Avapritinib

Clinical trials are investigating Avapritinib in different patient groups, including children with certain solid tumors and adults with mastocytosis. These studies look at safety, dose finding, and how well the treatment works. The trials include early-phase and later-phase research.

Table of Contents

Clinical trials overview

These studies investigate Avapritinib in different groups of patients with cancer-related conditions and mastocytosis.[1][2][3]

All three trials are interventional studies, which means researchers gave a study treatment and measured what happened next.[1][2][3]

Pediatric solid tumors study

NCT04773782 studied pediatric patients with solid tumors dependent on KIT or PDGFRA signaling.[1] This was a Phase 1 trial with 37 enrolled patients and it is completed.[1]

The study had two main parts.[1] Part 1 looked for the recommended dose for Part 2 and checked safety and tolerability, which means how well patients could handle the treatment.[1] Part 2 looked at anti-tumor activity, which means whether the tumors responded to treatment.[1]

The main endpoints were dose-limiting toxicity, adverse events, and objective response rate.[1] The tumor response was measured with RECIST version 1.1 or RANO, depending on the tumor type.[1]

Mastocytosis studies

NCT03731260 studied patients with indolent systemic mastocytosis (ISM), a form of systemic mastocytosis that was listed in the trial data as the condition studied.[2] This was a Phase 2 study with 251 enrolled patients and an authorised status.[2]

The trial had three parts.[2] Part 1 aimed to determine the RP2D, which means the recommended Phase 2 dose.[2] Part 2 compared the mean change in ISM-SAF TSS from baseline to C7D1 against placebo, so it measured symptom changes over time.[2] Part 3 assessed the long-term safety and efficacy of Avapritinib.[2]

The rollover study 2024-514969-18-00 included adults who had taken part in a previous Avapritinib study and studied systemic mastocytosis.[3] This was a Phase 3 interventional study with 60 enrolled patients and an authorised status.[3]

Its main objective was long-term safety, measured by serious adverse events, adverse events of special interest, and adverse events that led to stopping treatment.[3]

Trial phases and endpoints

A Phase 1 trial usually focuses on dose finding and early safety, and that is how the pediatric study was designed.[1]

A Phase 2 trial usually looks more closely at whether a treatment may help while still tracking safety, which matches the ISM study.[2]

A Phase 3 trial often follows earlier studies and looks at longer-term outcomes in a larger or more specific group, which fits the rollover mastocytosis study.[3]

The key endpoints across these studies were recommended dose, safety, symptom change, tumor response, and long-term treatment effects.[1][2][3]

Who participated

The pediatric study included children with solid tumors dependent on KIT or PDGFRA signaling.[1]

The ISM study included patients with indolent systemic mastocytosis.[2]

The rollover study included adults who had already joined a previous Avapritinib study and had systemic mastocytosis.[3]

Study status

One trial, NCT04773782, is completed.[1]

The other two studies, NCT03731260 and 2024-514969-18-00, are authorised.[2][3]

Trial ID Phase Condition studied Status Enrollment
NCT04773782 Phase 1 Solid tumors dependent on KIT or PDGFRA signaling Completed 37
NCT03731260 Phase 2 Indolent systemic mastocytosis Authorised 251
2024-514969-18-00 Phase 3 Systemic mastocytosis Authorised 60

Ongoing Clinical Trials on Avapritinib

  • Study of Avapritinib for Adults with Systemic Mastocytosis Who Previously Participated in an Avapritinib Study

    Recruiting

    3 1 1
    Investigated diseases:
    Investigated drugs:
    Belgium Italy The Netherlands Norway
  • Study of Avapritinib for Children with Solid Tumors Linked to KIT or PDGFRA Signaling

    Not recruiting

    1 1 1
    Investigated diseases:
    Investigated drugs:
    Austria France Germany Italy
  • Study of Avapritinib for Patients with Indolent Systemic Mastocytosis Not Adequately Managed by Standard Therapy

    Not recruiting

    2 1
    Investigated drugs:
    Belgium Denmark France Germany Italy The Netherlands +3

Glossary

  • Clinical trial: A research study in people that tests a treatment, checks safety, and looks at how well it works.
  • Phase 1: An early study stage that mainly looks at safety and helps find the best dose.
  • Phase 2: A study stage that looks more closely at whether the treatment works and continues to check safety.
  • Phase 3: A later study stage that usually includes more people and focuses on longer-term safety and effectiveness.
  • Interventional study: A study where participants receive a treatment or placebo so researchers can compare results.
  • Dose-limiting toxicity (DLT): A side effect that is serious enough to limit how much of the study drug can be given.
  • Recommended dose: The dose chosen by researchers as the best one to study further.
  • Adverse events (AEs): Any unwanted medical problems that happen during a study, whether or not they are caused by the treatment.
  • Objective response rate (ORR): The number of patients whose tumors shrink or disappear during treatment.
  • RECIST: A standard way to measure how solid tumors change on scans.
  • RANO: A system used to measure how brain tumors or related cancers respond to treatment.
  • ISM-SAF TSS: A symptom score used in indolent systemic mastocytosis to measure how severe symptoms are.

References