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Trial · NCT04284774

Tipifarnib for the Treatment of Advanced Solid Tumors, Lymphoma, or Histiocytic Disorders With HRAS Gene Alterations, a Pediatric MATCH Treatment Trial

NCT04284774, Phase 2, Active not recruiting, National Cancer Institute (NCI); results first posted 2025-06-03

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. Tipifarnib for the Treatment of Advanced Solid Tumors, Lymphoma, or Histiocytic Disorders With HRAS Gene Alterations, a Pediatric MATCH Treatment Trial. Trials, record NCT04284774. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT04284774

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
Tipifarnib for the Treatment of Advanced Solid Tumors, Lymphoma, or Histiocytic Disorders With HRAS Gene Alterations, a Pediatric MATCH Treatment Trial
NCT number
NCT04284774
Status
Active not recruiting
Phases
Phase 2
Enrollment
5 participants, actual
Lead sponsor
National Cancer Institute (NCI)
Conditions
Malignant Solid Neoplasm, Recurrent Adrenal Gland Pheochromocytoma, Recurrent Ectomesenchymoma, Recurrent Ependymoma, Recurrent Ewing Sarcoma, Recurrent Hepatoblastoma, Recurrent Kidney Wilms Tumor, Recurrent Langerhans Cell Histiocytosis, Recurrent Malignant Germ Cell Tumor, Recurrent Malignant Glioma, Recurrent Medulloblastoma, Recurrent Melanoma, Recurrent Neuroblastoma, Recurrent Non-Hodgkin Lymphoma, Recurrent Osteosarcoma, Recurrent Peripheral Primitive Neuroectodermal Tumor, Recurrent Rhabdoid Tumor, Recurrent Rhabdoid Tumor of the Kidney, Recurrent Rhabdomyosarcoma, Recurrent Soft Tissue Sarcoma, Recurrent Thyroid Gland Carcinoma, Recurrent WHO Grade 2 Glioma, Refractory Adrenal Gland Pheochromocytoma, Refractory Ependymoma, Refractory Ewing Sarcoma, Refractory Hepatoblastoma, Refractory Langerhans Cell Histiocytosis, Refractory Malignant Germ Cell Tumor, Refractory Malignant Glioma, Refractory Medulloblastoma, Refractory Melanoma, Refractory Neuroblastoma, Refractory Non-Hodgkin Lymphoma, Refractory Osteosarcoma, Refractory Peripheral Primitive Neuroectodermal Tumor, Refractory Rhabdoid Tumor, Refractory Rhabdoid Tumor of the Kidney, Refractory Rhabdomyosarcoma, Refractory Soft Tissue Sarcoma, Refractory Thyroid Gland Carcinoma, Refractory WHO Grade 2 Glioma
Interventions
Tipifarnib
First posted
2020-02-26
Last updated
2026-10-16
Results first posted
2025-06-03

Source ClinicalTrials.gov

Registered outcomes5

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryObjective Response Rate (Complete Response + Partial Response) in Pediatric Patients Treated With TipifarnibUp to 2 years from study entry
A responder is defined as a patient who achieves a best response of partial response or complete response on the study. Response rates will be calculated as the percent of evaluable patients who are responders, and confidence intervals will be constructed using the Wilson score interval method. The revised Response Evaluation Criteria in Solid Tumors (RECIST) guideline (version 1.1) was used to determine response and progression in this study, with specific criteria outlined for the different subtypes of tumors (e.g., 2-dimensional measurements for central nervous system (CNS) tumors.
SecondaryProgression Free Survival (PFS)Up to 6 months from study entry
The Kaplan-Meier method will be used to estimate the 6-month PFS. PFS is defined as time from initiation of protocol treatment to disease progression, recurrence, death from any cause, or date of last contact
SecondaryPercentage of Patients Experiencing Grade 3 or Higher Adverse EventsUp to 2 years from study entryPercentage of patients experiencing grade 3 or higher adverse events will be evaluated according to National Cancer Institute Common Terminology Criteria for Adverse Events version 5.0
OtherBiomarker AnalysisUp to 7 yearsWill evaluate other biomarkers as predictors of response to tipifarnib and whether tumors that harbor different missense mutations or fusions will demonstrate differential response to treatment.
OtherProfiling Changes in Tumor GenomicsBaseline, prior to cycle 5, end of treatment, assessed up to 7 yearsWill explore approaches to the profiling changes in tumor genomics over time through evaluation of circulating tumor deoxyribonucleic acid.

Outcomes5

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYObjective Response Rate (Complete Response + Partial Response) in Pediatric Patients Treated With TipifarnibUp to 2 years from study entrypercentage of patientsNUMBER
SECONDARYProgression Free Survival (PFS)Up to 6 months from study entry
SECONDARYPercentage of Patients Experiencing Grade 3 or Higher Adverse EventsUp to 2 years from study entry
OTHER_PRE_SPECIFIEDBiomarker AnalysisUp to 7 years
OTHER_PRE_SPECIFIEDProfiling Changes in Tumor GenomicsBaseline, prior to cycle 5, end of treatment, assessed up to 7 years

Results by group1

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Objective Response Rate (Complete Response + Partial Response) in Pediatric Patients Treated With TipifarnibTreatment (Tipifarnib)090% Confidence Interval 0 to 0percentage of patients

Participant flow3

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDTreatment (Tipifarnib)5
Overall StudyCOMPLETEDTreatment (Tipifarnib)0
Overall StudyNOT COMPLETEDTreatment (Tipifarnib)5

Adverse events32

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherAnemiaBlood and lymphatic system disordersTreatment (Tipifarnib)35
otherAbdominal distensionGastrointestinal disordersTreatment (Tipifarnib)15
otherAbdominal painGastrointestinal disordersTreatment (Tipifarnib)15
otherConstipationGastrointestinal disordersTreatment (Tipifarnib)15
otherDiarrheaGastrointestinal disordersTreatment (Tipifarnib)15
otherNauseaGastrointestinal disordersTreatment (Tipifarnib)15
otherVomitingGastrointestinal disordersTreatment (Tipifarnib)25
otherDisease progressionGeneral disordersTreatment (Tipifarnib)15
otherEdema limbsGeneral disordersTreatment (Tipifarnib)15
otherFatigueGeneral disordersTreatment (Tipifarnib)15

Adverse event totals3

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityTreatment (Tipifarnib)45
Total, other adverse eventsTreatment (Tipifarnib)35
Total, serious adverse eventsTreatment (Tipifarnib)25

Papers1

The papers the trial lists on ClinicalTrials.gov.

PMIDListed as
42853672DERIVED

Source PubMed

Grants1

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

ProjectTitlePrincipal investigatorsOrganizationFunderFiscal years
U10CA180886COG NCTN Network Group Operations CenterHawkins, Douglas S.COG RESEARCH FOUNDATION, LLCNATIONAL CANCER INSTITUTE2014 to 2026

Trial comparisons0

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

None in this release.

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT04284774

GET https://conductscience.org/api/trials/v1/NCT04284774/events?page=2