A Study of Pexidartinib in Tenosynovial Giant Cell Tumor in Japan

Last updated: February 7, 2025
Sponsor: Daiichi Sankyo Co., Ltd.
Overall Status: Active - Not Recruiting

Phase

2

Condition

N/A

Treatment

Pexidartinib

Clinical Study ID

NCT04703322
PL3397-A-J304
jRCT2041200074
  • Ages > 20
  • All Genders

Study Summary

This phase 2, multicenter, two-part, open-label, single-arm study will be conducted in Japan and will evaluate the safety, tolerability, pharmacokinetics (PK), and efficacy of pexidartinib in adult participants with symptomatic tenosynovial giant cell tumor (TGCT) associated with severe morbidity or functional limitation and not amenable to improvement with surgery.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  • Age ≥20 years

  • A diagnosis of TGCT (i) that has been histologically confirmed by a pathologist1 and (ii) associated with severe morbidity or functional limitations and not amenable toimprovement with surgery determined consensually by qualified personnel (eg, 2surgeons or a multi-disciplinary tumor board).

  • Measurable disease as defined by RECIST version 1.1 (except that a minimal size of 2cm is required), assessed from MRI scan by a central radiologist.

Exclusion

Exclusion Criteria:

  • Known metastatic TGCT.

  • Pre-existing increased serum transaminases; total bilirubin or direct bilirubin (>upper limit of normal); or active liver or biliary tract disease, includingincreased alkaline phosphatase.

  • Significant concomitant arthropathy in the affected joint, serious illness,uncontrolled infection, or a medical or psychiatric history that, in theInvestigator's opinion, would likely interfere with a participant's studyparticipation or the interpretation of his or her results.

  • Use of strong cytochrome P450 3A inducers, including St John's wort, proton pumpinhibitors and potassium-competitive acid blockers, or other products known to causehepatotoxicity.

Study Design

Total Participants: 9
Treatment Group(s): 1
Primary Treatment: Pexidartinib
Phase: 2
Study Start date:
March 15, 2021
Estimated Completion Date:
May 31, 2026

Study Description

This study will consist of 2 parts. In Part 1, pexidartinib 800 mg/day (400 mg twice a day [BID]) will be administered on an empty stomach and tolerability and PK of pexidartinib will be evaluated to determine the initiation of Part 2. In Part 2, pexidartinib 800 mg/day (400 mg BID) will be administered on an empty stomach and efficacy, safety, and PK of pexidartinib will be evaluated.

Connect with a study center

  • Nagoya University Hospital

    Aichi, 466-8560
    Japan

    Site Not Available

  • Kyushu University Hospital

    Fukuoka, 812-8582
    Japan

    Site Not Available

  • Kanazawa University Hospital

    Ishikawa, 920-8641
    Japan

    Site Not Available

  • National Hospital Organization Osaka National Hospital

    Osaka, 540-0006
    Japan

    Site Not Available

  • Osaka International Cancer Institute

    Osaka, 541-8567
    Japan

    Site Not Available

  • National Cancer Center Hospital

    Tokyo, 104-0045
    Japan

    Site Not Available

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