About this trial
This is an investigator-initiated, exploratory, multicenter, open-label, single-arm clinical trial and a substudy of the Platform Research for Innovative Medicines in NF2-SWN (PRIME-NF2). The study aims to evaluate the safety, tolerability, and preliminary efficacy of luvometinib in combination with serplulimab in patients with NF2-related schwannomatosis (NF2-SWN) with progressive tumors.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Participants must meet the diagnostic criteria for NF2-SWN.
Presence of at least one measurable target tumor, either vestibular schwannoma or meningioma, with MRI-documented volumetric progression within the past 36 months or clinical symptom progression related to the target tumor.
The target tumor is considered unsuitable for surgery because of high risk.
Age >=18 years at the time of screening.
Disqualifiers
Pregnant, planning to become pregnant, or currently breastfeeding.
Participation in another interventional clinical trial within the past 4 weeks, or radiation therapy to target lesion(s) within the past 3 years.
Severe adverse reactions or intolerable toxicity from prior immune checkpoint inhibitors or MEK inhibitors.
Concomitant active malignancies, uncontrolled infections, or active autoimmune diseases.
Trial design
Single group
Treatments tested in this trial
Luvometinib
DrugOral once daily per predetermined dosage per protocol.
Serplulimab
DrugIntravenous infusion per predetermined dosage per protocol.
Treatment groups
Trial outcomes
Primary outcomes
Objective Response Rate (ORR) or Hearing Response Rate (HRR)
Vestibular schwannoma: HRR is defined as WRS improvement exceeding the 95% critical difference from baseline; if baseline WRS is \<20%, HRR is defined as a PTA decrease of at least 10 dB. Meningioma: ORR is defined as at least a 20% reduction in target tumor volume from baseline.
Secondary outcomes
Incidence of Adverse Events
Percentage of participants who experience at least one adverse event. Adverse events will be coded and graded according to NCI CTCAE v5.0.
Maximum Severity Grade of Adverse Events
Maximum NCI CTCAE v5.0 grade of adverse events experienced by each participant during the reporting period.
Incidence of Serious Adverse Events
Percentage of participants who experience at least one serious adverse event.
Incidence of Dose Modifications
Percentage of participants who require at least one dose modification due to an adverse event.
Sponsors and contacts
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This trial is not recruiting at the moment. You can still explore other options: