[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-studies-list:{\"conditionNormalized\":\"recurrent-world-health-organization-who-grade-ii-glioma\",\"overallStatus\":[\"RECRUITING\",\"AVAILABLE\",\"NOT_YET_RECRUITING\"],\"orderBy\":\"LastUpdateSubmitDate:desc\",\"size\":25,\"offset\":0}":3,"health-study-condition:recurrent-world-health-organization-who-grade-ii-glioma":27},{"pageToken":4,"total":5,"offset":6,"count":5,"results":7},null,2,0,[8,48],{"id":9,"slug":10,"hasResults":11,"nctId":12,"briefTitle":13,"officialTitle":14,"acronym":4,"eligibilityCriteria":15,"healthyVolunteers":11,"sex":16,"minAge":17,"maxAge":18,"enrollmentInfo":19,"targetDuration":4,"studyType":22,"phases":23,"briefSummary":25,"conditions":26,"keywords":30,"overallStatus":35,"whyStopped":4,"lastUpdateSubmitDate":36,"lastUpdatePostDateStruct":37,"startDateStruct":40,"completionDateStruct":42,"leadSponsor":44,"locationsCount":47},"100399771","phase-1-trametinib-and-everolimus-for-treatment-of-pediatric-and-young-adult-patients-with-recurrent-gliomas-pnoc021-100399771",false,"NCT04485559","Trametinib and Everolimus for Treatment of Pediatric and Young Adult Patients With Recurrent Gliomas (PNOC021)","PNOC021: A Phase I Trial Evaluating the Combination of Trametinib and Everolimus in Pediatric and Young Adult Patients With Recurrent Low-Grade Gliomas and High Grade Gliomas","Inclusion Criteria:\n\n* Participants must have histologically confirmed diagnosis of an LGG (WHO grade I-II) that is recurrent or progressive after prior treatment (biologic, chemotherapy or radiation therapy) or must have a histologically confirmed diagnosis of a high grade glioma (HGG) (WHO grade III-VI)\n\n  * Participants with LGG who have had surgery alone are not eligible.\n  * Participants with neurofibromatosis type 1 (NF-1) are eligible but must have available tissue per study requirements neurofibromatosis (NF) status will be collected\n  * Participants with spinal cord primaries or disseminated disease are eligible\n* For enrollment, snap frozen tissue (150 mg) or 10 unstained 10 um formalin-fixed, paraffin-embedded (FFPE) slides for comprehensive genomic testing or results of prior testing is required\n\n  * If clinical comprehensive testing has already been performed, the requirement for submission of tissue may be waived after discussion and review of results with study chairs\n* Participants must have evaluable disease\n* Prior therapy: Participants must have received prior therapy other than surgery and must have fully recovered from the acute toxic effects of all prior chemotherapy, biologics, immunotherapy, or radiotherapy prior to entering this study\n\n  * Myelosuppressive chemotherapy: Participants must have received their last dose of known myelosuppressive anticancer chemotherapy at least three weeks prior to study registration or at least six weeks if they had received nitrosourea. Biologic agents: Participant must have recovered from any acute toxicity potentially related to the agent and received their last dose of the biologic agent \\>= 7 days prior to study registration. For biologic agents that have a prolonged half-life, at least three half-lives must have elapsed prior to registration\n\n    * Participants may have received prior treatment with a mitogen-activated extracellular signal-regulated kinase (MEK) or Mechanistic target of rapamycin (mTOR) inhibitor but must not have developed severe (grade III or IV) clinically significant toxicity. (Participants who developed grade III or IV toxicity which was not presumed by the treating physician to be medically significant should be discussed with the study chair or co-chair)\n  * Monoclonal antibody treatment: Participants must have received their last dose at least four weeks prior to study registration\n  * Radiation: Participants must have: had their last fraction of local irradiation to the primary tumor, craniospinal irradiation (\\> 24 Gy) or total body irradiation \\> 12 weeks prior to registration; investigators are reminded to review potentially eligible cases to confirm disease progression and avoid confusion with pseudo-progression\n  * Bone marrow transplant: Participants must be: \\>= 6 months since allogeneic bone marrow transplant prior to registration; \\>= 3 months since autologous bone marrow\u002Fstem cell prior to registration\n  * Corticosteroids: Participants who are receiving steroids must be on a stable or decreasing dose for at least 1 week prior to registration\n* Karnofsky \\>= 50 for participants \\> 16 years of age and Lansky \\>= 50 for participants =\\\u003C 16 years of age. Participants who are unable to walk because of paralysis, but who are up in a wheelchair, will be considered ambulatory for the purpose of assessing the performance score\n* Peripheral absolute neutrophil count (ANC) \\>= 1000\u002Fmm\\^3 (unsupported)\n* Platelet count \\>= 100,000\u002Fmm\\^3 (transfusion independent, defined as not receiving platelet transfusions for at least 7 days prior to enrollment)\n* Hemoglobin \\>= 8 m\u002FdL (may be supported)\n* International normalized ratio (INR) =\\\u003C 1.5\n* Creatinine clearance or radioisotope growth factor receptor (rGFR) \\>= 70 mL\u002Fmin\u002F1.73 m\\^2 or a serum creatinine based on age\u002Fgender as follows:\n\n  * 1 to \\\u003C 2 years: 0.6 (male), 0.6 (female)\n  * 2 to \\\u003C 6 years: 0.8 (male), 0.8 (female)\n  * 6 to \\\u003C 10 years: 1 (male), 1 (female)\n  * 10 to \\\u003C 13 years: 1.2 (male), 1.2 (female)\n  * 13 to \\\u003C 16 years: 1.5 (male), 1.4 (female)\n  * \\>= 16 years: 1.7 (male), 1.4 (female)\n* Bilirubin (sum of conjugated + unconjugated) =\\\u003C 1.5 x upper limit of normal (ULN) for age\n* Serum glutamate pyruvate transaminase (SGPT) alanine aminotransferase (ALT) =\\\u003C 3 x ULN\n* Serum albumin \\>= 2 g\u002FdL\n* Sodium, potassium, calcium and magnesium within 1.5 x institutional lower limit of normal (LLN) or ULN\n* Participants must have cholesterol level \\\u003C 350 mg\u002FdL and triglycerides \\\u003C 400 mg\u002FdL before starting therapy. In case one or both of these are exceeded, the participant can only be included after initiation of appropriate lipid lowering medication and documentation of cholesterol \\\u003C 350 mg\u002FdL and triglycerides \\\u003C 400mg\u002Fdl before start of therapy\n* Participants with seizure disorder may be enrolled if well controlled. Participants must be on non-enzyme inducing anticonvulsants which are not excluded on study therapy\n* Participants with neurological deficits should have deficits that are stable for a minimum of 1 week prior to registration\n* Corrected QT (QTc) interval =\\\u003C 450 msecs\n* Left ventricular ejection fraction (LVEF) \\>= 50%\n* Pulse oximeter (Ox) \\> 93% on room air\n* Hypertension\n\n  * Participants 3-17 years of age must have a blood pressure that is =\\\u003C 95th percentile for age, height, and gender at the time of registration\n  * Participants who are \\>= 18 years of age must have a blood pressure that is \\\u003C 140\u002F90 mm of Hg at the time of registration\n* Participants must agree to use adequate contraception: The effects of trametinib and everolimus on the developing human fetus are unknown. For this reason, women of child-bearing potential and males of child fathering potential must agree to use adequate contraception (hormonal or barrier method of birth control; abstinence) prior to study entry, for the duration of study participation and 4 months after completion of trametinib and everolimus administration. Should a woman become pregnant or suspect she is pregnant while she or her partner is participating in this study, she should inform her treating physician immediately\n* A legal parent\u002Fguardian or participant must be able to understand, and willing to sign, a written informed consent and assent document, as appropriate per institutional guidelines\n\nExclusion Criteria:\n\n* Participants who are receiving any other investigational agent for treatment of their tumor\n* History of allergic reactions attributed to compounds of similar chemical or biologic composition to everolimus or trametinib\n* Participants without available tissue from prior surgery. (If clinical comprehensive testing has already been performed, the requirement for submission of tissue may be waived after discussion and review of results with study chairs)\n* Participant is receiving any of the following medications within 7 days prior to enrollment (If participants require (re)initiation of these agents after enrollment and prior to start of therapy they will not be eligible to initiate study therapy):\n\n  * Known strong inducers or inhibitors of CYP3A4\u002F5, including enzyme inducing anti-convulsant drugs (EIACDs), grapefruit, grapefruit hybrids, pomelos, starfruit, and Seville oranges\n  * Substrates of CYP3A4\u002F5 with a narrow therapeutic index\n  * Herbal preparations\u002Fmedications (except for vitamins) including, but not limited to: St. John's wort, Kava, ephedra (ma huang), gingko biloba, dehydroepiandrosterone (DHEA), yohimbe, saw palmetto, black cohosh and ginseng. Participants should stop using all herbal medications at least 7 days prior to enrollment\n  * As part of the enrollment\u002Finformed consent procedures, the participant and\u002For legal parent or guardian will be counseled on the risk of interactions with other agents, and what to do if new medications need to be prescribed or if the participant is considering a new over-the-counter medicine or herbal product\n* Women of childbearing potential who are pregnant or breast-feeding\n\n  * Female participants of childbearing potential must have a negative serum or urine pregnancy test within 72 hours of enrollment AND within 72 hours prior to receiving the first dose of study medication. If the urine test is positive or cannot be confirmed as negative, a serum pregnancy test will be required\n* Human immunodeficiency virus (HIV) positive participants will be ineligible if HIV therapy regimen has not been stable for at least 4 weeks or there is intent to change the regimen within 8 weeks following enrollment, or if they are severely immunocompromised\n* Participants with known hepatitis B or C are not eligible\n* Participants with any clinically significant unrelated systemic illness (serious infectious or significant cardiac, pulmonary, hepatic or other organ dysfunction), which in the opinion of the investigator would interfere with the study procedures or results\n* Participants with other factors that increase the risk of QT prolongation or arrhythmic events (e.g., heart failure, hypokalemia, family history of long QT interval syndrome) including heart failure that meets New York Heart Association (NYHA) class II or above are excluded","ALL","1 Year","25 Years",{"count":20,"type":21},50,"ESTIMATED","INTERVENTIONAL",[24],"PHASE1","This phase I trial studies the side effects and best dose of trametinib and everolimus in treating pediatric and young adult patients with gliomas that have come back (recurrent). Trametinib acts by targeting a protein in cells called MEK and disrupting tumor growth. Everolimus is a drug that may block another pathway in tumor cells that can help tumors grow. Giving trametinib and everolimus may work better to treat low and high grade gliomas compared to trametinib or everolimus alone.",[27,28,29],"Recurrent World Health Organization (WHO) Grade II Glioma","Low-grade Glioma","High Grade Glioma",[31,32,33,34],"Mitogen-activated protein kinase (MAPK)","phosphatidylinositol 3-kinase (PI3K)","MAPK","PI3K","RECRUITING","2026-06-16",{"date":38,"type":39},"2026-06-17","ACTUAL",{"date":41,"type":39},"2020-12-09",{"date":43,"type":21},"2027-12-31",{"name":45,"class":46},"University of California, San Francisco","OTHER",17,{"id":49,"slug":50,"hasResults":11,"nctId":51,"briefTitle":52,"officialTitle":53,"acronym":4,"eligibilityCriteria":54,"healthyVolunteers":11,"sex":16,"minAge":55,"maxAge":4,"enrollmentInfo":56,"targetDuration":4,"studyType":22,"phases":58,"briefSummary":59,"conditions":60,"keywords":64,"overallStatus":35,"whyStopped":4,"lastUpdateSubmitDate":67,"lastUpdatePostDateStruct":68,"startDateStruct":70,"completionDateStruct":72,"leadSponsor":74,"locationsCount":76},"100403959","phase-1-serial-mr-imaging-and-mr-spectroscopic-imaging-for-the-characterization-of-lower-grade-glioma-100403959","NCT04540107","Serial MR Imaging and MR Spectroscopic Imaging for the Characterization of Lower Grade Glioma","Metabolic Imaging of Patients With Lower Grade Glioma Using Hyperpolarized 13C Pyruvate","Inclusion Criteria:\n\n* For patients in cohort 1: histologically proven lower grade glioma who are being followed with surveillance scans\n* For patients in cohort 2: histologically proven glioma who are scheduled for treatment due to suspected residual or recurrent tumor\n* Patients with a life expectancy \\> 12 weeks\n* Patients must have a Karnofsky performance status of \\>= 60\n* Patients must have adequate renal function (creatinine \\\u003C 1.5 mg\u002FdL) before imaging. These tests must be performed within 60 days prior to the hyperpolarized imaging scan.\n* Patients must not have any significant medical illnesses that in the investigator's opinion cannot be adequately controlled with appropriate therapy, would compromise the patient's ability to participate in this study or any disease that will obscure toxicity or dangerously impact response to the imaging agent.\n* Patients must not have New York Heart Association (NYHA) grade II or greater congestive heart failure\n* Patients must not have history of myocardial infarction or unstable angina within 12 months prior to study enrollment\n* This study was designed to include women and minorities, but was not designed to measure differences of intervention effects. Males and females will be recruited with no preference to gender. Minorities will actively be recruited to participate. No exclusion to this study will be based on race\n* Patients must sign an informed consent indicating that they are aware of the investigational nature of this study. Patients must sign an authorization for the release of their protected health information\n* Patients may not be known to be human immunodeficiency virus (HIV)-positive. HIV testing is not required for study participation\n* Patients must not have a history of any other cancer (except non-melanoma skin cancer or carcinoma in-situ of the cervix), unless they are in complete remission and have been off all therapy for that disease for a minimum of 3 years\n* Patients must not be pregnant or breast-feeding. Women of childbearing potential are required to obtain a negative pregnancy test within 14 days of hyperpolarized imaging scan. Effective contraception (men and women) must be used in subjects of child-bearing potential\n\nExclusion Criteria:\n\n* Subjects will be excluded from participating in this study if they are unable to comply with study and\u002For follow-up procedures","18 Years",{"count":57,"type":21},300,[24],"This trial studies how well serial magnetic resonance (MR) imaging and MR spectroscopic imaging work in characterizing lower grade glioma. Diagnostic procedures, such as MR imaging and MR spectroscopic imaging, may detect serial changes in lower grade glioma. This study may help researchers learn more about practical ways of evaluating and standardizing treatment in patients with brain tumors.",[27,61,62,63],"Recurrent WHO Grade III Glioma","WHO Grade II Glioma","WHO Grade III Glioma",[65,66],"Glioma","Hyperpolarized Pyruvate (13C)","2026-04-27",{"date":69,"type":39},"2026-04-29",{"date":71,"type":39},"2017-01-11",{"date":73,"type":21},"2027-01-31",{"name":75,"class":46},"Susan Chang",1]