Actively Recruiting

Phase 2
Age: 1Year - 39Years
All Genders
NCT05465174

Tovorafenib for Treatment of Craniopharyngioma in Children and Young Adults

Led by Sabine Mueller, MD, PhD · Updated on 2026-04-23

57

Participants Needed

20

Research Sites

285 weeks

Total Duration

On this page

Sponsors

S

Sabine Mueller, MD, PhD

Lead Sponsor

D

Day One Biopharmaceuticals, Inc.

Collaborating Sponsor

AI-Summary

What this Trial Is About

The current study assesses the tolerability and efficacy of monotherapy with pan-RAF-kinase (Tovorafenib) inhibition for the treatment of children and young adults with craniopharyngioma.

CONDITIONS

Official Title

Tovorafenib for Treatment of Craniopharyngioma in Children and Young Adults

Who Can Participate

Age: 1Year - 39Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Newly diagnosed craniopharyngioma confirmed by imaging and central radiology review
  • Planned for standard of care biopsy or resection and surgical candidates
  • Recurrent craniopharyngioma with histologic confirmation or imaging consistent with craniopharyngioma
  • Age between 1 and 39 years
  • Karnofsky performance score \u2265 50 for participants older than 16 years, Lansky score \u2265 50 for participants 16 years or younger
  • Stable or decreasing dose of dexamethasone no higher than 0.1 mg/kg/day (maximum 4 mg/day) for at least 1 week prior to enrollment
  • Adequate bone marrow, renal, liver, neurologic, and pulmonary function
  • Willingness to provide archival tumor tissue if recurrent and not surgical candidate
  • Ability to complete Pediatric Quality of Life Inventory (PedsQL) Core Module
  • Consent and assent provided as appropriate
  • Enrollment on PNOC COMP if open at the enrolling institution
Not Eligible

You will not qualify if you...

  • Prior tumor-directed therapy for newly diagnosed participants
  • Chemotherapy or radiotherapy within 3 weeks (or 6 weeks for nitrosoureas or mitomycin C) before study entry for recurrent participants
  • Not recovered from adverse events due to prior therapies
  • Prior treatment with RAS-pathway inhibitors including tovorafenib
  • Rapidly progressive symptoms requiring urgent surgery or radiation
  • Uncontrolled neuroendocrine dysfunction symptoms
  • Active or recent serious cardiovascular disease
  • Allergic reactions to compounds similar to tovorafenib
  • Significant nausea, vomiting, malabsorption, or bowel resection affecting drug absorption
  • Uncontrolled infections or intercurrent illness
  • Receiving other investigational agents
  • Pregnant or breastfeeding women
  • Current treatment with strong CYP2C8 inhibitors or inducers (except allowed medications)
  • Inability to return for follow-up visits or assessments required for toxicity monitoring

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Trial Site Locations

Total: 20 locations

1

University of Alabama at Birmingham

Birmingham, Alabama, United States, 35294

Actively Recruiting

2

Rady Children's Hospital/University of California, San Diego

San Diego, California, United States, 92037

Actively Recruiting

3

University of California, San Francisco

San Francisco, California, United States, 94143

Actively Recruiting

4

University of Florida

Gainesville, Florida, United States, 32611

Actively Recruiting

5

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

Chicago, Illinois, United States, 60611

Actively Recruiting

6

Riley Hospital for Children at Indiana University Health

Indianapolis, Indiana, United States, 46202

Actively Recruiting

7

John Hopkins University

Baltimore, Maryland, United States, 21218

Actively Recruiting

8

Dana-Farber/Boston Children's Harvard Medical School

Boston, Massachusetts, United States, 02215

Actively Recruiting

9

University of Michigan

Ann Arbor, Michigan, United States, 48109

Actively Recruiting

10

Children's Minnesota

Minneapolis, Minnesota, United States, 55404

Actively Recruiting

11

St. Louis Children's Hospital Washington University

St Louis, Missouri, United States, 63110

Actively Recruiting

12

NYU Langone Health

New York, New York, United States, 10016

Actively Recruiting

13

Duke University Medical Center

Durham, North Carolina, United States, 27710

Actively Recruiting

14

Children's Hospital of Philadelphia

Philadelphia, Pennsylvania, United States, 19103

Actively Recruiting

15

University of Utah

Salt Lake City, Utah, United States, 84112

Actively Recruiting

16

John Hunter Children's Hospital

New Lambton Heights, New South Wales, Australia, 2310

Actively Recruiting

17

Royal Hobart Hospital

Hobart, Tasmania, Australia, 7000

Actively Recruiting

18

Children's Cancer Centre, Monash Children's Hospital

Clayton, VIC 3168, Australia

Actively Recruiting

19

Royal Children's Hospital, Childrens' Cancer Centre

Parkville, Victoria, Australia, 3052

Actively Recruiting

20

Perth Children's Hospital

Nedlands, Western Australia, Australia, 6009

Actively Recruiting

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Research Team

P

PNOC Operations Office

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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