drugset / Trial / NCT02813135
European Proof-of-Concept Therapeutic Stratification Trial of Molecular Anomalies in Relapsed or Refractory Tumors
Phase 1/2
Recruiting
472 enrolled
Gustave Roussy, Cancer Campus, Grand Paris
Fight Kids Cancer · collabFondation ARC · collabNational Cancer Institute, France · collab
Non-randomizedParallel-groupOpen-labelTreatment
Summary
This proof-of-concept platform trial is designed to cover the targeting of several survival pathways in oncogenesis that are currently not adequately employed for pediatric patients in Europe (Geoerger 2017; Geoerger 2019). The aims of the trial are: 1. To determine the recommended phase II dose (RP2D) of a specific anticancer agent and/or a relevant combination in a pediatric population, to document its tolerability and 2. To explore first signals of activity in a molecularly enriched study population.
Timeline
- Start
- 2016-08-03
- Primary completion
- 2031-02
- Completion
- 2031-02
Publications
- Rubio-San-Simon A, Marshall LV, Karamouza E, Andre N, Abbou S, Rubino J, Nebchi S, Aerts I, Thebaud E, Brisset C, Ducassou S, Le Teuff G, Geoerger B. Phase I/II Study of the CDK2/9 Inhibitor Fadraciclib in Combination with Chemotherapy in Children with Advanced Malignancies: Arm K of the AcSe-ESMART Trial. Target Oncol. 2026 Mar;21(2):199-211. doi: 10.1007/s11523-026-01208-1. Epub 2026 Mar 16.
- Berlanga P, Pierron G, Lacroix L, Chicard M, Adam de Beaumais T, Marchais A, Harttrampf AC, Iddir Y, Larive A, Soriano Fernandez A, Hezam I, Chevassus C, Bernard V, Cotteret S, Scoazec JY, Gauthier A, Abbou S, Corradini N, Andre N, Aerts I, Thebaud E, Casanova M, Owens C, Hladun-Alvaro R, Michiels S, Delattre O, Vassal G, Schleiermacher G, Geoerger B. The European MAPPYACTS Trial: Precision Medicine Program in Pediatric and Adolescent Patients with Recurrent Malignancies. Cancer Discov. 2022 May 2;12(5):1266-1281. doi: 10.1158/2159-8290.CD-21-1136.
- Morscher RJ, Brard C, Berlanga P, Marshall LV, Andre N, Rubino J, Aerts I, De Carli E, Corradini N, Nebchi S, Paoletti X, Mortimer P, Lacroix L, Pierron G, Schleiermacher G, Vassal G, Geoerger B. First-in-child phase I/II study of the dual mTORC1/2 inhibitor vistusertib (AZD2014) as monotherapy and in combination with topotecan-temozolomide in children with advanced malignancies: arms E and F of the AcSe-ESMART trial. Eur J Cancer. 2021 Nov;157:268-277. doi: 10.1016/j.ejca.2021.08.010. Epub 2021 Sep 17.
- Bautista F, Paoletti X, Rubino J, Brard C, Rezai K, Nebchi S, Andre N, Aerts I, De Carli E, van Eijkelenburg N, Thebaud E, Corradini N, Defachelles AS, Ducassou S, Morscher RJ, Vassal G, Geoerger B. Phase I or II Study of Ribociclib in Combination With Topotecan-Temozolomide or Everolimus in Children With Advanced Malignancies: Arms A and B of the AcSe-ESMART Trial. J Clin Oncol. 2021 Nov 10;39(32):3546-3560. doi: 10.1200/JCO.21.01152. Epub 2021 Aug 4.
- Pasqualini C, Rubino J, Brard C, Cassard L, Andre N, Rondof W, Scoazec JY, Marchais A, Nebchi S, Boselli L, Grivel J, Aerts I, Thebaud E, Paoletti X, Minard-Colin V, Vassal G, Geoerger B. Phase II and biomarker study of programmed cell death protein 1 inhibitor nivolumab and metronomic cyclophosphamide in paediatric relapsed/refractory solid tumours: Arm G of AcSe-ESMART, a trial of the European Innovative Therapies for Children With Cancer Consortium. Eur J Cancer. 2021 Jun;150:53-62. doi: 10.1016/j.ejca.2021.03.032. Epub 2021 Apr 20.
- Rossoni C, Bardet A, Geoerger B, Paoletti X. Sequential or combined designs for Phase I/II clinical trials? A simulation study. Clin Trials. 2019 Dec;16(6):635-644. doi: 10.1177/1740774519872702. Epub 2019 Sep 20.
Drugs
| Evaluation | Drug | Modality | Dose | Route |
|---|---|---|---|---|
| Subject | Adavosertib | Small molecule | — | Oral |
| Subject | Avelumab | Monoclonal antibody | — | Intravenous |
| Subject | CYC065 | Small molecule | 135 mg/m2 | Intravenous |
| Subject | Capivasertib | Small molecule | — | Oral |
| Subject | Capmatinib | Small molecule | — | Oral |
| Subject | Carboplatin | Small molecule | — | Intravenous |
| Subject | Ceralasertib | Small molecule | — | Oral |
| Subject | Cyclophosphamide | Other / unclassified | 25 mg/m2 | Oral |
| Subject | Cytarabine | Small molecule | — | Intravenous |
| Subject | Enasidenib | Small molecule | — | Oral |
| Subject | Everolimus | Small molecule | 2.5 mg/m2 | Oral |
| Subject | Futibatinib | Small molecule | — | Oral |
| Subject | Irinotecan | Small molecule | — | Intravenous |
| Subject | Lirilumab | Monoclonal antibody | — | Intravenous |
| Subject | NEDISERTIB | Small molecule | — | Oral |
| Subject | Nivolumab | Monoclonal antibody | 3 mg/kg | Intravenous |
| Subject | Olaparib | Small molecule | — | Oral |
| Subject | Ribociclib | Small molecule | 175 mg/m2 | Oral |
| Subject | Ribociclib | Small molecule | 260 mg/m2 | Oral |
| Subject | Selumetinib | Small molecule | — | Oral |
| Subject | Temozolomide | Small molecule | 100 mg/m2 | Oral |
| Subject | Topotecan | Small molecule | 0.5 mg/m2 | Intravenous |
| Subject | Vinorelbine | Small molecule | — | Oral |
| Subject | Vistusertib | Small molecule | 30 mg/m2 | Oral |
| Subject | Vistusertib | Small molecule | 75 mg/m2 | Oral |
| Background | Dexamethasone | Small molecule | — | Oral |