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Trial Title: Study of Pimicotinib (ABSK021) for Tenosynovial Giant Cell Tumor (MANEUVER)

NCT ID: NCT05804045

Condition: Tenosynovial Giant Cell Tumor
Pigmented Villonodular Synovitis
Giant Cell Tumor of Tendon Sheath

Conditions: Official terms:
Neoplasms
Giant Cell Tumors
Giant Cell Tumor of Tendon Sheath
Synovitis, Pigmented Villonodular
Synovitis

Study type: Interventional

Study phase: Phase 3

Overall status: Active, not recruiting

Study design:

Allocation: Randomized

Intervention model: Parallel Assignment

Primary purpose: Treatment

Masking: Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)

Intervention:

Intervention type: Drug
Intervention name: Pimicotinib(ABSK021)
Description: capsule
Arm group label: Part 1- Placebo/ Pimicotinib(ABSK021)
Arm group label: Part 1/Part 2/Part 3- Pimicotinib(ABSK021)/ Pimicotinib(ABSK021)

Intervention type: Drug
Intervention name: Placebo
Description: capsule
Arm group label: Part 1- Placebo/ Pimicotinib(ABSK021)

Summary: The goal of this clinical trial is to assess the efficacy and safety of Pimicotinib (ABSK021) in patients with Tenosynovial Giant Cell Tumor (TGCT). The main questions it aims to answer are: - Whether the Pimicotinib(ABSK021) works well in patients with TGCT. - Whether the Pimicotinib(ABSK021) is safe in patients with TGCT. Participants will be asked to complete the study procedures: - Receive the administration of Pimicotinib(ABSK021) or placebo (a placebo is a look-alike substance that contains no active drug) about 24 weeks in study part 1. - Receive the administration of Pimicotinib(ABSK021) about 24 weeks in study part 2. - Receive the administration of Pimicotinib(ABSK021) till study end in study part 3. - Complete the study procedures speficied in the protocol, which is guided by researchers.

Detailed description: This study consists of part 1 and part 2. Part 1 is a double-blind phase, eligible patients will be randomized to Pimicotinib(ABSK021) treatment group or matching placebo group and will receive Pimicotinib(ABSK021) or matching placebo until completion of Part 1. Part 2 is an open-label treatment phase, and all patients entering this phase will receive open-label Pimicotinib(ABSK021) until completion of 24 weeks of dosing or withdrawal from the study. Part 3 is an open-label extension treatment phase, and patients who completed the part 2 and continuted to be eligible, will go to the Part 3. Patients will receive the open-label Pimicotinib(ABSK021) until all patients withdraw from the study, or the sponsor decides to terminate the study, whichever occurs first.

Criteria for eligibility:
Criteria:
Inclusion Criteria: - Patients should understand the study procedures and sign the informed consent form prior to screening. - Age ≥ 18 years. - A histologically confirmed TGCT with unresectable. - Measurable disease as defined by RECIST 1.1, and with at least one lesion of ≥ 2 cm. - Stable prescription of analgesic regimen for patients with an analgesic need. - Participants should complete stiffness and pain scales during the screening period, and symptomatic disease because of active TGCT should meet minimum requirements as outlined in study protocol. - ECOG PS (Eastern Cooperative Oncology Group Performance Status) of 0 or 1. - Adequate organ function and bone marrow function. Exclusion Criteria: - Known allergy or hypersensitivity to any components of the investigational drug product. - Previous treatment with highly selective inhibitors targeting CSF-1/CSF-1R. Previous therapy with imatinib and nilotinib is allowed. - Known additional malignancy that required active treatment and may affect the patient's participation in the study or affect the outcome of the study as assessed by the Investigator. - Known metastatic TGCT. - Significant concomitant arthropathy in the affected joint, serious disease, uncontrolled infection. - Known MRI contraindications. - Has factors that significantly affected the absorption of oral drug. - Major surgery or previous anti-tumor therapy for TGCT within 4 weeks prior to randomization. - Concomitant use of strong CYP inhibitors or inducers as outlined in study protocol. - Impaired cardiac function or clinically significant cardiac disease. - Known active human immunodeficiency virus, active hepatitis B, active hepatitis C, or known active tuberculosis. - Known active liver or biliary disease, or other diseases that may lead to abnormal liver function test results during the study. - Pregnant or lactating women. - Childbearing potential males or non-surgically sterilized female patients must agree to use effective methods of contraception during the study. - Any other clinically significant comorbidities, which in the judgment of the Investigator, could compromise compliance with the protocol, interfere with the interpretation of study results, or predispose the patient to safety risks.

Gender: All

Minimum age: 18 Years

Maximum age: N/A

Healthy volunteers: No

Locations:

Facility:
Name: Precision NextGen Oncology

Address:
City: Beverly Hills
Zip: 90212
Country: United States

Facility:
Name: Duke University Medical Center

Address:
City: Durham
Zip: 27710
Country: United States

Facility:
Name: Henry Ford Health System

Address:
City: Detroit
Zip: 48202
Country: United States

Facility:
Name: Roswell Park Comprehensive Cancer Center

Address:
City: Buffalo
Zip: 14263
Country: United States

Facility:
Name: The Cleveland Clinic Foundation

Address:
City: Cleveland
Zip: 44195
Country: United States

Facility:
Name: The Ohio State University

Address:
City: Columbus
Zip: 43210
Country: United States

Facility:
Name: The University of Texas M.D. Anderson Cancer Center

Address:
City: Houston
Zip: 77030
Country: United States

Facility:
Name: Fred Hutchinson Cancer Center

Address:
City: Seattle
Zip: 98109
Country: United States

Facility:
Name: McGill University Health Center

Address:
City: Montréal
Country: Canada

Facility:
Name: Princess Margaret Cancer Center

Address:
City: Toronto
Country: Canada

Facility:
Name: The First Affiliated Hospital of Bengbu Medical College

Address:
City: Bengbu
Country: China

Facility:
Name: Peking University People's Hospital

Address:
City: Beijing
Country: China

Facility:
Name: The First Affiliated Hospital of Fujian Medical University

Address:
City: Fuzhou
Country: China

Facility:
Name: Guangdong Provincial People's Hospital

Address:
City: Guangzhou
Country: China

Facility:
Name: The First Affiliated Hospital of Jinan University

Address:
City: Guangzhou
Country: China

Facility:
Name: The First Affiliated Hospital, Sun Yat-sen University

Address:
City: Guangzhou
Country: China

Facility:
Name: The Affiliated Hospital of Guizhou Medical University

Address:
City: Guiyang
Country: China

Facility:
Name: Henan Cancer Hospital

Address:
City: Zhengzhou
Country: China

Facility:
Name: The Central Hospital of Enshi Tujia and Miao Autonomous Prefecture

Address:
City: Enshi
Country: China

Facility:
Name: Union Hospital Affiliated to Tongji Medical College, Huazhong University of Science and Technology

Address:
City: Wuhan
Country: China

Facility:
Name: Hunan Provincial People's Hospital

Address:
City: Changsha
Country: China

Facility:
Name: The Second Xiangya Hospital of Central South University

Address:
City: Changsha
Country: China

Facility:
Name: Nanjing Drum Tower hospital

Address:
City: Nanjing
Country: China

Facility:
Name: Liaoning Cancer Hospital&Institute

Address:
City: Shenyang
Country: China

Facility:
Name: Weifang People's Hospital

Address:
City: Weifang
Country: China

Facility:
Name: Shanghai General Hospital

Address:
City: Shanghai
Country: China

Facility:
Name: The Second Hospital of Shanxi Medical University

Address:
City: Taiyuan
Country: China

Facility:
Name: Xi'an Honghui Hospital

Address:
City: Xi'an
Country: China

Facility:
Name: West China Hospital Sichuan University

Address:
City: Chengdu
Country: China

Facility:
Name: The First Affiliated Hospital of Xinjiang Medical University

Address:
City: Ürümqi
Country: China

Facility:
Name: The Second Affiliated Hospital Zhejiang University School of Medicine

Address:
City: Hangzhou
Country: China

Facility:
Name: Zhejiang Cancer Hospital

Address:
City: Hangzhou
Country: China

Facility:
Name: Beijing Jishuitan Hospital

Address:
City: Beijing
Country: China

Facility:
Name: IRCCS Istituto Ortopedico Rizzoli

Address:
City: Bologna
Country: Italy

Facility:
Name: Fondazione IRCCS Istituto Nazionale dei Tumori

Address:
City: Milano
Country: Italy

Facility:
Name: Ospedale di Prato

Address:
City: Prato
Country: Italy

Facility:
Name: Leiden University Medical Center

Address:
City: Leiden
Zip: 2333
Country: Netherlands

Facility:
Name: Maria Sklodowska-Curie National Research Institute of Oncology

Address:
City: Warsaw
Country: Poland

Facility:
Name: Hospital Universitari Vall d'Hebron

Address:
City: Barcelona
Country: Spain

Facility:
Name: Fundacion Jimenez Diaz

Address:
City: Madrid
Zip: 28040
Country: Spain

Start date: April 27, 2023

Completion date: June 2028

Lead sponsor:
Agency: Abbisko Therapeutics Co, Ltd
Agency class: Industry

Source: Abbisko Therapeutics Co, Ltd

Record processing date: ClinicalTrials.gov processed this data on November 12, 2024

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT05804045

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