
-
Arizona
-
Mesa, Arizona, United States, 85202
- Recruiting
- Banner Children's at Desert
-
Contact:
- Site Public Contact
- Phone Number: 480-412-3100
-
Principal Investigator:
- Joseph C. Torkildson
-
Phoenix, Arizona, United States, 85016
- Recruiting
- Phoenix Childrens Hospital
-
Contact:
- Site Public Contact
- Phone Number: 602-546-0920
-
Principal Investigator:
- Kazuhiro Sabet
-
-
Arkansas
-
Little Rock, Arkansas, United States, 72202-3591
- Recruiting
- Arkansas Children's Hospital
-
Principal Investigator:
- Michael W. Bishop
-
Contact:
- Site Public Contact
- Phone Number: 501-364-7373
-
-
California
-
Loma Linda, California, United States, 92354
- Recruiting
- Loma Linda University Medical Center
-
Contact:
- Site Public Contact
- Phone Number: 909-558-4050
-
Principal Investigator:
- Albert Kheradpour
-
Long Beach, California, United States, 90806
- Recruiting
- Miller Children's and Women's Hospital Long Beach
-
Contact:
- Site Public Contact
- Phone Number: 562-933-5600
-
Principal Investigator:
- Jacqueline N. Casillas
-
Los Angeles, California, United States, 90027
- Recruiting
- Children's Hospital Los Angeles
-
Contact:
- Site Public Contact
- Phone Number: 323-361-4110
-
Principal Investigator:
- Nathan J. Robison
-
Los Angeles, California, United States, 90048
- Recruiting
- Cedars-Sinai Medical Center
-
Principal Investigator:
- Fataneh (Fae) Majlessipour
-
Contact:
- Site Public Contact
- Phone Number: 310-423-2133
- Email: Cancer.trial.info@cshs.org
-
Los Angeles, California, United States, 90095
- Recruiting
- Mattel Children's Hospital UCLA
-
Contact:
- Site Public Contact
- Phone Number: 310-825-6708
-
Principal Investigator:
- Satiro N. De Oliveira
-
Oakland, California, United States, 94611
- Recruiting
- Kaiser Permanente-Oakland
-
Contact:
- Site Public Contact
- Phone Number: 877-642-4691
- Email: Kpoct@kp.org
-
Principal Investigator:
- Aarati V. Rao
-
Orange, California, United States, 92868
- Recruiting
- Children's Hospital of Orange County
-
Contact:
- Site Public Contact
- Phone Number: 714-509-8646
- Email: oncresearch@choc.org
-
Principal Investigator:
- Elyssa M. Rubin
-
Palo Alto, California, United States, 94304
- Recruiting
- Lucile Packard Children's Hospital Stanford University
-
Contact:
- Site Public Contact
- Phone Number: 800-694-0012
- Email: ccto-office@stanford.edu
-
Principal Investigator:
- Jay Michael S. Balagtas
-
San Diego, California, United States, 92123
- Recruiting
- Rady Children's Hospital - San Diego
-
Contact:
- Site Public Contact
- Phone Number: 858-966-5934
-
Principal Investigator:
- William D. Roberts
-
San Francisco, California, United States, 94158
- Recruiting
- UCSF Medical Center-Mission Bay
-
Contact:
- Site Public Contact
- Phone Number: 877-827-3222
- Email: cancertrials@ucsf.edu
-
Principal Investigator:
- Alyssa T. Reddy
-
-
Colorado
-
Aurora, Colorado, United States, 80045
- Recruiting
- Children's Hospital Colorado
-
Principal Investigator:
- Jean M. Mulcahy Levy
-
Contact:
- Site Public Contact
- Phone Number: 303-764-5056
- Email: josh.b.gordon@nsmtp.kp.org
-
-
Connecticut
-
Hartford, Connecticut, United States, 06106
- Recruiting
- Connecticut Children's Medical Center
-
Contact:
- Site Public Contact
- Phone Number: 860-545-9981
-
Principal Investigator:
- Michael S. Isakoff
-
New Haven, Connecticut, United States, 06520
- Recruiting
- Yale University
-
Principal Investigator:
- Asher M. Marks
-
Contact:
- Site Public Contact
- Phone Number: 203-785-5702
- Email: canceranswers@yale.edu
-
-
Delaware
-
Wilmington, Delaware, United States, 19803
- Recruiting
- Alfred I duPont Hospital for Children
-
Contact:
- Site Public Contact
- Phone Number: 302-651-5572
- Email: Allison.bruce@nemours.org
-
Principal Investigator:
- Sridhi Patel
-
-
District of Columbia
-
Washington D.C., District of Columbia, United States, 20010
- Recruiting
- Children's National Medical Center
-
Principal Investigator:
- Jeffrey S. Dome
-
Contact:
- Site Public Contact
- Phone Number: 202-476-2800
- Email: OncCRC_OnCall@childrensnational.org
-
-
Florida
-
Fort Myers, Florida, United States, 33908
- Recruiting
- Golisano Children's Hospital of Southwest Florida
-
Contact:
- Site Public Contact
- Phone Number: 239-343-5333
- Email: molly.arnstrom@leehealth.org
-
Principal Investigator:
- Emad K. Salman
-
Gainesville, Florida, United States, 32610
- Active, not recruiting
- UF Health Cancer Institute - Gainesville
-
Hollywood, Florida, United States, 33021
- Recruiting
- Memorial Regional Hospital/Joe DiMaggio Children's Hospital
-
Contact:
- Site Public Contact
- Phone Number: 954-265-1847
- Email: OHR@mhs.net
-
Principal Investigator:
- Iftikhar Hanif
-
Jacksonville, Florida, United States, 32207
- Recruiting
- Nemours Children's Clinic-Jacksonville
-
Contact:
- Site Public Contact
- Phone Number: 302-651-5572
- Email: Allison.bruce@nemours.org
-
Principal Investigator:
- Sridhi Patel
-
Miami, Florida, United States, 33155
- Recruiting
- Nicklaus Children's Hospital
-
Contact:
- Site Public Contact
- Phone Number: 888-624-2778
-
Principal Investigator:
- Ziad A. Khatib
-
Miami, Florida, United States, 33136
- Withdrawn
- University of Miami Miller School of Medicine-Sylvester Cancer Center
-
Orlando, Florida, United States, 32806
- Recruiting
- Arnold Palmer Hospital for Children
-
Principal Investigator:
- Jaime M. Libes-Bander
-
Contact:
- Site Public Contact
- Phone Number: 321-841-5357
- Email: Jennifer.spinelli@orlandohealth.com
-
Orlando, Florida, United States, 32827
- Recruiting
- Nemours Children's Hospital
-
Contact:
- Site Public Contact
- Phone Number: 302-651-5572
- Email: Allison.bruce@nemours.org
-
Principal Investigator:
- Sridhi Patel
-
Orlando, Florida, United States, 32803
- Recruiting
- AdventHealth Orlando
-
Contact:
- Site Public Contact
- Phone Number: 407-303-2090
- Email: FH.Cancer.Research@flhosp.org
-
Principal Investigator:
- Fouad M. Hajjar
-
Pensacola, Florida, United States, 32504
- Suspended
- Sacred Heart Hospital
-
Pensacola, Florida, United States, 32504
- Recruiting
- Nemours Children's Clinic - Pensacola
-
Contact:
- Site Public Contact
- Email: helpdesk@childrensoncologygroup.org
-
Principal Investigator:
- Jeffrey H. Schwartz
-
St. Petersburg, Florida, United States, 33701
- Recruiting
- Johns Hopkins All Children's Hospital
-
Contact:
- Site Public Contact
- Phone Number: 727-767-4784
- Email: Ashley.Repp@jhmi.edu
-
Principal Investigator:
- Stacie L. Stapleton
-
Tampa, Florida, United States, 33607
- Recruiting
- Saint Joseph's Hospital/Children's Hospital-Tampa
-
Contact:
- Site Public Contact
- Phone Number: 813-357-0849
- Email: jennifer.manns@baycare.org
-
Principal Investigator:
- Don E. Eslin
-
-
Georgia
-
Atlanta, Georgia, United States, 30329
- Recruiting
- Children's Healthcare of Atlanta - Arthur M Blank Hospital
-
Principal Investigator:
- Jason R. Fangusaro
-
Contact:
- Site Public Contact
- Phone Number: 404-785-0232
- Email: Olivia.Floyd@choa.org
-
-
Hawaii
-
Honolulu, Hawaii, United States, 96826
- Recruiting
- Kapiolani Medical Center for Women and Children
-
Contact:
- Site Public Contact
- Phone Number: 808-983-6090
-
Principal Investigator:
- Wade T. Kyono
-
-
Idaho
-
Boise, Idaho, United States, 83712
- Recruiting
- Saint Luke's Cancer Institute - Boise
-
Principal Investigator:
- Martha M. Pacheco
-
Contact:
- Site Public Contact
- Phone Number: 208-381-2774
- Email: eslinget@slhs.org
-
-
Illinois
-
Chicago, Illinois, United States, 60611
- Recruiting
- Lurie Children's Hospital-Chicago
-
Contact:
- Site Public Contact
- Phone Number: 773-880-4562
-
Principal Investigator:
- Angela J. Waanders
-
Chicago, Illinois, United States, 60637
- Recruiting
- University of Chicago Comprehensive Cancer Center
-
Contact:
- Site Public Contact
- Phone Number: 773-702-8222
- Email: cancerclinicaltrials@bsd.uchicago.edu
-
Principal Investigator:
- Wendy S. Darlington
-
Chicago, Illinois, United States, 60612
- Recruiting
- University of Illinois
-
Contact:
- Site Public Contact
- Phone Number: 312-355-3046
-
Principal Investigator:
- Dipti S. Dighe
-
Peoria, Illinois, United States, 61637
- Recruiting
- OSF Children's Hospital of Illinois
-
Principal Investigator:
- Prerna Kumar
-
Contact:
- Site Public Contact
- Phone Number: 309-624-4945
- Email: ChildrensHospitalofIllinois@osfhealthcare.org
-
Springfield, Illinois, United States, 62702
- Recruiting
- Southern Illinois University School of Medicine
-
Contact:
- Site Public Contact
- Phone Number: 217-545-7929
-
Principal Investigator:
- Gregory P. Brandt
-
-
Indiana
-
Indianapolis, Indiana, United States, 46202
- Recruiting
- Riley Hospital for Children
-
Contact:
- Site Public Contact
- Phone Number: 800-248-1199
-
Principal Investigator:
- Sandeep Batra
-
Indianapolis, Indiana, United States, 46260
- Recruiting
- Ascension Saint Vincent Indianapolis Hospital
-
Contact:
- Site Public Contact
- Phone Number: 317-338-2194
- Email: research@stvincent.org
-
Principal Investigator:
- Jessica F. Goodman
-
-
Iowa
-
Des Moines, Iowa, United States, 50309
- Recruiting
- Blank Children's Hospital
-
Contact:
- Site Public Contact
- Phone Number: 515-241-8912
- Email: samantha.mallory@unitypoint.org
-
Principal Investigator:
- Samantha L. Mallory
-
Iowa City, Iowa, United States, 52242
- Recruiting
- University of Iowa/Holden Comprehensive Cancer Center
-
Contact:
- Site Public Contact
- Phone Number: 800-237-1225
-
Principal Investigator:
- Andrew P. Groves
-
-
Kentucky
-
Lexington, Kentucky, United States, 40536
- Recruiting
- University of Kentucky/Markey Cancer Center
-
Contact:
- Site Public Contact
- Phone Number: 859-257-3379
-
Principal Investigator:
- James T. Badgett
-
Louisville, Kentucky, United States, 40202
- Recruiting
- Norton Children's Hospital
-
Contact:
- Site Public Contact
- Phone Number: 502-629-5500
- Email: CancerResource@nortonhealthcare.org
-
Principal Investigator:
- Michael J. Ferguson
-
-
Louisiana
-
New Orleans, Louisiana, United States, 70118
- Recruiting
- Children's Hospital New Orleans
-
Principal Investigator:
- Maria C. Velez-Yanguas
-
Contact:
- Site Public Contact
- Phone Number: 504-894-5377
-
-
Maine
-
Bangor, Maine, United States, 04401
- Recruiting
- Eastern Maine Medical Center
-
Contact:
- Site Public Contact
- Phone Number: 207-973-4274
-
Principal Investigator:
- Daniel L. Callaway
-
Scarborough, Maine, United States, 04074
- Recruiting
- Maine Children's Cancer Program
-
Principal Investigator:
- Stanley Chaleff
-
Contact:
- Site Public Contact
- Phone Number: 207-396-8670
- Email: clinicalresearch@mainehealth.org
-
-
Maryland
-
Baltimore, Maryland, United States, 21287
- Recruiting
- Johns Hopkins University/Sidney Kimmel Cancer Center
-
Contact:
- Site Public Contact
- Phone Number: 410-955-8804
- Email: jhcccro@jhmi.edu
-
Principal Investigator:
- Kenneth J. Cohen
-
Bethesda, Maryland, United States, 20889-5600
- Recruiting
- Walter Reed National Military Medical Center
-
Contact:
- Site Public Contact
- Phone Number: 301-319-2100
-
Principal Investigator:
- Allen I. Stering
-
-
Massachusetts
-
Boston, Massachusetts, United States, 02215
- Active, not recruiting
- Dana-Farber Cancer Institute
-
Boston, Massachusetts, United States, 02114
- Active, not recruiting
- Massachusetts General Hospital Cancer Center
-
-
Michigan
-
Ann Arbor, Michigan, United States, 48109
- Recruiting
- C S Mott Children's Hospital
-
Contact:
- Site Public Contact
- Phone Number: 800-865-1125
-
Principal Investigator:
- Andrea T. Franson
-
Detroit, Michigan, United States, 48201
- Recruiting
- Children's Hospital of Michigan
-
Principal Investigator:
- Stephanie A. Toll
-
Contact:
- Site Public Contact
- Email: helpdesk@childrensoncologygroup.org
-
Grand Rapids, Michigan, United States, 49503
- Recruiting
- Corewell Health Grand Rapids Hospitals - Helen DeVos Children's Hospital
-
Contact:
- Site Public Contact
- Phone Number: 616-391-1230
- Email: crcwm-regulatory@crcwm.org
-
Principal Investigator:
- Kathleen Y. Butler
-
Royal Oak, Michigan, United States, 48073
- Active, not recruiting
- Corewell Health Children's
-
-
Minnesota
-
Minneapolis, Minnesota, United States, 55404
- Recruiting
- Children's Hospitals and Clinics of Minnesota - Minneapolis
-
Principal Investigator:
- Michael K. Richards
-
Contact:
- Site Public Contact
- Phone Number: 612-813-5913
- Email: pauline.mitby@childrensmn.org
-
Minneapolis, Minnesota, United States, 55455
- Recruiting
- University of Minnesota/Masonic Cancer Center
-
Contact:
- Site Public Contact
- Phone Number: 612-624-2620
-
Principal Investigator:
- Clay M. Hoerig
-
Rochester, Minnesota, United States, 55905
- Recruiting
- Mayo Clinic in Rochester
-
Contact:
- Site Public Contact
- Phone Number: 855-776-0015
-
Principal Investigator:
- Joseph Z. Wilson
-
-
Mississippi
-
Jackson, Mississippi, United States, 39216
- Recruiting
- University of Mississippi Medical Center
-
Contact:
- Site Public Contact
- Phone Number: 601-815-6700
-
Principal Investigator:
- Amanda Strobel
-
-
Missouri
-
Kansas City, Missouri, United States, 64108
- Recruiting
- Children's Mercy Hospitals and Clinics
-
Principal Investigator:
- Keith J. August
-
Contact:
- Site Public Contact
- Phone Number: 816-302-6808
- Email: COGResearchGroup@cmh.edu
-
St Louis, Missouri, United States, 63110
- Recruiting
- Washington University School of Medicine
-
Contact:
- Site Public Contact
- Phone Number: 800-600-3606
- Email: info@siteman.wustl.edu
-
Principal Investigator:
- Andrew S. Cluster
-
St Louis, Missouri, United States, 63104
- Recruiting
- Cardinal Glennon Children's Medical Center
-
Contact:
- Site Public Contact
- Phone Number: 314-268-4000
-
Principal Investigator:
- William S. Ferguson
-
-
Nebraska
-
Omaha, Nebraska, United States, 68114
- Recruiting
- Children's Hospital and Medical Center of Omaha
-
Contact:
- Site Public Contact
- Phone Number: 402-955-3949
-
Principal Investigator:
- Jill C. Beck
-
Omaha, Nebraska, United States, 68198
- Recruiting
- University of Nebraska Medical Center
-
Contact:
- Site Public Contact
- Phone Number: 402-559-6941
- Email: unmcrsa@unmc.edu
-
Principal Investigator:
- Jill C. Beck
-
-
New Jersey
-
Morristown, New Jersey, United States, 07960
- Recruiting
- Morristown Medical Center
-
Contact:
- Site Public Contact
- Phone Number: 973-971-5900
-
Principal Investigator:
- Kathryn L. Laurie
-
-
New York
-
Albany, New York, United States, 12208
- Recruiting
- Albany Medical Center
-
Contact:
- Site Public Contact
- Phone Number: 518-262-5513
-
Principal Investigator:
- Lauren R. Weintraub
-
Buffalo, New York, United States, 14263
- Recruiting
- Roswell Park Cancer Institute
-
Contact:
- Site Public Contact
- Phone Number: 800-767-9355
- Email: askroswell@roswellpark.org
-
Principal Investigator:
- Matthew J. Barth
-
Mineola, New York, United States, 11501
- Recruiting
- NYU Langone Hospital - Long Island
-
Contact:
- Site Public Contact
- Phone Number: 212-263-4432
- Email: cancertrials@nyulangone.org
-
Principal Investigator:
- Chana L. Glasser
-
New Hyde Park, New York, United States, 11040
- Recruiting
- The Steven and Alexandra Cohen Children's Medical Center of New York
-
Contact:
- Site Public Contact
- Phone Number: 718-470-3460
-
Principal Investigator:
- Mark P. Atlas
-
New York, New York, United States, 10065
- Recruiting
- Memorial Sloan Kettering Cancer Center
-
Contact:
- Site Public Contact
- Phone Number: 212-639-7592
-
Principal Investigator:
- Sameer Farouk Sait
-
New York, New York, United States, 10016
- Recruiting
- Laura and Isaac Perlmutter Cancer Center at NYU Langone
-
Principal Investigator:
- Elizabeth A. Raetz
-
Contact:
- Site Public Contact
- Email: CancerTrials@nyulangone.org
-
Rochester, New York, United States, 14642
- Active, not recruiting
- University of Rochester
-
Syracuse, New York, United States, 13210
- Recruiting
- State University of New York Upstate Medical University
-
Contact:
- Site Public Contact
- Phone Number: 315-464-5476
-
Principal Investigator:
- Melanie A. Comito
-
Valhalla, New York, United States, 10595
- Recruiting
- New York Medical College
-
Contact:
- Site Public Contact
- Phone Number: 914-594-3794
-
Principal Investigator:
- Andrew J. Bellantoni
-
-
North Carolina
-
Chapel Hill, North Carolina, United States, 27599
- Recruiting
- UNC Lineberger Comprehensive Cancer Center
-
Contact:
- Site Public Contact
- Phone Number: 877-668-0683
- Email: cancerclinicaltrials@med.unc.edu
-
Principal Investigator:
- David E. Kram
-
Charlotte, North Carolina, United States, 28203
- Recruiting
- Carolinas Medical Center/Levine Cancer Institute
-
Contact:
- Site Public Contact
- Phone Number: 800-804-9376
-
Principal Investigator:
- Joel A. Kaplan
-
Durham, North Carolina, United States, 27710
- Recruiting
- Duke University Medical Center
-
Principal Investigator:
- Jessica M. Sun
-
Contact:
- Site Public Contact
- Phone Number: 888-275-3853
-
Greenville, North Carolina, United States, 27834
- Recruiting
- East Carolina University
-
Contact:
- Site Public Contact
- Phone Number: 252-744-1015
- Email: eubankss@ecu.edu
-
Principal Investigator:
- Andrea R. Whitfield
-
Winston-Salem, North Carolina, United States, 27157
- Recruiting
- Wake Forest University Health Sciences
-
Contact:
- Site Public Contact
- Phone Number: 336-713-6771
-
Principal Investigator:
- Sarah Supples
-
-
North Dakota
-
Fargo, North Dakota, United States, 58122
- Recruiting
- Sanford Broadway Medical Center
-
Contact:
- Site Public Contact
- Phone Number: 701-323-5760
- Email: OncologyClinicalTrialsFargo@sanfordhealth.org
-
Principal Investigator:
- Samuel J. Milanovich
-
-
Ohio
-
Akron, Ohio, United States, 44308
- Recruiting
- Children's Hospital Medical Center of Akron
-
Contact:
- Site Public Contact
- Phone Number: 330-543-3193
-
Principal Investigator:
- Erin Wright
-
Cincinnati, Ohio, United States, 45229
- Recruiting
- Cincinnati Children's Hospital Medical Center
-
Contact:
- Site Public Contact
- Phone Number: 513-636-2799
- Email: cancer@cchmc.org
-
Principal Investigator:
- Peter M. de Blank
-
Cleveland, Ohio, United States, 44106
- Recruiting
- Rainbow Babies and Childrens Hospital
-
Contact:
- Site Public Contact
- Phone Number: 216-844-5437
-
Principal Investigator:
- Duncan S. Stearns
-
Columbus, Ohio, United States, 43205
- Recruiting
- Nationwide Children's Hospital
-
Contact:
- Site Public Contact
- Phone Number: 614-722-6039
- Email: Melinda.Triplet@nationwidechildrens.org
-
Principal Investigator:
- Mark A. Ranalli
-
Dayton, Ohio, United States, 45404
- Recruiting
- Dayton Children's Hospital
-
Contact:
- Site Public Contact
- Phone Number: 800-228-4055
-
Principal Investigator:
- Jordan M. Wright
-
-
Oklahoma
-
Oklahoma City, Oklahoma, United States, 73104
- Recruiting
- University of Oklahoma Health Sciences Center
-
Contact:
- Site Public Contact
- Phone Number: 405-271-8777
- Email: ou-clinical-trials@ouhsc.edu
-
Principal Investigator:
- Rene Y. McNall-Knapp
-
-
Oregon
-
Portland, Oregon, United States, 97239
- Recruiting
- Oregon Health and Science University
-
Contact:
- Site Public Contact
- Phone Number: 503-494-1080
- Email: trials@ohsu.edu
-
Principal Investigator:
- Neha J. Patel
-
-
Pennsylvania
-
Danville, Pennsylvania, United States, 17822
- Recruiting
- Geisinger Medical Center
-
Contact:
- Site Public Contact
- Phone Number: 570-271-5251
- Email: HemonCCTrials@geisinger.edu
-
Principal Investigator:
- Jagadeesh Ramdas
-
Hershey, Pennsylvania, United States, 17033
- Recruiting
- Penn State Children's Hospital
-
Contact:
- Site Public Contact
- Phone Number: 717-531-6012
-
Principal Investigator:
- Lisa M. McGregor
-
Philadelphia, Pennsylvania, United States, 19104
- Recruiting
- Children's Hospital of Philadelphia
-
Principal Investigator:
- Michael J. Fisher
-
Contact:
- Site Public Contact
- Phone Number: 267-425-5544
- Email: CancerTrials@email.chop.edu
-
Philadelphia, Pennsylvania, United States, 19134
- Recruiting
- Saint Christopher's Hospital for Children
-
Contact:
- Site Public Contact
- Phone Number: 215-427-8991
-
Principal Investigator:
- Gregory E. Halligan
-
Pittsburgh, Pennsylvania, United States, 15224
- Recruiting
- Children's Hospital of Pittsburgh of UPMC
-
Contact:
- Site Public Contact
- Phone Number: 412-692-8570
- Email: jean.tersak@chp.edu
-
Principal Investigator:
- James T. Felker
-
-
Rhode Island
-
Providence, Rhode Island, United States, 02903
- Recruiting
- Rhode Island Hospital
-
Principal Investigator:
- Bradley DeNardo
-
Contact:
- Site Public Contact
- Phone Number: 401-444-1488
-
-
South Carolina
-
Charleston, South Carolina, United States, 29425
- Recruiting
- Medical University of South Carolina
-
Contact:
- Site Public Contact
- Phone Number: 843-792-9321
- Email: hcc-clinical-trials@musc.edu
-
Principal Investigator:
- Jacqueline M. Kraveka
-
Columbia, South Carolina, United States, 29203
- Recruiting
- Prisma Health Richland Hospital
-
Principal Investigator:
- Stuart L. Cramer
-
Contact:
- Site Public Contact
- Phone Number: 864-522-4317
- Email: Kim.Williams3@prismahealth.org
-
Greenville, South Carolina, United States, 29605
- Recruiting
- BI-LO Charities Children's Cancer Center
-
Principal Investigator:
- Aniket Saha
-
Contact:
- Site Public Contact
- Phone Number: 864-522-4317
- Email: Kim.Williams3@prismahealth.org
-
-
Tennessee
-
Knoxville, Tennessee, United States, 37916
- Recruiting
- East Tennessee Childrens Hospital
-
Contact:
- Site Public Contact
- Phone Number: 865-541-8266
-
Principal Investigator:
- Susan E. Spiller
-
Memphis, Tennessee, United States, 38105
- Recruiting
- Saint Jude Children's Research Hospital
-
Principal Investigator:
- Anna Vinitsky
-
Contact:
- Site Public Contact
- Phone Number: 888-226-4343
- Email: referralinfo@stjude.org
-
Nashville, Tennessee, United States, 37232
- Recruiting
- Vanderbilt University/Ingram Cancer Center
-
Contact:
- Site Public Contact
- Phone Number: 800-811-8480
-
Principal Investigator:
- Devang J. Pastakia
-
-
Texas
-
Austin, Texas, United States, 78723
- Recruiting
- Dell Children's Medical Center of Central Texas
-
Contact:
- Site Public Contact
- Phone Number: 512-628-1902
- Email: TXAUS-DL-SFCHemonc.research@ascension.org
-
Principal Investigator:
- Shannon M. Cohn
-
Dallas, Texas, United States, 75390
- Recruiting
- UT Southwestern/Simmons Cancer Center-Dallas
-
Contact:
- Site Public Contact
- Phone Number: 214-648-7097
- Email: canceranswerline@UTSouthwestern.edu
-
Principal Investigator:
- Daniel C. Bowers
-
El Paso, Texas, United States, 79905
- Recruiting
- El Paso Children's Hospital
-
Contact:
- Site Public Contact
- Phone Number: 915-298-5444
- Email: ranjan.bista@ttuhsc.edu
-
Principal Investigator:
- Benjamin Carcamo
-
Fort Worth, Texas, United States, 76104
- Recruiting
- Cook Children's Medical Center
-
Contact:
- Site Public Contact
- Phone Number: 682-885-2103
- Email: CookChildrensResearch@cookchildrens.org
-
Principal Investigator:
- Sibo Zhao
-
Houston, Texas, United States, 77030
- Recruiting
- M D Anderson Cancer Center
-
Contact:
- Site Public Contact
- Phone Number: 877-632-6789
- Email: askmdanderson@mdanderson.org
-
Principal Investigator:
- Najat C. Daw
-
Houston, Texas, United States, 77030
- Recruiting
- Baylor College of Medicine/Dan L Duncan Comprehensive Cancer Center
-
Principal Investigator:
- Murali M. Chintagumpala
-
Contact:
- Site Public Contact
- Phone Number: 713-798-1354
- Email: burton@bcm.edu
-
Lubbock, Texas, United States, 79410
- Recruiting
- Covenant Children's Hospital
-
Principal Investigator:
- Kishor M. Bhende
-
Contact:
- Site Public Contact
- Phone Number: 806-725-8657
- Email: mbisbee@providence.org
-
Lubbock, Texas, United States, 79415
- Recruiting
- UMC Cancer Center / UMC Health System
-
Contact:
- Site Public Contact
- Phone Number: 806-775-8590
-
Principal Investigator:
- Erin K. Barr
-
San Antonio, Texas, United States, 78207
- Recruiting
- Children's Hospital of San Antonio
-
Contact:
- Site Public Contact
- Phone Number: 210-704-2894
- Email: bridget.medina@christushealth.org
-
Principal Investigator:
- Julie Voeller
-
San Antonio, Texas, United States, 78229
- Recruiting
- University of Texas Health Science Center at San Antonio
-
Contact:
- Site Public Contact
- Phone Number: 210-450-3800
- Email: phoresearchoffice@uthscsa.edu
-
Principal Investigator:
- Shafqat Shah
-
San Antonio, Texas, United States, 78229
- Recruiting
- Methodist Children's Hospital of South Texas
-
Contact:
- Site Public Contact
- Phone Number: 210-575-6240
- Email: Vinod.GidvaniDiaz@hcahealthcare.com
-
Principal Investigator:
- Jose M. Esquilin
-
-
Utah
-
Salt Lake City, Utah, United States, 84113
- Recruiting
- Primary Children's Hospital
-
Contact:
- Site Public Contact
- Phone Number: 801-585-5270
-
Principal Investigator:
- Priya Chan
-
-
Vermont
-
Burlington, Vermont, United States, 05405
- Recruiting
- University of Vermont and State Agricultural College
-
Contact:
- Site Public Contact
- Phone Number: 802-656-8990
- Email: rpo@uvm.edu
-
Principal Investigator:
- Jessica L. Heath
-
-
Virginia
-
Norfolk, Virginia, United States, 23507
- Recruiting
- Children's Hospital of The King's Daughters
-
Contact:
- Site Public Contact
- Phone Number: 757-668-7243
- Email: CCBDCresearch@chkd.org
-
Principal Investigator:
- Melissa S. Mark
-
Richmond, Virginia, United States, 23298
- Recruiting
- VCU Massey Comprehensive Cancer Center
-
Principal Investigator:
- Christopher Park
-
Contact:
- Site Public Contact
- Phone Number: 804-628-6430
- Email: CTOclinops@vcu.edu
-
Roanoke, Virginia, United States, 24014
- Recruiting
- Carilion Children's
-
Contact:
- Site Public Contact
- Phone Number: 540-266-6238
- Email: wpmccarty@carilionclinic.org
-
Principal Investigator:
- Erwood G. Edwards
-
-
Washington
-
Seattle, Washington, United States, 98105
- Recruiting
- Seattle Children's Hospital
-
Contact:
- Site Public Contact
- Phone Number: 866-987-2000
-
Principal Investigator:
- Sarah E. Leary
-
Spokane, Washington, United States, 99204
- Recruiting
- Providence Sacred Heart Medical Center and Children's Hospital
-
Contact:
- Site Public Contact
- Phone Number: 800-228-6618
- Email: HopeBeginsHere@providence.org
-
Principal Investigator:
- Judy L. Felgenhauer
-
Tacoma, Washington, United States, 98405
- Recruiting
- Mary Bridge Children's Hospital and Health Center
-
Contact:
- Site Public Contact
- Phone Number: 253-403-1461
- Email: research@multicare.org
-
Principal Investigator:
- Robert G. Irwin
-
Tacoma, Washington, United States, 98431
- Recruiting
- Madigan Army Medical Center
-
Principal Investigator:
- Melissa A. Forouhar
-
Contact:
- Site Public Contact
- Phone Number: 253-968-6144
- Email: melissa.a.forouhar.mil@health.mil
-
-
West Virginia
-
Morgantown, West Virginia, United States, 26506
- Recruiting
- West Virginia University Healthcare
-
Contact:
- Site Public Contact
- Phone Number: 304-293-7374
- Email: cancertrialsinfo@hsc.wvu.edu
-
Principal Investigator:
- Ashley E. Meyer
-
-
Wisconsin
-
Madison, Wisconsin, United States, 53792
- Recruiting
- University of Wisconsin Carbone Cancer Center - University Hospital
-
Contact:
- Site Public Contact
- Phone Number: 800-622-8922
- Email: clinicaltrials@cancer.wisc.edu
-
Principal Investigator:
- Nicholas J. Pytel
-
Milwaukee, Wisconsin, United States, 53226
- Recruiting
- Children's Hospital of Wisconsin
-
Contact:
- Site Public Contact
- Phone Number: 414-955-4727
- Email: MACCCTO@mcw.edu
-
Principal Investigator:
- Sarah Rumler
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Patients must be >= 2 years and =< 21 years at the time of enrollment
- Patients must have a body surface area (BSA) of >= 0.5 m^2 at enrollment
Patients must have non-neurofibromatosis type 1 (non-NF1) low-grade glioma (LGG) without a BRAFV600E mutation as confirmed by Rapid Central Pathology and Molecular Screening Reviews performed on APEC14B1 (NCT02402244) Childhood Cancer Data Initiative (CCDI)-MCI, or accepted Clinical Laboratory Improvement Act (CLIA)-certified test and that has not been treated with any modality besides surgery. Note: Patients may be newly-diagnosed OR previously diagnosed, and there is no required time frame between biopsy/surgery and treatment initiation.
- Patients with residual tumor after resection or progressive tumor after initial diagnosis (with or without surgery) who have not received treatment (chemotherapy and/or radiation) are eligible
- Patients must have two-dimensional measurable tumor >= 1 cm^2 to be eligible
- Patients with ependymoma are not eligible
- Eligible histologies will include all tumors considered low-grade glioma or low-grade astrocytoma (World Health Organization [WHO] grade I and II) by 5th edition WHO classification of central nervous system (CNS) tumors with the exception of subependymal giant cell astrocytoma
- Patients with metastatic disease or multiple independent primary LGG are eligible
Creatinine clearance or radioisotope glomerular filtration rate (GFR) >= 70 mL/min/1.73 m^2 OR a serum creatinine based on age/sex as follows (performed within 7 days prior to enrollment):
- Age: Maximum Serum Creatinine (mg/dL)
- 2 to < 6 years: 0.8 mg/dL (male); 0.8 mg/dL (female)
- 6 to < 10 years: 1 mg/dL (male); 1 mg/dL (female)
- 10 to < 13 years: 1.2 mg/dL (male); 1.2 mg/dL (female)
- 13 to < 16 years: 1.5 mg/dL (male); 1.4 mg/dL (female)
- >= 16 years: 1.7 mg/dL (male); 1.4 mg/dL (female)
- Total bilirubin =< 1.5 x upper limit of normal (ULN) for age (performed within 7 days prior to enrollment) (children with a diagnosis of Gilbert's syndrome will be allowed on study regardless of their total and indirect [unconjugated] bilirubin levels as long as their direct [conjugated] bilirubin is < 3.1 mg/dL)
- Serum glutamic pyruvic transaminase (SGPT) (alanine aminotransferase [ALT]) =< 135 U/L (performed within 7 days prior to enrollment). For the purpose of this study, the ULN for SGPT is 45 U/L
- Albumin >= 2 g/dL (performed within 7 days prior to enrollment)
- Left ventricular ejection fraction (LVEF) >= 53% (or institutional normal; if the LVEF result is given as a range of values, then the upper value of the range will be used) by echocardiogram (performed within 4 weeks prior to enrollment)
- Corrected QT (QTc) interval =< 450 msec by electrocardiography (EKG) (performed within 4 weeks prior to enrollment)
- Absolute neutrophil count >= 1,000/uL (unsupported) (performed within 7 days prior to enrollment)
- Platelets >= 100,000/uL (unsupported) (performed within 7 days prior to enrollment)
- Hemoglobin >= 8 g/dL (may be supported) (performed within 7 days prior to enrollment)
- Patients with a known seizure disorder must be stable and must not have experienced a significant increase in seizure frequency within 2 weeks prior to enrollment
- Patients 2-17 years of age must have a blood pressure that is =< 95th percentile for age, height, and sex at the time of enrollment (with or without the use of anti-hypertensive medications)
- Patients >= 18 years of age must have a blood pressure =< 130/80 mmHg at the time of enrollment (with or without the use of anti-hypertensive medications)
- Note for patients of all ages: Adequate blood pressure can be achieved using medication for the treatment of hypertension
- All patients must have ophthalmology toxicity assessments performed within 8 weeks prior to enrollment
- For all patients, an MRI of the brain (with orbital cuts for optic pathway tumors) and/or spine (depending on the site(s) of primary disease) with and without contrast must be performed within 8 weeks prior to enrollment
- Patients must have a performance status corresponding to Eastern Cooperative Oncology Group (ECOG) scores of 0, 1, or 2. Use Karnofsky for patients > 16 years of age and Lansky for patients =< 16 years of age
- Patients must have the ability to swallow whole capsules
- All patients and/or their parents or legal guardians must sign a written informed consent
- All institutional, Food and Drug Administration (FDA), and National Cancer Institute (NCI) requirements for human studies must be met
- All patients have signed an appropriate consent form and Health Insurance Portability and Accountability Act (HIPAA) authorization form (if applicable)
- All patients have been consented and enrolled on APEC14B1 (NCT02402244) Part A for Pre-Enrollment Eligibility Screening for ACNS1833
Exclusion Criteria:
- Patients must not have received any prior tumor-directed therapy including chemotherapy, radiation therapy, immunotherapy, or bone marrow transplant. Prior surgical intervention (with the exclusion of laser interstitial thermal therapy [LITT]) is permitted
- Patients with a concurrent malignancy or history of treatment (other than surgery) for another tumor within the last year are ineligible
- Patients with diffuse intrinsic pontine tumors as seen on MRI (> 2/3 of pons involvement on imaging) are not eligible even if biopsy reveals grade I/II histology
- Patients may not be receiving any other investigational agents
- Patients with any serious medical or psychiatric illness/condition, including substance use disorders or ophthalmological conditions, likely in the judgment of the investigator to interfere or limit compliance with study requirements/treatment
- Patients who, in the opinion of the investigator, are not able to comply with the study procedures are not eligible
- Female patients who are pregnant are not eligible since fetal toxicities and teratogenic effects have been noted for several of the study drugs. A pregnancy test is required for female patients of childbearing potential
- Lactating females who plan to breastfeed their infants are not eligible
Sexually active patients of reproductive potential who have not agreed to use an effective contraceptive method for the duration of their study participation and for 1 week after stopping study therapy are not eligible.
- Note: Women study participants of child-bearing potential must use acceptable contraception during the study and for 1 week (7 days) after the last dose of selumetinib. Men study participants with sexual partners who are pregnant or who are of child-bearing potential must use acceptable contraception during the study and for 1 week (7 days) after the last dose of study agent. Acceptable contraception includes implants, injectables, or oral contraceptives (all combined with barrier methods), some intrauterine devices (IUDs), vasectomy or abstinence
- Known genetic disorder that increases risk for coronary artery disease. Note: The presence of dyslipidemia in a family with a history of myocardial infarction is not in itself an exclusion unless there is a known genetic disorder documented
- Symptomatic heart failure
- New York Health Association (NYHA) class II-IV prior or current cardiomyopathy
- Severe valvular heart disease
- History of atrial fibrillation
- Current or past history of central serous retinopathy
- Current or past history of retinal vein occlusion or retinal detachment
Patients with uncontrolled glaucoma
- If checking pressure is clinically indicated, patients with intraocular pressure (IOP) > 22 mmHg or ULN adjusted by age are not eligible
- Supplementation with vitamin E greater than 100% of the daily recommended dose. Any multivitamin containing vitamin E must be stopped prior to study enrollment even if less than 100% of the daily recommended dosing for vitamin E
Surgery within 2 weeks prior to enrollment, with the exception of surgical biopsy, placement of a vascular access device or cerebral spinal fluid (CSF) diverting procedure such as endoscopic third ventriculostomy (ETV) and ventriculoperitoneal (VP) shunt.
- Note: Patients must have healed from any prior surgery
- Patients who have an uncontrolled infection are not eligible
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
|---|---|
|
Active Comparator: Arm I (vincristine sulfate, carboplatin)
INDUCTION: Patients receive vincristine sulfate IV on days 1, 8, 15, 22, 29, 36, 43, 50, 57, and 64, and carboplatin IV over 60 minutes on days 1, 8, 15, 22, 43, 50, 57, and 64 in the absence of disease progression or unacceptable toxicity. Patients also undergo collection of blood and MRI throughout the trial. MAINTENANCE: Patients receive vincristine sulfate IV on days 1, 8, and 15, and carboplatin IV over 60 minutes on days 1, 8, 15, and 22 of each cycle. Cycles repeat every 42 days for up to 8 cycles in the absence of disease progression or unacceptable toxicity. Patients also undergo collection of blood and MRI throughout the trial. |
Given IV
Other Names:
Ancillary studies
Undergo MRI
Other Names:
Undergo blood sample collection
Other Names:
Given IV
Other Names:
|
|
Experimental: Arm II (selumetinib sulfate)
Patients receive selumetinib sulfate PO BID on days 1-28 of each cycle.
Cycles repeat every 28 days for up to 27 cycles in the absence of disease progression or unacceptable toxicity.
Patients also undergo ECHO at baseline and undergo collection of blood and MRI throughout the trial.
|
Ancillary studies
Undergo MRI
Other Names:
Undergo blood sample collection
Other Names:
Given PO
Other Names:
Undergo ECHO
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Event-free survival (EFS)
Time Frame: Up to 10 years from date of randomization
|
The Kaplan-Meier method will be used to estimate EFS which is defined as the interval from randomization to first occurrence of clinical or radiographic disease progression, disease recurrence, second malignant neoplasm, or death from any cause, or to the date of last follow-up.
Estimates with 95% confidence intervals will be reported by treatment arm.
The hazard ratio with a confidence interval will also be reported to compare treatment arms based on a Cox proportional hazards model stratified by BRAF status, tumor location and size of residual tumor.
Will also provide outcome estimates and their associated confidence intervals by sex, race and ethnicity, as descriptive summaries of outcome.
|
Up to 10 years from date of randomization
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Number of patients who experience an improvement in visual acuity (VA)
Time Frame: After the first 12 months of treatment
|
Numbers of patients that show improvement in VA after 12 months of treatment will be reported by treatment arm.
Patients with at least 1 impaired eye are evaluable.
In a patient with a unilateral optic nerve glioma, only the affected eye is considered.
In patients with bilateral visual impairment, if VA improves in 1 eye but worsens in the other, the patient will be coded as a treatment failure, whereas if 1 eye improves and the other is at least stable, the patient will be coded as a success.
|
After the first 12 months of treatment
|
|
Change in quality of life (QOL)
Time Frame: Baseline and 9 months after treatment initiation
|
QOL will be measured using the PedsQL Total Scale Score as measured from the validated PedsQL Generic Module (for children 2-21 years old).
Mean differences in the total scale score between 9 months and baseline will be reported by treatment arm.
The results of 2-sample t-test comparing differences in the QOL scores between the 2 arms will also be reported.
If change scores do not follow normal distributions, non-parametric alternatives may be employed for analysis.
|
Baseline and 9 months after treatment initiation
|
|
Processing speed function
Time Frame: Up to 9 months post-treatment initiation
|
Measured by Wechsler Processing Speed Index (standard score).
Scores at 9 months will be summarized by treatment arm and reported as means (with standard deviations) or medians (with ranges) depending on the data distribution.
|
Up to 9 months post-treatment initiation
|
|
Radiographic tumor response rate
Time Frame: Up to 10 years
|
Percentages of patients with responses (complete or partial response) will be reported by treatment arm with 95% confidence intervals.
The result of an exact binomial test to test for the difference in response rates between treatment arm will also be reported.
Will also provide outcome estimates and their associated confidence intervals by sex, race and ethnicity, as descriptive summaries of outcome.
|
Up to 10 years
|
|
Overall survival (OS)
Time Frame: Up to 10 years from date of randomization
|
The Kaplan-Meier method will be used to estimate OS by treatment arm, defined as the interval from randomization to death from any cause, or to the date of last follow-up.
Estimates with confidence intervals will be reported by treatment arm.
Will also provide outcome estimates and their associated confidence intervals by sex, race and ethnicity, as descriptive summaries of outcome.
|
Up to 10 years from date of randomization
|
|
Change in executive function
Time Frame: Baseline and 9-months
|
Executive function will be measured by the Behavior Rating Inventory of Executive Function, Second Edition BRIEF Cognitive Regulation Index (CRI).
Summary statistics for the differences in scores from baseline to 9 months will be reported by treatment arm.
|
Baseline and 9-months
|
|
Change in motor function
Time Frame: After 48 weeks of therapy
|
Motor function is measured using the Vineland-3 Motor Scale.
Only patients with motor function deficits at baseline are included.
Magnitudes of change from baseline between the 2 treatment arms and provide a 90% 2-sided confidence interval for this difference.
|
After 48 weeks of therapy
|
Other Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Change in QOL scores over time
Time Frame: At baseline, 9 months, 30 months, and 60 months after treatment initiation
|
QOL scores for each domain of the PedsQL Generic module will be summarized by timepoint (4 timepoints) and treatment arm.
Mean QOL scores will be reported with standard deviations.
If scores do not follow normal distributions, medians and ranges will be reported instead.
|
At baseline, 9 months, 30 months, and 60 months after treatment initiation
|
|
Change in neurocognitive functioning scores over time
Time Frame: At baseline, 9 months, 30 months, and 60 months after treatment initiation
|
Neurocognitive functioning scores for each index/scale of the Behavior Rating Inventory of Executive Function, Second Edition/Preschool Version/Adult will be summarized by timepoint (4 timepoints) and treatment arm.
Mean scores will be reported with standard deviations.
If scores do not follow normal distributions, medians and ranges will be reported instead.
|
At baseline, 9 months, 30 months, and 60 months after treatment initiation
|
|
EFS by sex
Time Frame: Up to 10 years from date of randomization
|
Estimates of treatment effect and the corresponding 95% confidence intervals will be provided by sex.
|
Up to 10 years from date of randomization
|
|
EFS by race
Time Frame: Up to 10 years from date of randomization
|
Estimates of treatment effect and the corresponding 95% confidence intervals will be provided by race.
|
Up to 10 years from date of randomization
|
|
EFS by ethnicity
Time Frame: Up to 10 years from date of randomization
|
Estimates of treatment effect and the corresponding 95% confidence intervals will be provided by ethnicity.
|
Up to 10 years from date of randomization
|
|
OS by sex
Time Frame: Up to 10 years from date of randomization
|
Estimates of treatment effect and the corresponding 95% confidence intervals will be provided by sex.
|
Up to 10 years from date of randomization
|
|
OS by race
Time Frame: Up to 10 years from date of randomization
|
Estimates of treatment effect and the corresponding 95% confidence intervals will be provided by race.
|
Up to 10 years from date of randomization
|
|
OS by ethnicity
Time Frame: Up to 10 years from date of randomization
|
Estimates of treatment effect and the corresponding 95% confidence intervals will be provided by ethnicity.
|
Up to 10 years from date of randomization
|
|
Neurocognitive outcomes by sex
Time Frame: Up to 10 years from date of randomization
|
Estimates of treatment effect and the corresponding 95% confidence intervals will be provided by sex.
|
Up to 10 years from date of randomization
|
|
Neurocognitive outcomes by race
Time Frame: Up to 10 years from date of randomization
|
Estimates of treatment effect and the corresponding 95% confidence intervals will be provided by race.
|
Up to 10 years from date of randomization
|
|
Neurocognitive outcomes by ethnicity
Time Frame: Up to 10 years from date of randomization
|
Estimates of treatment effect and the corresponding 95% confidence intervals will be provided by ethnicity.
|
Up to 10 years from date of randomization
|
|
QOL by sex
Time Frame: Up to 10 years from date of randomization
|
Estimates of treatment effect and the corresponding 95% confidence intervals will be provided by sex.
|
Up to 10 years from date of randomization
|
|
QOL by race
Time Frame: Up to 10 years from date of randomization
|
Estimates of treatment effect and the corresponding 95% confidence intervals will be provided by race.
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Up to 10 years from date of randomization
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QOL by ethnicity
Time Frame: Up to 10 years from date of randomization
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Estimates of treatment effect and the corresponding 95% confidence intervals will be provided by ethnicity.
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Up to 10 years from date of randomization
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Collaborators and Investigators
Sponsor
Investigators
- Principal Investigator: Peter M de Blank, Children's Oncology Group
Publications and helpful links
General Publications
- Arnold A, Rodriguez F, Eberhart CG, Raabe EH. Response to letter to the editor: "All models are wrong; some models are useful". Neuro Oncol. 2020 Sep 29;22(9):1406-1407. doi: 10.1093/neuonc/noaa137. No abstract available.
- Bergqvist C, Wolkenstein P. MEK inhibitors in RASopathies. Curr Opin Oncol. 2021 Mar 1;33(2):110-119. doi: 10.1097/CCO.0000000000000711.
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Estimated)
Study Completion (Estimated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Neoplasms
- Neoplasms by Histologic Type
- Neoplasms, Glandular and Epithelial
- Neoplasms, Neuroepithelial
- Neuroectodermal Tumors
- Neoplasms, Germ Cell and Embryonal
- Neoplasms, Nerve Tissue
- Glioma
- Astrocytoma
- Organic Chemicals
- Heterocyclic Compounds
- Heterocyclic Compounds, 2-Ring
- Heterocyclic Compounds, Fused-Ring
- Investigative Techniques
- Clinical Laboratory Techniques
- Diagnostic Techniques and Procedures
- Diagnosis
- Alkaloids
- Indoles
- Coordination Complexes
- Chemistry Techniques, Analytical
- Spectrum Analysis
- Vinca Alkaloids
- Secologanin Tryptamine Alkaloids
- Indole Alkaloids
- Indolizidines
- Indolizines
- Carboplatin
- Vincristine
- Specimen Handling
- Magnetic Resonance Spectroscopy
Other Study ID Numbers
- NCI-2019-07600 (Registry Identifier: CTRP (Clinical Trial Reporting Program))
- U10CA180886 (U.S. NIH Grant/Contract)
- ACNS1833 (Other Identifier: CTEP)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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