Cancer drug shows promise for rare blood vessel disorders
NCT ID NCT07549646
First seen Jun 25, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This phase 2 trial tests the drug trametinib in 45 people aged 2 months to 30 years with vascular anomalies caused by changes in the Ras/MAPK pathway. Participants take trametinib daily for up to 3 years. The study measures whether the drug shrinks lesions, improves quality of life, and provides clinical benefit. Trametinib is already approved for melanoma but is experimental for this use.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Trametinib (a targeted cancer drug taken daily as a pill)
- What this could lead to
- If it works, this could offer a new treatment option for people with certain vascular anomalies that are driven by the Ras/MAPK pathway.
- What could go wrong
- This is a small, early-phase trial (45 people) and trametinib is not yet approved for this condition. Side effects from the drug are possible, and not everyone may respond.
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
-
Phase 2
Tests whether the treatment actually works, and watches for side effects, in a larger group.
- Participants
-
About 45 people
The number the study aims to enrol. It can still change while the study runs.
- Started
-
Aug 2025
- Expected to finish
-
Aug 2030
An estimate. End dates often move.
- Lead sponsor
-
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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2 months to 30 years
- Sex
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Anyone
- Healthy volunteers
-
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. Signed informed consent and assent (when applicable) 2. Males or females age \> 2 months to \< 30 years at the time of informed consent. 3. Have a documented Ras/MAPK-pathway variant. 4. Have a symptomatic vascular anomaly in need of medical therapy. 5. Have a disease-related lesion or lesions which can be measured 6. Have a Lansky or Karnofsky performance status score of ≥ 50. 7. Have acceptable organ function 8. (For persons who can get pregnant) Have a negative serum or urine pregnancy test within 7 days prior to starting study medication. 9. Must agree to the use an acceptable method of contraception 10. Subjects must be able to swallow tablets or liquid or use a nasogastric or gastric tube Exclusion Criteria: 1. Subjects seeking treatment for hypertrophic cardiomyopathy without a vascular anomaly 2. Prior medications that are not allowable per the study protocol 3. Confirmed or possible infections 4. History of hepatic sinusoidal obstructive syndrome (veno-occlusive disease of the liver) in the last 3 months. 5. Active gastrointestinal (GI) disease 6. Subjects with history of or current risk of retinal vein occlusion (RVO) or central serous retinopathy (CSR) or uncontrolled glaucoma or ocular hypertension. 7. Allergic reactions: Subjects with a history of allergic reaction attributed to compounds of similar chemical or biological composition to trametinib are not eligible. 8. History of prior and or ongoing cancer or ongoing investigations or treatment for cancer at time of informed consent. 9. Subjects unable to comply with safety monitoring requirements. 10. Subject may not be pregnant or breast feeding. 11. Parents/guardian/LAR or subjects who, in the opinion of the Investigator, may be non-compliant with study schedules or procedures. 12. Debulking or other major surgery performed within 30 days, at time of informed consent; 13. Clinically meaningful bleeding related to VA: Grade 2 within 14 days or Grade 3 and more within 28 days before study treatment start as per CTCAE v. 5.0. Sclerotherapy/embolization for vascular complications performed within 14 days before informed consent. 14. Subjects not able to understand and to comply with study instructions and requirements (in patients, legally authorized representatives, or guardians as applicable) at time of informed consent.
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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
-
Children's Hospital of Philadelphia
Philadelphia, Pennsylvania, 19104, United States
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