進行性固形腫瘍、非ホジキンリンパ腫、または MAPK 経路変異を伴う組織球性疾患の患者の治療におけるウリクセルチニブ (小児 MATCH 治療試験)
NCI-COG Pediatric MATCH (治療選択のための分子解析) - 活性化 MAPK 経路変異を有する腫瘍患者における BVD-523FB (ウリキセルチニブ) の第 2 相サブプロトコル
This phase II Pediatric MATCH trial studies how well ulixertinib works in treating patients with solid tumors that have spread to other places in the body (advanced), non-Hodgkin lymphoma, or histiocytic disorders that have a genetic alteration (mutation) in a signaling pathway called MAPK. A signaling pathway consists of a group of molecules in a cell that control one or more cell functions. Genes in the MAPK pathway are frequently mutated in many types of cancers. Ulixertinib may stop the growth of cancer cells that have mutations in the MAPK pathway.
調査の概要
状態
条件
- 進行性悪性固形新生物
- 難治性悪性固形新生物
- 再発ユーイング肉腫
- 再発性肝芽腫
- 再発性組織球性および樹状細胞腫瘍
- 再発性ランゲルハンス細胞組織球症
- 再発性悪性胚細胞腫瘍
- 再発悪性固形新生物
- 再発髄芽腫
- 再発神経芽腫
- 再発非ホジキンリンパ腫
- 再発性骨肉腫
- 再発性末梢原始神経外胚葉性腫瘍
- 再発ラブドイド腫瘍
- 再発横紋筋肉腫
- 再発性軟部肉腫
- 難治性上衣腫
- 難治性ユーイング肉腫
- 難治性肝芽腫
- 難治性組織球性および樹状細胞腫瘍
- 難治性ランゲルハンス細胞組織球症
- 難治性悪性胚細胞腫瘍
- 難治性髄芽腫
- 難治性神経芽細胞腫
- 難治性非ホジキンリンパ腫
- 難治性骨肉腫
- 難治性末梢性原始神経外胚葉性腫瘍
- 難治性ラブドイド腫瘍
- 難治性横紋筋肉腫
- 難治性軟部肉腫
- ウィルムス腫瘍
- 再発神経膠腫
- 難治性神経膠腫
- 再発性上衣腫瘍
- 再発原発悪性中枢神経系新生物
- 難治性原発性悪性中枢神経系新生物
詳細な説明
PRIMARY OBJECTIVES:
I. To determine the objective response rate (ORR; complete response + partial response) in pediatric patients treated with BVD-523FB (ulixertinib) with advanced solid tumors (including central nervous system [CNS] tumors), non-Hodgkin lymphomas or histiocytic disorders that harbor activating genetic alterations in the MAPK pathway.
SECONDARY OBJECTIVES:
I. To estimate the progression free survival in pediatric patients treated with BVD-523FB (ulixertinib) with advanced solid tumors (including CNS tumors), non-Hodgkin lymphomas or histiocytic disorders that harbor activating genetic alterations in the MAPK pathway.
II. To obtain information about the tolerability of BVD-523FB (ulixertinib) in children and adolescents with relapsed or refractory cancer.
III. To provide preliminary estimates of the pharmacokinetics of BVD-523FB (ulixertinib) in children and adolescents with relapsed or refractory cancer.
EXPLORATORY OBJECTIVES:
I. To evaluate other biomarkers as predictors of response to BVD-523FB (ulixertinib) and specifically, whether tumors that harbor different mutations or fusions will demonstrate differential response to BVD-523FB (ulixertinib) treatment.
II. To explore approaches to profiling changes in tumor genomics over time through evaluation of circulating tumor deoxyribonucleic acid (DNA).
OUTLINE: This is a dose-escalation study.
Patients receive ulixertinib orally (PO) twice daily (BID). Cycles repeat every 28 days for up to 2 years in the absence of disease progression or unacceptable toxicity.
After completion of study treatment, patients are followed up periodically.
研究の種類
入学 (実際)
段階
- フェーズ2
連絡先と場所
研究場所
-
-
Alabama
-
Birmingham、Alabama、アメリカ、35233
- Children's Hospital of Alabama
-
-
Alaska
-
Anchorage、Alaska、アメリカ、99508
- Providence Alaska Medical Center
-
-
Arizona
-
Mesa、Arizona、アメリカ、85202
- Banner Children's at Desert
-
Tucson、Arizona、アメリカ、85719
- Banner University Medical Center - Tucson
-
-
Arkansas
-
Little Rock、Arkansas、アメリカ、72202-3591
- Arkansas Children's Hospital
-
-
California
-
Downey、California、アメリカ、90242
- Kaiser Permanente Downey Medical Center
-
Loma Linda、California、アメリカ、92354
- Loma Linda University Medical Center
-
Long Beach、California、アメリカ、90806
- Miller Children's and Women's Hospital Long Beach
-
Los Angeles、California、アメリカ、90027
- Children's Hospital Los Angeles
-
Los Angeles、California、アメリカ、90095
- Mattel Children's Hospital UCLA
-
Madera、California、アメリカ、93636
- Valley Children's Hospital
-
Oakland、California、アメリカ、94609
- UCSF Benioff Children's Hospital Oakland
-
Oakland、California、アメリカ、94611
- Kaiser Permanente-Oakland
-
San Francisco、California、アメリカ、94158
- UCSF Medical Center-Mission Bay
-
-
Colorado
-
Aurora、Colorado、アメリカ、80045
- Children's Hospital Colorado
-
Denver、Colorado、アメリカ、80218
- Rocky Mountain Hospital for Children-Presbyterian Saint Luke's Medical Center
-
-
Delaware
-
Wilmington、Delaware、アメリカ、19803
- Alfred I duPont Hospital for Children
-
-
District of Columbia
-
Washington D.C.、District of Columbia、アメリカ、20010
- Children's National Medical Center
-
-
Florida
-
Gainesville、Florida、アメリカ、32610
- UF Health Cancer Institute - Gainesville
-
Jacksonville、Florida、アメリカ、32207
- Nemours Children's Clinic-Jacksonville
-
Miami、Florida、アメリカ、33155
- Nicklaus Children's Hospital
-
Miami、Florida、アメリカ、33136
- University of Miami Miller School of Medicine-Sylvester Cancer Center
-
Orlando、Florida、アメリカ、32827
- Nemours Children's Hospital
-
Orlando、Florida、アメリカ、32803
- AdventHealth Orlando
-
Orlando、Florida、アメリカ、32806
- Arnold Palmer Hospital for Children
-
St. Petersburg、Florida、アメリカ、33701
- Johns Hopkins All Children's Hospital
-
Tampa、Florida、アメリカ、33607
- Saint Joseph's Hospital/Children's Hospital-Tampa
-
West Palm Beach、Florida、アメリカ、33407
- Saint Mary's Medical Center
-
-
Georgia
-
Atlanta、Georgia、アメリカ、30329
- Children's Healthcare of Atlanta - Arthur M Blank Hospital
-
Savannah、Georgia、アメリカ、31404
- Memorial Health University Medical Center
-
-
Idaho
-
Boise、Idaho、アメリカ、83712
- Saint Luke's Cancer Institute - Boise
-
-
Illinois
-
Chicago、Illinois、アメリカ、60637
- University of Chicago Comprehensive Cancer Center
-
Peoria、Illinois、アメリカ、61637
- OSF Children's Hospital of Illinois
-
Springfield、Illinois、アメリカ、62702
- Southern Illinois University School of Medicine
-
-
Indiana
-
Indianapolis、Indiana、アメリカ、46202
- Riley Hospital for Children
-
Indianapolis、Indiana、アメリカ、46260
- Ascension Saint Vincent Indianapolis Hospital
-
-
Iowa
-
Des Moines、Iowa、アメリカ、50309
- Blank Children's Hospital
-
Iowa City、Iowa、アメリカ、52242
- University of Iowa/Holden Comprehensive Cancer Center
-
-
Louisiana
-
New Orleans、Louisiana、アメリカ、70121
- Ochsner Medical Center Jefferson
-
New Orleans、Louisiana、アメリカ、70118
- Children's Hospital New Orleans
-
-
Maine
-
Bangor、Maine、アメリカ、04401
- Eastern Maine Medical Center
-
-
Maryland
-
Baltimore、Maryland、アメリカ、21287
- Johns Hopkins University/Sidney Kimmel Cancer Center
-
Baltimore、Maryland、アメリカ、21215
- Sinai Hospital of Baltimore
-
-
Massachusetts
-
Boston、Massachusetts、アメリカ、02215
- Dana-Farber Cancer Institute
-
Boston、Massachusetts、アメリカ、02114
- Massachusetts General Hospital Cancer Center
-
-
Michigan
-
Ann Arbor、Michigan、アメリカ、48109
- C S Mott Children's Hospital
-
Grand Rapids、Michigan、アメリカ、49503
- Corewell Health Grand Rapids Hospitals - Helen DeVos Children's Hospital
-
Kalamazoo、Michigan、アメリカ、49007
- Bronson Methodist Hospital
-
-
Minnesota
-
Minneapolis、Minnesota、アメリカ、55404
- Children's Hospitals and Clinics of Minnesota - Minneapolis
-
Minneapolis、Minnesota、アメリカ、55455
- University of Minnesota/Masonic Cancer Center
-
-
Mississippi
-
Jackson、Mississippi、アメリカ、39216
- University of Mississippi Medical Center
-
-
Missouri
-
Kansas City、Missouri、アメリカ、64108
- Children's Mercy Hospitals and Clinics
-
St Louis、Missouri、アメリカ、63110
- Washington University School of Medicine
-
St Louis、Missouri、アメリカ、63141
- Mercy Hospital Saint Louis
-
St Louis、Missouri、アメリカ、63104
- Cardinal Glennon Children's Medical Center
-
-
Nebraska
-
Omaha、Nebraska、アメリカ、68198
- University of Nebraska Medical Center
-
Omaha、Nebraska、アメリカ、68114
- Children's Hospital and Medical Center of Omaha
-
-
New Jersey
-
Hackensack、New Jersey、アメリカ、07601
- Hackensack University Medical Center
-
Morristown、New Jersey、アメリカ、07960
- Morristown Medical Center
-
New Brunswick、New Jersey、アメリカ、08901
- Saint Peter's University Hospital
-
-
New York
-
Albany、New York、アメリカ、12208
- Albany Medical Center
-
Buffalo、New York、アメリカ、14263
- Roswell Park Cancer Institute
-
New Hyde Park、New York、アメリカ、11040
- The Steven and Alexandra Cohen Children's Medical Center of New York
-
New York、New York、アメリカ、10065
- Memorial Sloan Kettering Cancer Center
-
New York、New York、アメリカ、10032
- NYP/Columbia University Medical Center/Herbert Irving Comprehensive Cancer Center
-
New York、New York、アメリカ、10065
- NYP/Weill Cornell Medical Center
-
New York、New York、アメリカ、10016
- Laura and Isaac Perlmutter Cancer Center at NYU Langone
-
Rochester、New York、アメリカ、14642
- University of Rochester
-
Syracuse、New York、アメリカ、13210
- State University of New York Upstate Medical University
-
-
North Carolina
-
Asheville、North Carolina、アメリカ、28801
- Mission Hospital
-
Charlotte、North Carolina、アメリカ、28203
- Carolinas Medical Center/Levine Cancer Institute
-
Durham、North Carolina、アメリカ、27710
- Duke University Medical Center
-
-
Ohio
-
Cincinnati、Ohio、アメリカ、45229
- Cincinnati Children's Hospital Medical Center
-
Columbus、Ohio、アメリカ、43205
- Nationwide Children's Hospital
-
Dayton、Ohio、アメリカ、45404
- Dayton Children's Hospital
-
Toledo、Ohio、アメリカ、43606
- ProMedica Toledo Hospital/Russell J Ebeid Children's Hospital
-
-
Oklahoma
-
Oklahoma City、Oklahoma、アメリカ、73104
- University of Oklahoma Health Sciences Center
-
-
Oregon
-
Portland、Oregon、アメリカ、97239
- Oregon Health and Science University
-
Portland、Oregon、アメリカ、97227
- Legacy Emanuel Children's Hospital
-
-
Pennsylvania
-
Danville、Pennsylvania、アメリカ、17822
- Geisinger Medical Center
-
Philadelphia、Pennsylvania、アメリカ、19104
- Children's Hospital of Philadelphia
-
Pittsburgh、Pennsylvania、アメリカ、15224
- Children's Hospital of Pittsburgh of UPMC
-
-
South Carolina
-
Greenville、South Carolina、アメリカ、29605
- BI-LO Charities Children's Cancer Center
-
-
South Dakota
-
Sioux Falls、South Dakota、アメリカ、57117-5134
- Sanford USD Medical Center - Sioux Falls
-
-
Tennessee
-
Knoxville、Tennessee、アメリカ、37916
- East Tennessee Childrens Hospital
-
Memphis、Tennessee、アメリカ、38105
- Saint Jude Children's Research Hospital
-
Nashville、Tennessee、アメリカ、37232
- Vanderbilt University/Ingram Cancer Center
-
-
Texas
-
Austin、Texas、アメリカ、78723
- Dell Children's Medical Center of Central Texas
-
Dallas、Texas、アメリカ、75390
- UT Southwestern/Simmons Cancer Center-Dallas
-
Dallas、Texas、アメリカ、75230
- Medical City Dallas Hospital
-
Fort Worth、Texas、アメリカ、76104
- Cook Children's Medical Center
-
Houston、Texas、アメリカ、77030
- UT MD Anderson Cancer Center
-
Houston、Texas、アメリカ、77030
- Baylor College of Medicine/Dan L Duncan Comprehensive Cancer Center
-
San Antonio、Texas、アメリカ、78207
- Children's Hospital of San Antonio
-
San Antonio、Texas、アメリカ、78229
- Methodist Children's Hospital of South Texas
-
Temple、Texas、アメリカ、76508
- Scott and White Memorial Hospital
-
-
Utah
-
Salt Lake City、Utah、アメリカ、84113
- Primary Children's Hospital
-
-
Vermont
-
Burlington、Vermont、アメリカ、05405
- University of Vermont and State Agricultural College
-
-
Virginia
-
Norfolk、Virginia、アメリカ、23507
- Children's Hospital of The King's Daughters
-
Richmond、Virginia、アメリカ、23298
- VCU Massey Comprehensive Cancer Center
-
-
Washington
-
Seattle、Washington、アメリカ、98105
- Seattle Children's Hospital
-
Spokane、Washington、アメリカ、99204
- Providence Sacred Heart Medical Center and Children's Hospital
-
Tacoma、Washington、アメリカ、98431
- Madigan Army Medical Center
-
-
Wisconsin
-
Madison、Wisconsin、アメリカ、53792
- University of Wisconsin Carbone Cancer Center - University Hospital
-
Milwaukee、Wisconsin、アメリカ、53226
- Children's Hospital of Wisconsin
-
-
-
-
-
San Juan、プエルトリコ、00926
- University Pediatric Hospital
-
San Juan、プエルトリコ、00912
- San Jorge Children's Hospital
-
-
参加基準
適格基準
就学可能な年齢
健康ボランティアの受け入れ
受講資格のある性別
説明
Inclusion Criteria:
-
Patient must have enrolled onto APEC1621SC and must have been given a treatment assignment to MATCH to APEC1621J based on the presence of an actionable mutation.
-
Patients must have a body surface area >= 0.54 m^2 at the time of study enrollment.
-
Patients must have radiographically measurable disease at the time of study enrollment. Patients with neuroblastoma who do not have measurable disease but have metaiodobenzylguanidine (MIBG)+ evaluable disease are eligible. Measurable disease in patients with central nervous system (CNS) involvement is defined as tumor that is measurable in two perpendicular diameters on magnetic resonance imaging (MRI) and visible on more than one slice.
-
Note: The following do not qualify as measurable disease:
- Malignant fluid collections (e.g., ascites, pleural effusions)
- Bone marrow infiltration except that detected by MIBG scan for neuroblastoma
- Lesions only detected by nuclear medicine studies (e.g., bone, gallium or positron emission tomography [PET] scans) except as noted for neuroblastoma
- Elevated tumor markers in plasma or cerebrospinal fluid (CSF)
- Previously radiated lesions that have not demonstrated clear progression post radiation
- Leptomeningeal lesions that do not meet the measurement requirements for Response Evaluation Criteria in Solid Tumors (RECIST) 1.1.
-
-
Karnofsky >= 50% for patients > 16 years of age and Lansky >= 50 for patients =< 16 years of age. Note: Neurologic deficits in patients with CNS tumors must have been relatively stable for at least 7 days prior to study enrollment. Patients who are unable to walk because of paralysis, but who are up in a wheelchair, will be considered ambulatory for the purpose of assessing the performance score.
-
Patients must have fully recovered from the acute toxic effects of all prior anti-cancer therapy and must meet the following minimum duration from prior anti-cancer directed therapy prior to enrollment. If after the required timeframe, the numerical eligibility criteria are met, e.g. blood count criteria, the patient is considered to have recovered adequately.
-
Cytotoxic chemotherapy or other anti-cancer agents known to be myelosuppressive.
- >= 21 days after the last dose of cytotoxic or myelosuppressive chemotherapy (42 days if prior nitrosourea).
-
Anti-cancer agents not known to be myelosuppressive (e.g. not associated with reduced platelet or ANC counts): >= 7 days after the last dose of agent.
-
Antibodies: >= 21 days must have elapsed from infusion of last dose of antibody, and toxicity related to prior antibody therapy must be recovered to grade =< 1.
-
Corticosteroids: If used to modify immune adverse events related to prior therapy, >= 14 days must have elapsed since last dose of corticosteroid.
-
Hematopoietic growth factors: >= 14 days after the last dose of a long-acting growth factor (e.g. pegfilgrastim) or 7 days for short-acting growth factor. For growth factors that have known adverse events occurring beyond 7 days after administration, this period must be extended beyond the time during which adverse events are known to occur. The duration of this interval must be discussed with the study chair and the study-assigned research coordinator.
-
Interleukins, Interferons and Cytokines (other than hematopoietic growth factors): >= 21 days after the completion of interleukins, interferon or cytokines (other than hematopoietic growth factors).
-
Stem cell Infusions (with or without total body irradiation [TBI]):
- Allogeneic (non-autologous) bone marrow or stem cell transplant, or any stem cell infusion including DLI or boost infusion: >= 84 days after infusion and no evidence of graft versus host disease (GVHD).
- Autologous stem cell infusion including boost infusion: >= 42 days.
-
Cellular Therapy: >= 42 days after the completion of any type of cellular therapy (e.g. modified T cells, natural killer [NK] cells, dendritic cells, etc.).
-
Radiotherapy (XRT)/External Beam Irradiation including Protons: >= 14 days after local XRT; >= 150 days after TBI, craniospinal XRT or if radiation to >= 50% of the pelvis; >= 42 days if other substantial brain metastases (BM) radiation.
- Note: Radiation may not be delivered to "measurable disease" tumor site(s) being used to follow response to subprotocol treatment.
-
Radiopharmaceutical therapy (e.g., radiolabeled antibody, 131I-MIBG): >= 42 days after systemically administered radiopharmaceutical therapy.
-
Patients must not have received prior exposure to BVD-523FB (ulixertinib) or other ERK inhibitors.
-
-
For patients with solid tumors without known bone marrow involvement: Peripheral absolute neutrophil count (ANC) >= 1000/mm^3 (within 7 days prior to enrollment).
-
For patients with solid tumors without known bone marrow involvement: Platelet count >= 100,000/mm^3 (transfusion independent, defined as not receiving platelet transfusions for at least 7 days prior to enrollment).
-
Patients with known bone marrow metastatic disease will be eligible for study provided they meet the blood counts (may receive transfusions provided they are not known to be refractory to red cell or platelet transfusions). These patients will not be evaluable for hematologic toxicity.
-
Creatinine clearance or radioisotope glomerular filtration rate (GFR) >= 70 ml/min/1.73 m^2, or (within 7 days prior to enrollment).
-
A serum creatinine based on age/gender (within 7 days prior to enrollment).
- Age 1 to < 2 years, maximum serum creatinine (mg/dL) male 0.6, female 0.6
- Age 2 to < 6 years, maximum serum creatinine (mg/dL) male 0.8, female 0.8
- Age 6 to < 10 years, maximum serum creatinine (mg/dL) male 1, female 1
- Age 10 to < 13 years, maximum serum creatinine (mg/dL) male 1.2, female 1.2
- Age 13 to < 16 years, maximum serum creatinine (mg/dL) male 1.5, female 1.4
- Age >= 16 years, maximum serum creatinine (mg/dL) male 1.7, female 1.4
-
Bilirubin (sum of conjugated + unconjugated) =< 1.5 x upper limit of normal (ULN) for age (within 7 days prior to enrollment).
-
Serum glutamate-pyruvate transaminase (SGPT) (alanine aminotransferase [ALT]) =< 135 U/L. (For the purpose of this study, the ULN for SGPT is 45 U/L.) (within 7 days prior to enrollment).
-
Serum albumin >= 2 g/dL (within 7 days prior to enrollment).
-
Shortening fraction of >= 27% by echocardiogram, or (within 7 days prior to enrollment).
-
Ejection fraction of >= 50% by gated radionuclide study (within 7 days prior to enrollment).
-
QTc interval =< 480 milliseconds (within 7 days prior to enrollment).
-
Patients must be able to swallow intact capsules.
-
All patients and/or their parents or legally authorized representatives must sign a written informed consent. Assent, when appropriate, will be obtained according to institutional guidelines.
Exclusion Criteria:
- Pregnant or breast-feeding women will not be entered on this study due to risks of fetal and teratogenic adverse events as seen in animal/human studies. Pregnancy tests must be obtained in girls who are post-menarchal. Males or females of reproductive potential may not participate unless they have agreed to use an effective contraceptive method for the duration of study treatment and for 3 months after last dose of BVD-523FB (ulixertinib).
- Patients receiving corticosteroids who have not been on a stable or decreasing dose of corticosteroid for at least 7 days prior to enrollment are not eligible. If used to modify immune adverse events related to prior therapy, >= 14 days must have elapsed since last dose of corticosteroid.
- Patients who are currently receiving another investigational drug are not eligible.
- Patients who are currently receiving other anti-cancer agents are not eligible.
- Patients who are receiving cyclosporine, tacrolimus or other agents to prevent graft-versus-host disease post bone marrow transplant are not eligible for this trial.
- Patients who are currently receiving drugs that are strong inducers or inhibitors of CYP3A4 are not eligible. Strong inducers or inhibitors of CYP3A4 should be avoided from 14 days prior to enrollment to the end of the study. Note: CYP3A4 inducing anti-epileptic drugs and dexamethasone for CNS tumors or metastases, on a stable dose, are allowed.
- Patients who are currently receiving drugs that are strong inducers or inhibitors of CYP1A2 and CYP2D6 are not eligible. Strong inhibitors of CYP1A2 (e.g., ciprofloxacin, enoxacin, fluvoxamine, zafirlukast) should be avoided from 14 days prior to enrollment to the end of the study. Strong inhibitors of CYP2D6 (e.g., bupropion, paroxetine, fluoxetine, quinidine, terbinafine) should also be avoided from 14 days prior to enrollment to the end of the study.
- Patients with known significant ophthalmologic conditions (uncontrolled glaucoma, history of retinal vein occlusion or retinal detachment, excluding patients with longstanding findings secondary to existing conditions) are not eligible.
- Patients who have an uncontrolled infection are not eligible.
- Patients who have received a prior solid organ transplantation are not eligible.
- Patients who in the opinion of the investigator may not be able to comply with the safety monitoring requirements of the study are not eligible.
研究計画
研究はどのように設計されていますか?
デザインの詳細
- 主な目的:処理
- 割り当て:なし
- 介入モデル:単一グループの割り当て
- マスキング:なし(オープンラベル)
武器と介入
参加者グループ / アーム |
介入・治療 |
|---|---|
|
実験的:Treatment (ulixertinib)
Patients receive ulixertinib PO BID. Cycles repeat every 28 days for up to 2 years in the absence of disease progression or unacceptable toxicity. |
Ancillary studies
他の名前:
Given PO
他の名前:
|
この研究は何を測定していますか?
主要な結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
|
Objective Response Rate (ORR = Complete Response [CR] + Partial Response [PR]) in Pediatric Patients Treated With BVD-523FB (Ulixertinib)
時間枠:From enrollment to the end of treatment, up to 2 years
|
ORR will be defined as complete response + partial response and assessed by Response Evaluation Criteria in Solid Tumors (RECIST) guideline (version 1.1). Response rates will be calculated as the percent of evaluable patients who are responders, and confidence intervals will be constructed using the Wilson score interval method. |
From enrollment to the end of treatment, up to 2 years
|
二次結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
|
Progression Free Survival (PFS) in Pediatric Patients Treated With Ulixertinib
時間枠:From initiation of treatment to disease progression, disease recurrence, or death from any cause assessed up to 2 years
|
PFS along with the confidence intervals will be estimated using the Kaplan-Meier method. |
From initiation of treatment to disease progression, disease recurrence, or death from any cause assessed up to 2 years
|
|
Percentage of Patients Experiencing Grade 3 or 4 Adverse Events
時間枠:From enrollment to the end of treatment, up to 2 years
|
Will be graded according to Common Terminology Criteria for Adverse Events version 5.0. Any eligible patient who receives at least one dose of protocol therapy will be considered in the evaluation of toxicity. |
From enrollment to the end of treatment, up to 2 years
|
|
Preliminary Estimates of the Pharmacokinetics of Ulixertinib in Children and Adolescents With Relapsed or Refractory Cancer
時間枠:Pre-dose and 1, 2, 4, and 6-8 hours after dose on cycle 1, day 1; and pre-dose on cycle 1, day 2, and cycle 1, day 15
|
Will be summarized with simple summary statistics, including means, medians, ranges, and standard deviations (if numbers and distribution permit). |
Pre-dose and 1, 2, 4, and 6-8 hours after dose on cycle 1, day 1; and pre-dose on cycle 1, day 2, and cycle 1, day 15
|
その他の成果指標
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
|
Other Biomarkers as Predictors of Response to Ulixertinib and Whether Tumors That Harbor Different Mutations or Fusions Will Demonstrate Differential Response to Treatment
時間枠:Up to 2 years
|
Will be performed and will be summarized with simple summary statistics. All of these analyses will be descriptive in nature. |
Up to 2 years
|
|
Profiling Changes in Tumor Genomics Over Time Through Evaluation of Circulating Tumor Deoxyribonucleic Acid (DNA)
時間枠:Up to 2 years
|
Will be performed and will be summarized with simple summary statistics. All of these analyses will be descriptive in nature. |
Up to 2 years
|
協力者と研究者
捜査官
- 主任研究者:Kieuhoa T Vo、Children's Oncology Group
出版物と役立つリンク
一般刊行物
- Hattinger CM, Patrizio MP, Magagnoli F, Luppi S, Serra M. An update on emerging drugs in osteosarcoma: towards tailored therapies? Expert Opin Emerg Drugs. 2019 Sep;24(3):153-171. doi: 10.1080/14728214.2019.1654455. Epub 2019 Aug 14.
- Vo KT, Sabnis AJ, Williams PM, Roy-Chowdhuri S, Patton DR, Coffey B, Reid JM, Piao J, Saguilig L, Alonzo TA, Berg SL, Jaju A, Fox E, Weigel BJ, Hawkins DS, Mooney MM, Takebe N, Tricoli JV, Janeway KA, Seibel NL, Parsons DW. Phase II Study of Ulixertinib in Children and Young Adults With Tumors Harboring Activating Mitogen-Activated Protein Kinase Pathway Alterations: APEC1621J of the National Cancer Institute-Children's Oncology Group Pediatric MATCH Trial. JCO Precis Oncol. 2024 Jun;8:e2400103. doi: 10.1200/PO.24.00103.
研究記録日
主要日程の研究
研究開始 (実際)
一次修了 (実際)
研究の完了 (推定)
試験登録日
最初に提出
QC基準を満たした最初の提出物
最初の投稿 (実際)
学習記録の更新
投稿された最後の更新 (実際)
QC基準を満たした最後の更新が送信されました
最終確認日
詳しくは
本研究に関する用語
追加の関連 MeSH 用語
- 泌尿生殖器疾患
- 泌尿生殖器腫瘍
- 部位別新生物
- 新生物
- 男性の泌尿生殖器疾患
- 腎臓病
- 泌尿器疾患
- 女性の泌尿生殖器疾患
- 女性の泌尿生殖器疾患と妊娠合併症
- 遺伝性疾患、先天性疾患
- 免疫系疾患
- 気道疾患
- 組織型別の新生物
- 肺疾患
- 新生物、腺および上皮
- リンパ疾患
- リンパ増殖性疾患
- 免疫増殖性疾患
- 泌尿器科の新生物
- 新生物、神経上皮
- 神経外胚葉性腫瘍
- 新生物、生殖細胞および胚
- 新生物、神経組織
- リンパ腫
- 間質性肺疾患
- 腎腫瘍
- 腫瘍性症候群、遺伝性
- 新生物、結合組織および軟部組織
- 原始神経外胚葉性腫瘍
- 新生物、骨組織
- 新生物、結合組織
- 新生物、筋組織
- 複合型および混合型の新生物
- 筋肉腫
- 組織球症
- 先天性、遺伝性、および新生児の疾患と異常
- ヘミックおよびリンパ疾患
- 神経膠腫
- 神経芽細胞腫
- 肉腫、ユーイング
- リンパ腫、非ホジキン
- 肉腫
- 横紋筋肉腫
- 神経外胚葉性腫瘍、原始、末梢
- 骨肉腫
- 上衣腫
- 髄芽腫
- ウィルムス腫瘍
- ラブドイド腫瘍
- 肝芽腫
- 組織球症、ランゲルハンス細胞
- 遺伝的現象
- 多型、遺伝的
- 遺伝的変異
- 薬理ゲノミックバリアント
- Ulixertinib
その他の研究ID番号
- NCI-2018-02150
- U10CA180886 (米国 NIH グラント/契約)
- NCI-2018-02150 (レジストリ識別子:CTRP (Clinical Trial Reporting Program))
- APEC1621J (その他の識別子:CTEP)
- APEC1621J (その他の識別子:Children's Oncology Group)
医薬品およびデバイス情報、研究文書
米国FDA規制医薬品の研究
米国FDA規制機器製品の研究
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