A Phase II Study of Sunitinib (NSC# 736511, IND# 74019) in Recurrent, Refractory or Progressive High Grade Glioma and Ependymoma Tumors in Pediatric and Young Adult Patients
PRIMARY OBJECTIVES:
I. To estimate the objective response rate (partial response [PR] or complete response [CR]
≥ 8 weeks) to sunitinib in 2 strata (recurrent/progressive/refractory high-grade glioma vs
ependymoma) of recurrent or progressive brain tumors in pediatric and young adult patients.
SECONDARY OBJECTIVES:
I. To explore and report descriptively the safety and tolerability of sunitinib in pediatric
and young adult brain tumor patients who have not received prior anthracycline or
radiotherapy involving the heart.
EXPLORATORY OBJECTIVES I. To describe the pharmacokinetic profile of pediatric and young
adult patients taking sunitinib malate.
II. To describe the cumulative toxicities of sunitinib when administered over multiple
courses to pediatric and young adult patients.
III. To estimate progression-free survival (PFS) distributions for these cohorts of
patients.
IV. To evaluate changes in phosphorylation of PDGFR-α and -β, MEK/ERK, S6 kinase, and AKT in
peripheral blood mononuclear cells and explore possible associations between these changes
and outcome measures.
V. To evaluate plasma levels of soluble isoforms of VEGFR-1 and -2 prior to initiation of
therapy and at points during therapy as an exploration of possible biomarkers of clinical
response.
VI. To evaluate and report descriptively the expression and ratio of VEGF isoforms in tumor
tissue, as available.
VII. To evaluate and report descriptively the genotype, expression, and possible
amplification of KIT and PDGFR-α and -β in tumor tissue, as available.
OUTLINE: This is a multicenter study.
Patients receive sunitinib malate orally (PO) once daily (QD) on days 1-28. Treatment
repeats every 42 days for up to 18 courses in the absence of disease progression or
unacceptable toxicity.
Patients may undergo blood sample collection at baseline and during courses 1 and 2 for
pharmacokinetic and pharmacodynamic studies. Tissue samples from diagnosis and surgical
resection may be also collected.
After completion of study treatment, patients are followed up for up to 5 years.
Interventional
Endpoint Classification: Efficacy Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Treatment
Sustained objective response rate, defined as a PR or CR lasting ≥ 8 weeks
Up to 5 years
No
Cynthia Wetmore
Principal Investigator
Children's Oncology Group
United States: Food and Drug Administration
NCI-2011-03536
NCT01462695
February 2012
Name | Location |
---|---|
Baylor College of Medicine | Houston, Texas 77030 |
Roswell Park Cancer Institute | Buffalo, New York 14263 |
Mayo Clinic | Rochester, Minnesota 55905 |
Children's Hospital of Philadelphia | Philadelphia, Pennsylvania 19104 |
University of Mississippi Medical Center | Jackson, Mississippi 39216-4505 |
Washington University School of Medicine | Saint Louis, Missouri 63110 |
Medical City Dallas Hospital | Dallas, Texas 75230 |
University of Texas Health Science Center at San Antonio | San Antonio, Texas 78284-7811 |
Midwest Children's Cancer Center | Milwaukee, Wisconsin 53226 |
Morristown Memorial Hospital | Morristown, New Jersey 07962-1956 |
Dana-Farber Cancer Institute | Boston, Massachusetts 02115 |
University of Arkansas for Medical Sciences | Little Rock, Arkansas 72205 |
Hackensack University Medical Center | Hackensack, New Jersey 07601 |
Children's Hospital Los Angeles | Los Angeles, California 90027-0700 |
Children's National Medical Center | Washington, District of Columbia 20010-2970 |
All Children's Hospital | St. Petersburg, Florida 33701 |
Saint Jude Midwest Affiliate | Peoria, Illinois 61637 |
Carolinas Medical Center | Charlotte, North Carolina 28232-2861 |
University of Oklahoma Health Sciences Center | Oklahoma City, Oklahoma 73104 |
St. Jude Children's Research Hospital | Memphis, Tennessee 38105-2794 |
Driscoll Children's Hospital | Corpus Christi, Texas 78466 |
Southern California Permanente Medical Group | Downey, California 90242 |
Children's Hospital Central California | Madera, California 93638-8762 |
Kosair Children's Hospital | Louisville, Kentucky 40202-3830 |
Children's Hospital Medical Center of Akron | Akron, Ohio 44308 |
University of Wisconsin Hospital and Clinics | Madison, Wisconsin 53792-0001 |
Overlook Hospital | Summit, New Jersey 07902-0220 |
Cincinnati Children's Hospital Medical Center | Cincinnati, Ohio 45229-3039 |
Primary Children's Medical Center | Salt Lake City, Utah 84113-1100 |
Naval Medical Center - Portsmouth | Portsmouth, Virginia 23708-2197 |
Montefiore Medical Center | Bronx, New York 10467-2490 |
Rady Children's Hospital - San Diego | San Diego, California 92123-4282 |
Children's Hospitals and Clinics of Minnesota - Minneapolis | Minneapolis, Minnesota 55404 |
University of New Mexico Cancer Center | Albuquerque, New Mexico 87131-5636 |
Nationwide Children's Hospital | Columbus, Ohio 43205-2696 |
Children's Hospital of Pittsburgh of UPMC | Pittsburgh, Pennsylvania 15213 |
Dell Children's Medical Center of Central Texas | Austin, Texas 78723 |
Mary Bridge Children's Hospital and Health Center | Tacoma, Washington 98415-0299 |
Lee Memorial Health System | Fort Myers, Florida 33902 |
University of Alabama at Birmingham | Birmingham, Alabama 35294-3300 |
Children's Hospital of Alabama | Birmingham, Alabama 35233 |
Connecticut Children's Medical Center | Hartford, Connecticut 06106 |
University of North Carolina | Chapel Hill, North Carolina 27599 |
Nemours Children's Clinic - Pensacola | Pensacola, Florida 32504 |
Wayne State University | Detroit, Michigan 48202 |
BI-LO Charities Children's Cancer Center | Greenville, South Carolina 29605 |
Dartmouth Hitchcock Medical Center | Lebanon, New Hampshire 03756 |
University of Texas Southwestern Medical Center | Dallas, Texas |
University of Kentucky | Lexington, Kentucky 40536-0098 |
Oregon Health and Science University | Portland, Oregon 97201 |
Virginia Commonwealth University | Richmond, Virginia |
Florida Hospital | Orlando, Florida 32803 |
Memorial Health University Medical Center | Savannah, Georgia 31404 |
Seattle Children's Hospital | Seattle, Washington 98105 |
Wake Forest University Health Sciences | Winston-Salem, North Carolina 27157 |
Childrens Memorial Hospital | Chicago, Illinois 60614 |
Saint Vincent Hospital and Health Services | Indianapolis, Indiana 46260 |
Saint John's Mercy Medical Center | Saint Louis, Missouri 63141 |
New York University Langone Medical Center | New York, New York 10016 |
Columbia University Medical Center | New York, New York 10032 |
State University of New York Upstate Medical University | Syracuse, New York 13210 |
Saint Vincent Hospital | Green Bay, Wisconsin 54301 |
University of Illinois | Chicago, Illinois 60612 |
Cook Children's Medical Center | Fort Worth, Texas 76104 |
The Children's Medical Center of Dayton | Dayton, Ohio 45404 |
University of Minnesota Medical Center-Fairview | Minneapolis, Minnesota 55455 |
Children's Oncology Group | Arcadia, California 91006-3776 |
Riley Hospital for Children | Indianapolis, Indiana 46202 |
Miller Children's Hospital | Long Beach, California 90806 |
Childrens Hospital of Orange County | Orange, California 92868-3874 |
Alfred I duPont Hospital for Children | Wilmington, Delaware 19803 |
Nemours Children's Clinic - Jacksonville | Jacksonville, Florida 32207-8426 |
Nemours Childrens Clinic - Orlando | Orlando, Florida 32806 |
Saint Joseph Children's Hospital of Tampa | Tampa, Florida 33607 |
Children's Healthcare of Atlanta - Egleston | Atlanta, Georgia 30322 |
The Childrens Mercy Hospital | Kansas City, Missouri 64108 |
Rainbow Babies and Childrens Hospital | Cleveland, Ohio 44106 |
Penn State Hershey Children's Hospital | Hershey, Pennsylvania 17033 |
Lucile Packard Children's Hospital Stanford University | Palo Alto, California 94304 |
University of California San Francisco Medical Center-Parnassus | San Francisco, California 94143 |
Raymond Blank Children's Hospital | Des Moines, Iowa 50309 |
The Toledo Hospital/Toledo Children's Hospital | Toledo, Ohio 43606 |
Greenville Cancer Treatment Center | Greenville, South Carolina 29605 |
Sanford USD Medical Center - Sioux Falls | Sioux Falls, South Dakota 57117-5134 |
Providence Sacred Heart Medical Center and Children's Hospital | Spokane, Washington 99204 |