Actively Recruiting

Phase 1
Phase 2
Age: 0 - 25Years
All Genders
NCT04094610

A Study of Repotrectinib in Pediatric and Young Adult Subjects Harboring ALK, ROS1, OR NTRK1-3 Alterations

Led by Turning Point Therapeutics, Inc. · Updated on 2025-11-19

75

Participants Needed

68

Research Sites

394 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

Phase 1 will evaluate the safety and tolerability at different dose levels of repotrectinib in pediatric and young adult subjects with advanced or metastatic malignancies harboring anaplastic lymphoma kinase (ALK), receptor tyrosine kinase encoded by the gene ROS1 (ROS1), or neurotrophic receptor kinase genes encoding TRK kinase family (NTRK1-3) alterations to estimate the Maximum Tolerated Dose (MTD) or Maximum Administered Dose (MAD) and select the Pediatric Recommended Phase 2 Dose (RP2D). Phase 2 will determine the anti-tumor activity of repotrectinib in pediatric and young adult subjects with advanced or metastatic malignancies harboring ROS1 or NTRK1-3 alterations.

CONDITIONS

Official Title

A Study of Repotrectinib in Pediatric and Young Adult Subjects Harboring ALK, ROS1, OR NTRK1-3 Alterations

Who Can Participate

Age: 0 - 25Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Documented genetic ROS1 point mutation, fusion, or amplification or NTRK1-3 fusion identified by certified laboratory testing
  • Age under 12 years for Phase 1; age 12 to 25 years for Phase 2
  • Prior cytotoxic chemotherapy allowed
  • Prior immunotherapy allowed
  • All acute toxic effects from previous cancer therapy resolved to Grade 1 or less except alopecia
  • Measurable disease by RECIST v1.1 or RANO criteria at enrollment
  • Neurologically stable with stable or decreasing steroid dose for at least 7 days if primary CNS tumor or CNS metastases
  • Lansky score (under 16 years) or Karnofsky score (16 years and older) of at least 50
  • Life expectancy of at least 12 weeks
  • Adequate blood, kidney, and liver function
  • Phase 2 Cohort 1: NTRK fusion positive advanced solid tumors, TRK TKI-naive
  • Phase 2 Cohort 2: NTRK fusion positive advanced solid tumors, TRK TKI pre-treated
  • Phase 2 Cohort 3: Advanced solid tumors with ROS1 gene fusions or other ROS1 aberrations with measurable disease
Not Eligible

You will not qualify if you...

  • Neuroblastoma with only bone marrow disease evaluable by bone marrow aspiration only
  • Major surgery within 14 days before starting repotrectinib treatment
  • Known active infections requiring treatment, including bacterial, fungal, viral infections, or HIV positivity
  • Gastrointestinal diseases or malabsorption syndromes affecting drug absorption
  • Cardiac abnormalities including QTc > 480 msec, significant ECG abnormalities, or risk factors for QT prolongation
  • Peripheral neuropathy of Grade 2 or higher
  • Current or anticipated treatment with strong CYP3A4 inhibitors or inducers
  • Allergies to repotrectinib or its ingredients

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Trial Site Locations

Total: 68 locations

1

Children's Hospital Los Angeles

Los Angeles, California, United States, 90027-6062

Actively Recruiting

2

University of California at Los Angeles

Los Angeles, California, United States, 90095

Actively Recruiting

3

Children's Hospital Colorado - Anschutz Medical Campus

Aurora, Colorado, United States, 80045

Actively Recruiting

4

Local Institution - 2105

Orlando, Florida, United States, 32806

Completed

5

Local Institution - 2120

Orlando, Florida, United States, 32827

Completed

6

Children's Healthcare of Atlanta - Egleston Hospital

Atlanta, Georgia, United States, 30329

Actively Recruiting

7

Maine Medical Center

Scarborough, Maine, United States, 04074

Actively Recruiting

8

Dana Farber Cancer Institute.

Boston, Massachusetts, United States, 02215

Actively Recruiting

9

Washington University School of Medicine in St. Louis

St Louis, Missouri, United States, 63110

Actively Recruiting

10

Local Institution - 2110

New Brunswick, New Jersey, United States, 08901

Completed

11

Local Institution - 2102

New York, New York, United States, 10065

Completed

12

Levine Children's Hospital- Pediatric Neuro-Oncology

Charlotte, North Carolina, United States, 28203

Actively Recruiting

13

Local Institution - 2112

Cleveland, Ohio, United States, 44195

Completed

14

Local Institution - 2114

Hershey, Pennsylvania, United States, 17033

Completed

15

Children's Hospital of Philadelphia-Center for Childhood Cancer Research

Philadelphia, Pennsylvania, United States, 19104

Actively Recruiting

16

St. Jude Children's Research Hospital

Memphis, Tennessee, United States, 38015

Actively Recruiting

17

The University of Texas Southwestern Medical Center - Harold C Simmons Comprehensive Cancer Center

Dallas, Texas, United States, 75390

Actively Recruiting

18

Baylor College of Medicine

Houston, Texas, United States, 77030

Actively Recruiting

19

Local Institution - 2104

Houston, Texas, United States, 77030

Completed

20

Children's Hospital of Richmond at VCU

Richmond, Virginia, United States, 23219

Withdrawn

21

Local Institution - 6104

Randwick, New South Wales, Australia, 2031

Actively Recruiting

22

Local Institution - 6103

Westmead, New South Wales, Australia, 0

Completed

23

Children's Health Queensland Hospital and Health Service

South Brisbane, Queensland, Australia, 4101

Actively Recruiting

24

Perth Childrens Hospital

Nedlands, Western Australia, Australia, 6009

Actively Recruiting

25

University Of Calgary

Calgary, Alberta, Canada, T3B 6A8

Actively Recruiting

26

Stollery Children'S Hospital

Edmonton, Alberta, Canada, T6G 2B7

Actively Recruiting

27

Children'S Hospital Of Eastern Ontario

Ottawa, Ontario, Canada, K1H 8L1

Actively Recruiting

28

St Justine Hospital

Montreal, Quebec, Canada, H3T 1C5

Actively Recruiting

29

Rigshospitalet - Glostrup

Copenhagen, Denmark, 2100

Actively Recruiting

30

Local Institution - 6111

Lyon, Rhone, France, 69008

Not Yet Recruiting

31

Centre Hospitalier Universitaire D'Angers

Angers, France, 49933

Actively Recruiting

32

Centre Hospitalier Universitaire de Bordeaux - Groupe Hospitalier Pellegrin

Bordeaux, France, 33076

Actively Recruiting

33

Institut d Hematologie et d Oncologie Pediatriques

Lyon, France, 69373

Actively Recruiting

34

Hôpitaux Universitaires de Marseille Timone

Marseille, France, 13385

Actively Recruiting

35

Local Institution - 6110

Marseille, France, 13385

Not Yet Recruiting

36

Local Institution - 6112

Nantes, France, 44093

Not Yet Recruiting

37

Local Institution - 6109

Paris, France, 75005

Not Yet Recruiting

38

Institut Gustave-Roussy

Villejuif, France, 94805

Actively Recruiting

39

Local Institution - 6108

Villejuif, France, 94805

Not Yet Recruiting

40

Fondazione IRCCS - Istituto Nazionale dei Tumori

Milan, Italy, 20133

Actively Recruiting

41

Local Institution - 6113

Padova, Italy, 35128

Withdrawn

42

Local Institution - 4302

Rome, Italy, 00165

Not Yet Recruiting

43

Local Institution - 6114

Torino, Italy, 10126

Withdrawn

44

National University Hospital

Singapore, Singapore, 119228

Actively Recruiting

45

KK Women's and Children's Hospital

Singapore, Singapore, 229899

Actively Recruiting

46

Local Institution - 6303

Seoul, Seodaemun-gu, South Korea, 03722

Completed

47

Seoul National University Hospital

Seoul, South Korea, 03080

Actively Recruiting

48

Asan Medical Center

Seoul, South Korea, 05505

Actively Recruiting

49

Local Institution - 6304

Seoul, South Korea, 06351

Completed

50

Hospital Sant Joan De Deu

Esplugues de Llobregat, Barcelona, Spain, 08950

Actively Recruiting

51

Clínica Universidad de navarra

Pamplona, Navarre, Spain, 31008

Actively Recruiting

52

Local Institution - 6105

Barcelona, Spain, 08014

Not Yet Recruiting

53

Hospital Universitari Vall d'Hebron

Barcelona, Spain, 8035

Actively Recruiting

54

Hospital Infantil Universitario Nino Jesus

Madrid, Spain, 28009

Actively Recruiting

55

Local Institution - 6106

Madrid, Spain, 28009

Not Yet Recruiting

56

Clinica Universidad de Navarra

Madrid, Spain, 28022

Actively Recruiting

57

HM Sanchinarro University Hospital

Madrid, Spain, 28050

Actively Recruiting

58

Hospital Universitario Virgen del Rocio

Seville, Spain, 41013

Actively Recruiting

59

Hospital Universitario Y Politecnico La Fe

Valencia, Spain, 46026

Actively Recruiting

60

Local Institution - 6107

Valencia, Spain, 46026

Not Yet Recruiting

61

National Taiwan University Hospital

Taipei, Taiwan, 100225

Actively Recruiting

62

Taipei Medical University Hospital

Taipei, Taiwan, 11031

Actively Recruiting

63

Alder Hey Children's NHS Foundation Trust

Liverpool, England, United Kingdom, L12 2AP

Actively Recruiting

64

Local Institution - 4403

Birmingham, United Kingdom, B4 6DH

Completed

65

University Hospital of Wales

Cardiff, United Kingdom, CF14 4XW

Actively Recruiting

66

Royal Hosp. for Children

Glasgow, United Kingdom, G51 4TF

Actively Recruiting

67

The Royal Marsden NHS Foundation Trust

London, United Kingdom, SW3 6JJ

Actively Recruiting

68

Great Ormond Street Hospital For Children NHS Foundation Trust

London, United Kingdom, WC1N 3JH

Actively Recruiting

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Research Team

B

BMS Study Connect Contact Center www.BMSStudyConnect.com

CONTACT

F

First line of the email MUST contain the NCT# and Site #.

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

NA

Model

SINGLE_GROUP

Primary Purpose

TREATMENT

Number of Arms

1

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A Study of Repotrectinib in Pediatric and Young Adult Subjects Harboring ALK, ROS1, OR NTRK1-3 Alterations | DecenTrialz