Adults 2 to 21, any sex, with Glioma. Patients with the condition only — healthy volunteers not accepted.
Results — posted to ClinicalTrials.gov
Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.
Number of Patients Who Experienced Dose Limiting Toxicities (DLTs)Primary· 4 weeks
DLTs were defined as adverse events that were at least possibly related to panobinostat that occurred during the first 4 weeks of therapy regardless of expectedness. Hematologic DLTs included grade 4 thrombocytopenia, grade 3 thrombocytopenia with bleeding, grade 3 thrombocytopenia that occurs twice within a treatment course, myelosuppression that causes greater than a 14-day delay between treatment courses, grade 4 neutropenia, grade 3 or 4 febrile neutropenia. Non-hematologic DLTs included any grade 3 or greater non-hematologic toxicities with a few exclusions (such as grade 3 nausea/vomitin
Group
Value
95% CI
Stratum 1, Dose Level 1 (10 mg/m^2)
0
Stratum 1, Dose Level 2 (16 mg/m^2)
2
Stratum 2, Dose Level 1 (16 mg/m^2)
0
Stratum 2, Dose Level 2 (22 mg/m^2)
1
Stratum 2, Dose Level 3 (28 mg/m^2)
4
Stratum 2, Dose Level 4 (36 mg/m^2)
3
Maximum Tolerated Dose (MTD) of Panobinostat in Stratum 1Primary· 4 weeks
The MTD of panobinostat was defined as the dose at which the continual reassessment method (CRM) estimated that 25% of patients were expected to experience DLTs. Stratum 1 consisted of recurrent or progressive diffuse intrinsic pontine glioma (DIPG) patients who were treated with the "3 times/week, three weeks on, one week off" schedule (1 course = 28 days).
Group
Value
95% CI
Stratum 1
10
Maximum Tolerated Dose (MTD) of Panobinostat in Stratum 2Primary· 4 weeks
The MTD of panobinostat was defined as the dose at which the continual reassessment method (CRM) estimated that 25% of patients were expected to experience DLTs. For Stratum 2, non-progressed DIPG or H3K27M+ thalamic diffuse malignant glioma (DMG) patients who completed conventional radiation treatment were eligible. All patients enrolled on this stratum had DIPG tumors and were treated with the "3 times/week, every other week" schedule (1 course = 28 days).
Group
Value
95% CI
Stratum 2
22
Volume of Distribution (Vd)Primary· Up to day 3
Plasma samples for pharmacokinetic (PK) analysis were drawn at pre-dose and at 0.5, 1, 2, 4, 8 (±1), 24 (±4) hours after the first dose of panobinostat, as well as prior to the second dose on Course 1 Day 3. Volume of distribution (Vd) was estimated using a noncompartmental method.
Group
Value
95% CI
Stratum 1, Dose Level 1 (10 mg/m^2)
1704
± 827
Stratum 1, Dose Level 2 (16 mg/m^2)
2135
± 1268
Stratum 2, Dose Level 1 (16 mg/m^2)
3358
± 1136
Stratum 2, Dose Level 2 (22 mg/m^2)
2141
± 906
Stratum 2, Dose Level 3 (28 mg/m^2)
1967
± 455
Stratum 2, Dose Level 4 (36 mg/m^2)
2487
± 2760
Elimination Rate (Kel)Primary· Up to day 3
Plasma samples for pharmacokinetic (PK) analysis were drawn at pre-dose and at 0.5, 1, 2, 4, 8 (±1), 24 (±4) hours after the first dose of panobinostat, as well as prior to the second dose on Course 1 Day 3. Elimination rate (Kel) was estimated using a noncompartmental method.
Group
Value
95% CI
Stratum 1, Dose Level 1 (10 mg/m^2)
0.059
± 0.024
Stratum 1, Dose Level 2 (16 mg/m^2)
0.065
± 0.013
Stratum 2, Dose Level 1 (16 mg/m^2)
0.047
± 0.003
Stratum 2, Dose Level 2 (22 mg/m^2)
0.057
± 0.012
Stratum 2, Dose Level 3 (28 mg/m^2)
0.047
± 0.006
Stratum 2, Dose Level 4 (36 mg/m^2)
0.066
± 0.017
Half-life (t1/2)Primary· Up to day 3
Plasma samples for pharmacokinetic (PK) analysis were drawn at pre-dose and at 0.5, 1, 2, 4, 8 (±1), 24 (±4) hours after the first dose of panobinostat, as well as prior to the second dose on Course 1 Day 3. Half-life (t1/2) was estimated using a noncompartmental method.
Group
Value
95% CI
Stratum 1, Dose Level 1 (10 mg/m^2)
13.0
± 4.0
Stratum 1, Dose Level 2 (16 mg/m^2)
11.0
± 2.0
Stratum 2, Dose Level 1 (16 mg/m^2)
14.7
± 1.1
Stratum 2, Dose Level 2 (22 mg/m^2)
12.6
± 2.8
Stratum 2, Dose Level 3 (28 mg/m^2)
14.8
± 1.9
Stratum 2, Dose Level 4 (36 mg/m^2)
11.3
± 3.8
Clearance (CL/F)Primary· Up to day 3
Plasma samples for pharmacokinetic (PK) analysis were drawn at pre-dose and at 0.5, 1, 2, 4, 8 (±1), 24 (±4) hours after the first dose of panobinostat, as well as prior to the second dose on Course 1 Day 3. Clearance (CL/F) was estimated using a noncompartmental method.
Group
Value
95% CI
Stratum 1, Dose Level 1 (10 mg/m^2)
87
± 19
Stratum 1, Dose Level 2 (16 mg/m^2)
146
± 104
Stratum 2, Dose Level 1 (16 mg/m^2)
156
± 44
Stratum 2, Dose Level 2 (22 mg/m^2)
115
± 34
Stratum 2, Dose Level 3 (28 mg/m^2)
93
± 26
Stratum 2, Dose Level 4 (36 mg/m^2)
129
± 109
Area Under the Curve (AUC)Primary· Up to day 3
Plasma samples for pharmacokinetic (PK) analysis were drawn at pre-dose and at 0.5, 1, 2, 4, 8 (±1), 24 (±4) hours after the first dose of panobinostat, as well as prior to the second dose on Course 1 Day 3. The area under the curve (AUC) was estimated using a noncompartmental method and calculated from time of dosing to the last measurable concentration.
Group
Value
95% CI
Stratum 1, Dose Level 1 (10 mg/m^2)
102
± 44
Stratum 1, Dose Level 2 (16 mg/m^2)
191
± 146
Stratum 2, Dose Level 1 (16 mg/m^2)
143
± 64
Stratum 2, Dose Level 2 (22 mg/m^2)
239
± 71
Stratum 2, Dose Level 3 (28 mg/m^2)
284
± 73
Stratum 2, Dose Level 4 (36 mg/m^2)
372
± 222
Progression-free Survival (PFS) in Stratum 1Secondary· From date on treatment until date of PD or death due to any cause or date of last follow-up
PFS was measured from the time of treatment initiation until the time of progressive disease (PD) or death due to any cause for patients with an event, or until the time of last follow-up for patients who were progression free.
Group
Value
95% CI
Stratum 1
1.87
0.73 – 9.00
Overall Survival (OS) in Stratum 1Secondary· From date on treatment until date of death due to any cause or date of last follow-up
OS was measured from the time of treatment initiation until the time of death due to any cause for patients who died, or until the time of last follow-up for patients who survived.
Group
Value
95% CI
Stratum 1
5.23
0.73 – 36.60
Progression-free Survival (PFS) in Stratum 2Secondary· From date on treatment until date of PD or death due to any cause or date of last follow-up
PFS was measured from the time of treatment initiation until the time of progressive disease (PD) or death due to any cause for patients with an event, or until the time of last follow-up for patients who were progression free.
Group
Value
95% CI
Stratum 2
3.83
0.23 – 14.93
Overall Survival (OS) in Stratum 2Secondary· From date on treatment until date of death due to any cause or date of last follow-up
OS was measured from the time of treatment initiation until the time of death due to any cause for patients who died, or until the time of last follow-up for patients who survived.
Group
Value
95% CI
Stratum 2
9.13
0.23 – 20.30
Adverse events — posted to ClinicalTrials.gov
Time frame: Approximately 2 years after initiation of protocol treatment.
Reporting threshold: 5%.
Adverse-event reports describe events observed during the trial — not all are caused by the drug.
Stratum 1, Dose Level 1 (10 mg/m^2)
Serious: 9/13 (69%)
Deaths: 13/13
Stratum 1, Dose Level 2 (16 mg/m^2)
Serious: 4/6 (67%)
Deaths: 5/6
Stratum 2, Dose Level 1 (16 mg/m^2)
Serious: 0/3 (0%)
Deaths: 3/3
Stratum 2, Dose Level 2 (22 mg/m^2)
Serious: 5/11 (45%)
Deaths: 5/11
Stratum 2, Dose Level 3 (28 mg/m^2)
Serious: 4/12 (33%)
Deaths: 11/12
Stratum 2, Dose Level 4 (36 mg/m^2)
Serious: 4/6 (67%)
Deaths: 5/6
Serious adverse events (32 terms)
Reaction
System
Stratum 1, Dose Level 1 (1…
Stratum 1, Dose Level 2 (1…
Stratum 2, Dose Level 1 (1…
Stratum 2, Dose Level 2 (2…
Stratum 2, Dose Level 3 (2…
Stratum 2, Dose Level 4 (3…
Neoplasms benign, malignant and unspecified (incl cysts and polyps) - other, specify
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
—
—
—
—
—
—
Respiratory failure
Respiratory, thoracic and mediastinal disorders
—
—
—
—
—
—
Neutrophil count decreased
Investigations
—
—
—
—
—
—
Platelet count decreased
Investigations
—
—
—
—
—
—
Depressed level of consciousness
Nervous system disorders
—
—
—
—
—
—
Hydrocephalus
Nervous system disorders
—
—
—
—
—
—
Nervous system disorders - other, specify
Nervous system disorders
—
—
—
—
—
—
Hypertension
Vascular disorders
—
—
—
—
—
—
Abdominal pain
Gastrointestinal disorders
—
—
—
—
—
—
Dysphagia
Gastrointestinal disorders
—
—
—
—
—
—
Vomiting
Gastrointestinal disorders
—
—
—
—
—
—
Fatigue
General disorders
—
—
—
—
—
—
Gait disturbance
General disorders
—
—
—
—
—
—
Catheter related infection
Infections and infestations
—
—
—
—
—
—
Sepsis
Infections and infestations
—
—
—
—
—
—
Urinary tract infection
Infections and infestations
—
—
—
—
—
—
White blood cell decreased
Investigations
—
—
—
—
—
—
Hypokalemia
Metabolism and nutrition disorders
—
—
—
—
—
—
Generalized muscle weakness
Musculoskeletal and connective tissue disorders
—
—
—
—
—
—
Muscle weakness left-sided
Musculoskeletal and connective tissue disorders
—
—
—
—
—
—
Muscle weakness right-sided
Musculoskeletal and connective tissue disorders
—
—
—
—
—
—
Trismus
Musculoskeletal and connective tissue disorders
—
—
—
—
—
—
Ataxia
Nervous system disorders
—
—
—
—
—
—
Dizziness
Nervous system disorders
—
—
—
—
—
—
Dysarthria
Nervous system disorders
—
—
—
—
—
—
Other adverse events (79 terms — click to expand)
Reaction
System
Stratum 1, Dose Level 1 (1…
Stratum 1, Dose Level 2 (1…
Stratum 2, Dose Level 1 (1…
Stratum 2, Dose Level 2 (2…
Stratum 2, Dose Level 3 (2…
Stratum 2, Dose Level 4 (3…
Platelet count decreased
Investigations
—
—
—
—
—
—
White blood cell decreased
Investigations
—
—
—
—
—
—
Lymphocyte count decreased
Investigations
—
—
—
—
—
—
Diarrhea
Gastrointestinal disorders
—
—
—
—
—
—
Vomiting
Gastrointestinal disorders
—
—
—
—
—
—
Alanine aminotransferase increased
Investigations
—
—
—
—
—
—
Anemia
Blood and lymphatic system disorders
—
—
—
—
—
—
Nausea
Gastrointestinal disorders
—
—
—
—
—
—
Neutrophil count decreased
Investigations
—
—
—
—
—
—
Hypoalbuminemia
Metabolism and nutrition disorders
—
—
—
—
—
—
Hypophosphatemia
Metabolism and nutrition disorders
—
—
—
—
—
—
Fatigue
General disorders
—
—
—
—
—
—
Aspartate aminotransferase increased
Investigations
—
—
—
—
—
—
Hypertension
Vascular disorders
—
—
—
—
—
—
Constipation
Gastrointestinal disorders
—
—
—
—
—
—
Hemoglobin increased
Investigations
—
—
—
—
—
—
Investigations - other, specify
Investigations
—
—
—
—
—
—
Weight loss
Investigations
—
—
—
—
—
—
Anorexia
Metabolism and nutrition disorders
—
—
—
—
—
—
Hypermagnesemia
Metabolism and nutrition disorders
—
—
—
—
—
—
Hypoglycemia
Metabolism and nutrition disorders
—
—
—
—
—
—
Hypokalemia
Metabolism and nutrition disorders
—
—
—
—
—
—
Metabolism and nutrition disorders - other, specify
Metabolism and nutrition disorders
—
—
—
—
—
—
Abdominal pain
Gastrointestinal disorders
—
—
—
—
—
—
Gastrointestinal disorders - other, specify
Gastrointestinal disorders
—
—
—
—
—
—
Alkaline phosphatase increased
Investigations
—
—
—
—
—
—
Blood bilirubin increased
Investigations
—
—
—
—
—
—
Creatinine increased
Investigations
—
—
—
—
—
—
Electrocardiogram qt corrected interval prolonged
Investigations
—
—
—
—
—
—
Dehydration
Metabolism and nutrition disorders
—
—
—
—
—
—
Hyperglycemia
Metabolism and nutrition disorders
—
—
—
—
—
—
Hypocalcemia
Metabolism and nutrition disorders
—
—
—
—
—
—
Generalized muscle weakness
Musculoskeletal and connective tissue disorders
—
—
—
—
—
—
Neoplasms benign, malignant and unspecified (incl cysts and polyps) - other, specify
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
—
—
—
—
—
—
Ataxia
Nervous system disorders
—
—
—
—
—
—
Headache
Nervous system disorders
—
—
—
—
—
—
Insomnia
Psychiatric disorders
—
—
—
—
—
—
Dyspnea
Respiratory, thoracic and mediastinal disorders
—
—
—
—
—
—
Skin and subcutaneous tissue disorders - other, specify
This phase I trial studies the side effects and best dose of panobinostat in treating younger patients with diffuse intrinsic pontine glioma (DIPG). Panobinostat may stop the growth of tumor cells by blocking some of the enzymes needed for cell growth. Stratum 1 treats patients with DIPG that has returned or gotten worse (progressed). Stratum 2 treats patients with DIPG or H3K27+Thalamic Diffuse Malignant Glioma (DMG) that has not yet gotten worse.
Publications & conference data
8 peer-reviewed publications reference this trial (live from Europe PMC):
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· terminated
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Publications: Europe PMC API search by NCT ID, retrieved 10 June 2026
Drug + disease cross-links: matched in real time against Drug Landscape's normalised drug + company + condition tables
Sponsor: as reported to ClinicalTrials.gov by Pediatric Brain Tumor Consortium
Last refreshed: 25 April 2024
Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT02717455.