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OncoMatch/Clinical Trials/NCT06624371

Atovaquone Combined With Radiation in Children With Malignant Brain Tumors

Is NCT06624371 recruiting? Yes, currently enrolling (May 2026). This Phase 1 trial studies Atovaquone for high-grade glioma.

Phase 1RecruitingEmory UniversityNCT06624371Data as of May 2026

Treatment: AtovaquoneThe goal of this interventional study is to Assess the safety and tolerability of atovaquone in combination with standard radiation therapy (RT) for the treatment of pediatric patients with newly diagnosed pediatric high-grade glioma/diffuse midline glioma/diffuse intrinsic pontine glioma (pHGG/DMG/DIPG). The secondary aim is to assess the safety and tolerability of longer-term atovaquone treatment for pediatric patients with relapsed or progressed pHGG/DMG/DIPG and medulloblastoma (MB) or pHGG/DMG/DIPG after completion of RT and before progression.

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Extracted eligibility criteria

Cancer type

Glioblastoma

Diffuse Intrinsic Pontine Glioma

Biomarker criteria

Required: H3-3A K27M mutation

diffuse midline glioma with altered H3K27 (DMG, WHO Grade 4)

Disease stage

Grade: WHO Grade 3WHO Grade 4 (WHO)

pediatric high-grade glioma (pHGG, WHO Grade 3 or 4) or diffuse midline glioma with altered H3K27 (DMG, WHO Grade 4)

Prior therapy

Must have received: radiation therapy — standard-of-care

Patients must have previously undergone standard-of-care treatment including surgery, radiation, and/or first-line adjuvant chemotherapy before the experimental treatment (atovaquone).

Cannot have received: atovaquone (atovaquone)

without prior atovaquone exposure

Lab requirements

Blood counts

absolute neutrophil count > 1,000/mcL; platelets > 100,000/mcL; hemoglobin > 8g/dL

Kidney function

creatinine within normal institutional limits for age OR creatinine clearance > 60 mL/min/1.73 m² for patients with creatinine levels above institutional normal

Liver function

Total bilirubin ≤ 2x ULN; AST (SGOT) and ALT (SGPT) ≤ 225 U/L (5x ULN); ULN for AST and ALT is 45 U/L

Patients must have normal organ and marrow function as defined below: absolute neutrophil count > 1,000/mcL; platelets > 100,000/mcL; hemoglobin > 8g/dL; Total bilirubin within normal institutional limits; AST(SGOT)/ALT(SGPT) < 5 x (<10 x if taking steroids) the institutional upper limit of normal; creatinine within normal institutional limits for age OR creatinine clearance > 60mL/min/1.73 m for patients with creatinine levels above institutional normal

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

US trial sites

  • Arthur M Blank Hospital · Atlanta, Georgia
  • Children's Healthcare of Atlanta: Scottish Rite · Atlanta, Georgia

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

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