Neoadjuvant and postoperative treatment with dabrafenib and trametinib for papillary craniopharyngioma

2024-517611-67-00 Protocol Swecranio1-21 Therapeutic exploratory (Phase II) Ongoing, recruiting

Start 1 Nov 2024 · Status Ongoing, recruiting · 1 EU/EEA countries · 2 sites · Protocol Swecranio1-21

Overview

Sponsor-declared trial summary

Phase Therapeutic exploratory (Phase II)
Status Ongoing, recruiting
Participants planned 25
Countries 1
Sites 2

papillary craniopharyngioma

To evaluate tumour response measured as reduction in tumour volume on MRI for patients with papillary craniopharyngioma on treatment with dabrafenib and trametinib.

Key facts

Sponsor
Region Skane
Participant type
Patients
Age range
18-64 years, 65+ years
Gender
Male and Female
Therapeutic area
Diseases [C] - Neoplasms [C04], Diseases [C] - Hormonal diseases [C19]
Trial duration
1 Nov 2024 → ongoing
Decision date (initial)
2024-10-18
Transition trial
Yes
Low-intervention
No
Rare-disease indication
No
Vulnerable population
No
Funding sources
Novartis

External identifiers

EU CT number
2024-517611-67-00
EudraCT number
2021-000087-30
ClinicalTrials.gov
NCT05525273

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Efficacy, Therapy

To evaluate tumour response measured as reduction in tumour volume on MRI for patients with papillary craniopharyngioma on treatment with dabrafenib and trametinib.

Secondary objectives 1

  1. To evaluate treatment with dabrafenib and trametinib for the following aspects: - response according to RECIST - response duration for patients who are treated without subsequent surgery - number of patients that become operable after neoadjuvant treatment - progression free survival after 1 and 2 years - quality of life during and after treatment - the effect of treatment on vision, cognition and hypothalamic function

Conditions and MedDRA coding

papillary craniopharyngioma

VersionLevelCodeTermSystem organ class
23.1 LLT 10084813 Papillary craniopharyngioma 100000004848

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 1

  1. 1. Histologically verified papillary craniopharyngioma 2. BRAFmut V600E, verified immunohistochemically and with sequencing. 3. Newly diagnosed tumour or recurrence after previous surgery, where additional surgery would give serious or permanent sequelae. 4. Age over 18 years. 5. Performance status acccording to ECOG 0-2 6. Adequate organ function

Exclusion criteria 1

  1. 1. Ongoing treatment with prohibited drugs (strong inducers of CYP2C8 or CYP3A4). 2. Known cardiovascular disease where MEK-inhibitor is contraindicated, e g serious heart failure, increased QTc time, uncontrolled arrythmia, recent myocardial infarction, uncontrolled hypertension 3. Active bleeding 4. Thromboembolic event last 6 months 5- Known serious ocular disease 6. Surgery last 3 weeks 7. Cohort b: radiotherapy last 3 months

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. To evaluate tumour response measured as reduction in tumour volume on MRI for patients with papillary craniopharyngioma on treatment with dabrafenib and trametinib.

Secondary endpoints 1

  1. To evaluate treatment with dabrafenib and trametinib for the following aspects: - response according to RECIST - response duration for patients who are treated without subsequent surgery - number of patients that become operable after neoadjuvant treatment - progression free survival after 1 and 2 years - quality of life during and after treatment - the effect of treatment on vision, cognition and hypothalamic function

Investigational products

Investigational medicinal products (IMPs), comparators, placebo, auxiliary

Test 2

Dabrafenib

SUB45696 · Substance

Active substance
Dabrafenib
Pharmaceutical form
CAPSULE, HARD
Route of administration
ORAL
Max daily dose
300 mg milligram(s)
Max total dose
109500 mg milligram(s)
Max treatment duration
12 Month(s)
Authorisation status
Authorised
ATC code
- — -
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Trametinib

SUB119776 · Substance

Active substance
Trametinib
Pharmaceutical form
FILM-COATED TABLET
Route of administration
ORAL
Max daily dose
2 mg milligram(s)
Max total dose
730 mg milligram(s)
Max treatment duration
12 Month(s)
Authorisation status
Authorised
ATC code
- — -
Marketing authorisation
-
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Region Skane

Sponsor organisation
Region Skane
Address
Dockplatsen 26, Malmo S:t Petri Malmo S:t Petri
City
Malmo
Postcode
211 74
Country
Sweden

Scientific contact point

Organisation
Region Skane
Contact name
Eva-Marie Erfurth

Public contact point

Organisation
Region Skane
Contact name
Eva-Marie Erfurth

Locations

1 EU/EEA country · 2 investigational sites

By country

CountryMS statusPlanned subjectsSites
Sweden Ongoing, recruiting 25 2
Rest of world 0

Investigational sites

Sweden

2 sites · Ongoing, recruiting
Sahlgrenska University Hospital-Vaestra Goetalandsregionen
VO onkologi, Bla Straket 5, Goteborgs Annedal, Goteborg
Region Vaesterbotten
Cancercentrum, Daniel Naezens Vag, 907 37, Umea

Country notifications

Trial-start, recruitment-start, end and early-termination notifications submitted per Member State

Country Trial startTrial end Recruitment startRecruitment end Early termination
Sweden 2024-11-01 2024-11-01

Results and documents

Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial

Documents 9 files

Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.

TypeTitleVersion
Protocol (for publication) Studieprotokoll kraniofaryngeom 210730 1
Protocol (for publication) Studyprotocol craniopharyngioma 210730 1
Recruitment arrangements (for publication) K1_Recruitment arrangements 1
Subject information and informed consent form (for publication) Patientinformation 210318 1
Subject information and informed consent form (for publication) Samtycke till deltagande i Studien 1
Summary of Product Characteristics (SmPC) (for publication) CP_NPI_Mekinist_07-Aug-24_Swedish_Clean 1
Summary of Product Characteristics (SmPC) (for publication) CP_NPI_Tafinlar_07-Aug-24_Swedish_Clean 1
Synopsis of the protocol (for publication) D1_Protocol synopsis SE EU CT number 1
Synopsis of the protocol (for publication) Synopsis svenska 220117 1

Application history

1 submissions — initial application plus substantial / non-substantial modifications

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2024-10-03 Sweden Acceptable
2024-10-16
2024-10-18