Actively Recruiting

Phase 2
Age: 12Years - 39Years
All Genders
NCT06161974

Study of Olutasidenib and Temozolomide in HGG

Led by Rigel Pharmaceuticals · Updated on 2025-02-21

60

Participants Needed

18

Research Sites

534 weeks

Total Duration

On this page

Sponsors

R

Rigel Pharmaceuticals

Lead Sponsor

N

Nationwide Children's Hospital

Collaborating Sponsor

AI-Summary

What this Trial Is About

The goal of this study is to determine the efficacy of the study drug olutasidenib to treat newly diagnosed pediatric and young adult patients with a high-grade glioma (HGG) harboring an IDH1 mutation. The main question the study aims to answer is whether the combination of olutasidenib and temozolomide (TMZ) can prolong the life of patients diagnosed with an IDH-mutant HGG.

CONDITIONS

Official Title

Study of Olutasidenib and Temozolomide in HGG

Who Can Participate

Age: 12Years - 39Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Patients aged 12 to 39 years at enrollment
  • Newly diagnosed with an IDH1-mutant high-grade glioma including diffuse intrinsic pontine glioma (DIPG)
  • Tumor tissue available from biopsy or resection for diagnosis confirmation
  • Diagnosis confirmed as WHO Grade 3 or 4 glioma or DIPG with pontine epicenter and diffuse involvement
  • No metastatic disease present
  • Karnofsky performance score of at least 50% for patients older than 16 years or Lansky score of at least 50 for patients 16 years or younger
  • Prior surgery, radiation therapy (standard doses), and dexamethasone allowed
  • Temozolomide allowed if given concurrently with radiotherapy and post-radiotherapy maintenance
  • Radiation therapy started within 31 days of diagnosis
  • Enrollment and treatment start within 21 days post-radiotherapy for pre-maintenance phase patients or within 35 days for others
  • Adequate bone marrow function (ANC ≥ 1000/mm3, platelets ≥ 100,000/mm3, hemoglobin > 8 g/dL)
  • Adequate renal function (creatinine clearance ≥ 70 ml/min/1.73 m2 or age/gender-based serum creatinine limits)
  • Adequate liver function (bilirubin ≤ 1.5× institutional upper limit, AST/ALT < 3× upper limit, alkaline phosphatase < 3× upper limit)
  • Signed informed consent from patient or guardian
Not Eligible

You will not qualify if you...

  • Pregnant or breastfeeding women
  • Patients unwilling to use highly effective contraception during treatment and for 3 months afterwards
  • Current use of another investigational drug
  • Use of anti-cancer agents other than temozolomide concurrently with radiotherapy or maintenance
  • Use of enzyme-inducing anticonvulsants that strongly induce CYP3A4/5
  • Use of strong CYP3A4/5 inducers within 14 days prior to enrollment and during study
  • Use of medications known to prolong QTc interval
  • Therapeutic anticoagulation with warfarin
  • Uncontrolled infections
  • Known malabsorption syndrome or conditions affecting drug absorption
  • History of HIV, hepatitis B or C infection
  • Prior solid organ transplant
  • Secondary or radiation-related high-grade glioma
  • Metastatic or disseminated high-grade glioma treated with craniospinal irradiation
  • Medical or psychiatric conditions preventing safe study participation or assessment

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Trial Site Locations

Total: 18 locations

1

Children's Hospital Colorado

Aurora, Colorado, United States, 80045

Not Yet Recruiting

2

Children's National Medical Center

Washington D.C., District of Columbia, United States, 20010

Not Yet Recruiting

3

Ann & Robert H. Lurie Children's Hospital of Chicago

Chicago, Illinois, United States, 60611

Not Yet Recruiting

4

Susan Chi

Boston, Massachusetts, United States, 02215

Not Yet Recruiting

5

Duke University Health System

Durham, North Carolina, United States, 27708

Not Yet Recruiting

6

Cincinnati Children's Hospital Medical Center

Cincinnati, Ohio, United States, 45229

Actively Recruiting

7

Nationwide Children's Hospital

Columbus, Ohio, United States, 43235

Not Yet Recruiting

8

Children's Hospital of Philadelphia

Philadelphia, Pennsylvania, United States, 19104

Not Yet Recruiting

9

Texas Children's Hospital

Houston, Texas, United States, 77030

Not Yet Recruiting

10

Seattle Children's Hospital

Seattle, Washington, United States, 98105

Not Yet Recruiting

11

Sydney Children's Hospital

Randwick, New South Wales, Australia, 2031

Not Yet Recruiting

12

Queensland Children's Hospital

South Brisbane, Queensland, Australia, 4101

Not Yet Recruiting

13

Perth Children's Hospital

Perth, Western Australia, Australia, 6000

Not Yet Recruiting

14

The Hospital for Sick Children (SickKids)

Toronto, Ontario, Canada, M5G1X8

Not Yet Recruiting

15

Montreal Children's Hospital

Montreal, Quebec, Canada, H4A3J1

Not Yet Recruiting

16

Hopp Children's Cancer Center at NCT Heidelberg (KiTZ)

Heidelberg, Baden-Wurttemberg, Germany, 69120

Not Yet Recruiting

17

Princess Máxima Center

Utrecht, Netherlands, 3720

Not Yet Recruiting

18

Great Ormond Street Hospital

London, United Kingdom, WC1N 3JH

Not Yet Recruiting

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Research Team

J

Jill DeFratis Robinson

CONTACT

V

Vanessa Tan

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

NON_RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

3

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Study of Olutasidenib and Temozolomide in HGG | DecenTrialz