ClinicalTrials.gg
TerminatedNCT02584647PLX3397Updated Mar 21, 2025Results posted

PLX3397 Plus Sirolimus in Unresectable Sarcoma and Malignant Peripheral Nerve Sheath Tumors

A Phase 1/2 interventional study of PLX3397 and sirolimus in Sarcoma and Malignant Peripheral Nerve Sheath Tumors, sponsored by Gulam Manji. Terminated at 5 sites in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2025-03-21.

Primary conditionNeurofibrosarcomaRegistry: SarcomaReclassifiedWhy we changed it
Registry
Sarcoma — the first condition term the registry derived for this study.
ClinicalTrials.gg
Neurofibrosarcoma
Why
  1. The study's listed conditions name Neurofibrosarcoma, a narrower term within Sarcoma.
Confidence
High: the new condition is named in the study's own listed conditions. Of 351 hand-checked studies reclassified this way, 68% were exactly right and 84% in the right disease family; the registry's first term was right for 5% (measured 2026-10-21). How we classify →
Wrong?
Tell us the study's main condition →

Sponsored by Gulam Manji · Phase 1/2, Interventional, and Treatment

Why this study was terminated
Poor enrollment
Phase
Phase 1/2
Study type
Interventional
Enrollment
39
Allocation
Non-randomized
Ages
18 Years and older
Sex
All
01

Study summary

The purpose of this study is to determine if treatment with PLX3397 and Sirolimus will be tolerated and result in shrinking of the cancer or stopping the cancer from growing. In the phase I portion, the maximum tolerate dose of the study drug will be determined. In the Phase II portion, progression free survival will be assessed at the dose level found in Phase I. Participants will continue to take the study drug until they experience an unacceptable side effect or their disease progresses. Funding Source - FDA OOPD

Read the detailed description

Malignant peripheral nerve sheath tumors (MPNSTs) represent up to 10% of adult soft tissue sarcomas. Due to its rarity, few MPNST-specific prospective trials exist, and treatments are largely based on extrapolation from results from other sarcoma subtypes. Since the molecular pathways driving pathogenesis within sarcoma subtypes are distinct, these treatment options are likely suboptimal at best. Targeted therapies that block key pathways known to drive MPNST will likely result in superior tumor responses with limited toxicities.

02

Conditions studied

  • Sarcoma
  • Malignant Peripheral Nerve Sheath Tumors

Browse trials for

Keywords

  • Unresectable
03

In context

Neurofibrosarcoma Reclassified

98 studies on the registry are indexed under Neurofibrosarcoma; 23 are open to participants now.

This study's enrollment of 39 is below the median of 46 across 84 interventional studies indexed under Neurofibrosarcoma.

Browse Neurofibrosarcoma studies →

Lead sponsor

Gulam Manji is the lead sponsor of 4 studies on the registry; 1 is open to participants now.

Compared within Neurofibrosarcoma, this study's primary condition as ClinicalTrials.gg classifies it; the registry's first condition term is Sarcoma. The counts are of registry records indexed under each term, refreshed daily. How we classify →

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Disease site/type with pathologic confirmation of diagnosis at participating cancer site.

    • Phase 1: Advanced, unresectable sarcoma (any subtype)
    • Phase 2: Advanced, unresectable malignant peripheral nerve sheath tumors (MPNSTs)
  • Extent of disease: Unresectable
  • Allowable prior therapy

    • Phase 1: Progressed on standard of care therapy with up to three prior treatments
    • Phase 2: MPNST with 0-3 prior systemic treatments (no prior radiotherapy is necessary).
  • (ECOG) performance status: 0, 1, or 2
  • Age greater or equal to 18 years. Because no dosing or adverse event data are currently available on the use of PLX3397 in combination with sirolimus in patients \<18 years of age, children are excluded from this study, but will be eligible for future pediatric trials.
  • Presence of by (RECIST) v1.1
  • Allowable laboratory values with date range

    • (ANC) ≥1.5 x 10\^9/L, (Hgb) >9 g/dL, and count ≥100 X 10\^9/L
    • (AST)/alanine aminotransferase (ALT) ≤ (ULN) or \< 2.5 x ULN in the presence of liver , ≤ 1.5 x ULN, albumin ≥ 3.0g/dL.
    • Bilirubin ≤ ULN; patients with hyperbilirubinemia clinically consistent with an inherited disorder of bilirubin metabolism (e.g., Gilbert syndrome) will be eligible at the discretion of the principal investigator.
    • Albumin ≥ 3.0g/dL.
    • Creatinine ≤ 1.5 x ULN or calculated (CrCl) > 60 mL/min using the Cockcroft-Gault formula less than eight days pior to start of treatment.
  • Women of must have a negative serum pregnancy test at screening and must agree to use an effective form of from the time of the negative pregnancy test and for a minimum of 3 months after the last dose of study drug. Effective forms of contraception include abstinence, hormonal contraceptive (injectable or implantable) in conjunction with a barrier method, or a double barrier method. Women of non-child-bearing potential must have been for ≥ 1 year or surgically sterile. The effects of PLX3397 and sirolimus on the developing human fetus are unknown. For this reason women of child-bearing potential and men must agree to use adequate contraception (hormonal or barrier method of birth control; abstinence) prior to study entry and for the duration of study participation. Should a woman become pregnant or suspect she is pregnant while she or her partner is participating in this study, she should inform her treating physician immediately. Men treated or enrolled on this protocol must also agree to use adequate contraception prior to the study, for the duration of study participation, and 3 months after completion of PLX3397 and sirolimus administration.
  • Fertile men must agree to use an effective method of birth control during the study and for up to 3 months after the last dose of study drug.
  • Willingness and ability to provide written prior to any study-related procedures and to comply with all study requirements.
  • Agree to pre and post-treatment tumor .
  • Prior treatment-related Adverse Events must be ≤ grade 1 ( v4.0), except alopecia, at time of initiating study drug.

Exclusion criteria

Exclusion Criteria:

  • Patients who have had chemotherapy or radiotherapy within 4 weeks (6 weeks for nitrosoureas or mitomycin C) prior to entering the study or those who have not recovered from adverse events due to agents administered more than 4 weeks earlier or within 14 days from cycle 1 day 1 of PLX3397 and sirolimus.
  • Patients who are receiving any other agents concurrently.
  • Concomitant treatment with other anti-neoplastic agents (hormonal therapy acceptable).
  • Patients with symptomatic . Subjects with untreated brain metastasis ≤ 1 cm can be considered eligible if deemed asymptomatic by the investigator upon consultation with the medical monitor and do not require immediate radiation or . Subjects with brain metastasis that is treated and stable for 1 month may be considered eligible if they are asymptomatic and on stable dose of steroids or if they do not require steroids following successful local therapy.
  • History of allergic reactions attributed to compounds of similar chemical or biologic composition to PLX3397 or sirolimus.
  • For Phase 2 - Prior exposure to a receptor tyrosine kinase or mammalian target of Rapamycin inhibitor.
  • Pregnant women are excluded from this study because PLX3397 and sirolimus are agents with the potential for teratogenic or abortifacient effects. Because there is an unknown but potential risk for adverse events in nursing infants secondary to treatment of the mother with PLX3397 and sirolimus, breastfeeding should be discontinued if the mother is treated with PLX3397 and sirolimus.
  • Uncontrolled intercurrent illness including, but not limited to, ongoing or active infection, active liver disease, symptomatic congestive heart failure, unstable angina pectoris, cardiac arrhythmia, or psychiatric illness/social situations that would limit compliance with study requirements.
  • Active secondary unless the malignancy is not expected to interfere with the evaluation of safety and is approved by the Sponsor. Examples of the latter include basal or squamous cell carcinoma of the skin, in-situ carcinoma of the cervix, and isolated elevation of prostate-specific antigen. Subjects with a completely treated prior malignancy and no evidence of disease for ≥ 2 years are eligible.
  • Major surgical procedure or significant traumatic injury within 14 days of initiating study drug or anticipation of the need for major surgery during the study.
  • Previous radiotherapy to 25% or more of the bone marrow and/or radiation therapy within 28 days prior to study entry.
  • Inability to swallow capsules, or nausea and vomiting, malabsorption, an external biliary shunt, or significant bowel resection that would preclude adequate absorption.
  • Congestive heart failure (CHF) New York (NY) Heart Association class III or IV; unstable coronary artery disease (myocardial infarction (MI) more than 6 months prior to study entry is permitted); or serious cardiac arrhythmia.
  • Baseline corrected by Fridericia's formula (QTcF) ≥ 450 ms (males) or ≥ 470 ms (females)
  • -positive patients on combination antiretroviral therapy are ineligible because of the potential for pharmacokinetic interactions with PLX3397. In addition, these patients are at increased risk of lethal infections when treated with marrow suppressive therapy. Similarly, patients with chronic or acute virus (HCV) or virus (HBV) infection are also ineligible.
  • Of the five major cytochrome P450 (CYP) isoforms, 3A4 (BFC) may be involved in Phase I metabolism of PLX3397, with possibly CYP1A2 playing a minor role. Until information regarding exposure toxicity and exposure-response relationships are available with PLX3397, concomitant strong inhibitors and inducers are not permitted in the event they alter the systemic exposure to PLX3397 (see Attachment 1 for a list of common CYP3A4 inhibitors and inducers). These include anticonvulsants, mycin antimicrobials, and antiretrovirals. Some common examples include inhibitors such as erythromycin, fluoxetine, gemfibrozil, and inducers such as rifampicin, carbamazepine, phenytoin, efavirenz, and nevirapine. Concomitant treatment is permitted if the medication is not expected to interfere with the evaluation of safety or efficacy of the study drug. Sirolimus undergoes extensive hepatic and intestinal metabolism via CYP3A4 and CYP3A5, as well as excretion by P-glycoprotein. Strong CYP3A inhibitors such as ketoconazole or grapefruit juice are not permitted. Patients should be monitored for supratherapeutic toxic levels of sirolimus and PLX3397. As bone marrow suppression including anemia, neutropenia, and thrombocytopenia have been reported in patients receiving sirolimus monotherapy, these adverse effects may be exacerbated in combination with PLX3397 for which patients will be closely monitored.
  • Any patients on warfarin therapy
Terms in these criteria, in plain language(27)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

ECOG performance status

A scale of how much an illness limits everyday activity. For people being assessed to join a study, scores run from 0 (fully active) to 4; lower is more active.

0
Fully active, no restrictions.
1
Limited in strenuous activity, but walking and able to do light work, such as housework or office work.
2
Walking and able to look after yourself, but unable to work; up and about more than half of waking hours.
3
Able to look after yourself only in part; in bed or a chair more than half of waking hours.
4
Unable to look after yourself at all; in bed or a chair all day.

Studies most often ask for 0–1 or 0–2. Your doctor gives the score; the WHO scale uses the same steps. The full scale also has 5, which records death.

Measurable disease

The amount of disease can be tracked with a defined measurement, so the study can see whether it shrinks or grows. It might be a tumour measured on a scan or, in some blood cancers such as myeloma, a marker measured in blood or urine.

The criteria or the study team say which measurement counts — having no tumour visible on a scan does not by itself rule you out.

RECIST

The standard rules for measuring tumours on CT or MRI scans, to tell whether a cancer is shrinking, stable or growing during treatment.

“Measurable disease per RECIST 1.1” usually means at least one tumour 10 mm or more at its longest on a CT scan, or a lymph node 15 mm or more across its short axis.

Absolute neutrophil count (ANC)

The number of neutrophils, white blood cells that help fight infection, in a given amount of blood. Too few raises the risk of infection.

It is a count, not a percentage of the white cells. Limits are written in units that mean the same: ≥ 1.5 × 10⁹/L is ≥ 1,500 per mm³ (µL). Each lab has its own reference range.

Hemoglobin (Hb)

The protein in red blood cells that carries oxygen. A low level is anaemia, which can cause tiredness and breathlessness. Measured in g/dL or g/L (9 g/dL is 90 g/L).

Platelets

Blood cells that help blood clot. Too few raises the risk of bleeding and bruising. A usual adult range is about 150–400 × 10⁹/L (150,000–400,000 per µL); each lab has its own reference range.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

Metastases

Cancer that has spread from where it began to other parts of the body. “Metastatic” cancer is cancer that has spread this way.

Bilirubin

A yellow substance made when red blood cells are broken down, which the liver clears. A high level can mean a problem with the liver or the bile ducts.

Criteria often allow more for people with Gilbert’s syndrome, a harmless inherited condition that raises bilirubin.

Creatinine clearance (CrCl)

How quickly the kidneys clear creatinine, a waste product, from the blood. A study may estimate it from a blood test with age, weight and sex (often by the Cockcroft–Gault formula), or measure it using blood and urine collected over a set time. Given in mL/min; higher is better.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Postmenopausal

Periods have stopped for good: usually no period for 12 months in a row without another medical reason, sometimes confirmed by a blood test (FSH).

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Biopsy and archival tissue

A biopsy takes a small piece of tissue to examine. “Archival tissue” is a sample already taken, for example at diagnosis, and kept by the hospital.

Whether a stored sample will do depends on when it was taken, how much there is and what the study needs. Ask whether the study accepts your stored sample or needs a new biopsy.

CTCAE grade

The US National Cancer Institute’s scale of how severe an adverse event is — any unwanted medical event during a study, such as a symptom, an illness or an abnormal test result, whether or not a treatment caused it. Whether it did is judged separately.

1
Mild.
2
Moderate.
3
Severe.
4
Life-threatening.
5
Death due to the event.

“Side effects of earlier treatment resolved to grade 1 or less” means they have settled to mild or gone.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

Brain metastases

Cancer deposits in the brain from a cancer that started elsewhere in the body (CNS metastases include the spinal cord).

Studies differ: some leave out any brain metastases, some accept ones treated and stable for some weeks. Check what this study allows.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

Relapsed and refractory

Relapsed: the illness came back after treatment had worked. Refractory: it did not respond to treatment, or stopped responding while still on it.

QT and QTc

On an ECG, the QT interval is the time the heart’s lower chambers take to activate electrically and recover in each beat. QTc is that time adjusted for heart rate (QTcF by Fridericia’s formula, QTcB by Bazett’s). Some medicines lengthen it, and a long QTc can raise the risk of a dangerous heart rhythm.

The study may name a correction formula and a limit in milliseconds, often around 450–480.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

Hepatitis C tests

Hepatitis C is a virus that infects the liver. An HCV antibody test can stay positive after an infection has cleared (and is occasionally positive without one); an HCV RNA test shows whether the virus is there now.

After treatment, hepatitis C counts as cured when HCV RNA is still undetectable 12 weeks or more after the treatment ended. Studies often accept people cured this way.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

CYP3A (CYP3A4) inhibitors and inducers

CYP3A is a group of enzymes, mainly CYP3A4, in the liver and gut that break down many medicines. Some medicines, supplements and foods (grapefruit, St John’s wort) slow them down or speed them up, which changes how much of a study drug stays in the body.

Studies list them so they can be avoided or switched; bring a list of everything you take, including supplements.

05

Study design

Phase
Phase 1 / Phase 2
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
39 participants (actual)

Study arms

  • Experimental
    Phase 1: PLX3397 and Sirolimus

    Subjects with unresectable or metastatic sarcoma will take orally PLX3397 (600 - 1000mg) in combination with Sirolimus (2-6mg) daily.

    Drug: PLX3397 · Drug: sirolimus

  • Experimental
    Phase 2: PLX3397 and Sirolimus

    Subjects with unresectable or metastatic Malignant Peripheral Nerve Sheath Tumors (MPNSTs) will take PLX3397 and Sirolimus at the recommended Phase 2 dose (RP2D).

    Drug: PLX3397 · Drug: sirolimus

Interventions

  • PLX3397 is a small molecule that potently and selectively inhibits macrophage colony-stimulating factor receptor (FMS), Kit, and FMS-like tyrosine kinase 3 (Flt3)-internal tandem duplication (ITD) kinases, which regulate key components of the tumor microenvironment and oncogenic variants of these kinases that drive certain tumors.

    Also known as: pexidartinib

  • Sirolimus is a macrocyclic lactone that binds to tacrolimus (FK506) binding protein 12 and inhibits mammalian target of rapamycin (mTOR) resulting in cell-cycle arrest and apoptosis. Sirolimus is currently approved as an immunosuppressive agent for organ transplantation and more recently, as a component of cardiac arterial stents because of its potent antiproliferative effects on fibroblasts responsible for restenosis after such a procedure (26) Sirolimus is commonly administered orally on a daily basis, in doses ranging from 2 to 40 mg/day.

    Also known as: Rapamune

06

What researchers measure

Primary outcomes

  1. Maximum Tolerated Dose (MTD) - Phase 1

    The highest dose of a drug or treatment that does not cause unacceptable side effects, which will be used in Phase 2.

    Time frame: Up to 3 years

  2. Progression Free Survival (PFS) Rate - Phase 2

    The time from the start of treatment until disease progression or death from any cause, calculated in weeks.

    Time frame: Up to 3 years

Secondary outcomes

  1. Overall Survival Rate

    The time from the start of treatment until death, estimated using the Kaplan Meier method.

    Time frame: Up to 3 years

07

Results

Posted Mar 21, 2025
Limitations and caveats
In the present study, the combination of pexidartinib and sirolimus failed to meet the primary endpoint in a study that was stopped due to poor enrollment due to COVID-19.

Participant flow

Dose Level 1 (S: 2mg, P: 600mg)
Participant flow — Dose Level 1 (S: 2mg, P: 600mg)
MilestoneCohort 1, Phase 1Cohort 2, Phase 1Cohort 3, Phase 1Cohort 4, Phase 1Phase 2 Cohort
Started00000
Completed00000
Not completed00000
Dose Level 2 (S: 2mg, P:800mg)
Participant flow — Dose Level 2 (S: 2mg, P:800mg)
MilestoneCohort 1, Phase 1Cohort 2, Phase 1Cohort 3, Phase 1Cohort 4, Phase 1Phase 2 Cohort
Started20000
Completed20000
Not completed00000
Dose Level 3 (S: 2mg, P: 1000mg)
Participant flow — Dose Level 3 (S: 2mg, P: 1000mg)
MilestoneCohort 1, Phase 1Cohort 2, Phase 1Cohort 3, Phase 1Cohort 4, Phase 1Phase 2 Cohort
Started012000
Completed09000
Not completed03000
Dose Level 4 (S: 4mg, P: 1000mg)
Participant flow — Dose Level 4 (S: 4mg, P: 1000mg)
MilestoneCohort 1, Phase 1Cohort 2, Phase 1Cohort 3, Phase 1Cohort 4, Phase 1Phase 2 Cohort
Started00900
Completed00600
Not completed00300
Dose Level 5 (S: 6mg, P: 1000mg)
Participant flow — Dose Level 5 (S: 6mg, P: 1000mg)
MilestoneCohort 1, Phase 1Cohort 2, Phase 1Cohort 3, Phase 1Cohort 4, Phase 1Phase 2 Cohort
Started00010
Completed00010
Not completed00000
RP2D (S: 2mg, P: 1000mg)
Participant flow — RP2D (S: 2mg, P: 1000mg)
MilestoneCohort 1, Phase 1Cohort 2, Phase 1Cohort 3, Phase 1Cohort 4, Phase 1Phase 2 Cohort
Started000014
Completed000014
Not completed00000

Outcome measures

PrimaryMaximum Tolerated Dose (MTD) - Phase 1

The highest dose of a drug or treatment that does not cause unacceptable side effects, which will be used in Phase 2.

Time frame:
Up to 3 years
Reported as:
Number · mg
Maximum Tolerated Dose (MTD) - Phase 1
mgPhase 1
Pexidartinib1000
Sirolimus2
PrimaryProgression Free Survival (PFS) Rate - Phase 2

The time from the start of treatment until disease progression or death from any cause, calculated in weeks.

Time frame:
Up to 3 years
Reported as:
Median · weeks
Progression Free Survival (PFS) Rate - Phase 2
weeksPhase 2
Progression Free Survival (PFS) Rate - Phase 26 (6 to 19.1)
SecondaryOverall Survival Rate

The time from the start of treatment until death, estimated using the Kaplan Meier method.

Time frame:
Up to 3 years
Reported as:
Median · weeks
Overall Survival Rate
weeksPhase 2
Overall Survival Rate17.9 (13.7 to NA)

Adverse events

Collected over Up to 4 years. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Cohort 1, Phase 10/2 (0%)1/2 (50%)2/2 (100%)
Cohort 2, Phase 10/12 (0%)6/12 (50%)12/12 (100%)
Cohort 3, Phase 11/9 (11.1%)7/9 (77.8%)9/9 (100%)
Cohort 4, Phase 10/1 (0%)0/1 (0%)1/1 (100%)
Phase 2 Cohort1/14 (7.1%)5/14 (35.7%)14/14 (100%)
Most frequent serious events
Showing 10 of 21
Most frequent serious events
EventCohort 1, Phase 1Cohort 2, Phase 1Cohort 3, Phase 1Cohort 4, Phase 1Phase 2 Cohort
NeoplasmsNeoplasms benign, malignant and unspecified (incl cysts and polyps)1/20/120/9—0/14
Pleural effusionRespiratory, thoracic and mediastinal disorders0/20/121/9—3/14
PainGeneral disorders0/21/121/9—1/14
VomitingGeneral disorders0/21/121/9—0/14
DyspneaRespiratory, thoracic and mediastinal disorders0/20/121/9—1/14
HyperkalemiaBlood and lymphatic system disorders0/20/121/9—0/14
Administration site conditionGeneral disorders0/20/121/9—0/14
NauseaGeneral disorders0/20/121/9—0/14
Obstruction gastricGastrointestinal disorders0/20/121/9—1/14
Wound infectionInfections and infestations0/20/121/9—0/14
Most frequent other events
Showing 10 of 76
Most frequent other events
EventCohort 1, Phase 1Cohort 2, Phase 1Cohort 3, Phase 1Cohort 4, Phase 1Phase 2 Cohort
Alanine aminotransferase increasedHepatobiliary disorders2/23/122/91/13/14
Alkaline phosphatase increasedHepatobiliary disorders2/24/124/91/13/14
AnemiaBlood and lymphatic system disorders0/210/125/91/13/14
AnorexiaGeneral disorders0/25/126/91/16/14
Aspartate aminotransferase increasedGeneral disorders2/29/125/91/13/14
Blurred visionGeneral disorders0/20/121/91/10/14
CoughRespiratory, thoracic and mediastinal disorders2/23/121/90/12/14
Creatinine increasedGeneral disorders2/24/124/90/10/14
DyspneaRespiratory, thoracic and mediastinal disorders0/22/124/91/12/14
FatigueGeneral disorders0/27/127/91/16/14

Baseline characteristics

Age, Continuous
Age, Continuous(years)Cohort 1, Phase 1Cohort 2, Phase 1Cohort 3, Phase 1Cohort 4, Phase 1Phase 2 CohortTotal
Median52.5 (52 to 53)47.0 (22 to 70)60 (21 to 72)44 (44 to 44)36.5 (19 to 72)49.4 (19 to 72)
Sex: Female, Male
Sex: Female, Male(Participants)Cohort 1, Phase 1Cohort 2, Phase 1Cohort 3, Phase 1Cohort 4, Phase 1Phase 2 CohortTotal
Female1821416
Male14701022
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)Cohort 1, Phase 1Cohort 2, Phase 1Cohort 3, Phase 1Cohort 4, Phase 1Phase 2 CohortTotal
Hispanic or Latino120126
Not Hispanic or Latino110901232
Unknown or Not Reported000000
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Cohort 1, Phase 1Cohort 2, Phase 1Cohort 3, Phase 1Cohort 4, Phase 1Phase 2 CohortTotal
American Indian or Alaska Native000000
Asian011002
Native Hawaiian or Other Pacific Islander000000
Black or African American031015
White16701226
More than one race000000
Unknown or Not Reported120115
Region of Enrollment
Region of Enrollment(Participants)Cohort 1, Phase 1Cohort 2, Phase 1Cohort 3, Phase 1Cohort 4, Phase 1Phase 2 CohortTotal
United States212911438
08

Study locations

5 sites
  • University of Iowa
    Iowa City, Iowa 52242, United States
  • Early Drug Development Center
    Boston, Massachusetts 02215, United States
  • University of Michigan
    Ann Arbor, Michigan 48109-5848, United States
  • Washington University in St. Louis
    Saint Louis, Missouri 63110, United States
  • Columbia University
    New York, New York 10032, United States
09

References and documents

Publications

  • Manji GA, Van Tine BA, Lee SM, Raufi AG, Pellicciotta I, Hirbe AC, Pradhan J, Chen A, Rabadan R, Schwartz GK. A Phase I Study of the Combination of Pexidartinib and Sirolimus to Target Tumor-Associated Macrophages in Unresectable Sarcoma and Malignant Peripheral Nerve Sheath Tumors. Clin Cancer Res. 2021 Oct 15;27(20):5519-5527. doi: 10.1158/1078-0432.CCR-21-1779. Epub 2021 Jul 28. PubMed 34321280 ↗

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: No

10

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Nov 2015 to primary completion in Jul 2023, 92 months.

Results were first posted in Mar 2025, 1 year 8 months after primary completion.

How these figures are worked out, and which studies are left out of them.

Registered
Oct 21, 2015
First posted
Oct 22, 2015
StartActual
Nov 4, 2015
Primary completionActual
Jul 2023
CompletionActual
Oct 1, 2024
Results first posted
Mar 21, 2025
Last update
Mar 21, 2025
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Mar 21, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT02584647
Lead sponsor
Gulam Manji
Collaborators
Daiichi Sankyo
Responsible party
Gulam Manji (Assistant Professor of Medicine (Oncology), Columbia University) — Sponsor-investigator
First posted
Oct 22, 2015
Start date
Nov 4, 2015
Primary completion
Jul 2023
Completion
Oct 1, 2024
Results posted
Mar 21, 2025
Last update
Mar 21, 2025

Study contacts

Gulam A. Manji, MD
principal investigator · Columbia University

Oversight

Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is terminated, as verified in Mar 2025. You cannot join it, but the record below documents what was studied.

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Discussion

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Studies of the drug tested here: Pexidartinib

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