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Trial details imported from ClinicalTrials.gov

For full trial details, please see the original record at https://clinicaltrials.gov/study/NCT05566795




Registration number
NCT05566795
Ethics application status
Date submitted
16/09/2022
Date registered
4/10/2022

Titles & IDs
Public title
DAY101 vs. Standard of Care Chemotherapy in Pediatric Participants With Low-Grade Glioma Requiring First-Line Systemic Therapy (LOGGIC/FIREFLY-2)
Scientific title
LOGGIC/FIREFLY-2: A Phase 3, Randomized, International Multicenter Trial of DAY101 Monotherapy Versus Standard of Care Chemotherapy in Patients With Pediatric Low-Grade Glioma Harboring an Activating RAF Alteration Requiring First-Line Systemic Therapy
Secondary ID [1] 0 0
2022-001363-27
Secondary ID [2] 0 0
DAY101-002
Universal Trial Number (UTN)
Trial acronym
Linked study record

Health condition
Health condition(s) or problem(s) studied:
Low-grade Glioma 0 0
Rapidly Accelerated Fibrosarcoma (RAF) Altered Glioma 0 0
Pediatric Low-grade Glioma 0 0
Condition category
Condition code
Cancer 0 0 0 0
Brain
Cancer 0 0 0 0
Sarcoma (also see 'Bone') - soft tissue
Cancer 0 0 0 0
Bone

Intervention/exposure
Study type
Interventional
Description of intervention(s) / exposure
Treatment: Drugs - Tovorafenib
Treatment: Drugs - Chemotherapeutic Agent

Experimental: Tovorafenib -

Active comparator: Investigator's choice of Standard of care therapy -


Treatment: Drugs: Tovorafenib
Oral Tablet Powder for Oral Suspension

Treatment: Drugs: Chemotherapeutic Agent
Intravenous solution for injection

Intervention code [1] 0 0
Treatment: Drugs
Comparator / control treatment
Control group

Outcomes
Primary outcome [1] 0 0
Objective response rate (ORR) of tovorafenib monotherapy versus SoC chemotherapy
Timepoint [1] 0 0
Up to 60 months
Secondary outcome [1] 0 0
Progression-free survival (PFS) of tovorafenib monotherapy versus SoC chemotherapy
Timepoint [1] 0 0
Up to 60 months
Secondary outcome [2] 0 0
Event-free survival (EFS) of tovorafenib monotherapy versus SoC chemotherapy
Timepoint [2] 0 0
Up to 60 months
Secondary outcome [3] 0 0
Overall survival (OS) of tovorafenib monotherapy versus SoC chemotherapy
Timepoint [3] 0 0
Up to 60 months
Secondary outcome [4] 0 0
Number of participants with any treatment-emergent adverse events, and Serious adverse events
Timepoint [4] 0 0
Up to 60 months
Secondary outcome [5] 0 0
. Number of participants with clinically significant vital signs and laboratory abnormalities findings
Timepoint [5] 0 0
Up to 60 months
Secondary outcome [6] 0 0
Change from baseline in Adaptive Behavior Composite Score (ABS) of tovorafenib monotherapy versus SoC chemotherapy
Timepoint [6] 0 0
Baseline, Year 1, 2 and 5
Secondary outcome [7] 0 0
Change from baseline in the Motor Skills Domain Score of tovorafenib monotherapy versus SoC chemotherapy
Timepoint [7] 0 0
Baseline, Year 1, 2 and 5
Secondary outcome [8] 0 0
Change from baseline in the Daily Living Domain Score of tovorafenib monotherapy versus SoC chemotherapy
Timepoint [8] 0 0
Baseline, Year 1, 2 and 5
Secondary outcome [9] 0 0
Change from baseline in the Communication Domain Score of tovorafenib monotherapy versus SoC chemotherapy
Timepoint [9] 0 0
Baseline, Year 1, 2 and 5
Secondary outcome [10] 0 0
Change from baseline in the Socialization Domain Score of tovorafenib monotherapy versus SoC chemotherapy
Timepoint [10] 0 0
Baseline, Year 1, 2 and 5
Secondary outcome [11] 0 0
Change in age-adjusted visual acuity (VA) of tovorafenib monotherapy versus SoC chemotherapy in optic pathway glioma (OPG) participants aged < 3 years
Timepoint [11] 0 0
Baseline and up to 5 years
Secondary outcome [12] 0 0
Change in best corrected visual acuity of tovorafenib monotherapy versus SoC chemotherapy in OPG participants aged = 3 years
Timepoint [12] 0 0
Baseline and up to 5 years
Secondary outcome [13] 0 0
Visual progression-free survival (v-PFS) of tovorafenib monotherapy versus SoC chemotherapy
Timepoint [13] 0 0
Up to 60 months
Secondary outcome [14] 0 0
ORR of tovorafenib monotherapy versus SoC chemotherapy
Timepoint [14] 0 0
Up to 60 months
Secondary outcome [15] 0 0
Clinical bene?t rate (CBR) of tovorafenib monotherapy versus SoC chemotherapy
Timepoint [15] 0 0
Up to 60 months
Secondary outcome [16] 0 0
Time to response (TTR) of tovorafenib monotherapy versus SoC chemotherapy
Timepoint [16] 0 0
Up to 60 months
Secondary outcome [17] 0 0
PFS of tovorafenib monotherapy versus SoC chemotherapy
Timepoint [17] 0 0
Up to 60 months
Secondary outcome [18] 0 0
EFS of tovorafenib monotherapy versus SoC chemotherapy
Timepoint [18] 0 0
Up to 60 months
Secondary outcome [19] 0 0
Duration of response (DOR) of tovorafenib monotherapy versus SoC chemotherapy
Timepoint [19] 0 0
Up to 60 months
Secondary outcome [20] 0 0
Change from Baseline in health-related quality of life (HRQoL) total score of tovorafenib monotherapy versus SoC chemotherapy
Timepoint [20] 0 0
Baseline, Year 1, 2 and 5

Eligibility
Key inclusion criteria
* Less than 25 years of age with LGG with known activating RAF alteration.
* Histopathologic diagnosis of glioma or glioneuronal tumor.
* At least one measurable lesion as defined by RANO criteria.
* Meet indication for first-line systemic therapy.
Minimum age
No limit
Maximum age
25 Years
Sex
Both males and females
Can healthy volunteers participate?
No
Key exclusion criteria
* Participant has any of the following tumor-histological findings:

1. Schwannoma
2. Subependymal giant cell astrocytoma (Tuberous Sclerosis)
3. Diffuse intrinsic pontine glioma, even if histologically diagnosed as World Health Organization (WHO) Grade I-II
* Participant's tumor has additional pathogenic molecular alterations, including but not limited to a) isocitrate dehydrogenase (IDH) 1/2 mutation, b) Histone H3 mutation, and c) neurofibromatosis Type 1 (NF-1) loss of function alteration.
* Known or suspected diagnosis of NF-1/ neurofibromatosis Type 2 (NF-2).
* Prior or ongoing nonsurgical anticancer therapy for this indication (eg, chemotherapy, oral/IV targeted therapy) including radiation.

Study design
Purpose of the study
Treatment
Allocation to intervention
Randomised controlled trial
Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Masking / blinding
Open (masking not used)
Who is / are masked / blinded?



Intervention assignment
Parallel
Other design features
Phase
Phase 3
Type of endpoint/s
Statistical methods / analysis

Recruitment
Recruitment status
Recruiting
Data analysis
Reason for early stopping/withdrawal
Other reasons
Date of first participant enrolment
Anticipated
Actual
Date of last participant enrolment
Anticipated
Actual
Date of last data collection
Anticipated
Actual
Sample size
Target
Accrual to date
Final
Recruitment in Australia
Recruitment state(s)
QLD
Recruitment hospital [1] 0 0
Children's Health Queensland Hospital and Health Service - South Brisbane
Recruitment hospital [2] 0 0
Perth Children's Hospital - Nedlands
Recruitment hospital [3] 0 0
Women's and Children's Health Network - North Adelaide
Recruitment hospital [4] 0 0
The Royal Children's Hospital - Children's Cancer Centre - Parkville
Recruitment hospital [5] 0 0
Sydney Children's Hospital - Randwick - Randwick
Recruitment hospital [6] 0 0
Children's Hospital at Westmead - Westmead
Recruitment postcode(s) [1] 0 0
4101 - South Brisbane
Recruitment postcode(s) [2] 0 0
6009 - Nedlands
Recruitment postcode(s) [3] 0 0
5006 - North Adelaide
Recruitment postcode(s) [4] 0 0
3052 - Parkville
Recruitment postcode(s) [5] 0 0
2031 - Randwick
Recruitment postcode(s) [6] 0 0
2145 - Westmead
Recruitment outside Australia
Country [1] 0 0
United States of America
State/province [1] 0 0
Alabama
Country [2] 0 0
United States of America
State/province [2] 0 0
Arizona
Country [3] 0 0
United States of America
State/province [3] 0 0
California
Country [4] 0 0
United States of America
State/province [4] 0 0
Colorado
Country [5] 0 0
United States of America
State/province [5] 0 0
Connecticut
Country [6] 0 0
United States of America
State/province [6] 0 0
District of Columbia
Country [7] 0 0
United States of America
State/province [7] 0 0
Florida
Country [8] 0 0
United States of America
State/province [8] 0 0
Georgia
Country [9] 0 0
United States of America
State/province [9] 0 0
Illinois
Country [10] 0 0
United States of America
State/province [10] 0 0
Indiana
Country [11] 0 0
United States of America
State/province [11] 0 0
Maine
Country [12] 0 0
United States of America
State/province [12] 0 0
Massachusetts
Country [13] 0 0
United States of America
State/province [13] 0 0
Michigan
Country [14] 0 0
United States of America
State/province [14] 0 0
Minnesota
Country [15] 0 0
United States of America
State/province [15] 0 0
Missouri
Country [16] 0 0
United States of America
State/province [16] 0 0
Nebraska
Country [17] 0 0
United States of America
State/province [17] 0 0
New York
Country [18] 0 0
United States of America
State/province [18] 0 0
North Carolina
Country [19] 0 0
United States of America
State/province [19] 0 0
Ohio
Country [20] 0 0
United States of America
State/province [20] 0 0
Texas
Country [21] 0 0
United States of America
State/province [21] 0 0
Washington
Country [22] 0 0
United States of America
State/province [22] 0 0
Wisconsin
Country [23] 0 0
Austria
State/province [23] 0 0
Tirol
Country [24] 0 0
Austria
State/province [24] 0 0
Wien
Country [25] 0 0
Belgium
State/province [25] 0 0
Brussel
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Belgium
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Ghent
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Belgium
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Leuven
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Brazil
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São Paulo
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State/province [29] 0 0
Alberta
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Canada
State/province [30] 0 0
British Columbia
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Canada
State/province [31] 0 0
Ontario
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Canada
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Quebec
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Canada
State/province [33] 0 0
Québec
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State/province [34] 0 0
Toronto
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Czechia
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Brno
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Czechia
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Prague
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Denmark
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Midtjylland
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Denmark
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Copenhagen
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Finland
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Helsinki
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Finland
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Tampere
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Lille
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France
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Lyon
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France
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Marseille
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France
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Paris
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France
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Villejuif
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Germany
State/province [46] 0 0
Baden-Württemberg
Country [47] 0 0
Germany
State/province [47] 0 0
Bayern
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Germany
State/province [48] 0 0
Hessen
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Germany
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Niedersachsen
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Germany
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Nordrhein-Westfalen
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Germany
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Sachsen
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Germany
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Berlin
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Germany
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Bielefeld
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Hamburg
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Germany
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Heidelberg
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Tübingen
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Greece
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Petah tikva
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Ramat Gan
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Rome
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Bari
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Udine
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Muhafazat al-Asima
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Seoul
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Netherlands
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Utrecht
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Grafton
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Troms
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Oslo
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Singapore
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Singapore
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Slovenia
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Ljubljana
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Spain
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Barakaldo
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Spain
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Barcelona
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Madrid
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Sevilla
Country [82] 0 0
Spain
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Valencia
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Sweden
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Göteborg
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Sweden
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Lund
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Stockholm
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Switzerland
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Lausanne
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Zurich
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Taiwan
State/province [88] 0 0
Taipei
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Taiwan
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Taoyuan
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United Kingdom
State/province [90] 0 0
England
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United Kingdom
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Northern Ireland
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United Kingdom
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Scotland
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United Kingdom
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South Yorkshire
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United Kingdom
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Surrey
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United Kingdom
State/province [95] 0 0
Bristol
Country [96] 0 0
United Kingdom
State/province [96] 0 0
Cambridge

Funding & Sponsors
Primary sponsor type
Commercial sector/industry
Name
Day One Biopharmaceuticals, Inc.
Address
Country
Other collaborator category [1] 0 0
Other
Name [1] 0 0
SIOPe Brain Tumor Group LOGGIC Consortium
Address [1] 0 0
Country [1] 0 0

Ethics approval
Ethics application status

Summary
Brief summary
Trial website
Trial related presentations / publications
Public notes

Contacts
Principal investigator
Name 0 0
Address 0 0
Country 0 0
Phone 0 0
Fax 0 0
Email 0 0
Contact person for public queries
Name 0 0
Day One Clinical Trials Information
Address 0 0
Country 0 0
Phone 0 0
650-484-0899
Fax 0 0
Email 0 0
Contact person for scientific queries

Data sharing statement


What supporting documents are/will be available?

No Supporting Document Provided



Results publications and other study-related documents

No documents have been uploaded by study researchers.