Plexiform Neurofibromas Clinical Trial
Official title:
Phase II Study of Imatinib Mesylate in Neurofibromatosis Type I Patients Aged 2 to 21 With Plexiform Neurofibromas
This phase II trial will test the hypothesis that inhibition of c-kit signalling pathways in
pediatric patients with Neurofibromatosis Type I(NF-1) and progressing plexiform neurofibroma
will result in objective reduction and/or inhibition of plexiform neurofibromas progression.
This will be a Phase II study of imatinib mesylate given orally. Patients with stable or
responding disease may receive the drug for a period not exceeding one year.
Clinical objectives
1. Demonstrate the clinical benefit of imatinib in a pediatric patient population with
progressing and metabolically active plexiform neurofibromas (NF)
2. Demonstrate the need or not to pursue treatment for more than a year in responders to
imatinib
Biological studies objectives
1. Identify biological markers of plexiform neurofibroma progression and response to
treatment
2. Identify biological markers of mast cell responses to imatinib, given that mast cells
are required for tumorigenesis and are a target for imatinib
Imaging studies objectives
Using 18-Fluorodeoxyglucose-positron Emission Tomography (FDG PET/CT):
1. Identify imaging characteristics of progressing plexiform neurofibromas
2. Assess the role of F18-FDG PET/CT in comparison with CT/MRI to evaluate response to
imatinib ¸
Pharmacological study
1. Evaluate trough plasma levels of imatinib and its active metabolite (NDMIL N-desmethyl
imatinib) achieved in this pediatric population
2. Identify potential correlation between imatinib (and NDMI) trough levels achieved and
clinical response
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