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NCT04049669

Pediatric Trial of Indoximod With Chemotherapy and Radiation for Relapsed Brain Tumors or Newly Diagnosed DIPG

StatusActive, Not Recruiting
PhasePhase 2
Primary completion
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Record History

All 22 versions: 22 with changes below. See every version on ClinicalTrials.gov ↗

  1. Minor Primary completion date changed from estimate of Aug 2, 2026 to Sep 21, 2026 Show 4 more changesShow less
    • Study completion pushed from Oct 2, 2027 to Dec 11, 2027
    • Eligibility criteria expanded, about 16 words
    • Site details revised at 2 of 5 sites
    • Publications: details revised at 2 of 2 entries
  2. Notable Primary completion date: Oct 2, 2025 to Aug 2, 2026
    • Trial status: Recruiting to Active, Not Recruiting
    • Enrollment target: estimated 140 to confirmed 130
    • Site details revised at 5 of 5 sites
    v21
  3. Minor Site contacts updated at 1 of 5 sitesv20
  4. Minor Site details revised at 1 of 5 sitesv19
  5. Minor Study sites: 4 to 5v18
Show 16 earlier versionsHide 16 earlier versions
  1. Minor Study sites revised (4)
    • Study description expanded, about 3 words
    v17
  2. Minor Site contacts updated at 1 of 4 sitesv16
  3. Minor Site contacts updated at 1 of 4 sitesv15
  4. Study Status, Referencesv14
  5. Minor Site contacts updated at 1 of 4 sitesv13
  6. Minor Site contacts updated at 1 of 4 sitesv12
  7. Minor Site details revised at 1 of 4 sitesv11
  8. Minor Site contacts updated at 1 of 4 sitesv10
  9. Minor Study sites: 3 to 4v9
  10. Minor Site details revised at 1 of 3 sitesv8
  11. Notable Primary completion date: Oct 2, 2024 to Oct 2, 2025
    • Study sites: 2 to 3
    • Study completion date: Oct 2, 2026 to Oct 2, 2027
    v7
  12. Minor Interventions: Cyclophosphamide (Drug), Etoposide (Drug), Full-dose Radiation (Radiation), Indoximod (Drug), Indoximod (Drug), Lomustine (Drug), Partial… to Cyclophosphamide (Drug), Etoposide (Drug), Full-dose Radiation (Radiation), Indoximod (Drug), Lomustine (Drug), Partial Radiation…
    • Secondary endpoints revised (3)
    v6
  13. Minor Site contacts updated at 1 of 2 sitesv5
  14. Minor Site details revised at 2 of 2 sitesv4
  15. Minor Site details revised at 2 of 2 sites
    • Collaborators: 2 to 3
    v3
  16. Notable Trial status: Not Yet Recruiting to Recruitingv2 Show 5 more changesShow less
    • Primary completion date: Sep 2024 to Oct 2, 2024
    • Study completion date: Sep 2026 to Oct 2, 2026
    • Start date changed from estimate of Sep 2019 to Oct 2, 2019
    • Site details revised at 2 of 2 sites
    • Collaborators: 1 to 2
  1. Study First Submitted
  • Notable: the plan changed
  • Minor: routine updates

Endpoints

Primary

8-month iRANO-PFS (Progression-Free Survival, defined by immune-adapted iRANO criteria)
Timeframe: Up to 5 years
12-month Overall Survival (OS)
Timeframe: Up to 5 years

Secondary (3)

Median Overall Survival (OS)
Median iRANO-PFS (Progression-Free Survival, defined by immune-adapted iRANO criteria)
Median Time to Regimen Failure (TTRF)

Arms and interventions

Core Regimen, sub-cohort AExperimental

For patients not eligible for re-irradiation; Start with Core Regimen chemo-immunotherapy (indoximod with oral temozolomide).

Core Regimen, sub-cohort BExperimental

For patients who are eligible for partial re-irradiation; Start with indoximod plus up-front re-irradiation, using a palliative low-dose or partial-field radiation plan (low-dose radiation or not all disease sites included); Followed by Core Regimen chemo-immunotherapy (indoximod with oral temozolomide).

Core Regimen, sub-cohort CExperimental

For patients who are eligible for full-dose radiation; (All newly diagnosed DIPG patients and some relapsed ependymoma patients); Start with indoximod plus up-front radiation, using a palliative full-dose radiation plan to all known sites of disease (\>50 Gy to brain, \>45 Gy to spine); Followed by Core Regimen chemo-immunotherapy (indoximod with oral temozolomide).

Salvage Regimen 1Experimental

For patients who wish to continue access to indoximod after progression on the Core Regimen; Cross-over to indoximod with oral metronomic cyclophosphamide and etoposide).

Salvage Regimen 2Experimental

For patients who wish to continue access to indoximod after progression on the Core Regimen; Cross-over to indoximod with oral lomustine and temozolomide).

Drugs: Indoximod, Temozolomide, Cyclophosphamide, Etoposide, Lomustine

Radiation: Partial Radiation, Full-dose Radiation

Sites

5 sites in 1 country