[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100567296":3},{"organization":4,"outcomesModule":7,"designInfo":47,"detailedDescription":55,"studyPopulation":52,"armGroups":56,"interventions":63,"overallOfficials":71,"centralContacts":76,"locations":85,"responsibleParty":215,"collaborators":52,"id":219,"slug":52,"hasResults":220,"nctId":221,"briefTitle":222,"officialTitle":223,"acronym":224,"eligibilityCriteria":225,"healthyVolunteers":220,"sex":226,"minAge":227,"maxAge":228,"enrollmentInfo":229,"targetDuration":52,"studyType":232,"phases":233,"briefSummary":50,"conditions":236,"keywords":238,"overallStatus":88,"whyStopped":52,"lastUpdateSubmitDate":246,"lastUpdatePostDateStruct":247,"startDateStruct":250,"completionDateStruct":252,"leadSponsor":254,"locationsCount":255},{"fullName":5,"class":6},"St. Justine's Hospital","OTHER",{"primaryOutcomes":8,"secondaryOutcomes":17,"otherOutcomes":40},[9,13],{"measure":10,"description":11,"timeFrame":12},"Determine maximum tolerated dose of Mirdametinib plus Vinblastine.","The maximum tolerated\u002Frecommended phase 2 dose (MTD\u002FRP2D) of the mirdametinib plus vinblastine combination using a modified Rolling-6 design.","3 years",{"measure":14,"description":15,"timeFrame":16},"Determine the objective response rate of mirdametinib plus vinblastine for PLGG with Mitogen-activated Protein Kinase (MAPK) pathway activation in treatment naïve patients.","The proportion of patients with complete (CR), major (MaR), partial (PR) and minor response (MiR) as the best response on study based on RAPNO criteria.\n\nResponse = MiR+PR+MaR+CR","5 years",[18,22,25,28,31,34,37],{"measure":19,"description":20,"timeFrame":21},"Efficacy outcome measures: Overall Survival.","Overall Survival (OS) is defined as the time from starting mirdametinib (C1D1) to death due to any cause, or censored at date last known alive. OS will be evaluated from starting mirdametinib up to the end of the 3-year follow-up. Estimated using Kaplan-Meier methods.","Up to 3 years following completion of treatment.",{"measure":23,"description":24,"timeFrame":21},"Efficacy outcome measures: Progression-Free Survival.","Progression-Free Survival (PFS): the time from starting mirdametinib (C1D1) to the date of first observation of radiological progression or death due to any cause. Participants alive without disease progression or death are censored at date of last disease evaluation. Estimated using Kaplan-Meier methods.",{"measure":26,"description":27,"timeFrame":21},"Efficacy outcome measures: Time to Progression.","Time to Progression (TTP) is defined as the time from starting mirdametinib (C1D1) to radiological progression, or censored at date of last disease evaluation for those without progression reported. Estimated using Kaplan-Meier methods.",{"measure":29,"description":30,"timeFrame":21},"Efficacy outcome measures: Objective Response Rate.","Objective response rate (ORR) is defined as the percentage of patients experiencing their best response on study as CR or PR or MR or SD.",{"measure":32,"description":33,"timeFrame":16},"Determine the safety and tolerability of the combination of mirdametinib plus vinblastine.","Adverse events (AE) and severe adverse events (SAE).",{"measure":35,"description":36,"timeFrame":16},"Determine neurological changes in patients during active treatment and after completion of therapy.","Changes in neurological status will be evaluated. Standardized global assessment including motor function will be evaluated by local investigators at baseline, every six months during treatment phase and after completion of treatment. This evaluation will include assessment of weakness, coordination, and balance.",{"measure":38,"description":39,"timeFrame":16},"Evaluate the quality of life during treatment.","Evaluations of quality of daily life at inclusion and every six months PedsQL (Generic\u002FBrain tumor modules).",[41,44],{"measure":42,"description":43,"timeFrame":16},"Evaluate the response rate based on the tumor volume.","Accurate quantification of tumor volumes using a semi-automated volumetric method.",{"measure":45,"description":46,"timeFrame":16},"To investigate and correlate biological features to tumor response.","Exploratory biology studies may include, but are not limited to: tumor molecular profiling, gene expression, methylation profiling and DNA sequencing to explore possible associations between candidate molecular predictors and clinical outcome.\n\nDescriptive statistics may be used to visualize biological feature results and compare to measures of efficacy.",{"allocation":48,"interventionModel":49,"interventionModelDescription":50,"primaryPurpose":51,"observationalModel":52,"timePerspective":52,"maskingInfo":53},"NA","SINGLE_GROUP","This is a 3-part open-label study (feasibility phase, treatment phase and follow-up phase) of orally administered mirdametinib in combination with intravenous vinblastine chemotherapy in patients with PLGG with activation of MAPK pathway.\n\nFeasibility Phase:\n\nThe maximum tolerated\u002Frecommended phase 2 dose (MTD\u002FRP2D) of the mirdametinib plus vinblastine combination will be assessed using a modified Rolling-6 design.\n\nTreatment Phase:\n\nPatients will receive mirdametinib twice daily (continuously) at a fixed dose (2mg\u002Fm2 po BID up to 4 mg BID) for a total of 13 cycles (28 days cycle). Weekly intravenous vinblastine at MTD will be given for a total of 17 cycles. If adverse events occur, two dose reductions are allowed.\n\nFollow-up Phase:\n\nFollowing the end of treatment, patients will be scheduled for a follow-up visit every 6 months for 36 months to evaluate PFS, TTP and OS.","TREATMENT",null,{"masking":54,"maskingDescription":52,"whoMasked":52},"NONE","This is a phase 1\u002F2, open label, interventional clinical trial that will study the response rate of newly diagnosed pediatric low-grade glioma (PLGG) to oral administration of mirdametinib in combination with weekly vinblastine. Patients meeting all inclusion criteria for a given study group will receive mirdametinib twice daily (continuous) at a fixed dose (2 mg\u002Fm2 po BID up to 4 mg BID) for a total of 13 cycles (28 days cycle). Weekly intravenous vinblastine at MTD will be given for a total of 17 cycles.\n\nThe lead-in feasibility phase will be conducted to establish the maximum tolerated\u002Frecommended phase 2 dose (MTD\u002FRP2D) of vinblastine in combination with mirdametinib combination using a modified Rolling-6 design. The established RP2D for mirdametinib (2 mg\u002Fm2 po BID up to 4 mg BID) will be used on this study. Mirdametinib will be administered on a continuous dosing schedule and de-escalated as necessary to an intermittent (3 weeks on, 1 week off) dosing schedule. Vinblastine will be escalated (or de-escalated) as necessary. Since these classes of agents do not have overlapping toxicities, the starting dose (i.e., Dose Level 0) for vinblastine is 4 mg\u002Fm2\u002Fweek, which is 20% lower than the recommended single agent dose of vinblastine of 5 mg\u002Fm2\u002Fweek. Dose Level 1 for vinblastine is 5 mg\u002Fm2\u002Fweek and Dose Level -1 for vinblastine is 3 mg\u002Fm2\u002Fweek.\n\nFollowing the end of treatment, patients will be scheduled for a follow-up visit every 6 months for 36 months to evaluate PFS, TTP and OS. A total of 50 patients will be recruited as part of this clinical study.\n\nPatients aged between 2 and 25 years old will be eligible, in order to include a maximum of patients affected by glioma. This study includes PLGG patients with neurofibromatosis type 1 (NF1) with a KIAA1549-BRAF fusion and patients with activation of the MAPK pathway with the exception of patients with a BRAFV600E mutation.\n\nResponse to treatment will be evaluated using the modified Response Assessment in Pediatric Neuro-Oncology (RAPNO), Response Assessment in Pediatric Neuro-Oncology (RANO) 1. Evaluation of quality of life will be measured using the Pediatric Quality of Life inventory (PedsQL) (Generic\u002FBrain tumor modules).\n\nThis study will explore the genetic and epigenetic landscape of PLGG. Our biological study may include SNP array, nanoString studies, methylation array and RNAseq.",[57],{"label":58,"type":59,"description":60,"interventionNames":61},"Mirdametinib + IV Vinblastine","EXPERIMENTAL","Patients will receive oral mirdametinib twice daily (continuous) at a fixed dose (2mg\u002Fm2 PO BID, rounded to the nearest 1mg, up to a maximum of 4 mg BID) for a total of 13 cycles. Each cycle will last 28 days.",[62],"Drug: Mirdametinib",[64],{"type":65,"name":66,"description":67,"armGroupLabels":68,"otherNames":69},"DRUG","Mirdametinib","Participants will receive orally administered mirdametinib in combination with intravenous vinblastine chemotherapy",[58],[70],"Vinblastine",[72],{"name":73,"affiliation":74,"role":75},"Sébastien Perreault, M.D, FRCPC","CHU Sainte Justine, URCHOI Department","STUDY_CHAIR",[77,82],{"name":73,"role":78,"phone":79,"phoneExt":80,"email":81},"CONTACT","514-345-4931","5019","s.perreault@umontreal.ca",{"name":83,"role":78,"phone":52,"phoneExt":52,"email":84},"MIRV Study Team","mirv.study.hsj@ssss.gouv.qc.ca",[86,105,119,134,150,168,185,200],{"facility":87,"status":88,"city":89,"state":90,"zip":91,"country":92,"countryCode":93,"cosmosGeoPoint":94,"geoPoint":99,"contacts":100},"Alberta Children's Hospital","RECRUITING","Calgary","Alberta","T3B 6A8","Canada","CA",{"type":95,"coordinates":96},"Point",[97,98],-114.08529,51.05011,{"lat":98,"lon":97},[101],{"name":102,"role":78,"phone":103,"phoneExt":52,"email":104},"Lucie Lafay-Cousin, MD","(403) 955-7272","lucie.lafay-cousin@ahs.ca",{"facility":106,"status":88,"city":107,"state":90,"zip":108,"country":92,"countryCode":93,"cosmosGeoPoint":109,"geoPoint":113,"contacts":114},"Stollery Children's Hospital","Edmonton","T6G 2E1",{"type":95,"coordinates":110},[111,112],-113.46871,53.55014,{"lat":112,"lon":111},[115],{"name":116,"role":78,"phone":117,"phoneExt":52,"email":118},"Liana Nobre, MD","(780) 248-1646","liana.nobre@albertahealthservices.ca",{"facility":120,"status":88,"city":121,"state":122,"zip":123,"country":92,"countryCode":93,"cosmosGeoPoint":124,"geoPoint":128,"contacts":129},"Childrens and Womens Health Centre of British Columbia - British Columbia Childrens Hospital","Vancouver","British Columbia","V6H 3V4",{"type":95,"coordinates":125},[126,127],-123.11934,49.24966,{"lat":127,"lon":126},[130],{"name":131,"role":78,"phone":132,"phoneExt":52,"email":133},"Sylvia Cheng, MD","(604) 875-2406","sylvia.cheng@cw.bc.ca",{"facility":135,"status":88,"city":136,"state":137,"zip":138,"country":92,"countryCode":93,"cosmosGeoPoint":139,"geoPoint":143,"contacts":144},"Children's Hospital, London Health Sciences Centre","London","Ontario","N6A5W9",{"type":95,"coordinates":140},[141,142],-81.23304,42.98339,{"lat":142,"lon":141},[145],{"name":146,"role":78,"phone":147,"phoneExt":148,"email":149},"Shayna Zelcer, MD","(519) 685-8500","52678","shayna.zelcer@lhsc.on.ca",{"facility":151,"status":88,"city":152,"state":137,"zip":153,"country":92,"countryCode":93,"cosmosGeoPoint":154,"geoPoint":158,"contacts":159},"The Hospital for Sick Children","Toronto","M5G 1E8",{"type":95,"coordinates":155},[156,157],-79.39864,43.70643,{"lat":157,"lon":156},[160,164],{"name":161,"role":78,"phone":162,"phoneExt":52,"email":163},"Anthony Liu, MD","(416) 813-7654","anthony.liu@sickkids.ca",{"name":165,"role":78,"phone":162,"phoneExt":166,"email":167},"Ashley Doka, CRPC","427327","ashley.doka@sickkids.ca",{"facility":169,"status":88,"city":170,"state":171,"zip":172,"country":92,"countryCode":93,"cosmosGeoPoint":173,"geoPoint":177,"contacts":178},"CHU Sainte-Justine","Montreal","Quebec","H3T 1C5",{"type":95,"coordinates":174},[175,176],-73.58781,45.50884,{"lat":176,"lon":175},[179,181],{"name":180,"role":78,"phone":79,"phoneExt":80,"email":81},"Sébastien Perreault, MD",{"name":182,"role":78,"phone":79,"phoneExt":183,"email":184},"Marie Galopin, RN","6326","marie.galopin.hsj@ssss.gouv.qc.ca",{"facility":186,"status":88,"city":187,"state":171,"zip":188,"country":92,"countryCode":93,"cosmosGeoPoint":189,"geoPoint":193,"contacts":194},"CHU de Québec - Université Laval","Québec","G1V 4G2",{"type":95,"coordinates":190},[191,192],-71.21454,46.81228,{"lat":192,"lon":191},[195],{"name":196,"role":78,"phone":197,"phoneExt":198,"email":199},"Valérie Larouche, MD","(418) 525-4444","40121","valerie.larouche.med@ssss.gouv.qc.ca",{"facility":201,"status":88,"city":202,"state":171,"zip":203,"country":92,"countryCode":93,"cosmosGeoPoint":204,"geoPoint":208,"contacts":209},"CHU de Sherbrooke","Sherbrooke","J1H 5N4",{"type":95,"coordinates":205},[206,207],-71.89908,45.40008,{"lat":207,"lon":206},[210],{"name":211,"role":78,"phone":212,"phoneExt":213,"email":214},"Stéphanie Vairy, MD","819-346-1110","73068","stephanie.vairy@usherbrooke.ca",{"type":216,"investigatorFullName":217,"investigatorTitle":218,"investigatorAffiliation":5,"oldNameTitle":52,"oldOrganization":52},"PRINCIPAL_INVESTIGATOR","Dr Perreault","Principal Investigator","100567296",false,"NCT06666348","Phase 1\u002F2 Study of Mirdametinib + Vinblastine for Newly Diagnosed\u002FPreviously Untreated PLGG + Activation of MAPK","A Phase 1\u002F2 Study of Mirdametinib and Vinblastine for Newly Diagnosed or Previously Untreated Patients With Pediatric Low-grade Glioma and Activation of the MAPK Pathway","MIRV","Inclusion Criteria:\n\n* Signed written informed consent prior to study participation.\n* Study activities compliance: must be willing and able to comply with scheduled visits, treatment schedule, laboratory testing, and other requirements of the study, including disease assessment by contrast enhanced MRI.\n* Aged ≥ 2 years to ≤ 25 years when starting mirdametinib.\n* BSA ≥ 0,40m2\n* Diagnosis:\n\nParticipants must have PLGG with NF1 gene mutation (based on clinical NIH criteria, germline NF1 mutation or molecular analysis of the tumor) or PLGG with KIAA1549-BRAF fusion (based on molecular analysis of the tumor) or PLGG with evidence of MAPK pathway alteration with the exception of patients with BRAF V600E mutation (based on molecular analysis of the tumor).\n\n* Tumor tissue is required (at minimum, paraffin-embedded tissue block and additionally fresh frozen tissue \\[if available\\]). Patients with NF1 and Low Grade Glioma (LGG) can still be enrolled without tissue if no surgery or biopsy was conducted.\n* Baseline MRI.\n* Life expectancy greater than 6 months.\n* Lansky\u002FKarnofsky score ≥ 50.\n* Normal organ and marrow function (see study protocol for specifics).\n* Female and male patients of fertile age must agree to use highly effective contraceptive measures.\n* Must be able to ingest by mouth and retain entirely the administered medication. Mirdametinib can not be administered via nasogastric tube or gastrostomy tube.\n\nExclusion Criteria:\n\n* Patients who are receiving other investigational agents.\n* Cardiac: QTcB ≥ 480 msec or an absolute resting left ventricular ejection fraction (LVEF) of ≤ 49%.\n* Patients who have any other malignancy, except if the other primary malignancy is neither currently clinically significant nor requiring active intervention.\n* Tumor with BRAF V600E mutation.\n* Patients who received previous systemic or radiotherapy treatment.\n* Other severe and uncontrollable medical disease\n* Blood pressure higher than 95th percentile for patient's age, height and gender.\n* Increased risk of serious retinopathy and retinal vein occlusion.\n* Known diagnosis of human immunodeficiency virus infection, hepatitis B or C.\n* Previous major surgery within 2 weeks.\n* History of allergic reactions to compounds of similar chemical or biological composition to mirdametinib.\n* Pregnant or breastfeeding.","ALL","2 Years","25 Years",{"count":230,"type":231},50,"ESTIMATED","INTERVENTIONAL",[234,235],"PHASE1","PHASE2",[237],"Pediatric Low-grade Glioma",[239,240,241,242,243,244,245],"PLGG","Pediatric PLGG","Pediatric","MAPK","NF1","KIAA1549-BRAF","pediatric low-grade glioma","2026-06-08",{"date":248,"type":249},"2026-06-11","ACTUAL",{"date":251,"type":249},"2026-01-12",{"date":253,"type":231},"2033-04",{"name":5,"class":6},8]