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NCT02717455: PBTC-047

Trial of Panobinostat in Children With Diffuse Intrinsic Pontine Glioma

Completed Phase 1 Results posted Last updated 25 April 2024
What this trial tests

Phase 1 trial testing LBH589 in Glioma in 53 participants. Completed in 31 March 2024.

Timeline
28 June 2016
Primary endpoint
14 February 2022
31 March 2024

Quick facts

Lead sponsorPediatric Brain Tumor Consortium
PhasePhase 1
StatusCompleted
Study typeINTERVENTIONAL
Allocationnon randomized
Designsequential
Maskingnone
Primary purposetreatment
Enrollment53
Start date28 June 2016
Primary completion14 February 2022
Estimated completion31 March 2024
Sites10 locations across United States

Drugs / interventions tested

Conditions studied

Sponsor

Pediatric Brain Tumor Consortium

Who can join

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

GroupValue95% 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 1 Primary · 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).

GroupValue95% CI
Stratum 110
Maximum Tolerated Dose (MTD) of Panobinostat in Stratum 2 Primary · 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).

GroupValue95% CI
Stratum 222
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.

GroupValue95% 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.

GroupValue95% 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.

GroupValue95% 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.

GroupValue95% 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.

GroupValue95% 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 1 Secondary · 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.

GroupValue95% CI
Stratum 11.870.73 – 9.00
Overall Survival (OS) in Stratum 1 Secondary · 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.

GroupValue95% CI
Stratum 15.230.73 – 36.60
Progression-free Survival (PFS) in Stratum 2 Secondary · 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.

GroupValue95% CI
Stratum 23.830.23 – 14.93
Overall Survival (OS) in Stratum 2 Secondary · 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.

GroupValue95% CI
Stratum 29.130.23 – 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)

ReactionSystemStratum 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, specifyNeoplasms benign, malignant and unspecified (incl cysts and polyps)
Respiratory failureRespiratory, thoracic and mediastinal disorders
Neutrophil count decreasedInvestigations
Platelet count decreasedInvestigations
Depressed level of consciousnessNervous system disorders
HydrocephalusNervous system disorders
Nervous system disorders - other, specifyNervous system disorders
HypertensionVascular disorders
Abdominal painGastrointestinal disorders
DysphagiaGastrointestinal disorders
VomitingGastrointestinal disorders
FatigueGeneral disorders
Gait disturbanceGeneral disorders
Catheter related infectionInfections and infestations
SepsisInfections and infestations
Urinary tract infectionInfections and infestations
White blood cell decreasedInvestigations
HypokalemiaMetabolism and nutrition disorders
Generalized muscle weaknessMusculoskeletal and connective tissue disorders
Muscle weakness left-sidedMusculoskeletal and connective tissue disorders
Muscle weakness right-sidedMusculoskeletal and connective tissue disorders
TrismusMusculoskeletal and connective tissue disorders
AtaxiaNervous system disorders
DizzinessNervous system disorders
DysarthriaNervous system disorders
Other adverse events (79 terms — click to expand)

ReactionSystemStratum 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 decreasedInvestigations
White blood cell decreasedInvestigations
Lymphocyte count decreasedInvestigations
DiarrheaGastrointestinal disorders
VomitingGastrointestinal disorders
Alanine aminotransferase increasedInvestigations
AnemiaBlood and lymphatic system disorders
NauseaGastrointestinal disorders
Neutrophil count decreasedInvestigations
HypoalbuminemiaMetabolism and nutrition disorders
HypophosphatemiaMetabolism and nutrition disorders
FatigueGeneral disorders
Aspartate aminotransferase increasedInvestigations
HypertensionVascular disorders
ConstipationGastrointestinal disorders
Hemoglobin increasedInvestigations
Investigations - other, specifyInvestigations
Weight lossInvestigations
AnorexiaMetabolism and nutrition disorders
HypermagnesemiaMetabolism and nutrition disorders
HypoglycemiaMetabolism and nutrition disorders
HypokalemiaMetabolism and nutrition disorders
Metabolism and nutrition disorders - other, specifyMetabolism and nutrition disorders
Abdominal painGastrointestinal disorders
Gastrointestinal disorders - other, specifyGastrointestinal disorders
Alkaline phosphatase increasedInvestigations
Blood bilirubin increasedInvestigations
Creatinine increasedInvestigations
Electrocardiogram qt corrected interval prolongedInvestigations
DehydrationMetabolism and nutrition disorders
HyperglycemiaMetabolism and nutrition disorders
HypocalcemiaMetabolism and nutrition disorders
Generalized muscle weaknessMusculoskeletal and connective tissue disorders
Neoplasms benign, malignant and unspecified (incl cysts and polyps) - other, specifyNeoplasms benign, malignant and unspecified (incl cysts and polyps)
AtaxiaNervous system disorders
HeadacheNervous system disorders
InsomniaPsychiatric disorders
DyspneaRespiratory, thoracic and mediastinal disorders
Skin and subcutaneous tissue disorders - other, specifySkin and subcutaneous tissue disorders
Cardiac disorders - other, specifyCardiac disorders

Most-reported serious reactions: Neoplasms benign, malignant and unspecified (incl cysts and polyps) - other, specify, Respiratory failure, Neutrophil count decreased, Platelet count decreased, Depressed level of consciousness, Hydrocephalus, Nervous system disorders - other, specify, Hypertension.

Data from ClinicalTrials.gov NCT02717455 adverse events section.

Sponsor's own description

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):

  1. Transcriptional Dependencies in Diffuse Intrinsic Pontine Glioma.
    Nagaraja S, Vitanza NA, Woo PJ, Taylor KR, et al · · 2017 · cited 323× · PMID 28434841 · DOI 10.1016/j.ccell.2017.03.011
  2. Pervasive H3K27 Acetylation Leads to ERV Expression and a Therapeutic Vulnerability in H3K27M Gliomas.
    Krug B, De Jay N, Harutyunyan AS, Deshmukh S, et al · · 2019 · cited 162× · PMID 31085178 · DOI 10.1016/j.ccell.2019.04.004
  3. Therapeutic strategies for diffuse midline glioma from high-throughput combination drug screening.
    Lin GL, Wilson KM, Ceribelli M, Stanton BZ, et al · · 2019 · cited 158× · PMID 31748226 · DOI 10.1126/scitranslmed.aaw0064
  4. Developmental origins and emerging therapeutic opportunities for childhood cancer.
    Filbin M, Monje M. · · 2019 · cited 150× · PMID 30842674 · DOI 10.1038/s41591-019-0383-9
  5. Pre-Clinical Study of Panobinostat in Xenograft and Genetically Engineered Murine Diffuse Intrinsic Pontine Glioma Models.
    Hennika T, Hu G, Olaciregui NG, Barton KL, et al · · 2017 · cited 124× · PMID 28052119 · DOI 10.1371/journal.pone.0169485
  6. Recent developments in epigenetic cancer therapeutics: clinical advancement and emerging trends.
    Nepali K, Liou JP. · · 2021 · cited 122× · PMID 33840388 · DOI 10.1186/s12929-021-00721-x
  7. Spatially controlled construction of assembloids using bioprinting.
    Roth JG, Brunel LG, Huang MS, Liu Y, et al · · 2023 · cited 83× · PMID 37468483 · DOI 10.1038/s41467-023-40006-5
  8. Diffuse Intrinsic Pontine Glioma: From Diagnosis to Next-Generation Clinical Trials.
    Vitanza NA, Monje M. · · 2019 · cited 81× · PMID 31290035 · DOI 10.1007/s11940-019-0577-y

Verify or expand the search:

Other trials of LBH589

Trials testing the same drug.

Other recruiting trials for Glioma

Currently open trials in the same condition.

Other Pediatric Brain Tumor Consortium trials

Trials by the same sponsor.

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Data sources for this page

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.

Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing