About this trial
To learn about the safety and effects of an investigational drug called nirogacestat when given to participants with a desmoid tumor/aggressive fibromatosis
Eligibility criteria
Qualifiers
Age ≥ 18 years. Individuals younger than 18 years old are excluded. More than 99% of the population evaluated at MDACC with a diagnosis of DT is older than 18. Sixty-three percent of the population with a diagnosis of DT evaluated at MDACC are 10 - 54 years old. The remaining 37 percent are older than 54 years old. Additionally, most of the robust data related to dosing or adverse event data currently available on the use of nirogacestat is in adults
Histologically documented DT with evidence of radiographic tumor progression (≥ 10% or absolute increase in dimensions of ≥ 10 mm in maximal diameter) in unidimensional measurement within the previous 18 months. Patients must have measurable disease, defined as at least one lesion that can be accurately measured in at least one dimension as ≥10 mm (≥1 cm) with CT scan, MRI, or calipers by clinical exam
Recurrent or primary disease
Symptomatic disease or impending morbidity (as defined by physician) and patient and physician agree treatment would be of benefit
Disqualifiers
Unable to undergo serial biopsies
Participants with familial adenomatous polyposis
Unable to tolerate MRI or for whom MRI is contraindicated
Pregnant or breastfeeding women are excluded from this study. Based on findings in animal studies, oral administration of nirogacestat to pregnant rats during the period of organogenesis resulted in embryo-fetal toxicities at maternal exposures that were significantly lower than adult human exposures at the recommended dose of 150 mg twice daily. Nirogacestat should be avoided during pregnancy
Trial design
Treatments tested in this trial
- Nirogacestat
Treatment groups
Sponsors and collaborators
M.D. Anderson Cancer Center
Lead sponsor
SpringWorks Therapeutics, Inc.
Collaborator