New hope for kids with tough cancers: entrectinib trial underway
NCT ID NCT02650401
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tests a drug called entrectinib in children with advanced solid tumors or brain tumors that have come back or haven't responded to other treatments. The trial has two parts: first finding the best dose, then seeing how well it works in children whose tumors have specific gene changes. About 69 children are taking part across multiple centers.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- entrectinib
- What this could lead to
- If it works, this could provide a new treatment option for children with certain hard-to-treat cancers that have specific gene changes.
- What could go wrong
- This is an early-phase trial with only 69 participants, so results may not apply to all children. The drug may cause side effects or not shrink tumors as hoped.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 1/2
Runs two stages together: safety and dose first, then whether the treatment works.
- Participants
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69 people
The number who actually took part.
- Started
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May 2016
- Expected to finish
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Jun 2026
An estimate. End dates often move.
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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0 to 18 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: 1. Disease status: * Phase 1 portion (closed): Participants must have measurable or evaluable disease, as defined by RECIST v1.1 * Phase 2 portion: * Part B: Participants must have measurable or evaluable disease, as defined by RANO * Part C (closed): Participants must have measurable or evaluable disease, as defined by RECIST v1.1 ± Curie Scale * Part D: Participants must have measurable or evaluable disease, as defined by RECIST v1.1 * Part E (closed): Participants must have measurable or evaluable disease, as defined by RECIST v1.1 ± Curie Scale or RANO 2. Tumor type: * Phase 1 portion: \* Part A: Relapsed or refractory extracranial solid tumors * Phase 2 portion * Part B: Primary brain tumors with NTRK1/2/3 or ROS1 gene fusions; gene fusions are defined as those predicted to translate into a fusion protein with a functional TRKA/B/C or ROS1 kinase domain, without a concomitant second oncodriver as determined by a nucleic acid-based diagnostic testing method * Part D: Extracranial solid tumors (including NB) with NTRK1/2/3 or ROS1 gene fusions; gene fusions are defined as those predicted to translate into a fusion protein with a functional TRKA/B/C or ROS1 kinase domain, without a concomitant second oncodriver as determined by a nucleic acid-based diagnostic testing method 3. Histologic/molecular diagnosis of malignancy at diagnosis or the time of relapse 4. Archival tumor tissue from diagnosis or, preferably, at relapse 5. Performance status: Lansky or Karnofsky score ≥ 60% and minimum life expectancy of at least 4 weeks 6. Prior therapy: Participants must have a disease that is locally advanced, metastatic, or where surgical resection is likely to result in severe morbidity, and who have no satisfactory treatment options for solid tumors and primary CNS tumors that are neurotrophic tyrosine receptor kinase (NTRK) or ROS1 fusion-positive 7. Participants must have recovered from the acute toxic effects of all prior chemotherapy, immunotherapy, or radiotherapy prior to enrollment 8. Adequate organ and neurologic function 9. Females of childbearing potential must have a negative serum pregnancy test during screening and be neither breastfeeding nor intending to become pregnant during study participation. Agreement to remain abstinent or use use combined contraceptive methods prior to study entry, for the duration of study participation and in the following 90 days after discontinuation of study treatment. 10. For male participants with a female partner of childbearing potential or a pregnant female partner: Agreement to remain abstinent or use a condom during the treatment period and for at least 3 months after the last dose of study drug Exclusion Criteria: 1. Receiving other experimental therapy 2. Known congenital long QT syndrome 3. History of recent (3 months) symptomatic congestive heart failure or ejection fraction ≤50% at screening 4. Known active infections 5. Familial or personal history of congenital bone disorders, bone metabolism alterations or osteopenia 6. Receiving Enzyme Inducing Antiepileptic Drugs (EIAEDs) within 14 days of first dose. 7. Prior treatment with approved or investigational TRK or ROS1 inhibitors 8. Known hypersensitivity to entrectinib or any of the other excipients of the investigational medicinal product 9. Patients with NB with bone marrow space-only disease 10. Incomplete recovery from acute effects of any surgery prior to treatment. 11. Active gastrointestinal disease or other malabsorption syndromes that would impact drug absorption. 12. Other severe acute or chronic medical or psychiatric condition or lab abnormality that may increase the risk associated with study participation, drug administration or may interfere with the interpretation of study results.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Beijing Children's Hospital, Capital Medical University
Beijing, China
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Centre Leon Berard
Lyon, 69373, France
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Children's Hospital Colorado
Aurora, Colorado, 80045, United States
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Children's Hospital of Philadelphia
Philadelphia, Pennsylvania, 19104, United States
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Dana Farber Cancer Institute
Boston, Massachusetts, 02215, United States
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Egleston Children's Hospital at Emory University Atlanta
Atlanta, Georgia, 30322, United States
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Fondazione IRCCS Istituto Nazionale dei Tumori
Milan, Lombardy, 20133, Italy
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Hong Kong Children's Hospital
Hong Kong, 00000, Hong Kong
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Hospital Infantil Universitario Nino Jesus
Madrid, 28009, Spain
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Hôpital de la Timone, Oncologie Pédiatrique
Marseille, 13385, France
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Johns Hopkins University
Baltimore, Maryland, 21205, United States
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Memorial Sloan Kettering Cancer Center
New York, New York, 10065, United States
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Nationwide Children's Hospital
Columbus, Ohio, 43205, United States
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Oregon Health & Science Uni
Portland, Oregon, 97239, United States
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Primary Children's Hospital
Salt Lake City, Utah, 84113, United States
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Royal Marsden Hospital (Sutton)
London, SW3 6JJ, United Kingdom
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Royal Victoria Infirmary
Newcastle upon Tyne, NE1 4LP, United Kingdom
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St. Jude Children'S Research Hospital
Memphis, Tennessee, 38105, United States
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Texas Children's Cancer and Hematology Center
Houston, Texas, 77030, United States
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The Hospital for Sick Children
Toronto, Ontario, M5G 1X8, Canada
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UCSF Benioff Children's Hospital
San Francisco, California, 94158, United States
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Universitaetsklinikum Heidelberg
Heidelberg, Baden-Wurttemberg, 69120, Germany
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University of California San Diego
La Jolla, California, 92093-0706, United States
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University of Chicago
Chicago, Illinois, 60637, United States
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Washington University,St. Louis Children's Hospital
St Louis, Missouri, 63110, United States
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Xinhua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine
Shanghai, Shanghai Municipality, 200082, China
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Other studies related to the condition(s) this trial covers.
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- Can a pill target tumors with the PIK3CA-H1047R mutation?
- Can a Two-Drug combo outsmart Treatment-Resistant breast cancer?
- Radioactive antibody aims to light up hidden solid tumors
- Experimental biological therapy VRT106 put to the test in advanced solid tumors