Dabrafenib Combined With Trametinib After Radiation Therapy in Treating Patients With Newly-Diagnosed High-Grade Glioma
Study Details
Study Description
Brief Summary
This phase II trial studies how well the combination of dabrafenib and trametinib works after radiation therapy in children and young adults with high grade glioma who have a genetic change called BRAF V600 mutation. Radiation therapy uses high energy rays to kill tumor cells and reduce the size of tumors. Dabrafenib and trametinib may stop the growth of tumor cells by blocking BRAF and MEK, respectively, which are enzymes that tumor cells need for their growth. Giving dabrafenib with trametinib after radiation therapy may work better than treatments used in the past in patients with newly-diagnosed BRAF V600-mutant high-grade glioma.
| Condition or Disease | Intervention/Treatment | Phase |
|---|---|---|
|
Phase 2 |
Detailed Description
PRIMARY OBJECTIVE:
- To estimate the event-free survival (EFS) distribution for newly-diagnosed patients with BRAFV600-mutant high-grade glioma (HGG) without H3 K27M mutations excluding anaplastic pleomorphic xanthoastrocytoma (aPXA) and anaplastic ganglioglioma (aGG) treated with radiation therapy followed by a maintenance combination of dabrafenib mesylate (dabrafenib) and trametinib dimethyl sulfoxide (trametinib) and to compare this EFS to contemporary historical controls.
SECONDARY OBJECTIVES:
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To describe the overall survival (OS) distribution for newly-diagnosed patients with BRAFV600-mutant HGG without H3 K27M mutations excluding aPXA and aGG treated with radiation therapy followed by a maintenance combination of dabrafenib and trametinib.
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To describe the EFS and overall survival (OS) distribution for newly-diagnosed patients with BRAFV600E-mutant aPXA and aGG without H3 K27M mutations treated with radiation therapy followed by a maintenance combination of dabrafenib and trametinib.
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To describe the EFS and overall survival (OS) distribution for newly-diagnosed patients with BRAFV600E-mutant HGG including aPXA and aGG with H3 K27M mutations treated with radiation therapy followed by a maintenance combination of dabrafenib and trametinib.
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To define and evaluate the toxicities of combination therapy with dabrafenib and trametinib after radiation therapy in newly-diagnosed patients with HGG.
EXPLORATORY OBJECTIVE:
- To bank tumor specimens and body fluids (blood, urine and cerebrospinal fluid) for future studies.
OUTLINE:
Patients undergo standardized local radiation therapy (RT) 5 days a week (Monday-Friday) for 6-7 weeks. Four weeks after completion of RT, patients receive dabrafenib mesylate orally (PO) twice daily (BID) and trametinib dimethyl sulfoxide PO once daily (QD) on days 1-28. Treatment repeats every 28 days for up to 24 cycles in the absence of disease progression or unacceptable toxicity.
After completion of study treatment, patients are followed up at disease relapse, every 3 months for year 1, every 4 months for year 2, every 6 months for year 3, then annually for years 4-5.
Study Design
Arms and Interventions
| Arm | Intervention/Treatment |
|---|---|
| Experimental: Treatment (radiation therapy, dabrafenib, trametinib) Patients undergo standardized local RT 5 days a week (Monday-Friday) for 6-7 weeks. Four weeks after completion of RT, patients receive dabrafenib mesylate PO BID and trametinib dimethyl sulfoxide PO QD on days 1-28. Treatment repeats every 28 days for up to 24 cycles in the absence of disease progression or unacceptable toxicity. |
Drug: Dabrafenib Mesylate
Given PO
Other Names:
Radiation: Radiation Therapy
Undergo RT
Other Names:
Drug: Trametinib Dimethyl Sulfoxide
Given PO
Other Names:
|
Outcome Measures
Primary Outcome Measures
- Event-free survival (EFS) for stratum 1 [From the date of diagnosis until disease progression date, secondary malignant neoplasm occurrence date, death date of any cause, or last follow-up, assessed up to 5 years]
The EFS curve for the new treatment cohort (Stratum 1) will be estimated by Kaplan Meier estimates. A 2-sample, 1 sided log-rank test will be used to test whether the EFS distribution is better in new treatment compared with historical control. Calculation of the EFS will be based on the site determination as central review will be performed retrospectively.
Secondary Outcome Measures
- Overall survival (OS) for stratum 1, stratum 2, and stratum 3 [From the date of diagnosis until death date of any cause or last follow up date, assessed up to 5 years]
The OS curve for the new treatment cohort (stratum 1) will be estimated by Kaplan Meier estimates. A 2-sample, 1 sided log-rank test will be used to test whether the OS distribution is better in new treatment compared with historical control. For stratum 2 and stratum 3, Kaplan Meier estimates will be provided for OS distribution.
- Event-free survival (EFS) for stratum 2 and stratum 3 [Follow up date, assessed up to 5 years]
For stratum 2 and stratum 3, Kaplan Meier estimates will be provided for EFS distribution .
- Incidence of adverse events [Up to 5 years]
Graded per National Cancer Institute Common Terminology Criteria for Adverse Events version 5.0. Grade 3 and higher toxicities observed by cycle will be listed for each stratum separately. The grade 3 and higher toxicities observed by cycle and by system organ class for the eligible patients will also be listed for each stratum separately. Toxicity data will be reported separately for the radiation therapy phase versus the maintenance therapy phase for clarity of attribution. Toxicity monitoring will include toxicities such as grade 2 or higher pyrexia, uveitis, retinal vein occlusion, retinal pigment epithelial detachment, and decreased left ventricular ejection fraction.
Eligibility Criteria
Criteria
Inclusion Criteria:
-
PRE-ENROLLMENT ELIGIBILITY SCREENING (STEP 0): Patients must be >= 12 months and =< 21 years of age at the time of enrollment on Step 0
-
Note: This age range encompasses pre-screening for all HGG patients. Individual treatment protocols may have different age criteria
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PRE-ENROLLMENT ELIGIBILITY SCREENING (STEP 0): Patient is suspected of having localized newly-diagnosed HGG, excluding metastatic disease
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PRE-ENROLLMENT ELIGIBILITY SCREENING (STEP 0): Patient and/or their parents or legal guardians have signed informed consent for eligibility screening on APEC14B1 Part A.
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PRE-ENROLLMENT ELIGIBILITY SCREENING (STEP 0): The specimens obtained at the time of diagnostic biopsy or surgery must be submitted through APEC14B1 as soon as possible (ASAP), preferably within 5 calendar days of the procedure.
Please note: See the APEC14B1 Manual of Procedures for a full list of detailed instructions for submitting required materials and for shipping details
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Patients must be >= 3 years and =< 21 years of age at the time of enrollment
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Patients must have eligibility confirmed by Rapid Central Pathology and Molecular Screening Reviews performed on APEC14B1
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Newly diagnosed high-grade glioma with BRAF^V600-mutation
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Results for H3 K27M by immunohistochemistry (IHC) or sequencing
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Histologically confirmed high-grade glioma (World Health Organization [WHO] grade III or IV) including but not limited to: anaplastic astrocytoma (AA), anaplastic pleomorphic xanthoastrocytoma (aPXA), anaplastic gangliogliomas (aGG), glioblastoma (GB), and high-grade astrocytoma, not otherwise specified (NOS)
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Patients must have had histologic verification of a high-grade glioma diagnosis. Cerebrospinal fluid (CSF) cytology by lumbar puncture must be done if clinically indicated and determined to be safe prior to study enrollment. If cytology proves positive, the patient would be considered to have metastatic disease and would, therefore, be ineligible.
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A pre- and post-operative brain magnetic resonance imaging (MRI) with and without contrast and a baseline spine MRI with contrast must be obtained prior to enrollment. The requirement for a post-operative MRI is waived for patients who undergo biopsy only. If the spine MRI is positive, the patient would be considered to have metastatic disease and would be ineligible.
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Patients must have a performance status corresponding to Eastern Cooperative Oncology Group (ECOG) scores of 0, 1, or 2. Use Karnofsky for patients > 16 years of age and Lansky for patients =< 16 years of age.
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Peripheral absolute neutrophil count (ANC) >= 1000/uL (within 7 days prior to enrollment).
-
Platelet count >= 100,000/uL (transfusion independent) (within 7 days prior to enrollment).
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Hemoglobin >= 8.0 g/dL (may receive red blood cell [RBC] transfusions) (within 7 days prior to enrollment).
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Creatinine clearance or radioisotope glomerular filtration rate (GFR) >= 70 mL/min/1.73 m^2 (within 7 days prior to enrollment) or
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A serum creatinine based on age/gender as follows (within 7 days prior to enrollment):
-
Age 3 to < 6 years (Male 0.8 mg/dL, Female 0.8 mg/dL)
-
Age 6 to < 10 years (Male 1 mg/dL, Female 1 mg/dL)
-
Age 10 to < 13 years (Male 1.2 mg/dL, Female 1.2 mg/dL)
-
Age 13 to 16 < years (Male 1.5 mg/dL, Female 1.4 mg/dL)
-
Age >= 16 years (Male 1.7 mg/dL, Female 1.4 mg/dL)
-
Total bilirubin =< 1.5 x upper limit of normal (ULN) for age (within 7 days prior to enrollment), and
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Serum glutamate pyruvate transaminase (SGPT) (alanine aminotransferase [ALT]) =< 135 U/L (within 7 days prior to enrollment). For the purpose of this study, the ULN for SGPT is 45 U/L.
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Patients with a seizure disorder may be enrolled if their seizures are well controlled while on non-enzyme inducing anticonvulsants permitted on this study.
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Patients must be enrolled and protocol therapy must be projected to begin no later than 31 days after definitive surgery (day 0). If a biopsy only was performed, the biopsy date will be considered the date of definitive surgery. For patients who have a biopsy or incomplete resection at diagnosis followed by additional surgery, the date of the last resection will be considered the date of definitive surgery.
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All patients and/or their parents or legal guardians must sign a written informed consent.
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All institutional, Food and Drug Administration (FDA), and National Cancer Institute (NCI) requirements for human studies must be met.
Exclusion Criteria:
-
Patients with intrinsic brainstem or primary spinal cord tumors will be excluded.
-
Patients with metastatic disease (defined as neuraxis dissemination either by imaging or by cytology) will be excluded.
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Patients must not have received any prior tumor-directed therapy including chemotherapy, radiation therapy, immunotherapy, or bone marrow transplant for the treatment of HGG other than surgical intervention and/or corticosteroids.
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Previous treatment with dabrafenib or another RAF inhibitor, trametinib or another MEK inhibitor, or an ERK inhibitor.
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Patients with a history of a malignancy with confirmed activating RAS mutation.
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History of allergic reactions attributed to compounds of similar chemical or biologic composition to dabrafenib, trametinib, and their excipients.
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Uncontrolled medical conditions (e.g., diabetes mellitus, hypertension, liver disease, or uncontrolled infection), psychological, familial, sociological, or geographical conditions that do not permit compliance with the protocol; or unwillingness or inability to follow the procedures required in the protocol.
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Presence of active gastrointestinal (GI) disease or other condition (e.g., small bowel or large bowel resection) that will interfere significantly with the absorption of drugs.
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History of hepatitis B virus, or hepatitis C virus infection (patients with laboratory evidence of cleared hepatitis B virus and/or hepatitis C virus may be enrolled).
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History or current diagnosis of cardiac disease indicating significant risk of safety for patients participating in the study such as uncontrolled or significant cardiac disease, including any of the following:
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Recent myocardial infarction (within the last 6 months);
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Uncontrolled congestive heart failure;
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Unstable angina (within last 6 months);
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Clinically significant (symptomatic) or known, uncontrolled cardiac arrhythmias (e.g., sustained ventricular tachycardia, and clinically significant second or third degree atrioventricular [AV] block without a pacemaker) except sinus arrhythmia within the past 24 weeks prior to the first dose of study treatment;
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Coronary angioplasty or stenting (within last 6 months);
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Intra-cardiac defibrillators;
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Abnormal cardiac valve morphology (>= grade 2) documented by echocardiogram.
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Patients with a history or current evidence of retinal vein occlusion (RVO) or central serous retinopathy (CSR), or predisposing factors to RVO or CSR (e.g., uncontrolled glaucoma or ocular hypertension).
-
Patients with presence of interstitial lung disease or pneumonitis.
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Female patients who are pregnant are ineligible since there is yet no available information regarding human fetal or teratogenic toxicities.
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Lactating females are not eligible unless they have agreed not to breastfeed their infants for the duration of the study and for 4 months following discontinuation of study therapy.
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Female patients of childbearing potential are not eligible unless a negative pregnancy test result has been obtained.
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Sexually active patients of reproductive potential (male or female) are not eligible unless they have agreed to use an effective contraceptive method for the duration of their study participation and for 4 months following discontinuation of study therapy. Male patients (including those who have had a vasectomy) taking dabrafenib and trametinib combination therapy must use a condom during intercourse while on study and for 16 weeks after stopping treatment, and should not father a child during these periods. Women of childbearing potential should use effective non-hormonal contraception during therapy and for 4 weeks following discontinuation of dabrafenib and at least 4 months following the last dose of trametinib in patients taking combination therapy. Women should be advised that dabrafenib may decrease the efficacy of hormonal contraceptives and an alternate method of contraception, such as barrier methods, should be used.
Contacts and Locations
Locations
| Site | City | State | Country | Postal Code | |
|---|---|---|---|---|---|
| 1 | Children's Hospital of Alabama | Birmingham | Alabama | United States | 35233 |
| 2 | Phoenix Childrens Hospital | Phoenix | Arizona | United States | 85016 |
| 3 | Arkansas Children's Hospital | Little Rock | Arkansas | United States | 72202-3591 |
| 4 | Kaiser Permanente Downey Medical Center | Downey | California | United States | 90242 |
| 5 | Loma Linda University Medical Center | Loma Linda | California | United States | 92354 |
| 6 | Miller Children's and Women's Hospital Long Beach | Long Beach | California | United States | 90806 |
| 7 | Children's Hospital Los Angeles | Los Angeles | California | United States | 90027 |
| 8 | Cedars Sinai Medical Center | Los Angeles | California | United States | 90048 |
| 9 | Kaiser Permanente-Oakland | Oakland | California | United States | 94611 |
| 10 | Children's Hospital of Orange County | Orange | California | United States | 92868 |
| 11 | Lucile Packard Children's Hospital Stanford University | Palo Alto | California | United States | 94304 |
| 12 | University of California Davis Comprehensive Cancer Center | Sacramento | California | United States | 95817 |
| 13 | UCSF Medical Center-Mission Bay | San Francisco | California | United States | 94158 |
| 14 | Lundquist Institute for Biomedical Innovation at Harbor-UCLA Medical Center | Torrance | California | United States | 90502 |
| 15 | Children's Hospital Colorado | Aurora | Colorado | United States | 80045 |
| 16 | Connecticut Children's Medical Center | Hartford | Connecticut | United States | 06106 |
| 17 | Yale University | New Haven | Connecticut | United States | 06520 |
| 18 | Alfred I duPont Hospital for Children | Wilmington | Delaware | United States | 19803 |
| 19 | MedStar Georgetown University Hospital | Washington | District of Columbia | United States | 20007 |
| 20 | Children's National Medical Center | Washington | District of Columbia | United States | 20010 |
| 21 | Golisano Children's Hospital of Southwest Florida | Fort Myers | Florida | United States | 33908 |
| 22 | University of Florida Health Science Center - Gainesville | Gainesville | Florida | United States | 32610 |
| 23 | Memorial Regional Hospital/Joe DiMaggio Children's Hospital | Hollywood | Florida | United States | 33021 |
| 24 | Nemours Children's Clinic-Jacksonville | Jacksonville | Florida | United States | 32207 |
| 25 | University of Miami Miller School of Medicine-Sylvester Cancer Center | Miami | Florida | United States | 33136 |
| 26 | Nicklaus Children's Hospital | Miami | Florida | United States | 33155 |
| 27 | AdventHealth Orlando | Orlando | Florida | United States | 32803 |
| 28 | Arnold Palmer Hospital for Children | Orlando | Florida | United States | 32806 |
| 29 | Nemours Children's Hospital | Orlando | Florida | United States | 32827 |
| 30 | Johns Hopkins All Children's Hospital | Saint Petersburg | Florida | United States | 33701 |
| 31 | Tampa General Hospital | Tampa | Florida | United States | 33606 |
| 32 | Saint Joseph's Hospital/Children's Hospital-Tampa | Tampa | Florida | United States | 33607 |
| 33 | Saint Mary's Hospital | West Palm Beach | Florida | United States | 33407 |
| 34 | Children's Healthcare of Atlanta - Egleston | Atlanta | Georgia | United States | 30322 |
| 35 | Memorial Health University Medical Center | Savannah | Georgia | United States | 31404 |
| 36 | Kapiolani Medical Center for Women and Children | Honolulu | Hawaii | United States | 96826 |
| 37 | Saint Luke's Cancer Institute - Boise | Boise | Idaho | United States | 83712 |
| 38 | Lurie Children's Hospital-Chicago | Chicago | Illinois | United States | 60611 |
| 39 | University of Illinois | Chicago | Illinois | United States | 60612 |
| 40 | University of Chicago Comprehensive Cancer Center | Chicago | Illinois | United States | 60637 |
| 41 | Saint Jude Midwest Affiliate | Peoria | Illinois | United States | 61637 |
| 42 | Riley Hospital for Children | Indianapolis | Indiana | United States | 46202 |
| 43 | Saint Vincent Hospital and Health Care Center | Indianapolis | Indiana | United States | 46260 |
| 44 | University of Iowa/Holden Comprehensive Cancer Center | Iowa City | Iowa | United States | 52242 |
| 45 | University of Kentucky/Markey Cancer Center | Lexington | Kentucky | United States | 40536 |
| 46 | Norton Children's Hospital | Louisville | Kentucky | United States | 40202 |
| 47 | Children's Hospital New Orleans | New Orleans | Louisiana | United States | 70118 |
| 48 | Ochsner Medical Center Jefferson | New Orleans | Louisiana | United States | 70121 |
| 49 | Eastern Maine Medical Center | Bangor | Maine | United States | 04401 |
| 50 | Johns Hopkins University/Sidney Kimmel Cancer Center | Baltimore | Maryland | United States | 21287 |
| 51 | Walter Reed National Military Medical Center | Bethesda | Maryland | United States | 20889-5600 |
| 52 | Massachusetts General Hospital Cancer Center | Boston | Massachusetts | United States | 02114 |
| 53 | Dana-Farber Cancer Institute | Boston | Massachusetts | United States | 02215 |
| 54 | C S Mott Children's Hospital | Ann Arbor | Michigan | United States | 48109 |
| 55 | Helen DeVos Children's Hospital at Spectrum Health | Grand Rapids | Michigan | United States | 49503 |
| 56 | Bronson Methodist Hospital | Kalamazoo | Michigan | United States | 49007 |
| 57 | Beaumont Children's Hospital-Royal Oak | Royal Oak | Michigan | United States | 48073 |
| 58 | Children's Hospitals and Clinics of Minnesota - Minneapolis | Minneapolis | Minnesota | United States | 55404 |
| 59 | Mayo Clinic in Rochester | Rochester | Minnesota | United States | 55905 |
| 60 | University of Mississippi Medical Center | Jackson | Mississippi | United States | 39216 |
| 61 | Children's Mercy Hospitals and Clinics | Kansas City | Missouri | United States | 64108 |
| 62 | Cardinal Glennon Children's Medical Center | Saint Louis | Missouri | United States | 63104 |
| 63 | Washington University School of Medicine | Saint Louis | Missouri | United States | 63110 |
| 64 | Mercy Hospital Saint Louis | Saint Louis | Missouri | United States | 63141 |
| 65 | Children's Hospital and Medical Center of Omaha | Omaha | Nebraska | United States | 68114 |
| 66 | University of Nebraska Medical Center | Omaha | Nebraska | United States | 68198 |
| 67 | Hackensack University Medical Center | Hackensack | New Jersey | United States | 07601 |
| 68 | Morristown Medical Center | Morristown | New Jersey | United States | 07960 |
| 69 | Saint Joseph's Regional Medical Center | Paterson | New Jersey | United States | 07503 |
| 70 | University of New Mexico Cancer Center | Albuquerque | New Mexico | United States | 87102 |
| 71 | Albany Medical Center | Albany | New York | United States | 12208 |
| 72 | Montefiore Medical Center - Moses Campus | Bronx | New York | United States | 10467 |
| 73 | Roswell Park Cancer Institute | Buffalo | New York | United States | 14263 |
| 74 | NYP/Columbia University Medical Center/Herbert Irving Comprehensive Cancer Center | New York | New York | United States | 10032 |
| 75 | Memorial Sloan Kettering Cancer Center | New York | New York | United States | 10065 |
| 76 | State University of New York Upstate Medical University | Syracuse | New York | United States | 13210 |
| 77 | Mission Hospital | Asheville | North Carolina | United States | 28801 |
| 78 | Carolinas Medical Center/Levine Cancer Institute | Charlotte | North Carolina | United States | 28203 |
| 79 | Wake Forest University Health Sciences | Winston-Salem | North Carolina | United States | 27157 |
| 80 | Sanford Broadway Medical Center | Fargo | North Dakota | United States | 58122 |
| 81 | Children's Hospital Medical Center of Akron | Akron | Ohio | United States | 44308 |
| 82 | Cincinnati Children's Hospital Medical Center | Cincinnati | Ohio | United States | 45229 |
| 83 | Rainbow Babies and Childrens Hospital | Cleveland | Ohio | United States | 44106 |
| 84 | Cleveland Clinic Foundation | Cleveland | Ohio | United States | 44195 |
| 85 | Nationwide Children's Hospital | Columbus | Ohio | United States | 43205 |
| 86 | Dayton Children's Hospital | Dayton | Ohio | United States | 45404 |
| 87 | ProMedica Toledo Hospital/Russell J Ebeid Children's Hospital | Toledo | Ohio | United States | 43606 |
| 88 | University of Oklahoma Health Sciences Center | Oklahoma City | Oklahoma | United States | 73104 |
| 89 | Legacy Emanuel Children's Hospital | Portland | Oregon | United States | 97227 |
| 90 | Oregon Health and Science University | Portland | Oregon | United States | 97239 |
| 91 | Lehigh Valley Hospital-Cedar Crest | Allentown | Pennsylvania | United States | 18103 |
| 92 | Penn State Children's Hospital | Hershey | Pennsylvania | United States | 17033 |
| 93 | Children's Hospital of Philadelphia | Philadelphia | Pennsylvania | United States | 19104 |
| 94 | Children's Hospital of Pittsburgh of UPMC | Pittsburgh | Pennsylvania | United States | 15224 |
| 95 | Rhode Island Hospital | Providence | Rhode Island | United States | 02903 |
| 96 | Medical University of South Carolina | Charleston | South Carolina | United States | 29425 |
| 97 | Prisma Health Richland Hospital | Columbia | South Carolina | United States | 29203 |
| 98 | BI-LO Charities Children's Cancer Center | Greenville | South Carolina | United States | 29605 |
| 99 | East Tennessee Childrens Hospital | Knoxville | Tennessee | United States | 37916 |
| 100 | Saint Jude Children's Research Hospital | Memphis | Tennessee | United States | 38105 |
| 101 | Vanderbilt University/Ingram Cancer Center | Nashville | Tennessee | United States | 37232 |
| 102 | Dell Children's Medical Center of Central Texas | Austin | Texas | United States | 78723 |
| 103 | UT Southwestern/Simmons Cancer Center-Dallas | Dallas | Texas | United States | 75390 |
| 104 | Cook Children's Medical Center | Fort Worth | Texas | United States | 76104 |
| 105 | Baylor College of Medicine/Dan L Duncan Comprehensive Cancer Center | Houston | Texas | United States | 77030 |
| 106 | Children's Hospital of San Antonio | San Antonio | Texas | United States | 78207 |
| 107 | University of Texas Health Science Center at San Antonio | San Antonio | Texas | United States | 78229 |
| 108 | Scott and White Memorial Hospital | Temple | Texas | United States | 76508 |
| 109 | Primary Children's Hospital | Salt Lake City | Utah | United States | 84113 |
| 110 | Children's Hospital of The King's Daughters | Norfolk | Virginia | United States | 23507 |
| 111 | Seattle Children's Hospital | Seattle | Washington | United States | 98105 |
| 112 | Providence Sacred Heart Medical Center and Children's Hospital | Spokane | Washington | United States | 99204 |
| 113 | Mary Bridge Children's Hospital and Health Center | Tacoma | Washington | United States | 98405 |
| 114 | University of Wisconsin Carbone Cancer Center | Madison | Wisconsin | United States | 53792 |
| 115 | Marshfield Medical Center-Marshfield | Marshfield | Wisconsin | United States | 54449 |
| 116 | Children's Hospital of Wisconsin | Milwaukee | Wisconsin | United States | 53226 |
| 117 | HIMA San Pablo Oncologic Hospital | Caguas | Puerto Rico | 00726 |
Sponsors and Collaborators
- National Cancer Institute (NCI)
Investigators
- Principal Investigator: Rishi R Lulla, Children's Oncology Group
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- NCI-2019-02289
- NCI-2019-02289
- ACNS1723
- ACNS1723
- U10CA180886