Recruiting PHASE2 Histiocytosis

New treatment option for Histiocytosis

Official title Optimization of the Time and Dosage of Vemurafenib in BRAF Positive Juvenile Patients With Refractory Histiocytosis

ClinicalTrials.gov ID: NCT04943198

What this study is testing

What is Vemurafenib?

Vemurafenib is an investigational medicine, being studied as a potential treatment for histiocytosis.

Also referred to as Zelboraf.

Plain-language explanation of the investigational treatment - it is being studied and is not an approved or proven therapy. The study team can confirm the details.

What it's testing
Prospective, interventional, open, randomized, single-center, non-commercial clinical trial to optimize treatment and dosage of vemurafenib in juvenile patients with histiocytosis resistant to conventional therapy and in whom the BRAF gene mutation has been found.
  • Phase 2: a mid-size study of how well it works
  • Which group you join is decided by chance.

A plain-language read of the study's public ClinicalTrials.gov listing. The study team confirms the details.

Who can take part

Ages 1 to 18

You may be able to join if

  • The presence of mutations in the BRAF gene in tumor tissues and/or in circulating tumor DNA (ctDNA) at any stage of treatment or follow-up.
  • Failure of the treatment (at least one of below needs to apply in order for this requirement to be satisfied):
  • Progression on the I and/or II line treatment, including at least one risk organ; prior treatment should include a minimum of 6 weeks of weekly...
  • Disease reactivation after an initial response to treatment with Vimblastine and prednisolone as the first line and/or no response to second line...
  • Third or subsequent reactivation of disease with or without risk organ involvement, or

You likely can't join if

  • Lack of inclusion criteria.
  • Pregnancy and breastfeeding .
  • Hypersensitivity to the study drug or any of its ingredients.
  • Iritis, uveitis, obstruction of the retinal veins.
  • Simultaneous treatment with other drugs which might interact with Vemurafenib.
  • Persistent toxicity related to prior therapy, making it impossible to treat with Vemurafenib.
See the full eligibility criteria
Who can join
  • The presence of mutations in the BRAF gene in tumor tissues and/or in circulating tumor DNA (ctDNA) at any stage of treatment or follow-up.
  • Failure of the treatment (at least one of below needs to apply in order for this requirement to be satisfied):
  • Progression on the I and/or II line treatment, including at least one risk organ; prior treatment should include a minimum of 6 weeks of weekly Vinblastine with a minimum of 28 days prednisolone or minimum 2 cycles of...
  • Disease reactivation after an initial response to treatment with Vimblastine and prednisolone as the first line and/or no response to second line treatment using one of two drugs: Cytosine Arabinoside in 4-day cycles...
  • Third or subsequent reactivation of disease with or without risk organ involvement, or
  • Reactivation of disease after Vemurafenib therapy has been completed, or
  • The appearance of signs of neurodegenerative disorder (ND) in MRI of the central nervous system (CNS).
  • Signing of informed consent for trial participation (including for Vemurafenib treatment) according with current legal regulations.
  • Consent to the use of effective contraception throughout the Vemurafenib administration period and a minimum of 1 year after discontinuation in patients at puberty and sexual maturity.
  • Participation in HISTIOGEN trial.
What rules you out
  • Lack of inclusion criteria.
  • Pregnancy and breastfeeding .
  • Hypersensitivity to the study drug or any of its ingredients.
  • Iritis, uveitis, obstruction of the retinal veins.
  • Simultaneous treatment with other drugs which might interact with Vemurafenib.
  • Persistent toxicity related to prior therapy, making it impossible to treat with Vemurafenib.
  • Diagnosis of other malignancies before study inclusion.
  • Other acute or persistent disorders, behaviors or abnormal laboratory test results, which might increase the risk related to the participation in this clinical trial or to taking the study drug, or which might influence...

The study team makes the final eligibility decision.

Where it's taking place

  • Warsaw, Mazovian, Poland

Questions & answers

Do participants get paid in this trial?

This listing doesn't specify compensation. Many trials still reimburse travel or offer a stipend, so it's worth asking the study team when you connect.

Is it free to join, and do I need insurance?

Searching and applying through BridgeMD is free. In clinical trials the study-related treatment and visits are generally provided at no cost to you. You usually don't need insurance to take part - confirm specifics with the study team.

How long does this study last?

The listing doesn't state an exact length. The study team walks you through the schedule and number of visits before you decide to enroll.

Who can join this trial?

This study is enrolling all sexes, 1 year to 18 years. The study team makes the final eligibility decision.

Where is this trial taking place?

Study sites include Warsaw, Mazovian, Poland. Enter your location above to see the nearest site and check your eligibility.

Explore other conditions

BridgeMD is an information and trial-matching tool - not medical advice, and not the study sponsor. Details come from ClinicalTrials.gov; the study team decides eligibility.