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OncoMatch/Clinical Trials/NCT04923126

SJ901: Evaluation of Mirdametinib in Children, Adolescents, and Young Adults With Low-Grade Glioma

Is NCT04923126 recruiting? Yes, currently enrolling (Jun 2026). This Phase 1/2 trial studies Mirdametinib for low-grade glioma.

Phase 1/2RecruitingSt. Jude Children's Research HospitalNCT04923126Data as of Jun 2026

Treatment: MirdametinibThis 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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Extracted eligibility criteria

Treatments studied

Targeted therapy

Mirdametinib

Cancer type

Glioblastoma

Biomarker criteria

Required: BRAF fusion

BRAF fused or rearranged

Required: FGFR1 aberration

FGFR1/2/3 aberration

Required: FGFR2 aberration

FGFR1/2/3 aberration

Required: FGFR3 aberration

FGFR1/2/3 aberration

Required: NF1 mutation

NF1 mutation or germline mutation

Required: NF2 mutation

NF2 mutation or germline mutation

Required: PTPN11 mutation

PTPN11 mutation or germline mutation

Required: SOS1 mutation

SOS1 mutation or germline mutation

Required: RAF1 mutation

RAF1 mutation or germline mutation

Required: MYB fusion

MYB fused or rearranged

Required: MYBL1 fusion

MYBL1 fused or rearranged

Excluded: BRAF V600

BRAF V600 mutant

Excluded: NTRK1 fusion

NTRK1/2/3 fusion-positive

Excluded: NTRK2 fusion

NTRK1/2/3 fusion-positive

Excluded: NTRK3 fusion

NTRK1/2/3 fusion-positive

Excluded: ALK fusion

ALK fusion-positive

Excluded: ROS1 fusion

ROS1 fusion-positive

Excluded: IDH1 mutation

IDH 1/2 mutant

Excluded: IDH2 mutation

IDH 1/2 mutant

Excluded: H3F3A (H3 K27M) K27M

Histone H3 K27M/K28M or G34/G35-mutant

Excluded: HIST1H3B K27M

Histone H3 K27M/K28M or G34/G35-mutant

Disease stage

Excluded: Stage HIGH-GRADE (WHO III OR IV)

Grade: Low-grade (WHO)

Low-grade glioma; measurable or evaluable disease required

Demographics

Ages 2–24

Prior therapy

Cannot have received: MEK inhibitor (mirdametinib)

Exception: Cohort 3A and 3B allow prior MEK inhibitor exposure with specific conditions

Patients must not have received prior exposure to any MEK inhibitors (except as allowed in Cohort 3A/3B)

Lab requirements

Blood counts

ANC ≥ 1.0 x 10^9/L without growth factor support within 7 days; Platelet count ≥ 75 x 10^9/L without platelet transfusion within 7 days; Hemoglobin ≥8.0 g/dL without blood transfusion within 7 days

Kidney function

Serum creatinine ≤ maximum based on age/gender (see protocol table)

Liver function

ALT and AST ≤ 2.5 x ULN (ULN = 45 U/L); total bilirubin ≤ ULN or if > ULN then direct bilirubin ≤ 1.5 x ULN

Cardiac function

LVEF > 50% by ECHO; QTc interval ≤ 450 msec (male), ≤ 470 msec (female) after electrolytes corrected

Adequate bone marrow and organ function as defined as: ... see protocol for details

Structured fields extracted by AI. May contain errors — verify against the official protocol.

US trial sites

  • St. Jude Children's Research Hospital · Memphis, Tennessee

Showing up to 5 US sites.

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Frequently asked questions

Is NCT04923126 currently recruiting?

Yes, this trial is currently recruiting patients.

Are there prior therapy exclusions?

Yes. Prior MEK inhibitor disqualifies patients from enrollment.

Does this trial require BRAF?

Yes, BRAF fusion is a required biomarker for enrollment.

Does this trial require FGFR1?

Yes, FGFR1 aberration is a required biomarker for enrollment.

Does this trial require FGFR2?

Yes, FGFR2 aberration is a required biomarker for enrollment.

Are patients with BRAF alterations eligible?

No. BRAF V600 is an exclusion criterion.

Are patients with NTRK1 alterations eligible?

No. NTRK1 fusion is an exclusion criterion.

Is there an age limit?

Yes. Patients must be 24 years or younger and at least 2 years old.

Could you qualify for this trial?

Enter your biomarker results to see how this trial's eligibility criteria match your specific cancer profile.

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Related pages

Glioblastoma trials