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AcSé-ESMART: European Proof-of-Concept Therapeutic Stratification Trial of Molecular Anomalies in Relapsed or Refractory Tumors

Status
Recruiting
Phases
Phase 1Phase 2
Study type
Interventional
Source
EU CTIS
Registry ID
CTIS2024-514791-40-00
Acronym
2016/2369
Enrollment
398
Registered
2024-10-18
Start date
2016-08-03
Completion date
Unknown
Last updated
2025-10-06

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

pediatric cancer

Brief summary

The recommended phase II dose (RP2D) will be defined as the adult recommended dose (adjusted for weight or BSA) if toxicity and PK profiling are similar in children and in adults, or a higher dose, providing it is below or equal to the maximum tolerated dose (MTD).

Detailed description

The maximum tolerated dose (MTD) will be defined as the dose associated with or closest to 25% of DLTs in cycle 1., Dose Limiting Toxicities (DLT) will be defined using NCI CTCAE v4.03., Overall response rate (ORR) will be defined as percentage of patients achieving confirmed CR or confirmed PR as per standard methods for the underlying disease., Duration of response (DOR) will be defined as the time period between the first documented response (PR or CR) and the time of first documented progression (clinically or radiologically – Appendix 3 to 7) or death from any cause, whichever comes first. Duration of response for patients free of progression at the cut-off date will be censored at the last assessment date., Progression-free survival (PFS) will be defined as the time from treatment initiation until the date of first documented progression or death from any cause, whichever comes first. Patients alive and free of progression at the cut-off date will be censored at the last assessment date., Overall survival (OS) will be defined as the time from treatment initiation until the date of death from any cause. Patients alive at the cut-off date will be censored at the date of last news., Adverse events according to the NCI CTCAE V4.03 in all cycles of treatment., PK parameters, including but not limited to plasma concentration time profiles, AUClast, AUCtau, Cmin, Cmax, Tmax, Clearance, Half-life time., Relationship between the molecular profile of the tumor samples, circulating tumor DNA and tumor growth.

Interventions

DRUGVotubia 2 mg dispersible tablets
DRUGINC280
DRUGFutibatinib
DRUGLEE011
DRUGgélule
DRUGRIBOCICLIB
DRUGVotubia 3 mg dispersible tablets
DRUGVINORELBINE ACCORD 30 mg
DRUGVINORELBINE ACCORD 20 mg
DRUGCapivasertib
DRUGVotubia 5 mg dispersible tablets

Sponsors

Institut Gustave Roussy
Lead SponsorOTHER

Eligibility

Sex/Gender
All
Age
0 Years to 17 Years

Design outcomes

Primary

MeasureTime frame
The recommended phase II dose (RP2D) will be defined as the adult recommended dose (adjusted for weight or BSA) if toxicity and PK profiling are similar in children and in adults, or a higher dose, providing it is below or equal to the maximum tolerated dose (MTD).

Secondary

MeasureTime frame
The maximum tolerated dose (MTD) will be defined as the dose associated with or closest to 25% of DLTs in cycle 1., Dose Limiting Toxicities (DLT) will be defined using NCI CTCAE v4.03., Overall response rate (ORR) will be defined as percentage of patients achieving confirmed CR or confirmed PR as per standard methods for the underlying disease., Duration of response (DOR) will be defined as the time period between the first documented response (PR or CR) and the time of first documented progression (clinically or radiologically – Appendix 3 to 7) or death from any cause, whichever comes first. Duration of response for patients free of progression at the cut-off date will be censored at the last assessment date., Progression-free survival (PFS) will be defined as the time from treatment initiation until the date of first documented progression or death from any cause, whichever comes first. Patients alive and free of progression at the cut-off date will be censored at the last assessme

Countries

Denmark, France, Italy, Netherlands, Spain

Outcome results

None listed

Source: EU CTIS · Data processed: Feb 4, 2026