9-ING-41 in Pediatric Patients With Refractory Malignancies.

Stopped early · Phase 1

Conditions studied: Refractory Cancer, Refractory Neoplasm, Cancer Pediatric, Refractory Tumor, Pediatric Cancer, Pediatric Brain Tumor, Neuroblastoma, Neuroblastoma Recurrent, Pediatric Lymphoma, Pediatric Meningioma, Diffuse Intrinsic Pontine Glioma

In brief

9-ING-41 has anti-cancer clinical activity with no significant toxicity in adult patients. This Phase 1 study will study its efficacy in paediatric patients with advanced malignancies.

Key facts

Study ID: NCT04239092
Run by: Actuate Therapeutics Inc.
People needed: 40
Starts: 2020-06-05
Expected to finish: 2025-07-07
Last updated by the study team: 2025-07-17

Who can join

Age: any, up to 22. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

Patients must meet ALL the following criteria to be eligible for this study:
Age < 22 years of age
Diagnosis of recurrent or refractory malignancy with histologic verification of malignancy at original diagnosis or relapse, except patients with extra-cranial germ-cell tumors who have elevations of serum tumor markers including alpha-fetoprotein or beta-HCG, and/or patients with intrinsic brain stem tumors or patients with CNS-germ cell tumors and elevations of CSF or serum tumor markers including alpha-fetoprotein or beta-HCG.
Have either measurable or evaluable disease. Evaluable disease is defined as an assessment of tumor that cannot be measured using a ruler or calipers, but can be used to determine disease progression or response (e.g., positive lesions on MIBG or bone scan, metastatic bone marrow disease, elevated tumor markers, or presence of a malignant pleural effusion)
Have current disease state for which there is no known curative therapy or therapy proven to prolong survival with an acceptable quality of life
Have Performance Level: Karnofsky ≥ 50% for patients >16 years of age and Lansky ≥50 for patients ≤16 years of age
Neurologic deficits in patients with CNS tumors must have been relatively stable for at least 7 days prior to study enrollment. Patients with CNS tumors who are receiving steroids must be on a stable or decreasing dose for at least 7 days prior to study entry. Patients who are unable to walk because of paralysis, but who are up in a wheelchair, will be considered ambulatory for the purpose of assessing the performance score
Have fully recovered from the acute clinically significant toxic effects of prior anti-cancer therapy
Myelosuppressive chemotherapy: On first day of treatment be at least 7 days after the last dose of myelosuppressive chemotherapy for single agent 9 ING 41, at least 21 days after the last dose of myelosuppressive chemotherapy for 9-ING-41 plus irinotecan
Hematopoietic growth factors: At least 14 days after the last dose of a long-acting growth factor or 7 days for short-acting growth factor
Biologic (anti-neoplastic agent): At least 7 days after the last dose of a biologic agent.
Monoclonal antibodies: At least 28 days after the last dose of a monoclonal antibody
At least 14 days after local palliative XRT (small port); At least 100 days must have elapsed if prior TBI, craniospinal XRT or if ≥ 50% radiation of pelvis; At least 42 days must have elapsed if other substantial BM radiation
Stem Cell Infusion without TBI: No evidence of active graft versus host disease and at least 84 days must have elapsed after transplant or stem cell infusion.
Patients undergoing a major surgical procedure or laparoscopic procedure are eligible for enrollment after at least 28 days of the procedure, 14 days after an open biopsy.
Patients undergoing a major surgical procedure, laparoscopic procedure or open biopsy are eligible for enrollment after at least 28 days of the procedure
Central line placement or subcutaneous port placement is not considered major surgery.
Core biopsy within 7 days prior to enrollment
Fine needle aspirate within 7 days prior to enrollment
Surgical or other wounds must be adequately healed prior to enrollment
Have received at least one front line treatment regimen for the treatment of their malignancy - on the Irinotecan combination arm, patients may have received prior Irinotecan
Have adequate organ and marrow function on first day of study treatment as follows:
For single agent 9-ING-41: ANC ≥ 500/mm3 For 9-ING-41 plus Irinotecan: ANC ≥ 1000/mm3
For single agent 9-ING-41: Platelets ≥ 50,000/mm3 For 9-ING-41 plus Irinotecan: Platelets ≥ 100,000/mm3
Hemoglobin ≥ 8 g/dL

You may not qualify if…

Patients who meet any of the following criteria will be excluded from trial entry:
Has hypersensitivity to any of the components of 9-ING-41 and/or Irinotecan or to the excipients used in their formulation
Has uncontrolled concurrent illness that would limit compliance with study requirements
Has clinically significant retinal disease
Has current malignancy other than the target malignancy with the exception of surgically treated local tumors or is currently receiving other anti-cancer therapies, including radiation.
Has not recovered from clinically significant toxicities as a result of prior anticancer therapy, except alopecia, infertility and ototoxicity. Recovery is defined as ≤ Grade 2 severity per Common Terminology Criteria for Adverse Events (CTCAE) Version 5.0 (v5.0)
Is pregnant or lactating
Has received a prior solid organ transplantation
Is receiving any other investigational medicinal product or participating in another interventional clinical trial

Where it is running

University of California, San Francisco — San Francisco, California, United States
Children's Hospital Colorado — Aurora, Colorado, United States
University of Chicago — Chicago, Illinois, United States
Mott Children's Hospital — Ann Arbor, Michigan, United States
Levine Cancer Center — Charlotte, North Carolina, United States
Duke Children's Hospital and Health Center, Duke University Medical Center — Durham, North Carolina, United States
Brown University — Providence, Rhode Island, United States
Texas Children's Hospital — Houston, Texas, United States
Seattle Children's Research Institute — Seattle, Washington, United States

Full record on ClinicalTrials.gov

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