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OncoMatch/Clinical Trials/NCT06333899

Lorlatinib for Newly-Diagnosed High-Grade Glioma With ROS or ALK Fusion

Is NCT06333899 recruiting? Yes, currently enrolling (May 2026). This Early Phase 1 trial studies multiple treatments including Lorlatinib and Lorlatinib with chemotherapy1 for high grade glioma.

Early Phase 1RecruitingNationwide Children's HospitalNCT06333899Data as of May 2026

Treatment: Lorlatinib · Lorlatinib with chemotherapy1 · Lorlatinib with chemotherapy 2 · Lorlatinib post RadiationThe goal of this study is to determine the response of the study drug loratinib in treating children who are newly diagnosed high-grade glioma with a fusion in ALK or ROS1. It will also evaluate the safety of lorlatinib when given with chemotherapy or after radiation therapy.

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Extracted eligibility criteria

Cancer type

Glioblastoma

Diffuse Intrinsic Pontine Glioma

Biomarker criteria

Required: ALK fusion

Required: ROS1 fusion

Disease stage

Required: Stage WHO GRADE 3, WHO GRADE 4, DIFFUSE WHO GRADE 2-4 (FOR DIPG) (WHO)

All other HGGs must be Grade 3 or 4. For the diagnosis of DIPG, patients must have a tumor with pontine epicenter and diffuse involvement of at least 2/3 of the pons, with histopathology consistent with diffuse WHO Grade 2-4.

Prior therapy

No prior treatment (treatment-naive required)
Max 0 prior lines

Cannot have received: anti-cancer chemotherapy

Patients must not have received any prior anti-cancer chemotherapy.

Cannot have received: investigational agent

Patients who have previously received or are currently receiving another investigational drug are not eligible.

Cannot have received: immunotherapy

Patients who have previously received or are currently receiving other anti-cancer agents, including chemotherapy, immunotherapy, monoclonal antibodies, biologic or targeted therapy, are not eligible

Cannot have received: monoclonal antibody

Patients who have previously received or are currently receiving other anti-cancer agents, including chemotherapy, immunotherapy, monoclonal antibodies, biologic or targeted therapy, are not eligible

Cannot have received: biologic or targeted therapy

Patients who have previously received or are currently receiving other anti-cancer agents, including chemotherapy, immunotherapy, monoclonal antibodies, biologic or targeted therapy, are not eligible

Lab requirements

Blood counts

Peripheral absolute neutrophil count (ANC) ≥ 1000/μL; Platelet count ≥ 100,000/μL (transfusion independent, defined as not receiving platelet transfusions for at least 7 days prior to enrollment); Hemoglobin >8 g/dL (may receive transfusions)

Kidney function

Serum creatinine within normal institutional limits OR Creatinine clearance or radioisotope GFR ≥ 70ml/min/1.73 m2

Liver function

Total bilirubin ≤ 2 × institutional upper limit of normal; AST/ALT ≤ 2.5 × institutional upper limit of normal

Cardiac function

QTc ≤ 470 msec (by Bazett formula)

Adequate Bone Marrow Function...Adequate Renal Function...Adequate Liver Function...Adequate Pulmonary Function...Adequate Cardiac Function...Adequate Neurologic Function

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

US trial sites

  • Children's Hospital Colorado · Aurora, Colorado
  • Children's National Medical Center · Washington D.C., District of Columbia
  • Ann & Robert H. Lurie Children's Hospital of Chicago · Chicago, Illinois
  • Dana-Farber Cancer Institute · Boston, Massachusetts
  • Duke University Health System · Durham, North Carolina

Showing up to 5 US sites. See all sites on ClinicalTrials.gov →

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