drugset / Trial / NCT02684058
Study of Efficacy and Safety of Dabrafenib in Combination With Trametinib in Pediatric Patients With BRAF V600 Mutation Positive LGG or Relapsed or Refractory HGG Tumors
RandomizedParallel-groupOpen-labelTreatment
Summary
The purpose of this study was to investigate the activity of dabrafenib in combination with trametinib in children and adolescent patients with BRAF V600 mutation positive low grade glioma (LGG) or relapsed or refractory high grade glioma (HGG)
Timeline
- Start
- 2017-12-28
- Primary completion
- 2021-08-23
- Completion
- 2023-04-28
Publications
- Gascon B, Gauvreau C, Yang A, Bennett J, Nobre L, Tabori U, Hawkins C, Tsang D, Pechlivanoglou P, Denburg A. Cost-Effectiveness of Dabrafenib Plus Trametinib Versus Standard Chemotherapy in BRAFV600E-Mutant Pediatric Low-Grade Glioma. JCO Oncol Pract. 2026 Feb 25:OP2501263. doi: 10.1200/OP-25-01263. Online ahead of print.
- Bouffet E, Hansford JR, Garre ML, Hara J, Plant-Fox A, Aerts I, Locatelli F, van der Lugt J, Papusha L, Sahm F, Tabori U, Cohen KJ, Packer RJ, Witt O, Sandalic L, Bento Pereira da Silva A, Russo M, Hargrave DR. Dabrafenib plus Trametinib in Pediatric Glioma with BRAF V600 Mutations. N Engl J Med. 2023 Sep 21;389(12):1108-1120. doi: 10.1056/NEJMoa2303815.
- Hargrave DR, Terashima K, Hara J, Kordes UR, Upadhyaya SA, Sahm F, Bouffet E, Packer RJ, Witt O, Sandalic L, Kieloch A, Russo M, Cohen KJ; Investigators involved in the high-grade glioma cohort. Phase II Trial of Dabrafenib Plus Trametinib in Relapsed/Refractory BRAF V600-Mutant Pediatric High-Grade Glioma. J Clin Oncol. 2023 Nov 20;41(33):5174-5183. doi: 10.1200/JCO.23.00558. Epub 2023 Aug 29.
- Barbato MI, Nashed J, Bradford D, Ren Y, Khasar S, Miller CP, Zolnik BS, Zhao H, Li Y, Bi Y, Shord SS, Amatya AK, Mishra-Kalyani PS, Scepura B, Al-Matari RA, Pazdur R, Kluetz PG, Donoghue M, Singh H, Drezner N. FDA Approval Summary: Dabrafenib in Combination with Trametinib for BRAFV600E Mutation-Positive Low-Grade Glioma. Clin Cancer Res. 2024 Jan 17;30(2):263-268. doi: 10.1158/1078-0432.CCR-23-1503.
- Shahid S, Kushner BH, Modak S, Basu EM, Rubin EM, Gundem G, Papaemmanuil E, Roberts SS. Association of BRAF V600E mutations with vasoactive intestinal peptide syndrome in MYCN-amplified neuroblastoma. Pediatr Blood Cancer. 2021 Oct;68(10):e29265. doi: 10.1002/pbc.29265. Epub 2021 Jul 31.
Drugs
| Evaluation | Drug | Modality | Dose | Route |
|---|---|---|---|---|
| Comparator | Carboplatin | Small molecule | 175 mg/m2 | Intravenous |
| Subject | Dabrafenib | Small molecule | 4.5 mg/kg | Oral |
| Subject | Dabrafenib | Small molecule | 5.25 mg/kg | Oral |
| Subject | Trametinib | Small molecule | 0.025 mg/kg | Oral |
| Subject | Trametinib | Small molecule | 0.032 mg/kg | Oral |
| Comparator | Vincristine | Small molecule | 0.05 mg/kg | Intravenous |
| Comparator | Vincristine | Small molecule | 1.5 mg/m2 | Intravenous |
Indications
Lhermitte-Duclos disease
anaplastic astrocytoma
anaplastic ganglioglioma
anaplastic oligodendroglioma
anaplastic pleomorphic xanthoastrocytoma
angiocentric glioma
central neurocytoma
cerebellar liponeurocytoma
childhood oligodendroglioma
chordoid glioma of the third ventricle
desmoplastic infantile astrocytoma/ganglioglioma
diffuse astrocytoma
extraventricular neurocytoma
gangliocytoma
giant cell glioblastoma
papillary glioneuronal tumor
pilocytic astrocytoma
pleomorphic xanthoastrocytoma
rosette-forming glioneuronal tumor of fourth ventricule