ClinicalTrials.gg
TerminatedNCT03352427Updated Oct 5, 2022Results posted

Study of Dasatinib in Combination With Everolimus for Children and Young Adults With Gliomas Harboring Platelet-Derived Growth Factor Receptor (PDGFR) Alterations

A Phase 2 interventional study of Dasatinib and Everolimus in Glioma, High Grade Glioma and Pontine Tumors, sponsored by University of Michigan Rogel Cancer Center. Terminated at 1 site in United States. Open to participants aged 1 Year to 50 Years. Per ClinicalTrials.gov, last updated 2022-10-05.

Sponsored by University of Michigan Rogel Cancer Center · Phase 2, Interventional, and Treatment

Why this study was terminated
Low accrual
Phase
Phase 2
Study type
Interventional
Enrollment
3
Allocation
Not applicable
Ages
1 Year to 50 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 10 studies testing everolimus in Glioma — 2 open to participants now, 2 under way, none of them phase 3. Everolimus · Glioma.

Enrollment
9th of 10
3 · median 23
Started
2017
with 1 other
Phase 2
6 of 10
1 open now
Registered
4th of 10
by date
Lead sponsor
2 of 10
University of Michigan Rogel Cancer Center

Among the 10 studies testing everolimus in Glioma, this one is the 9th largest by enrollment, is one of 2 that started in 2017, is one of 6 in phase 2, and was the 4th registered.

By phase

10 studies; the count open now beside each. This study's row is marked.

Phase 2this study6 · 1 open
Phase 14 · 1 open

By the year they started

First in 2009; this study’s year is marked. 2 started in 2017.

Size and results

Median enrollment 23 across the 10 interventional studies. Of the 7 that completed or were terminated, 6 (86%) have results posted.

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Watch this landscapeDownload CSVWith an account: a weekly mail of what changed among 10 studies testing everolimus in Glioma, or all of them as a file.
02

Study summary

This trial will evaluate the activity of dasatinib in combination with everolimus for children with gliomas harboring PDGFR alterations, including newly diagnosed high-grade glioma (HGG) or diffuse intrinsic pontine glioma (DIPG) after radiation (stratum A); and recurrent/progressive glioma (grade II-IV, including DIPG) (stratum B).

03

Conditions studied

  • Glioma
  • High Grade Glioma
  • Pontine Tumors

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04

Who can participate

Ages eligible
1 Year to 50 Years
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

  • Histological confirmation of a newly diagnosed high-grade glioma or diffuse intrinsic pontine glioma (DIPG) (Stratum A)
  • Histological confirmation (at diagnosis or relapse) of a recurrent or progressive grade II-IV glioma (including DIPG) (Stratum B)
  • Participants must have a genomic (DNA and/or RNA) alteration (mutation, fusion, and/or amplification) involving PDGF-A, PDGF-B, PDGFR-A or PDGFR-B, as identified by tumor sequencing.
  • Age at enrollment: Greater than 1 year and less than 50 years
  • BSA (body surface area): BSA greater than 0.3 m2
  • (Measure of performance for cancer patients where 100% represents perfect health) > 50% for patients > 16 years of age and Lansky (Measure of performance for pediatric cancer patients where 100% represents perfect health) > 50% for patients \< 16 years of age. Neurologic deficits in patients with CNS tumors must have been relatively stable for a minimum of 7 days. Patients who are unable to walk because of paralysis, but who are able to sit in a wheelchair, will be considered ambulatory for the purpose of assessing the performance score.
  • Adequate bone marrow function per protocol
  • Adequate liver function per protocol
  • Adequate renal and metabolic function per protocol
  • Patients with known seizure disorder must have seizures adequately controlled with non- enzyme inducing antiepileptic medications
  • No increase in dose within the past 7 days
  • Primary brain or spine tumor are eligible, including tumors with , multiple lesions.
  • Patients must have fully recovered from the acute toxic effects of all prior chemotherapy, immunotherapy, or radiotherapy.
  • Myelosuppressive chemotherapy: Must not have received within 3 weeks.
  • Hematopoietic growth factors: At least 7 days since the completion of therapy with a growth factor, 14 days for long- acting.
  • Biologic (anti-neoplastic agent): At least 7 days or 3 half-lives (whichever is longer) since the completion of therapy.
  • Radiation therapy:

    • Stratum A: ≥ 2 weeks and \</= to 12 weeks must have elapsed from radiation.
    • Stratum B: ≥ 2 weeks must have elapsed from focal radiation.
  • > 3 weeks from major surgery. If recent craniotomy, adequate wound healing must be determined by neurosurgical team.
  • Stem Cell Transplant or Rescue: No evidence of active graft vs. host disease and ≥ 4 weeks must have elapsed.
  • All patients and/or a legal guardian must sign institutionally approved written and assent documents.

Exclusion criteria

Exclusion Criteria:

  • Patients who are breastfeeding, pregnant or refuse to use an effective form of are excluded.
  • Patients with uncontrolled infection are excluded.
  • Patients receiving other anti-neoplastic agents are excluded.
  • Patients requiring strong or PGP inhibitors are excluded (per protocol)
  • Patients requiring anticoagulation or with uncontrolled bleeding are excluded.
  • Patients on for symptom management must be on a stable dose for 7 days prior to start of treatment.
  • Patients within 1 year of stem cell transplant, patients with active or requiring are excluded.
  • Previous to rapamycin or rapamycin derivatives
Terms in these criteria, in plain language(10)

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.

Karnofsky performance status (KPS)

A 0–100 scale of how well someone can carry out everyday activities. 100 is no complaints and no signs of illness; 70 is able to look after yourself but not to work or keep up normal activity; 50 is needing considerable help and frequent medical care.

Studies often ask for 60 or 70 and above. Your doctor gives the score.

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.

Metastases

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

Allogeneic and autologous transplant

Stem cell (bone marrow) transplants. Allogeneic uses cells from a donor; autologous uses your own cells, collected earlier and given back.

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.

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.

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.

GVHD (graft-versus-host disease)

After a transplant from a donor, the donor’s immune cells attack the recipient’s body, often the skin, gut or liver.

Immunosuppression

A weakened immune system. It can come from an illness, such as HIV or some blood cancers, or from medicines that turn the immune system down, for example after an organ transplant or for an autoimmune disease; steroids at higher doses count.

Read whether the line is about a condition or about medicines, and which medicines and doses it means.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
3 participants (actual)

Study arms

  • Experimental
    Dasatinib+Everolimus

    Dasatinib = 60 mg/m2 orally twice daily Everolimus = starting dose of 3.0 mg/m2, with titration of dosing after first cycle to keep everolimus trough level of 5-15 ug/ml Both agents will be taken daily for 28 day cycles. Cycles will be repeated every 28 days and patients may receive up to 24 cycles.

    Drug: Dasatinib · Drug: Everolimus

Interventions

  • 60 mg/m2 orally twice daily

  • 3.0 mg/m2, with titration of dosing after first cycle to keep trough level of 5-15 ug/ml

06

What researchers measure

Primary outcomes

  1. Progression-free Survival in Participants With Newly Diagnosed Diffuse Intrinsic Pontine Glioma (DIPG)

    Percentage of participants without progression, defined as 25% increase in the size of the tumor or appearance of new lesions.

    Time frame: 8 months

  2. Progression-free Survival in Participants With Newly Diagnosed High-grade Glioma (HGG)

    Percentage of participants without progression, defined as 25% increase in the size of the tumor or appearance of new lesions.

    Time frame: 12 months

  3. Overall Response Rate (OR) (Partial Response or Better) in Participants With Refractory or Recurrent Glioma

    The overall response assessment will take into account response in both target and non-target lesions, as well as the appearance of new lesions. Partial Response (PR) will be defined as ≥50% decrease in size of tumor in comparison to baseline measurements. Complete Response (CR) will be defined as the disappearance of all abnormal signal. This includes return to normal size of the brain stem for brain stem lesions. Reported as percentage of participants with partial or better response at 56 days.

    Time frame: 56 Days

Secondary outcomes

  1. Overall Survival

    Percentage of patients alive at one year.

    Time frame: 1 year

  2. Overall Survival

    Percentage of participants alive at 2 years.

    Time frame: up to 17 months

07

Results

Posted Oct 5, 2022
Limitations and caveats
Trial enrollment was limited due to requirement for patient insurance coverage for all aspects of treatment. Due to limited sample size, full statistical analysis isn't possible. Descriptive results of this cohort compiled with data available from patients treated locally with a similar treatment plan is available in the following publication: Miklja et al, JCI, 2020 \[PMID: 32603316\].

Participant flow

Participant flow — Overall Study
MilestoneDasatinib+Everolimus
Started3
Completed3
Not completed0

Outcome measures

PrimaryProgression-free Survival in Participants With Newly Diagnosed Diffuse Intrinsic Pontine Glioma (DIPG)

Percentage of participants without progression, defined as 25% increase in the size of the tumor or appearance of new lesions.

Time frame:
8 months
Reported as:
Number · percentage of participants
Progression-free Survival in Participants With Newly Diagnosed Diffuse Intrinsic Pontine Glioma (DIPG)
percentage of participantsDasatinib+Everolimus
Progression-free Survival in Participants With Newly Diagnosed Diffuse Intrinsic Pontine Glioma (DIPG)0
PrimaryProgression-free Survival in Participants With Newly Diagnosed High-grade Glioma (HGG)

Percentage of participants without progression, defined as 25% increase in the size of the tumor or appearance of new lesions.

Time frame:
12 months
Reported as:
Number · percentage of participants
Progression-free Survival in Participants With Newly Diagnosed High-grade Glioma (HGG)
percentage of participantsDasatinib+Everolimus
Progression-free Survival in Participants With Newly Diagnosed High-grade Glioma (HGG)0
PrimaryOverall Response Rate (OR) (Partial Response or Better) in Participants With Refractory or Recurrent Glioma

The overall response assessment will take into account response in both target and non-target lesions, as well as the appearance of new lesions. Partial Response (PR) will be defined as ≥50% decrease in size of tumor in comparison to baseline measurements. Complete Response (CR) will be defined as the disappearance of all abnormal signal. This includes return to normal size of the brain stem for brain stem lesions. Reported as percentage of participants with partial or better response at 56 days.

Time frame:
56 Days
Reported as:
Number · percentage of participants
Overall Response Rate (OR) (Partial Response or Better) in Participants With Refractory or Recurrent Glioma
percentage of participantsDasatinib+Everolimus
Overall Response Rate (OR) (Partial Response or Better) in Participants With Refractory or Recurrent Glioma0
SecondaryOverall Survival

Percentage of patients alive at one year.

Time frame:
1 year
Reported as:
Number · percentage of participants
Overall Survival
percentage of participantsDasatinib+Everolimus
Overall Survival0
SecondaryOverall Survival

Percentage of participants alive at 2 years.

Time frame:
up to 17 months
Reported as:
Number · percentage of participants
Overall Survival
percentage of participantsDasatinib+Everolimus
Overall Survival0

Adverse events

Collected over Adverse events were collected up to 30 days after the last dose of study treatment (total of 17 months; average of 4 months). All cause mortality occurred any time during the study (range from 4 - 17 months).. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Dasatinib+Everolimus3/3 (100%)1/3 (33.3%)3/3 (100%)
Most frequent serious events
Most frequent serious events
EventDasatinib+Everolimus
headacheNervous system disorders1/3
Most frequent other events
Showing 10 of 28
Most frequent other events
EventDasatinib+Everolimus
DiarrheaGastrointestinal disorders3/3
MyalgiaMusculoskeletal and connective tissue disorders2/3
VomittingGastrointestinal disorders2/3
Rash maculo-papularSkin and subcutaneous tissue disorders2/3
HeadacheNervous system disorders2/3
Muscle weakness lower limbMusculoskeletal and connective tissue disorders1/3
Eye disordersEye disorders1/3
DysarthriaNervous system disorders1/3
FatigueGeneral disorders1/3
AtaxiaNervous system disorders1/3

Baseline characteristics

Age, Continuous
Age, Continuous(years)Dasatinib+Everolimus
Mean10 (4 to 18)
Sex: Female, Male
Sex: Female, Male(Participants)Dasatinib+Everolimus
Female2
Male1
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Dasatinib+Everolimus
American Indian or Alaska Native0
Asian0
Native Hawaiian or Other Pacific Islander0
Black or African American0
White3
More than one race0
Unknown or Not Reported0
Region of Enrollment
Region of Enrollment(participants)Dasatinib+Everolimus
United States3
08

Study locations

1 site
  • University of Michigan Cancer Center
    Ann Arbor, Michigan 48109, United States
09

References and documents

Publications

  • Miklja Z, Yadav VN, Cartaxo RT, Siada R, Thomas CC, Cummings JR, Mullan B, Stallard S, Paul A, Bruzek AK, Wierzbicki K, Yang T, Garcia T, Wolfe I, Leonard M, Robertson PL, Garton HJ, Wahl DR, Parmar H, Sarkaria JN, Kline C, Mueller S, Nicolaides T, Glasser C, Leary SE, Venneti S, Kumar-Sinha C, Chinnaiyan AM, Mody R, Pai MP, Phoenix TN, Marini BL, Koschmann C. Everolimus improves the efficacy of dasatinib in PDGFRalpha-driven glioma. J Clin Invest. 2020 Oct 1;130(10):5313-5325. doi: 10.1172/JCI133310. PubMed 32603316 ↗

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 Dec 2017 to primary completion in Apr 2019, 16 months.

Results were first posted in Oct 2022, 3 years 5 months after primary completion. A results delay was requested in Oct 2021.

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

Registered
Nov 20, 2017
First posted
Nov 24, 2017
StartActual
Dec 6, 2017
Primary completionActual
Apr 17, 2019
CompletionActual
May 15, 2019
Results delay requested
Oct 7, 2021
Results first posted
Oct 5, 2022
Last update
Oct 5, 2022
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 Oct 5, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT03352427
Responsible party
Sponsor
First posted
Nov 24, 2017
Start date
Dec 6, 2017
Primary completion
Apr 17, 2019
Completion
May 15, 2019
Results posted
Oct 5, 2022
Last update
Oct 5, 2022

Study contacts

Carl Koschmann, M.D.
principal investigator · University of Michigan Rogel Cancer Center

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 Sep 2022. You cannot join it, but the record below documents what was studied.

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Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

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Studies of the drugs tested here: Dasatinib · Everolimus

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