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Tyrosine Kinase Inhibitor
Avapritinib for Pediatric Solid Cancers
Phase 1 & 2
Waitlist Available
Research Sponsored by Blueprint Medicines Corporation
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial Must have
Participant has confirmed diagnosis of DMG-H3K27a that has failed standard therapy or for which no standard therapy that may convey clinical benefit exists.
Participant has confirmed diagnosis of R/R solid tumor, including CNS tumors, with a mutation in PDGFRA and/or KIT that has progressed despite standard therapy and no alternative treatment option is available.
Must not have
Participant has platelet count < 75 × 10^9/L (< 100 × 10^9/L if a CNS tumor) with no platelet transfusion within 14 days prior to the measurement.
Participant has Total bilirubin > 1.5 × ULN for age; and in presence of Gilbert's syndrome, total bilirubin > 3 × ULN or direct bilirubin > 1.5 × ULN.
Timeline
Screening 3 weeks
Treatment Varies
Follow Up up to 5 years
Awards & highlights
No Placebo-Only Group
Summary
This trial is testing a new drug, avapritinib, for kids with cancer who have run out of treatment options. The trial will first test safety and how the body handles the drug (Part 1), then move on to testing how well the drug works against the cancer (Part 2).
Who is the study for?
This trial is for children and teenagers aged 2 to less than 18 with advanced solid tumors, including brain tumors that have specific genetic changes (mutations in KIT or PDGFRA) or a type of glioma called DMG-H3K27a. They should have tried standard treatments without success and not be eligible for other curative options. Participants need to be stable on certain medications, able to perform daily activities at least minimally, and agree to use contraception.
What is being tested?
The study tests avapritinib, a medication targeting cancers with certain genetic mutations. It's an open-label trial where all participants receive the drug. The first part confirms the dose and assesses safety; the second part looks at how effective it is at a recommended dose while continuing safety assessments.
What are the potential side effects?
While specific side effects are not listed here, common ones associated with cancer drugs like avapritinib may include nausea, vomiting, diarrhea, fatigue, muscle pain, liver problems (elevated enzymes), blood count changes leading to increased infection risk or bleeding tendencies.
Eligibility Criteria
Inclusion Criteria
You may be eligible if you check “Yes” for the criteria belowSelect...
My diagnosis is DMG-H3K27a and standard treatments have not worked or are not available.
Select...
My cancer has a PDGFRA or KIT mutation and has not responded to standard treatments.
Select...
I can do most activities but need help with some.
Select...
I am between 2 and 17 years old.
Exclusion Criteria
You may be eligible for the trial if you check “No” for criteria below:Select...
My platelet count is low and I haven't had a transfusion in the last 14 days.
Select...
My bilirubin levels are higher than normal, possibly due to Gilbert's syndrome.
Select...
I have a serious heart condition that is not under control.
Select...
I am willing and able to follow the study's schedule and procedures.
Select...
My kidney function test shows creatinine levels higher than normal.
Select...
I have been treated with avapritinib before.
Select...
I am a woman able to have children and will not use effective birth control.
Select...
I have not taken strong CYP3A inhibitors or inducers in the last 28 days.
Select...
I am at risk for bleeding in my brain.
Select...
I have not had major surgery within the last 14 days.
Select...
I cannot swallow pills or the tiny tablets in sprinkle capsules.
Select...
My seizure disorder is not well controlled despite medication.
Timeline
Screening ~ 3 weeks3 visits
Treatment ~ Varies
Follow Up ~ up to 5 years
Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~up to 5 years
Treatment Details
Side effects data
From 2021 Phase 3 trial • 476 Patients • NCT0346572228%
Periorbital oedema
23%
Oedema peripheral
19%
Lacrimation increased
18%
White blood cell count decreased
15%
Eyelid oedema
14%
Hair colour changes
14%
Aspartate aminotransferase increased
13%
Dizziness
13%
Memory impairment
12%
Headache
11%
Anaemia
10%
Alopecia
10%
Weight decreased
9%
Dyspepsia
9%
Blood creatinine increased
8%
Weight increased
8%
Dysgeusia
8%
Platelet count decreased
7%
Gastrooesophageal reflux disease
7%
Cough
6%
Hypocalcaemia
6%
Alanine aminotransferase increased
5%
Abdominal pain
5%
Hypomagnesaemia
5%
Conjunctivitis
5%
Pruritus
5%
Anxiety
5%
Hypoalbuminaemia
4%
Arthralgia
4%
Dry skin
3%
Dry mouth
3%
Stomatitis
3%
Muscle spasms
3%
Myalgia
3%
Dysphonia
3%
Rash maculo-papular
3%
Blood alkaline phosphatase increased
3%
Gastrointestinal haemorrhage
2%
Pyrexia
2%
Ascites
2%
Sepsis
2%
Acute kidney injury
2%
Palmar-plantar erythrodysaesthesia syndrome
2%
Vomiting
2%
Diarrhoea
2%
Gastric haemorrhage
1%
Multi-organ failure
1%
Fatigue
1%
Hypoglycaemia
1%
Disease progression
1%
Face oedema
1%
General physical health deterioration
1%
Bacteraemia
1%
Pneumonia
1%
Tumour haemorrhage
1%
Cognitive disorder
1%
Haemorrhage intracranial
1%
Dyspnoea
1%
Pleural effusion
1%
Mucosal inflammation
1%
Gastrointestinal fistula
1%
Intestinal obstruction
1%
Intestinal perforation
1%
Abdominal pain upper
1%
Lower gastrointestinal haemorrhage
1%
Nausea
1%
Rectal haemorrhage
1%
Jaundice
1%
Portal hypertension
1%
Hypokalaemia
1%
Transient ischaemic attack
1%
Pulmonary oedema
1%
Generalised oedema
1%
Hepatic haemorrhage
1%
Hypophosphataemia
1%
Intra-abdominal haemorrhage
1%
Abdominal distension
1%
Cardiac failure congestive
1%
Back pain
100%
80%
60%
40%
20%
0%
Study treatment Arm
Avapritinib
Regorafinib
Awards & Highlights
No Placebo-Only Group
All patients enrolled in this study will receive some form of active treatment.
Trial Design
1Treatment groups
Experimental Treatment
Group I: avapritinibExperimental Treatment1 Intervention
Avapritinib tablets for oral administration. Avapritinib will be dosed daily for 28 day cycles.
Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
avapritinib
2018
Completed Phase 3
~480
Find a Location
Who is running the clinical trial?
Blueprint Medicines CorporationLead Sponsor
29 Previous Clinical Trials
6,168 Total Patients Enrolled
Media Library
Eligibility Criteria:
This trial includes the following eligibility criteria:- My platelet count is low and I haven't had a transfusion in the last 14 days.My brain disease treatment with steroids has been stable or reduced for a week.My diagnosis is DMG-H3K27a and standard treatments have not worked or are not available.My cancer has a PDGFRA or KIT mutation and has not responded to standard treatments.I am a male and either vasectomized, will use condoms, practice abstinence, or my partner cannot become pregnant.I can do most activities but need help with some.My liver enzymes are high, but not over five times the normal limit if my cancer affects my liver.My bilirubin levels are higher than normal, possibly due to Gilbert's syndrome.I have a serious heart condition that is not under control.I am willing and able to follow the study's schedule and procedures.I have been treated for a blood clot in the last 6 months.My hemoglobin level is below 8.0 g/dL and I haven't had a blood transfusion in the last week.I have received cancer treatment within specific time limits.My kidney function test shows creatinine levels higher than normal.I have been treated with avapritinib before.I am a woman able to have children and will not use effective birth control.I have not taken strong CYP3A inhibitors or inducers in the last 28 days.I have had another type of cancer before.I have a significant ongoing or past medical condition.I need blood thinners, but there might be exceptions.I am at risk for bleeding in my brain.I've had a stem cell transplant or CAR T cell therapy recently.I have not had major surgery within the last 14 days.I cannot swallow pills or the tiny tablets in sprinkle capsules.My seizure disorder is not well controlled despite medication.I am between 2 and 17 years old.I am using effective birth control or my partner is sterile.
Research Study Groups:
This trial has the following groups:- Group 1: avapritinib
Awards:
This trial has 1 awards, including:- No Placebo-Only Group - All patients enrolled in this study will receive some form of active treatment.
Timeline:
This trial has the following timeline:- Screening: It may take up to 3 Weeks to process to see if you qualify in this trial.
- Treatment: The duration you will receive the treatment varies.
- Follow Ups: You may be asked to continue sharing information regarding the trial for 6 Months after you stop receiving the treatment.