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Efficacy and Safety of REC-2282 in Patients With Progressive Neurofibromatosis Type 2 (NF2) Mutated Meningiomas (POPLAR-NF2)

Primary Purpose

Neurofibromatosis Type 2

Status
Recruiting
Phase
Phase 2
Locations
United States
Study Type
Interventional
Intervention
REC-2282
Placebo
Sponsored by
Recursion Pharmaceuticals Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Neurofibromatosis Type 2 focused on measuring Neurofibromatosis Type 2; Neurofibromatosis Type II

Eligibility Criteria

12 Years - undefined (Child, Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  1. ≥12 years of age and weighing at least 40 kg
  2. Progressive meningioma that is amenable to volumetric analysis
  3. Has either 1) sporadic meningioma with confirmed NF2 mutation; or, 2) confirmed diagnosis of NF2 disease (revised Manchester criteria); or, 3) at least one NF2-related tumor (with pathogenic germline or proven mosaic NF2 variant)
  4. Adequate bone marrow function
  5. Has provided written informed consent/assent to participate in the study

Exclusion Criteria:

  1. Progressive disease associated with significant or disabling clinical symptoms likely to require surgery or radiation therapy within the next 3 months.
  2. Received prior surgery, radiosurgery, or laser interstitial thermal therapy in the target tumor, or immediately adjacent to the target tumor within 6 months prior to screening.
  3. Received an anti- tumor agent for meningioma within 3 months, or 5 half-lives (whichever is longer), prior to screening.
  4. History of an active malignancy within the previous 3 years except for localized cancers that are considered cured, and, in the opinion of the investigator, present a low risk of recurrence.
  5. Received another investigational drug within 30 days prior to screening
  6. Pregnant, lactating, or is planning to attempt to become pregnant or impregnate someone during this study or within 90 days after the last dose of IMP.

Sites / Locations

  • House InstituteRecruiting
  • University of California Los AngelesRecruiting
  • Children's National HospitalRecruiting
  • University of FloridaRecruiting
  • Nicklaus Children's HospitalRecruiting
  • Sarah Cannon Cancer Institute - HCA MidwestRecruiting
  • Massachusetts General HospitalRecruiting
  • Beth Israel Deaconess Medical CenterRecruiting
  • University of Minnesota / Masonic Cancer CenterRecruiting
  • Mayo ClinicRecruiting
  • Memorial Sloan Kettering Cancer CenterRecruiting
  • Duke University Medical CenterRecruiting
  • UT Southwestern Medical CenterRecruiting

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm Type

Experimental

Experimental

Experimental

Experimental

Placebo Comparator

Arm Label

Cohort A Adults, Dose 40 mg

Cohort A Adults, Dose 60 mg

Cohort A Adolescents

Cohort B Active

Cohort B Placebo

Arm Description

Starting dose of 30 mg followed by dose escalation to 40 mg and 60 mg.

Dose TBD

Outcomes

Primary Outcome Measures

Progression-free survival (PFS) in Cohort A
The proportion of participants in Cohort A who are alive and progression-free after 6 cycles of treatment
Progression-free survival (PFS) in Cohort B
In Cohort B, the time from the date of randomization until disease progression or death from any cause, whichever occurs first.

Secondary Outcome Measures

Full Information

First Posted
November 10, 2021
Last Updated
August 21, 2023
Sponsor
Recursion Pharmaceuticals Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT05130866
Brief Title
Efficacy and Safety of REC-2282 in Patients With Progressive Neurofibromatosis Type 2 (NF2) Mutated Meningiomas
Acronym
POPLAR-NF2
Official Title
A Parallel-group, Two-staged, Phase 2/3, Randomized, Multicenter Study to Evaluate the Efficacy and Safety of REC-2282 in Participants With Progressive NF2 Mutated Meningiomas
Study Type
Interventional

2. Study Status

Record Verification Date
March 2023
Overall Recruitment Status
Recruiting
Study Start Date
June 20, 2022 (Actual)
Primary Completion Date
January 2027 (Anticipated)
Study Completion Date
July 2027 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Recursion Pharmaceuticals Inc.

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
Yes

5. Study Description

Brief Summary
This is a parallel-group, two-staged, Phase 2/3, randomized, multi-center study to investigate the efficacy and safety of REC-2282 in patients with progressive NF2 mutated meningiomas.
Detailed Description
This is a parallel-group, two-staged, Phase 2/3, randomized, multi-center study to investigate the efficacy and safety of REC-2282 in patients with progressive NF2 mutated meningiomas, with either NF2 disease-related meningioma or recurrent sporadic meningiomas that have NF2 mutations. Cohort A will provide early data on efficacy and safety of REC-2282 in participants with progressive NF2 mutated meningiomas, and provide guidance for the dose in the confirmatory part of the study (Cohort B). The purpose of Cohort B of the study is to assess the efficacy and safety of REC-2282 compared with placebo in participants with progressive NF2 mutated meningiomas. In both cohorts, there will be a screening period of up to 8 weeks, a treatment period, a 4-week safety follow-up period after the end of treatment, and a 6-month post-study follow-up. The first 8 participants enrolled in Cohort A will complete a food effect run-in sub study. At the end of the study period, participants may be offered participation in an open-label extension (OLE) period. In Cohort A, adult participants will be randomized to one of two dose levels of REC-2282. In Cohort B, participants will be randomized to REC-2282 treatment (dose to be determined from Cohort A) arm or placebo arm in a ratio of 2:1.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Neurofibromatosis Type 2
Keywords
Neurofibromatosis Type 2; Neurofibromatosis Type II

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2, Phase 3
Interventional Study Model
Parallel Assignment
Model Description
A Parallel-group, Two-staged, Phase 2/3, Randomized, Multicenter Efficacy and Safety Study.
Masking
ParticipantInvestigator
Masking Description
Masking applies to Cohort B only.
Allocation
Randomized
Enrollment
89 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Cohort A Adults, Dose 40 mg
Arm Type
Experimental
Arm Title
Cohort A Adults, Dose 60 mg
Arm Type
Experimental
Arm Title
Cohort A Adolescents
Arm Type
Experimental
Arm Description
Starting dose of 30 mg followed by dose escalation to 40 mg and 60 mg.
Arm Title
Cohort B Active
Arm Type
Experimental
Arm Description
Dose TBD
Arm Title
Cohort B Placebo
Arm Type
Placebo Comparator
Intervention Type
Drug
Intervention Name(s)
REC-2282
Other Intervention Name(s)
AR-42, OSU-HDAC42, NSC-D736012
Intervention Description
Participants will receive REC-2282 3 times per week orally for 3 weeks followed by 1 week off for a 4-week cycle.
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
Participants will receive placebo orally 3 times per week for 3 weeks followed by 1 week off for a 4-week cycle.
Primary Outcome Measure Information:
Title
Progression-free survival (PFS) in Cohort A
Description
The proportion of participants in Cohort A who are alive and progression-free after 6 cycles of treatment
Time Frame
6 months
Title
Progression-free survival (PFS) in Cohort B
Description
In Cohort B, the time from the date of randomization until disease progression or death from any cause, whichever occurs first.
Time Frame
Time from the date of randomization until disease progression or death from any cause, whichever occurs first, assessed up to 24 months.

10. Eligibility

Sex
All
Minimum Age & Unit of Time
12 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: ≥12 years of age and weighing at least 40 kg Progressive meningioma that is amenable to volumetric analysis Has either 1) sporadic meningioma with confirmed NF2 mutation; or, 2) confirmed diagnosis of NF2 disease (revised Manchester criteria); or, 3) at least one NF2-related tumor (with pathogenic germline or proven mosaic NF2 variant) Adequate bone marrow function Has provided written informed consent/assent to participate in the study Exclusion Criteria: Progressive disease associated with significant or disabling clinical symptoms likely to require surgery or radiation therapy within the next 3 months. Received prior surgery, radiosurgery, or laser interstitial thermal therapy in the target tumor, or immediately adjacent to the target tumor within 6 months prior to screening. Received an anti- tumor agent for meningioma within 3 months, or 5 half-lives (whichever is longer), prior to screening. History of an active malignancy within the previous 3 years except for localized cancers that are considered cured, and, in the opinion of the investigator, present a low risk of recurrence. Received another investigational drug within 30 days prior to screening Pregnant, lactating, or is planning to attempt to become pregnant or impregnate someone during this study or within 90 days after the last dose of IMP.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Recursion Pharmaceuticals
Phone
385-374-1724
Email
clinicaltrials@recursionpharma.com
Facility Information:
Facility Name
House Institute
City
Los Angeles
State/Province
California
ZIP/Postal Code
90057
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Kristina Bolt
Phone
213-459-5712
Email
kbolt@hifla.org
Facility Name
University of California Los Angeles
City
Los Angeles
State/Province
California
ZIP/Postal Code
90095
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Savanah Wiles
Phone
310-825-5321
Email
shwiles@mednet.ucla.edu
First Name & Middle Initial & Last Name & Degree
Quan Li
Email
Quanli@mednet.ucla.edu
Facility Name
Children's National Hospital
City
Washington
State/Province
District of Columbia
ZIP/Postal Code
20010
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Elizabeth Krisanda
Phone
202-476-6551
Email
ekrisanda@childrensnational.org
Facility Name
University of Florida
City
Gainesville
State/Province
Florida
ZIP/Postal Code
32611
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Julie Segura
Phone
352-273-5550
Email
julie.segura@neurology.ufl.edu
Facility Name
Nicklaus Children's Hospital
City
Miami
State/Province
Florida
ZIP/Postal Code
33155
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Jenny Esteves
Phone
786-624-2854
Email
jenny.esteves@nicklaushealth.org
Facility Name
Sarah Cannon Cancer Institute - HCA Midwest
City
Overland Park
State/Province
Kansas
ZIP/Postal Code
66211
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Megan Werner
Phone
816-276-3852
Email
Megan.Werner@hcamidwest.com
Facility Name
Massachusetts General Hospital
City
Boston
State/Province
Massachusetts
ZIP/Postal Code
02114
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Lauren M Hibyan
Phone
617-643-8992
Email
lmhibyan@partners.org
Facility Name
Beth Israel Deaconess Medical Center
City
Boston
State/Province
Massachusetts
ZIP/Postal Code
02215
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Mary Ellen Bowers
Phone
617-667-7000
Email
mbowers@bidmc.harvard.edu
Facility Name
University of Minnesota / Masonic Cancer Center
City
Minneapolis
State/Province
Minnesota
ZIP/Postal Code
55455
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Allison Fullenkamp
Phone
612-625-6125
Email
fulle631@umn.edu
First Name & Middle Initial & Last Name & Degree
Christopher L Moertel, MD
Phone
651-247-0445
Email
moert001@umn.edu
Facility Name
Mayo Clinic
City
Rochester
State/Province
Minnesota
ZIP/Postal Code
55905
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Grace Botzo
Phone
507-266-9415
Email
botzo.grace@mayo.edu
Facility Name
Memorial Sloan Kettering Cancer Center
City
New York
State/Province
New York
ZIP/Postal Code
10065
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Kristen Gary
Phone
866-886-9807
Email
GaryK@mskcc.org
Facility Name
Duke University Medical Center
City
Durham
State/Province
North Carolina
ZIP/Postal Code
27710
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Sarah Woodring
Phone
919-684-2527
Email
sarah.woodring@duke.edu
Facility Name
UT Southwestern Medical Center
City
Dallas
State/Province
Texas
ZIP/Postal Code
75390
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Dreaux Abe
Phone
214-456-6439
Email
dreaux.abe@childrens.com
First Name & Middle Initial & Last Name & Degree
Laura Klesse, MD, PhD
Phone
214-648-3122
Email
Laura.Klesse@UTSouthwestern.edu

12. IPD Sharing Statement

Plan to Share IPD
No

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Efficacy and Safety of REC-2282 in Patients With Progressive Neurofibromatosis Type 2 (NF2) Mutated Meningiomas

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