Trial Outcomes & Findings for Study of Dasatinib in Combination With Everolimus for Children and Young Adults With Gliomas Harboring Platelet-Derived Growth Factor Receptor (PDGFR) Alterations (NCT NCT03352427)

NCT ID: NCT03352427

Last Updated: 2022-10-05

Results Overview

Percentage of participants without progression, defined as 25% increase in the size of the tumor or appearance of new lesions.

Recruitment status

TERMINATED

Study phase

PHASE2

Target enrollment

3 participants

Primary outcome timeframe

8 months

Results posted on

2022-10-05

Participant Flow

Participant milestones

Participant milestones
Measure
Dasatinib+Everolimus
Dasatinib = 60 mg/m2 orally twice daily Everolimus = starting dose of 3.0 mg/m2, with titration of dosing after first cycle to keep everolimus trough level of 5-15 ug/ml Both agents will be taken daily for 28 day cycles. Cycles will be repeated every 28 days and patients may receive up to 24 cycles.
Overall Study
STARTED
3
Overall Study
COMPLETED
3
Overall Study
NOT COMPLETED
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Study of Dasatinib in Combination With Everolimus for Children and Young Adults With Gliomas Harboring Platelet-Derived Growth Factor Receptor (PDGFR) Alterations

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Dasatinib+Everolimus
n=3 Participants
Dasatinib = 60 mg/m2 orally twice daily Everolimus = starting dose of 3.0 mg/m2, with titration of dosing after first cycle to keep everolimus trough level of 5-15 ug/ml Both agents will be taken daily for 28 day cycles. Cycles will be repeated every 28 days and patients may receive up to 24 cycles.
Age, Continuous
10 years
n=39 Participants
Sex: Female, Male
Female
2 Participants
n=39 Participants
Sex: Female, Male
Male
1 Participants
n=39 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=39 Participants
Race (NIH/OMB)
Asian
0 Participants
n=39 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=39 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=39 Participants
Race (NIH/OMB)
White
3 Participants
n=39 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=39 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=39 Participants
Region of Enrollment
United States
3 participants
n=39 Participants

PRIMARY outcome

Timeframe: 8 months

Percentage of participants without progression, defined as 25% increase in the size of the tumor or appearance of new lesions.

Outcome measures

Outcome measures
Measure
Dasatinib+Everolimus
n=3 Participants
Dasatinib = 60 mg/m2 orally twice daily Everolimus = starting dose of 3.0 mg/m2, with titration of dosing after first cycle to keep everolimus trough level of 5-15 ug/ml Both agents will be taken daily for 28 day cycles. Cycles will be repeated every 28 days and patients may receive up to 24 cycles.
Progression-free Survival in Participants With Newly Diagnosed Diffuse Intrinsic Pontine Glioma (DIPG)
0 percentage of participants

PRIMARY outcome

Timeframe: 12 months

Percentage of participants without progression, defined as 25% increase in the size of the tumor or appearance of new lesions.

Outcome measures

Outcome measures
Measure
Dasatinib+Everolimus
n=3 Participants
Dasatinib = 60 mg/m2 orally twice daily Everolimus = starting dose of 3.0 mg/m2, with titration of dosing after first cycle to keep everolimus trough level of 5-15 ug/ml Both agents will be taken daily for 28 day cycles. Cycles will be repeated every 28 days and patients may receive up to 24 cycles.
Progression-free Survival in Participants With Newly Diagnosed High-grade Glioma (HGG)
0 percentage of participants

PRIMARY outcome

Timeframe: 56 Days

The overall response assessment will take into account response in both target and non-target lesions, as well as the appearance of new lesions. Partial Response (PR) will be defined as ≥50% decrease in size of tumor in comparison to baseline measurements. Complete Response (CR) will be defined as the disappearance of all abnormal signal. This includes return to normal size of the brain stem for brain stem lesions. Reported as percentage of participants with partial or better response at 56 days.

Outcome measures

Outcome measures
Measure
Dasatinib+Everolimus
n=3 Participants
Dasatinib = 60 mg/m2 orally twice daily Everolimus = starting dose of 3.0 mg/m2, with titration of dosing after first cycle to keep everolimus trough level of 5-15 ug/ml Both agents will be taken daily for 28 day cycles. Cycles will be repeated every 28 days and patients may receive up to 24 cycles.
Overall Response Rate (OR) (Partial Response or Better) in Participants With Refractory or Recurrent Glioma
0 percentage of participants

SECONDARY outcome

Timeframe: 1 year

Percentage of patients alive at one year.

Outcome measures

Outcome measures
Measure
Dasatinib+Everolimus
n=3 Participants
Dasatinib = 60 mg/m2 orally twice daily Everolimus = starting dose of 3.0 mg/m2, with titration of dosing after first cycle to keep everolimus trough level of 5-15 ug/ml Both agents will be taken daily for 28 day cycles. Cycles will be repeated every 28 days and patients may receive up to 24 cycles.
Overall Survival
0 percentage of participants

SECONDARY outcome

Timeframe: up to 17 months

Percentage of participants alive at 2 years.

Outcome measures

Outcome measures
Measure
Dasatinib+Everolimus
n=3 Participants
Dasatinib = 60 mg/m2 orally twice daily Everolimus = starting dose of 3.0 mg/m2, with titration of dosing after first cycle to keep everolimus trough level of 5-15 ug/ml Both agents will be taken daily for 28 day cycles. Cycles will be repeated every 28 days and patients may receive up to 24 cycles.
Overall Survival
0 percentage of participants

Adverse Events

Dasatinib+Everolimus

Serious events: 1 serious events
Other events: 3 other events
Deaths: 3 deaths

Serious adverse events

Serious adverse events
Measure
Dasatinib+Everolimus
n=3 participants at risk
Dasatinib = 60 mg/m2 orally twice daily Everolimus = starting dose of 3.0 mg/m2, with titration of dosing after first cycle to keep everolimus trough level of 5-15 ug/ml Both agents will be taken daily for 28 day cycles. Cycles will be repeated every 28 days and patients may receive up to 24 cycles.
Nervous system disorders
headache
33.3%
1/3 • Adverse events were collected up to 30 days after the last dose of study treatment (total of 17 months; average of 4 months). All cause mortality occurred any time during the study (range from 4 - 17 months).

Other adverse events

Other adverse events
Measure
Dasatinib+Everolimus
n=3 participants at risk
Dasatinib = 60 mg/m2 orally twice daily Everolimus = starting dose of 3.0 mg/m2, with titration of dosing after first cycle to keep everolimus trough level of 5-15 ug/ml Both agents will be taken daily for 28 day cycles. Cycles will be repeated every 28 days and patients may receive up to 24 cycles.
Musculoskeletal and connective tissue disorders
Muscle weakness lower limb
33.3%
1/3 • Adverse events were collected up to 30 days after the last dose of study treatment (total of 17 months; average of 4 months). All cause mortality occurred any time during the study (range from 4 - 17 months).
Eye disorders
Eye disorders
33.3%
1/3 • Adverse events were collected up to 30 days after the last dose of study treatment (total of 17 months; average of 4 months). All cause mortality occurred any time during the study (range from 4 - 17 months).
Nervous system disorders
Dysarthria
33.3%
1/3 • Adverse events were collected up to 30 days after the last dose of study treatment (total of 17 months; average of 4 months). All cause mortality occurred any time during the study (range from 4 - 17 months).
Musculoskeletal and connective tissue disorders
Myalgia
66.7%
2/3 • Adverse events were collected up to 30 days after the last dose of study treatment (total of 17 months; average of 4 months). All cause mortality occurred any time during the study (range from 4 - 17 months).
General disorders
Fatigue
33.3%
1/3 • Adverse events were collected up to 30 days after the last dose of study treatment (total of 17 months; average of 4 months). All cause mortality occurred any time during the study (range from 4 - 17 months).
Gastrointestinal disorders
Diarrhea
100.0%
3/3 • Adverse events were collected up to 30 days after the last dose of study treatment (total of 17 months; average of 4 months). All cause mortality occurred any time during the study (range from 4 - 17 months).
Nervous system disorders
Ataxia
33.3%
1/3 • Adverse events were collected up to 30 days after the last dose of study treatment (total of 17 months; average of 4 months). All cause mortality occurred any time during the study (range from 4 - 17 months).
Nervous system disorders
Seizure
33.3%
1/3 • Adverse events were collected up to 30 days after the last dose of study treatment (total of 17 months; average of 4 months). All cause mortality occurred any time during the study (range from 4 - 17 months).
Nervous system disorders
Facial nerve disorder
33.3%
1/3 • Adverse events were collected up to 30 days after the last dose of study treatment (total of 17 months; average of 4 months). All cause mortality occurred any time during the study (range from 4 - 17 months).
Respiratory, thoracic and mediastinal disorders
Hiccups
33.3%
1/3 • Adverse events were collected up to 30 days after the last dose of study treatment (total of 17 months; average of 4 months). All cause mortality occurred any time during the study (range from 4 - 17 months).
Gastrointestinal disorders
Vomitting
66.7%
2/3 • Adverse events were collected up to 30 days after the last dose of study treatment (total of 17 months; average of 4 months). All cause mortality occurred any time during the study (range from 4 - 17 months).
Skin and subcutaneous tissue disorders
Rash maculo-papular
66.7%
2/3 • Adverse events were collected up to 30 days after the last dose of study treatment (total of 17 months; average of 4 months). All cause mortality occurred any time during the study (range from 4 - 17 months).
Nervous system disorders
Headache
66.7%
2/3 • Adverse events were collected up to 30 days after the last dose of study treatment (total of 17 months; average of 4 months). All cause mortality occurred any time during the study (range from 4 - 17 months).
Respiratory, thoracic and mediastinal disorders
Rhinorrhea
33.3%
1/3 • Adverse events were collected up to 30 days after the last dose of study treatment (total of 17 months; average of 4 months). All cause mortality occurred any time during the study (range from 4 - 17 months).
Musculoskeletal and connective tissue disorders
Neck pain
33.3%
1/3 • Adverse events were collected up to 30 days after the last dose of study treatment (total of 17 months; average of 4 months). All cause mortality occurred any time during the study (range from 4 - 17 months).
Eye disorders
Blurred vision
33.3%
1/3 • Adverse events were collected up to 30 days after the last dose of study treatment (total of 17 months; average of 4 months). All cause mortality occurred any time during the study (range from 4 - 17 months).
General disorders
Edema face
33.3%
1/3 • Adverse events were collected up to 30 days after the last dose of study treatment (total of 17 months; average of 4 months). All cause mortality occurred any time during the study (range from 4 - 17 months).
Ear and labyrinth disorders
Ear and labyrinth disorders - Other
33.3%
1/3 • Adverse events were collected up to 30 days after the last dose of study treatment (total of 17 months; average of 4 months). All cause mortality occurred any time during the study (range from 4 - 17 months).
Metabolism and nutrition disorders
Hypophosphatemia
33.3%
1/3 • Adverse events were collected up to 30 days after the last dose of study treatment (total of 17 months; average of 4 months). All cause mortality occurred any time during the study (range from 4 - 17 months).
Nervous system disorders
tremor
33.3%
1/3 • Adverse events were collected up to 30 days after the last dose of study treatment (total of 17 months; average of 4 months). All cause mortality occurred any time during the study (range from 4 - 17 months).
Investigations
Platelet count decreased
33.3%
1/3 • Adverse events were collected up to 30 days after the last dose of study treatment (total of 17 months; average of 4 months). All cause mortality occurred any time during the study (range from 4 - 17 months).
Investigations
Neutrophil count decreased
33.3%
1/3 • Adverse events were collected up to 30 days after the last dose of study treatment (total of 17 months; average of 4 months). All cause mortality occurred any time during the study (range from 4 - 17 months).
Respiratory, thoracic and mediastinal disorders
Cough
33.3%
1/3 • Adverse events were collected up to 30 days after the last dose of study treatment (total of 17 months; average of 4 months). All cause mortality occurred any time during the study (range from 4 - 17 months).
Investigations
Aspartate aminotransferase increased
33.3%
1/3 • Adverse events were collected up to 30 days after the last dose of study treatment (total of 17 months; average of 4 months). All cause mortality occurred any time during the study (range from 4 - 17 months).
Investigations
Alanine aminotransferase increased
33.3%
1/3 • Adverse events were collected up to 30 days after the last dose of study treatment (total of 17 months; average of 4 months). All cause mortality occurred any time during the study (range from 4 - 17 months).
Gastrointestinal disorders
Constipation
33.3%
1/3 • Adverse events were collected up to 30 days after the last dose of study treatment (total of 17 months; average of 4 months). All cause mortality occurred any time during the study (range from 4 - 17 months).
Vascular disorders
Flushing
33.3%
1/3 • Adverse events were collected up to 30 days after the last dose of study treatment (total of 17 months; average of 4 months). All cause mortality occurred any time during the study (range from 4 - 17 months).
Investigations
Electrocardiogram QT corrected interval prolonged
33.3%
1/3 • Adverse events were collected up to 30 days after the last dose of study treatment (total of 17 months; average of 4 months). All cause mortality occurred any time during the study (range from 4 - 17 months).

Additional Information

Carl Koschmann, MD

University of Michigan

Phone: 734-615-2736

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place