New targeted drug combo aims to curb relapse in kids with rare immune disorder
NCT ID NCT07431060
First seen Jun 25, 2026 · Last updated Jun 27, 2026 · Updated 2 times
Summary
This study tests whether adding the targeted drug luvometinib to standard chemotherapy improves outcomes for children with multisystem Langerhans cell histiocytosis (LCH), a rare immune cell disorder. About 120 children aged 0-18 with newly diagnosed, untreated LCH will be randomly assigned to receive either standard chemo alone or chemo plus luvometinib. The goal is to see if the combination reduces disease reactivation and improves survival without major side effects.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Luvometinib (a targeted cancer drug) plus chemotherapy (prednisone, vincristine, mercaptopurine)
- What this could lead to
- If successful, this combination could offer better disease control and fewer relapses for children with severe multisystem LCH.
- What could go wrong
- This is an early-stage trial with only 120 participants, so results may not apply to all children. Adding a targeted drug may also increase side effects like skin issues or high triglycerides.
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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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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About 120 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Feb 2026
An estimate. Start dates often move.
- Expected to finish
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Dec 2030
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
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. Children aged 0-18 years, of either sex. 2. Pathologically confirmed diagnosis of Langerhans cell histiocytosis (LCH) with positive staining for CD1a and/or CD207 (Langerin), and no prior treatment specifically directed against LCH. 3. Multisystem involvement of LCH, as determined by clinical and imaging evaluation. 4. Provision of written informed consent (by parent/legal guardian and, where appropriate, assent from the child), with willingness to comply with the study treatment regimen and follow-up assessments. Exclusion Criteria: 1. Presence of any other significant underlying medical condition, including but not limited to primary immunodeficiency disorders, congestive heart failure, renal insufficiency, chronic viral hepatitis, HIV infection, or status post solid organ transplantation. 2. History of a second (secondary) malignancy. 3. QTcF interval \> 0.47 seconds on electrocardiogram performed prior to enrollment. 4. Ophthalmologic screening prior to enrollment revealing retinal vein occlusion, retinal pigment epithelial detachment, or other clinically significant ocular abnormalities that, in the opinion of the investigator, contraindicate participation. 5. LCH harboring Class 3 MEK pathway mutations, specifically the following alterations: L98\_I103del, L98\_K104del, P105\_A106del, P105\_I107delinsL, L101\_I103delinsF, E102\_I103delinsF, E102\_I103del, E102\_I103delinsV, E102\_I103delinsVN, E102\_K104delinsQ, or I103\_A106del. 6. Refusal or inability to provide written informed consent (or assent, as applicable).
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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.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
11 sites. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Affiliated Hospital of Guizhou Medical University
RECRUITINGGuiyang, China
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Anhui Provincial Children's Hospital
RECRUITINGHefei, China
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Jiangxi Provincial Children's Hospital
RECRUITINGJiangxi, China
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Kunming Children's Hospital
RECRUITINGKunming, China
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The First Affiliated Hospital of Xinjiang Medical University
RECRUITINGÜrümqi, China
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The Second Affiliated Hospital of Anhui Medical University
RECRUITINGHefei, China
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The Second Affiliated Hospital of Guangxi Medical University
RECRUITINGNanning, China
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West China Second Hospital, Sichuan University
RECRUITINGChengdu, China
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Xi'an Children's Hospital
RECRUITINGXi'an, China
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Xi'an Northwest Women's and Children's Hospital
RECRUITINGXi'an, China
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Zunyi Medical University Affiliated Hospital, Guizhou Provincial Children's Hospital
RECRUITINGZunyi, China
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Could existing cancer drugs tackle rare tumors? new trial aims to find out
- Scientists hunt for genetic clues in rare blood disorders
- New pill could spare kids with rare bone disease from chemo
- Old drug, new hope: lenalidomide tackles rare histiocyte cancers
- New pill shows promise for rare childhood diseases
- New hope for rare cancer: drug cocktail targets stubborn LCH