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NCT03434262

SJDAWN: St. Jude Children's Research Hospital Phase 1 Study Evaluating Molecularly-Driven Doublet Therapies for Children and Young Adults With Recurrent Brain Tumors

Completed Phase 1 Last updated 31 May 2024
What this trial tests

Phase 1 trial testing Gemcitabine in Anaplastic Astrocytoma in 68 participants. Completed in 24 May 2024.

Timeline
5 March 2018
Primary endpoint
30 September 2022
24 May 2024

Quick facts

Lead sponsorSt. Jude Children's Research Hospital
PhasePhase 1
StatusCompleted
Study typeINTERVENTIONAL
Allocationnon randomized
Designparallel
Maskingnone
Primary purposetreatment
Enrollment68
Start date5 March 2018
Primary completion30 September 2022
Estimated completion24 May 2024
Sites1 location across United States

Drugs / interventions tested

Conditions studied

Sponsor

St. Jude Children's Research Hospital

Who can join

Adults 1 to 39, any sex, with Anaplastic Astrocytoma or Anaplastic Ependymoma. Patients with the condition only — healthy volunteers not accepted.

Sponsor's own description

Approximately 90% of children with malignant brain tumors that have recurred or relapsed after receiving conventional therapy will die of disease. Despite this terrible and frustrating outcome, continued treatment of this population remains fundamental to improving cure rates. Studying this relapsed population will help unearth clues to why conventional therapy fails and how cancers continue to resist modern advances. Moreover, improvements in the treatment of this relapsed population will lead to improvements in upfront therapy and reduce the chance of relapse for all. Novel therapy and, more importantly, novel approaches are sorely needed. This trial proposes a new approach that evaluates rational combination therapies of novel agents based on tumor type and molecular characteristics of these diseases. The investigators hypothesize that the use of two predictably active drugs (a doublet) will increase the chance of clinical efficacy. The purpose of this trial is to perform a limited dose escalation study of multiple doublets to evaluate the safety and tolerability of these combinations followed by a small expansion cohort to detect preliminary efficacy. In addition, a more extensive and robust molecular analysis of all the participant samples will be performed as part of the trial such that we can refine the molecular classification and better inform on potential response to therapy. In this manner the tolerability of combinations can be evaluated on a small but relevant population and the chance of detecting antitumor activity is potentially increased. Furthermore, the goal of the complementary molecular characterization will be to eventually match the therapy with better predictive biomarkers. PRIMARY OBJECTIVES: * To determine the safety and tolerability and estimate the maximum tolerated dose/recommended phase 2 dose (MTD/RP2D) of combination treatment by stratum. * To characterize the pharmacokinetics of combination treatment by stratum. SECONDARY OBJECTIVE: * To estimate the rate and duration of objective response and progression free survival (PFS) by stratum.

Publications & conference data

No peer-reviewed publications indexed yet for this trial. Completed trials usually publish results within 12-18 months.

Verify or expand the search:

Other trials of Gemcitabine

Trials testing the same drug.

Other recruiting trials for Anaplastic Astrocytoma

Currently open trials in the same condition.

Other St. Jude Children's Research Hospital trials

Trials by the same sponsor.

Verify against primary sources

Data sources for this page

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