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OncoMatch/Clinical Trials/NCT04925609

Brigatinib in Pediatric and Young Adult Patients With ALK+ ALCL, IMT or Other Solid Tumors

Is NCT04925609 recruiting? Yes, currently enrolling (May 2026). This Phase 1/2 trial studies Brigatinib for anaplastic large cell lymphoma, alk-positive.

Phase 1/2RecruitingPrincess Maxima Center for Pediatric OncologyNCT04925609Data as of May 2026

Treatment: BrigatinibThis is an open-label, phase I-II dose-escalation and expansion study designed to define the recommended dose of brigatinib as monotherapy in pediatric and young adult patients with ALK+ ALCL, IMT or other solid tumors and to evaluate the pharmacokinetics (PK), (long-term) safety, and efficacy of brigatinib in these children.

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Extracted eligibility criteria

Cancer type

Non-Hodgkin Lymphoma

Tumor Agnostic

Biomarker criteria

Required: ALK activating aberration

Patients are required to provide prior results showing an activating ALK aberration in the tumor per local laboratory results, and material needs to be available for central laboratory confirmation of ALK status. For ALK+ ALCL, detection of ALK with immunohistochemistry (IHC) is sufficient for inclusion, all others require molecular evidence of a ALK fusion gene or mutation by FISH, PCR or NGS. ALK detection will be confirmed centrally with FISH.

Prior therapy

Cannot have received: brigatinib (brigatinib)

Patients who already received previous treatment with ALK inhibitors except for brigatinib can be included in this study.

Lab requirements

Blood counts

ANC ≥0.75 × 10^9/L (except in case of MAS or bone marrow involvement); Platelet count ≥75 × 10^9/L (≥50 × 10^9/L post SCT); Hemoglobin ≥8 g/dL or 5.0 mmol/L (transfusions allowed if no active bleeding or hemolysis)

Kidney function

serum creatinine ≤1.5 x ULN for age OR radioisotope GFR ≥70 mL/min/1.73m2

Liver function

direct bilirubin ≤1.5 x ULN for age AND AST and ALT ≤5 x ULN for age (unless related to involvement of the liver or histiocytic/macrophage inflammatory process)

Cardiac function

shortening fraction ≥27% by echocardiogram OR LVEF ≥50% by MUGA; QTcF ≤450 ms

Patients must meet the organ function and system function requirements as stated below: ... see full text for details

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

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