Clinical trial

FIREFLY-1: A Phase 2, Open-Label, Multicenter Study to Evaluate the Safety and Efficacy of the Oral Pan-RAF Inhibitor DAY101 in Pediatric Patients With RAF-Altered, Recurrent or Progressive Low-Grade Glioma and Advanced Solid Tumors

Name
DAY101-001/PNOC026
Description
FIREFLY-1 is an ongoing, Phase 2, multi center, open-label study to evaluate the safety and efficacy of oral pan-RAF inhibitor DAY101 in pediatric, adolescent, and young adult patients with recurrent or progressive low-grade glioma or an advanced solid tumor harboring a known RAF alteration.
Trial arms
Trial start
2021-04-22
Estimated PCD
2022-12-22
Trial end
2024-06-10
Status
Recruiting
Phase
Early phase I
Treatment
DAY101
DAY101 is an oral pan-RAF inhibitor provided as an immediate-release tablet (100 mg) or powder for reconstitution (25 mg/mL).
Arms:
Arm #1, Arm #2, Arm #3
Size
140
Primary endpoint
Arm 1: Overall response rate (ORR) by independent radiology review committee (IRC) based on RANO criteria
Up to 48 months
Arm 2: Assess the safety and tolerability of DAY101
Up to 48 months
Arm 3: Overall response rate (ORR) by independent radiology review committee (IRC) based on RECIST v1.1 criteria
Up to 48 months
Eligibility criteria
Inclusion Criteria: * Age 6 months to 25 years with: 1. Arms 1 \& 2: a relapsed or progressive LGG with documented known activating BRAF alteration 2. Arm 3: locally advanced or metastatic solid tumor with documented known or expected to be activating RAF fusion * Confirmation of histopathologic diagnosis of LGG and molecular diagnosis of activating BRAF alteration * Must have received at least one line of systemic therapy and have evidence of radiographic progression * Must have at least 1 measurable lesion as defined by RANO (Arms 1 \& 2) or RECIST v1.1 (Arm 3) criteria Exclusion Criteria: * Patient's tumor has additional previously-known activating molecular alterations * Patient has symptoms of clinical progression in the absence of radiographic progression * Known or suspected diagnosis of neurofibromatosis type 1 (NF-1) * Other inclusion/exclusion criteria as stipulated by protocol may apply
Protocol
{'studyType': 'INTERVENTIONAL', 'phases': ['PHASE2'], 'designInfo': {'allocation': 'NON_RANDOMIZED', 'interventionModel': 'SINGLE_GROUP', 'interventionModelDescription': 'Single intervention across 3 arms - - no comparator', 'primaryPurpose': 'TREATMENT', 'maskingInfo': {'masking': 'NONE'}}, 'enrollmentInfo': {'count': 140, 'type': 'ESTIMATED'}}
Updated at
2023-12-27

1 organization

1 product

2 abstracts

2 indications

Product
DAY101
Abstract
Type II RAF inhibitor tovorafenib in relapsed/refractory pediatric low-grade glioma (pLGG): Reversible decreases in growth velocity in the phase 2 FIREFLY-1 trial.
Org: Kids Cancer Centre, Sydney Children's Hospital, University Hospital – Rigshospitalet, Children’s Health Queensland Hospital and Health Service, Department of Paediatric Haematology/Oncology,
Abstract
Clinical activity of pan-RAF inhibitor tovorafenib in the registrational pediatric low-grade glioma arm of the phase 2 FIREFLY-1 (PNOC026) study.
Org: Children's National Hospital, Washington, DC, Duke University, Durham, NC, Northern Institute for Cancer Research, Newcastle University, Newcastle-upon-Tyne, United Kingdom, CHU Sainte-Justine, Université de Montréal, Montréal, QC, Canada, Texas Children's Cancer Center, Texas Children's Hospital, Baylor College of Medicine, Houston, TX,