Genetic Testing in Guiding Treatment for Patients With Brain Metastases
NCT03994796 · Status: ACTIVE_NOT_RECRUITING · Phase: PHASE2 · Type: INTERVENTIONAL · Enrollment: 50
Last updated 2026-04-13
Summary
This phase II trial studies how well genetic testing works in guiding treatment for patients with solid tumors that have spread to the brain. Several genes have been found to be altered or mutated in brain metastases such as NTRK, ROS1, CDK, PI3K, or KRAS G12C. Medications that target these genes such as abemaciclib, paxalisib, entrectinib and adagrasib may stop the growth of tumor cells by blocking some of the enzymes needed for cell growth. Genetic testing may help doctors tailor treatment for each mutation.
Conditions
- Metastatic Malignant Neoplasm in the Brain
- Metastatic Malignant Solid Neoplasm
- NTRK Family Gene Mutation
- PI3K Gene Mutation
- ROS1 Gene Mutation
- KRAS G12C Mutation
- CDK Gene Mutation
Interventions
- DRUG
-
Given PO
- DRUG
-
PI3K Inhibitor paxalisib
Given PO
- DRUG
-
Entrectinib
Given PO
- DRUG
-
Adagrasib
Given PO
Sponsors & Collaborators
-
National Cancer Institute (NCI)
collaborator NIH -
Mirati Therapeutics Inc.
collaborator INDUSTRY -
Genentech, Inc.
collaborator INDUSTRY - collaborator INDUSTRY
-
Kazia Therapeutics Limited
collaborator INDUSTRY -
Alliance for Clinical Trials in Oncology
lead OTHER
Principal Investigators
-
Priscilla Brastianos, MD · Massachusetts General Hospital
Study Design
- Allocation
- NON_RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2019-10-17
- Primary Completion
- 2026-10-31
- Completion
- 2028-06-30
- FDA Drug
- Yes
Countries
- United States
Study Locations
More Related Trials
-
Multiple Dose Study of MPC-6827 in Subjects With Refractory Brain Metastases
NCT00393965 ·Status: COMPLETED ·Phase: PHASE1
-
QOL-Stereotactic RadioSurgery, Temozolomide + Erlotinib-Rx of 1-3 Brain Metastases in NSCLC
NCT00385398 ·Status: WITHDRAWN ·Phase: PHASE2
-
Combination Chemotherapy Plus Radiation Therapy in Treating Adult Patients With Brain Cancer
NCT00003309 ·Status: COMPLETED ·Phase: PHASE2
-
Pyrazoloacridine Plus Carboplatin in Treating Patients With Recurrent Glioma
NCT00005976 ·Status: COMPLETED ·Phase: PHASE2
-
Pilot Study of Pembrolizumab Combined With Pemetrexed or Abemaciclib for High Grade Glioma
NCT04220892 ·Status: WITHDRAWN ·Phase: EARLY_PHASE1
-
mTORC1/mTORC2 Kinase Inhibitor AZD2014 in Previously Treated Glioblastoma Multiforme
NCT02619864 ·Status: COMPLETED ·Phase: PHASE1
-
JDQ443 for KRAS G12C NSCLC Brain Metastases
NCT05999357 ·Status: WITHDRAWN ·Phase: PHASE2
-
Erlotinib and Temozolomide With Radiation Therapy in Treating Patients With Glioblastoma Multiforme or Other Brain Tumors
NCT00039494 ·Status: COMPLETED ·Phase: PHASE2
-
Fenretinide in Treating Patients With Recurrent Malignant Glioma
NCT00006080 ·Status: COMPLETED ·Phase: PHASE2
-
MEDI4736 (Durvalumab) in Patients With Brain Metastasis From Epithelial-derived Tumors
NCT02669914 ·Status: TERMINATED ·Phase: PHASE2
-
Temozolomide and Radiation Therapy in Treating Patients With Brain Metastasis Secondary to Non-Small Cell Lung Cancer
NCT00080938 ·Status: COMPLETED ·Phase: PHASE2
-
Pilot Study of MGd + High-dose MTX-Based Chemoimmunotherapy + RT for Newly Dx PCNSL
NCT00734773 ·Status: WITHDRAWN ·Phase: EARLY_PHASE1
-
Whole-Brain Radiation Therapy and Pemetrexed in Treating Patients With Brain Metastases From Non-Small Cell Lung Cancer
NCT00280748 ·Status: TERMINATED ·Phase: PHASE2
-
Stereotactic Radiosurgery With Abemaciclib, Ribociclib, or Palbociclib in Treating Patients With Hormone Receptor Positive Breast Cancer With Brain Metastases
NCT04585724 ·Status: WITHDRAWN ·Phase: PHASE1
-
AZD2014 In NF2 Patients With Progressive or Symptomatic Meningiomas
NCT02831257 ·Status: COMPLETED ·Phase: PHASE2
-
Rituximab, Methotrexate, Vincristine Sulfate, Procarbazine Hydrochloride, and Cytarabine With or Without Radiation Therapy in Treating Patients With Primary Central Nervous System Lymphoma
NCT01399372 ·Status: COMPLETED ·Phase: PHASE2
-
AZD8055 for Adults With Recurrent Gliomas
NCT01316809 ·Status: COMPLETED ·Phase: PHASE1
-
Entrectinib as a Single Agent in Upfront Therapy for Children <3 Years of Age With NTRK1/2/3 or ROS1-FUSED CNS Tumors
NCT06528691 ·Status: RECRUITING ·Phase: PHASE2
-
EGFR Inhibition Using Weekly Erlotinib for Recurrent Malignant Gliomas
NCT01257594 ·Status: COMPLETED ·Phase: PHASE1
-
Oxaliplatin in Treating Patients With Newly Diagnosed Glioblastoma Multiforme
NCT00005856 ·Status: TERMINATED ·Phase: PHASE1/PHASE2
-
Memantine Hydrochloride and Whole-Brain Radiotherapy With or Without Hippocampal Avoidance in Reducing Neurocognitive Decline in Patients With Brain Metastases
NCT02360215 ·Status: COMPLETED ·Phase: PHASE3
-
LY3214996 Plus Abemaciclib in Recurrent Glioblastoma Patients
NCT04391595 ·Status: COMPLETED ·Phase: EARLY_PHASE1
-
Cediranib Maleate and Whole Brain Radiation Therapy in Patients With Brain Metastases From Non-Small Cell Lung Cancer
NCT00937482 ·Status: TERMINATED ·Phase: PHASE1
-
Methotrexate, Mannitol, Rituximab, and Carboplatin in Treating Patients With Newly Diagnosed Primary Central Nervous System Lymphoma
NCT00293475 ·Status: UNKNOWN ·Phase: PHASE1/PHASE2
-
High-Dose Methotrexate and Leucovorin in Treating Patients With Newly Diagnosed Glioblastoma Multiforme
NCT00082797 ·Status: COMPLETED ·Phase: PHASE2