This is an open-label, multi-center, Phase 1/2 study of the brain-penetrant MEK inhibitor, mirdametinib (PD-0325901), in patients with pediatric low-grade glioma (pLGG).
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Phase 1: Estimate the maximum tolerated dose (MTD)/recommended phase 2 dose (RP2D) of mirdametinib dosed twice daily on a continuous schedule in pediatric patients with progressive or recurrent low-grade glioma.
Timeframe: 1 month after start of mirdametinib treatment
Phase 1: Determine the safety and tolerability of mirdametinib dosed twice daily on a continuous schedule in pediatric patients with progressive or recurrent low-grade glioma.
Timeframe: Up to 25 months after start of mirdametinib treatment
Characterize the maximum plasma concentration and area under the concentration-time curve (AUC0-8h) of mirdametinib.
Timeframe: Course 1: Days 1 and 15
Phase 2, Cohort 1: Objective response rate observed anytime during active treatment and sustained for at least 8 weeks
Timeframe: Up to 24 months after start of mirdametinib treatment
Phase 2, Cohort 2: Objective response rate observed anytime during active treatment and sustained for at least 8 weeks
Timeframe: Up to 24 months after start of mirdametinib treatment
Phase 2, Cohort 3a: Estimate 1-year disease stabilization rate
Timeframe: Up to 12 months (slight departures from this timing allowed based on MRI screening) after start of mirdamentinib treatment
Phase 2, Cohort 3b: Estimate 6-month disease stabilization rate
Timeframe: Up to 6 months (slight departures from this timing allowed based on MRI screening) after start of mirdametinib treatment
Describe the toxicity profile of mirdametinib by cohort.
Timeframe: Up to 25 months after start of mirdametinib treatment