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| ID | Type | Description | Link |
|---|---|---|---|
| NCI-2011-01152 | Registry Identifier | NCI Clinical Trial Registration Program |
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| Name | Class |
|---|---|
| AstraZeneca | INDUSTRY |
| The Cure Starts Now Foundation | UNKNOWN |
| Tyler's Treehouse | UNKNOWN |
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This is a Phase I clinical trial evaluating the combination of vandetanib and dasatinib during and after radiation therapy (RT) in children with newly diagnosed diffuse intrinsic pontine glioma (DIPG).
This trial will estimate the maximum safe dose of vandetanib and dasatinib which can be administered during the 6 weeks of local RT in children with newly diagnosed DIPG.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| 1 | Other |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| vandetanib and dasatinib | Drug | Two oral investigational agents (vandetanib [VEGFR2, RET, and EGFR inhibitor] and dasatinib [bcr-abl, PDGFRA and B, src, lck, yes, and c-kit inhibitor] will be administered during and after local RT, which is the only standard therapy for children with DIPG. |
| Measure | Description | Time Frame |
|---|---|---|
| To estimate the maximum tolerated dose (MTD) of the combination of vandetanib and dasatinib administered concurrently with RT in pediatric research participants with newly diagnosed DIPG | April 2012 |
| Measure | Description | Time Frame |
|---|---|---|
| To determine the toxicities associated with the chronic use of vandetanib and dasatinib | July 2012 | |
| To characterize the pharmacokinetics of vandetanib and dasatinib in pediatric research participants | July 2012 |
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Inclusion Criteria:
Age must be ≥ 18 months and < 21 years
Diagnosis of DIPG or high-grade glioma originating from the brainstem.
Lansky (for research participants ≤ 16 years) or Karnofsky (for research participants > 16 years) performance score ≥ 40 at the time of study enrollment
Adequate organ function at the time of study enrollment as follows:
Electrocardiogram (EKG) with an average QTc interval < 450 msec. If a research participant has QTc interval ≥ 450 msec on screening EKG, the screening EKG may be repeated twice (at least 24 hours apart). The average QTc interval from the three screening EKGs must be < 450 msec in order for the research participant to be eligible for the study. Research participants with abnormal serum electrolytes and a QTc interval ≥ 450 msec should have a repeat EKG repeated once the concentration of serum electrolyte is corrected
Female research participants of childbearing age must not be pregnant (confirmed by serum or urine pregnancy test within 1 week of treatment start) or breast-feeding.
Female research participants of childbearing age and male research participants of child fathering potential must agree to use safe contraceptive methods
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Alberto Broniscer, MD | St. Jude Children's Research Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| St. Jude Children's Research Hospital | Memphis | Tennessee | 38105 | United States |
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| Label | URL |
|---|---|
| St. Jude Children's Research Hospital | View source |
| Clinical Trials Open at St. Jude | View source |
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|
| To evaluate the influence of specific polymorphisms (e.g., CYP3A4/5) on the pharmacokinetics of vandetanib and dasatinib administered in combination | July 2012 |
| To explore the association between plasma angiogenic factors and response to current therapy | July 2012 |
| To evaluate the pharmacodynamics of dasatinib in target receptors and pathways in peripheral mononuclear cells | July 2012 |
| To describe the research participants' and parents' perspective of the quality of life of children with newly diagnosed DIPG enrolled on this phase I trial | July 2012 |
| To describe the quality of life of parents of pediatric research participants with newly diagnosed DIPG enrolled on this phase I trial | July 2012 |
| ID | Term |
|---|---|
| D000080443 | Diffuse Intrinsic Pontine Glioma |
| ID | Term |
|---|---|
| D005910 | Glioma |
| D018302 | Neoplasms, Neuroepithelial |
| D017599 | Neuroectodermal Tumors |
| D009373 | Neoplasms, Germ Cell and Embryonal |
| D009370 | Neoplasms by Histologic Type |
| D009369 | Neoplasms |
| D009375 | Neoplasms, Glandular and Epithelial |
| D009380 | Neoplasms, Nerve Tissue |
| D020295 | Brain Stem Neoplasms |
| D015192 | Infratentorial Neoplasms |
| D001932 | Brain Neoplasms |
| D016543 | Central Nervous System Neoplasms |
| D009423 | Nervous System Neoplasms |
| D009371 | Neoplasms by Site |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
| D009422 | Nervous System Diseases |
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| ID | Term |
|---|---|
| C452423 | vandetanib |
| D000069439 | Dasatinib |
| ID | Term |
|---|---|
| D013844 | Thiazoles |
| D013457 | Sulfur Compounds |
| D009930 | Organic Chemicals |
| D001393 | Azoles |
| D006573 | Heterocyclic Compounds, 1-Ring |
| D006571 | Heterocyclic Compounds |
| D011743 | Pyrimidines |
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