New drug shows promise for rare joint tumor in early trial
NCT ID NCT03069469
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tests a drug called vimseltinib in people with a rare joint tumor (tenosynovial giant cell tumor, or TGCT) and advanced solid tumors. The drug blocks a protein that helps these tumors grow. The trial has two phases: first, finding the safest dose, then expanding to see how well it shrinks tumors and improves symptoms like pain and joint movement. About 120 adults are taking part.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- vimseltinib (a drug that blocks a protein called CSF1R, which helps control certain tumor growth)
- What this could lead to
- If successful, this could provide a new treatment option for people with tenosynovial giant cell tumor (TGCT) that cannot be removed by surgery, potentially shrinking tumors and improving joint movement.
- What could go wrong
- This is an early-phase trial (Phase 1/2) with a small number of participants, so the drug may not work as hoped or could cause side effects. Results may not apply to all patients.
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 1/2
Runs two stages together: safety and dose first, then whether the treatment works.
- Participants
-
About 120 people
The number the study aims to enrol. It can still change while the study runs.
- Started
-
Feb 2017
- Expected to finish
-
Aug 2028
An estimate. End dates often move.
- Lead sponsor
-
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
-
18 years and older
- Sex
-
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 Dose Escalation Phase: 1. Patients ≥18 years of age 2. Patients must have: 1. advanced malignant solid tumors; or 2. symptomatic TGCT for which surgical resection is not an option (tumor biopsy to confirm diagnosis required if no histology/pathology available at screening) 3. Malignant solid tumor patients only: Able to provide a tumor tissue sample 4. Must have 1 measurable lesion according to RECIST Version 1.1 5. Malignant solid tumor patients only: Must have Eastern Cooperative Oncology Group (ECOG) performance status of 0-1 6. Adequate organ and bone marrow function 7. If a female of childbearing potential, must have a negative pregnancy test prior to enrollment and agree to follow the contraception requirements. 8. Must provide signed consent to participate in the study and is willing to comply with study-specific procedures. Expansion Phase (Cohorts A and B) 1. Patients ≥18 years of age 2. Patients must have symptomatic TGCT for which surgical resection is not an option (tumor biopsy to confirm diagnosis required if no histology/pathology available at screening) a) Expansion Cohort B: patients must have prior systemic treatment with anti-CSF1 or anti-CSF1R therapy, with the exception of imatinib or nilotinib 3. Adequate organ and bone marrow function 4. Must have at least 1 measurable lesion according to RECIST Version 1.1 5. If a female of childbearing potential, must have a negative pregnancy test prior to enrollment and agree to follow the contraception requirements. 6. Must provide signed consent to participate in the study and is willing to comply with study-specific procedures. Exclusion Criteria Dose Escalation Phase: 1. Received anticancer therapy or therapy for TGCT, including investigational therapy, within 2 weeks or 28 days for therapies with half-life (t1/2) longer than 3 days prior to the administration of study drug. 2. Unresolved toxicity (Grade \>1 or baseline) from previous anticancer therapy or TGCT therapy, excluding alopecia. 3. Known active central nervous system (CNS) metastases. 4. History or presence of clinically relevant cardiovascular abnormalities. 5. Systemic arterial or venous thrombotic or embolic events. 6. QT interval corrected by Fridericia's formula (QTcF) \>450 ms in males or \>470 ms in females or history of long QT syndrome. 7. Left ventricular ejection fraction (LVEF) \<50%. 8. Concurrent treatment with proton-pump inhibitor(s). 9. Major surgery within 2 weeks of the first dose of study drug. 10. Malabsorption syndrome or other illness that could affect oral absorption. 11. Known human immunodeficiency virus, active hepatitis B, active hepatitis C, or active mycobacterium tuberculosis infection. 12. If female, the patient is pregnant or lactating. 13. Known allergy or hypersensitivity to any component of the study drug. 14. Any other clinically significant comorbidities. Expansion Phase (Cohorts A and B) 1. Expansion Cohort A: received systemic therapy targeting CSF1 or CSF1R; previous therapy with imatinib and nilotinib is allowed. 2. Expansion Cohort B: discontinued systemic therapy targeting anti-CSF1 or anti-CSF1R due to drug-induced liver injury. 3. Treatment with therapy for TGCT, including investigational therapy, within 2 weeks or 28 days for therapies with a t1/2 longer than 3 days prior to the administration of the study drug. 4. Known metastatic TGCT or other active cancer that requires concurrent treatment. 5. QT interval corrected by Fridericia's formula (QTcF) \>450 ms in males or \>470 ms in females or history of long QT syndrome. 6. Left ventricular ejection fraction (LVEF) \<55%. 7. Concurrent treatment with proton-pump inhibitor(s). 8. Major surgery within 2 weeks of the first dose of study drug. 9. Any clinically significant comorbidities 10. Malabsorption syndrome or other illness that could affect oral absorption. 11. Known human immunodeficiency virus (HIV), active or chronic hepatitis B, active or chronic hepatitis C, or active mycobacterium tuberculosis infection. 12. If female, the patient is pregnant or lactating. 13. Known allergy or hypersensitivity to any component of the study drug. 14. Contraindication for MRI 15. Active liver or biliary disease, including evidence of fatty liver, nonalcoholic steatohepatitis (NASH), or cirrhosis
Get updates
Get notified about this study
Sign up to get updates when this study changes or when new studies for Advanced malignant neoplasm are added.
Genom att skicka in godkänner du våra Användarvillkor
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
-
Centre Leon Berard
Lyon, France
-
Dana Farber
Boston, Massachusetts, 02215, United States
-
Fondazione IRCCS Istituto Nazionale Dei Tumori
Milan, Italy
-
Gustave Roussy Cancer Campus Grand Paris
Paris, France
-
Hospital Clinico San Carlos
Madrid, Spain
-
Hospital Universitario Vall d'Hebron
Barcelona, Spain
-
Hospital Universitario Virgen del Rocío, Sevilla
Seville, Spain
-
IRCCS Istituto Ortopedico Rizzoli
Bologna, Italy
-
Istituto Nazionale dei Tumori
Milan, Italy
-
Leiden University Medical Center
Leiden, Netherlands
-
M. Sklodowska-Curie Memorial Cancer Center
Warsaw, Poland
-
MSKCC
New York, New York, 10065, United States
-
Mayo Clinic
Jacksonville, Florida, 32224, United States
-
McGill University Health Centre
Montreal, Quebec, Canada
-
OHSU
Portland, Oregon, 97239, United States
-
Oregon Health & Science University
Portland, Oregon, 97239, United States
-
Peter MacCallum Cancer Centre
Melbourne, Australia
-
Princess Margaret Cancer Center
Toronto, Canada
-
Regina Elena National Cancer Institute
Rome, Italy
-
Sarah Cannon Research Institute
Nashville, Tennessee, 37203, United States
-
Stanford Cancer Institute
Palo Alto, California, 94304, United States
-
University College Hospital
London, United Kingdom
-
University of Colorado - Denver
Denver, Colorado, 80204, United States
-
University of Miami
Miami, Florida, 33136, United States
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Personalized maintenance therapy: a smarter way to treat advanced cancer?
- Could a Pre-Surgery drug slash recurrence in rare joint tumors?
- Experimental cancer drug AUR106 tested in humans for first time
- New pill shows promise for rare joint tumor in early trial
- New pill for tough tumors enters human testing
- New pill could shrink rare joint tumors without surgery