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OncoMatch/Clinical Trials/NCT06894979

Testing the Addition of an Anti-Cancer Drug, AZD1390, During Radiation Therapy for Newly Diagnosed High Grade Glioma, Diffuse Midline Glioma, or Diffuse Intrinsic Pontine Glioma

Is NCT06894979 recruiting? Yes, currently enrolling (May 2026). This Phase 1 trial studies ATM Kinase Inhibitor AZD1390 for childhood astrocytoma.

Phase 1RecruitingChildren's Oncology GroupNCT06894979Data as of May 2026

Treatment: ATM Kinase Inhibitor AZD1390This phase I clinical trial studies the side effects and best dose of AZD1390 and to see how well it works when given together with radiation therapy for the treatment of pediatric patients with high grade glioma, diffuse midline glioma or diffuse intrinsic pontine glioma. AZD1390 is in a class of medications called kinase inhibitors. It works by blocking the signals that cause cancer cells to multiply. This helps to stop the spread of cancer cells. Radiation therapy uses high energy x-rays, particles, or radioactive seeds to kill cancer cells and shrink tumors. Giving AZD1390 with radiation may be safe, tolerable, and/or effective in treating pediatric patients with high grade glioma, diffuse midline glioma or diffuse intrinsic pontine glioma.

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Extracted eligibility criteria

Cancer type

Glioblastoma

Diffuse Intrinsic Pontine Glioma

Biomarker criteria

Excluded: BRAF V600E

Patients with BRAFV600E mutations are excluded

Allowed: H3F3A (H3 K27M) K27M mutation

diffuse midline glioma, H3 K27-altered

Allowed: H3F3A (H3 K27M) G34 mutation

diffuse hemispheric glioma, H3 G34-mutant

Allowed: IDH1 mutation

astrocytoma; IDH-mutant

Allowed: IDH1 wild-type

glioblastoma, IDH-wildtype

Prior therapy

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

Must have received: surgery

Prior therapy for any cancer diagnosis (including radiation) is not allowed with the exception of surgery and/or corticosteroids.

Must have received: corticosteroids

Prior therapy for any cancer diagnosis (including radiation) is not allowed with the exception of surgery and/or corticosteroids.

Cannot have received: radiation therapy

Patients with a history of radiotherapy as part of anti-cancer therapy are excluded

Cannot have received: any anti-cancer therapy (other than surgery/corticosteroids)

Prior therapy for any cancer diagnosis (including radiation) is not allowed with the exception of surgery and/or corticosteroids.

Lab requirements

Blood counts

ANC ≥ 1000/uL; Platelet count ≥ 100,000/uL (transfusion independent ≥ 7 days); Hemoglobin ≥ 8.0 g/dL (may receive RBC transfusions)

Kidney function

Serum creatinine by age/sex threshold OR 24h urine creatinine clearance ≥ 70 mL/min/1.73 m^2 OR GFR ≥ 70 mL/min/1.73 m^2 (direct measurement required)

Liver function

Bilirubin ≤ 1.5 x ULN for age (≤ 3.0 x ULN if Gilbert's); ALT/AST ≤ 3 x ULN (≤ 5 x ULN if tumor involvement); Albumin ≥ 2 g/dL

Cardiac function

No evidence of clinically significant cardiac dysfunction or prolonged QTc (> 450 msec) on baseline EKG

Peripheral absolute neutrophil count (ANC) ≥ 1000/uL... Platelet count ≥ 100,000/uL... Hemoglobin ≥ 8.0 g/dL... Bilirubin ≤ 1.5 x ULN... ALT ≤ 3 x ULN... AST ≤ 3 x ULN... Albumin ≥ 2 g/dL... Serum creatinine by age/sex... GFR ≥ 70 mL/min/1.73 m^2... No evidence of clinically significant cardiac dysfunction or prolonged corrected QT interval (QTc) (> 450 msec) on baseline electrocardiogram (EKG)

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

US trial sites

  • Children's Hospital of Alabama · Birmingham, Alabama
  • Children's Hospital Los Angeles · Los Angeles, California
  • Children's Hospital of Orange County · Orange, California
  • Children's Hospital Colorado · Aurora, Colorado
  • Children's National Medical Center · Washington D.C., District of Columbia

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