Study on Entrectinib for Children and Teens with Advanced or Hard-to-Treat Solid or Brain Tumors

Sponsor: Hoffmann-La Roche

Sponsor score: 40

ClinicalTrials ID:NCT02650401

This clinical trial is testing a new drug, Entrectinib, in children and adolescents with advanced or difficult-to-treat solid tumors or primary brain tumors. The study aims to find out if Entrectinib can help treat these tumors, especially those with specific genetic changes.

Patient Parameters

Program Overview

This study is exploring the use of Entrectinib, a new medication, in young patients with advanced or hard-to-treat solid tumors or primary brain tumors. The trial is divided into two phases: Phase 1, which is now closed, focused on finding the right dose for children with solid tumors outside the brain. Phase 2 is looking at how well Entrectinib works in patients with brain tumors or other solid tumors that have specific genetic changes called NTRK1/2/3 or ROS1 gene fusions.

Eligibility Criteria

Inclusion Criteria

  • Have a type of cancer that is advanced, has come back, or cannot be removed by surgery without causing severe problems.
  • Have a tumor with specific genetic changes called NTRK1/2/3 or ROS1 gene fusions.
  • Have a confirmed diagnosis of cancer, either at the start or when it came back.
  • Provide a sample of the tumor tissue from diagnosis or when the cancer returned.
  • Be in good general health with a performance score of 60% or higher and a life expectancy of at least 4 weeks.
  • Have no other satisfactory treatment options available.
  • Have recovered from any side effects of previous cancer treatments.
  • Have good organ and nerve function.
  • Female participants who can have children must have a negative pregnancy test and agree to use effective birth control during the study and for 90 days after.
  • Male participants with partners who can have children must agree to use condoms during the study and for 3 months after.

Exclusion Criteria

  • Currently receiving other experimental treatments.
  • Have a known heart condition called long QT syndrome.
  • Have had recent heart failure or low heart function.
  • Have active infections.
  • Have a history of bone disorders or problems with bone metabolism.
  • Are taking certain epilepsy medications within 14 days of starting the study.
  • Have previously been treated with TRK or ROS1 inhibitors.
  • Have an allergy to Entrectinib or its ingredients.
  • Have a type of cancer called neuroblastoma that only affects the bone marrow.
  • Have not fully recovered from recent surgery.
  • Have digestive issues that affect drug absorption.
  • Have other severe medical or psychiatric conditions that could increase risks or interfere with the study.

Locations

FACILITYZIPCITYSTATE
University of California San Diego92093-0706La JollaCalifornia
UCSF Benioff Children's Hospital94158San FranciscoCalifornia
Children's Hospital Colorado80045AuroraColorado
Egleston Children's Hospital at Emory University Atlanta30322AtlantaGeorgia
University of Chicago60637ChicagoIllinois
Johns Hopkins University21205BaltimoreMaryland
Dana Farber Cancer Institute02215BostonMassachusetts
Washington University,St. Louis Children's Hospital63110St LouisMissouri
Memorial Sloan Kettering Cancer Center10065New YorkNew York
Nationwide Children's Hospital43205ColumbusOhio

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