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OncoMatch/Clinical Trials/NCT06838676

ACT001 for the Treatment of Diffuse Intrinsic Pontine Gliomas and H3K27-altered High Grade Gliomas

Official title: A Phase II Trial of ACT001 in Children and Adolescents With Diffuse Intrinsic Pontine Gliomas and H3K27-altered High Grade Gliomas

Is NCT06838676 recruiting? Yes, currently enrolling (Oct 2026). This Phase 2 trial studies ACT001 for diffuse intrinsic pontine gliomas (dipg).

Phase 2RecruitingNationwide Children's HospitalNCT06838676Data as of Oct 2026Location: International · 5 countries

Treatment: ACT001 — This is a Phase II open-label study to investigate the safety and efficacy of ACT001 in patients with DIPG and H3K27-altered HGG.

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Extracted eligibility criteria

Treatments studied

Other

ACT001

Cancer type

Diffuse Intrinsic Pontine Glioma

Biomarker criteria

Required: H3-3A k27m

H3K27-altered DIPG or H3K27-altered HGG

Required: HIST1H3B k27m

H3K27-altered DIPG or H3K27-altered HGG

Demographics

Ages 1–39

Prior therapy

Must have received: radiation therapy — DIPG (Cohort A)

Patients must have completed radiation therapy (RT) within 28 to 35 calendar day prior to start of therapy

Cannot have received: anti-cancer therapy for DIPG (other than surgery, RT, concurrent temozolomide, or bevacizumab with washout)

No other prior anticancer therapy for DIPG will be allowed (Cohort A)

Cannot have received: ACT001

Patients who have previously received either ACT001 or parthenolide are not eligible

Cannot have received: parthenolide

Patients who have previously received either ACT001 or parthenolide are not eligible

Cannot have received: allogenic stem cell transplant

Patients who received allogenic stem cell transplant or solid organ transplant are not eligible for study

Cannot have received: solid organ transplant

Patients who received allogenic stem cell transplant or solid organ transplant are not eligible for study

Lab requirements

Blood counts

ANC > 1000/mm³; Platelet count > 100,000/mm³ (transfusion independent, not receiving platelet transfusions for at least 7 days prior to enrollment)

Kidney function

Creatinine clearance or radioisotope GFR ≥ 70 mL/min/1.73 m² or age/gender-based serum creatinine

Liver function

total bilirubin ≤1.5X institutional ULN for age; AST/ALT ≤ 2.5 × institutional upper limit of normal; serum albumin ≥ 2 g/dL

Cardiac function

Ejection fraction of ≥ 50% by echocardiogram; QTc ≤ 450 msec (by Bazett formula)

Adequate bone marrow, renal, liver, and cardiac function as defined in eligibility

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
  • Nicklaus Children's Hospital · Miami, Florida
  • Emory University/Children's Healthcare of Atlanta · Atlanta, Georgia
  • C.S. Mott Children's Hospital · Ann Arbor, Michigan

Showing up to 5 US sites.

See all sites on ClinicalTrials.gov →

Frequently asked questions

Is NCT06838676 currently recruiting?

Yes, this trial is currently recruiting patients.

Are there prior therapy exclusions?

Yes. Prior anti-cancer therapy for DIPG (other than surgery, RT, concurrent temozolomide, or bevacizumab with washout), ACT001, parthenolide disqualifies patients from enrollment.

Does this trial require H3-3A?

Yes, H3-3A k27m is a required biomarker for enrollment.

Does this trial require HIST1H3B?

Yes, HIST1H3B k27m is a required biomarker for enrollment.

Is there an age limit?

Yes. Patients must be 39 years or younger and at least 1 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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