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A Study of Avapritinib in Pediatric Patients With Solid Tumors Dependent on KIT or PDGFRA Signaling

Phase 1
Recruiting
Conditions
Solid Tumor, Unspecified, Child
Relapsed Solid Neoplasm
CNS Tumor
Interventions
Registration Number
NCT04773782
Lead Sponsor
Blueprint Medicines Corporation
Brief Summary

This is a Phase 1/2, multicenter, open-label trial of avapritinib in participants 2 to \< 18 years of age with advanced relapsed/refractory (R/R) solid tumors, including central nervous system (CNS) tumors, that harbor a PDGFRA and/or KIT mutation (including non-synonymous point mutations, insertions, and deletions) or amplification, or DMG-H3K27a who have no available curative treatment options. This is a single-arm trial in which all participants will receive avapritinib. The study consists of 2 parts: dose confirmation, safety, and PK (Part 1) and initial efficacy, safety, and PK at the Part 2 recommended dose (Part 2).

Detailed Description

Not available

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
37
Inclusion Criteria

Not provided

Exclusion Criteria

Not provided

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
avapritinibavapritinibAvapritinib tablets for oral administration. Avapritinib will be dosed daily for 28 day cycles.
Primary Outcome Measures
NameTimeMethod
Objective Response Rate (Part 2)up to 36 months
Rate and severity of adverse events (Part 1)up to 8 months
Determination of recommended Part 2 dose (Part 1)up to 8 months
Secondary Outcome Measures
NameTimeMethod
AUC(0-24) (Part 1 and Part 2)up to 36 months
Change from baseline in levels of KIT and PDGFRA mutant allele fractions in peripheral blood (Part 1 and Part 2)up to 42 months
Time to response (Part 1 and Part 2)up to 42 months
Rate and severity of adverse events (Part 1 and Part 2)up to 42 months
Duration of Response (Part 1 and Part 2)up to 42 months
Tmax (Part 1)up to 36 months
T 1/2 (Part 1)up to 36 months
Palatability assessments as measured by the 5-point Hedonic scale (Part 1 and Part 2)up to 42 months
Disease control rate (Part 1 and Part 2)up to 42 months
Cmax (Part 1 and Part 2)up to 36 months
Objective Response Rate (Part 1 and Part 2)up to 42 months
Progression-free survival (Part 1 and Part 2)up to 42 months
Ctrough (Part 2)up to 36 months

Trial Locations

Locations (26)

Gustave Roussy

🇫🇷

Villejuif, France

Universitaetsmedizin Göttingen

🇩🇪

Göttingen, Lower Saxony, Germany

Hopp Children's Cancer Center

🇩🇪

Heidelberg, Germany

Dipartimento di Oncologia Medica ed Ematologia - S.C. Pediatria Oncologica

🇮🇹

Milan, Italy

Asan Medical Center

🇰🇷

Seoul, Korea, Republic of

Samsung Medial Center

🇰🇷

Seoul, Korea, Republic of

Great Ormond Street Hospital For Children

🇬🇧

London, United Kingdom

Ann and Robert H. Lurie Children's Hospital of Chicago

🇺🇸

Chicago, Illinois, United States

Phoenix Children's Hospital

🇺🇸

Phoenix, Arizona, United States

University of California San Francisco, Benioff Children's Hospital

🇺🇸

San Francisco, California, United States

Children's Hospital Colorado

🇺🇸

Aurora, Colorado, United States

The Johns Hopkins Hospital

🇺🇸

Baltimore, Maryland, United States

Dana Farber Cancer Institute

🇺🇸

Boston, Massachusetts, United States

University of Michigan

🇺🇸

Ann Arbor, Michigan, United States

Washington University School of Medicine

🇺🇸

Saint Louis, Missouri, United States

Columbia University Medical Center

🇺🇸

New York, New York, United States

Duke University Medical Center

🇺🇸

Durham, North Carolina, United States

Nationwide Children's Hospital

🇺🇸

Columbus, Ohio, United States

Oregon Health and Science University

🇺🇸

Portland, Oregon, United States

UPMC Children's Hospital of Pittsburgh

🇺🇸

Pittsburgh, Pennsylvania, United States

Children's Medical Center

🇺🇸

Dallas, Texas, United States

University of Texas MD Anderson Cancer Center

🇺🇸

Houston, Texas, United States

Sydney Children's Hospital, Kids Cancer Center

🇦🇺

Sydney, New South Wales, Australia

Royal Children's Hospital

🇦🇺

Parkville, Victoria, Australia

Medizinische Universitat Wein

🇦🇹

Wien, Vienna, Austria

The Hospital for Sick Children

🇨🇦

Toronto, Ontario, Canada

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