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Central Nervous System TumorsPhase 1NCT05081180

Study of Avelumab in Combination With Lenvatinib for Children With Primary CNS Tumors

A Phase 1 study testing Avelumab and Lenvatinib in people with Central Nervous System Tumors, run by EMD Serono Research & Development Institute, Inc. at 9 sites in 4 countries.

Terminated

Stopped early. The study ended before it was planned to and will not resume.

Official record
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Trial summary

This study consists of 2 parts: Dose Escalation Part 1 and Dose Expansion Part 2. The Dose Escalation Part 1 will evaluate the safety and tolerability of Avelumab in combination with Lenvatinib and determine the recommended Avelumab and Lenvatinib dose for expansion. Read more about this study

Who is it for?
Ages 2 to 18 years
Conditions the study is for
Central Nervous System Tumors
What is being tested?
Avelumab and Lenvatinib
Could I receive a placebo?
No, everyone receives an active treatment
How many people
17 participants
Where
9 sitesin 4 countries
Study dates
3 Dec 2021to 9 Jun 2026
Phase
Phase 1
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 2 to 18 years
  • All sexes
  • No healthy volunteers
  • Child, Adult

Who may be able to join

  • Participants with histologically confirmed diagnosis of primary CNS malignancy as follows: a) Primary CNS tumors: the tumor should be considered high-grade histologically; prior radiotherapy is allowed; participants must have progressed after at least 1 prior systemic therapy, except for those with diffuse midline glioma with or without the H3 K27M mutation. b) Specific for participants with diffuse midline glioma with or without the H3 K27M mutation: prior radiotherapy is allowed; no more than 1 prior systemic therapy is allowed; participants with diffuse midline glioma with or without the H3 K27M mutation who have not received prior systemic therapy but have prior radiotherapy only are allowed to enroll
  • On screening scans, measurable disease by RANO criteria
  • Participants must have a Lansky performance status >= 50 for age <= 16 years or Karnofsky performance status >= 50 for age > 16 years at Screening
  • Other protocol defined inclusion criteria could apply

Who cannot join

  • Participants with low-grade gliomas, for example but not limited to, subependymal giant cell astrocytoma, pilocytic astrocytoma and World Health organization (WHO) Grade 1 tumors
  • Participants demonstrating evidence of worsening of neurologic deficit within 1 week prior to initiation of study interventions
  • Participants with bulky tumor, defined as: a) Tumor with any evidence of uncal herniation or midline shift; b) Tumor with a diameter of > 4 centimeters (cm) in 1 dimension on T2/ fluid-attenuated inversion recovery (FLAIR) images; c) Tumor that in the opinion of the Investigator shows significant mass effect
  • Participants are not eligible if they experience uncontrolled seizures, defined as: a) Seizures requiring regular use of rescue medications. b) Seizures requiring increasing doses of antiepileptic medications. c) Seizures that in the opinion of the Investigator compromise the ability of the participant to tolerate study intervention or interfere with study procedures
  • Participants who have received major surgery (including but not limited to neurosurgical resection, brain biopsy, or radiation to the primary brain tumor) within 28 days prior to the first dose of study interventions
  • Participants with history of intracranial hemorrhage/spinal cord hemorrhage within 28 days prior to the first dose of study interventions
  • Other protocol defined exclusion criteria could apply

Trial locations and contacts

9 sites in 4 countries.

9 sites in 4 countries

France3 sites
  • CHU Angers - Hôpital Hôtel Dieu - Service de Cancérologie Pédiatrique

    Angers

  • Hôpital de la Timone

    Marseille

  • Institut Curie - Centre de Lutte Contre le Cancer (CLCC) de Paris

    Paris

Other trials in France

Canada2 sites
  • CHU Sainte-Justine

    Montreal

  • The Hospital for Sick Children

    Toronto

Other trials in Canada

Germany2 sites
  • Universitaetsklinikum Hamburg Eppendorf

    Hamburg

  • Universitaetsklinikum Muenster

    Münster

Other trials in Germany

South Korea2 sites
  • Seoul National University Hospital

    Seoul

  • Severance Hospital, Yonsei University Health System

    Seoul

Other trials in South Korea

About this study

Official title: Single-arm, Multicenter Phase I/Ib Study of Avelumab + Lenvatinib in Children With Primary CNS Tumors

This study consists of 2 parts: Dose Escalation Part 1 and Dose Expansion Part 2. The Dose Escalation Part 1 will evaluate the safety and tolerability of Avelumab in combination with Lenvatinib and determine the recommended Avelumab and Lenvatinib dose for expansion. Dose Expansion Part 2 will assess the efficacy of Avelumab in combination with Lenvatinib by Progression-free Survival in participants with pre-defined primary central nervous system (CNS) tumors.

Being tested
Avelumab, Lenvatinib
Keywords
Avelumab, Lenvatinib, Tumors, Pediatric CNS tumors
Medical subject headings
Central Nervous System Neoplasms, Neoplasms

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • AvelumabDrug

    Participants with primary CNS malignancies who have received at least 1 prior therapy will be enrolled into Dose Escalation Part 1 and will receive intravenous infusion at a flat dose or weight based dose of Avelumab, every 2 weeks (Q2W) until progression, unacceptable toxicity, or withdrawal of consent. Enrollment into part 1 of the study will end when Maximum tolerated dose (MTD) and/or a safe Recommended Dose for Expansion (RDE) for the expansion cohort is determined. Participants with defined CNS tumors will be enrolled into Dose Expansion Part 2 and will receive RDE in Part 2 until progression, unacceptable toxicity, or withdrawal of consent.

  • LenvatinibDrug

    Participants with primary CNS malignancies who have received at least 1 prior therapy will be enrolled into Dose Escalation Part 1 and will receive daily oral escalated dose level of Lenvatinib until progression, unacceptable toxicity, or withdrawal of consent. Enrollment into part 1 of the study will end when MTD and/or a safe Recommended Dose for Expansion (RDE) for the expansion cohort is determined. Participants with defined CNS tumors will be enrolled into Dose Expansion Part 2 and will receive RDE of Lenvatinib in Part 2 until progression, unacceptable toxicity, or withdrawal of consent.

Study groups in NCT05081180
Study groupRoleWhat they receive
Avelumab + LenvatinibExperimentalNot described
Receives: Drug: Avelumab; Drug: Lenvatinib

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Dose Escalation Part 1: Number of Participants with Common Terminology Criteria for Adverse Events (CTCAE) Grade Greater Than or Equal to (>=) 3 Treatment-emergent Adverse Event (TEAEs) According to National Cancer Institute-CTCAE Version 5.0

    Measured: up to 857 days

  2. Dose Escalation Part 1: Number of Participants With Dose Limiting Toxicities (DLTs)

    Measured: Baseline (Day 1) up to Day 28

  3. Dose Expansion Part 2: Progression-free Survival (PFS) According to Response Assessment in Neuro-Oncology (RANO) Criteria as Assessed by Investigators

    Measured: until progressive disease or death, assessed up to Day 1534

Secondary outcomes (25)
  1. Dose Escalation Part 1: Number of Participants with Treatment-Emergent Adverse Events (TEAEs), Treatment-related Adverse Events (AEs), Adverse Event of Special Interest (AESIs), AEs Leading to Deaths

    Measured: up to 876 days

  2. Dose Escalation Part 1: Number of Participants with Treatment-Emergent Adverse Events (AEs) Based on Severity According to National Cancer Institute - Common Terminology Criteria for Adverse Events (NCI-CTCAE) Version 5.0

    Measured: up to 876 days

  3. Dose Escalation Part 1: Number of Participants with Clinically Significant Changes from Baseline in Laboratory Parameters

    Measured: up to 876 days

  4. Dose Escalation Part 1: Objective Response Rate (ORR) According to Response Assessment in Neuro-Oncology (RANO) Criteria as Assessed by Investigators

    Measured: up to 876 days

  5. Dose Escalation Part 1: Duration of Response (DOR) According to Response Assessment in Neuro-Oncology (RANO) Criteria as Assessed by Investigators

    Measured: up to 876 days

  6. Dose Escalation Part 1: Progression-Free Survival (PFS) According to Response Assessment in Neuro-Oncology (RANO) Criteria

    Measured: until progressive disease or death, assessed up to 876 days

  7. Dose Escalation Part 1: Overall Survival (OS)

    Measured: up to 876 days

  8. Dose Escalation Part 1: Serum Observed Concentration at End of Infusion (CEOI) of Avelumab

    Measured: Pre-dose up to 30 days after last dose, assessed up to approximately 876 days

  9. Dose Escalation Part 1: Area Under the Serum Concentration-Time Curve From the Time of Dosing 336 Hours (AUC0-336 [hr]) of Avelumab

    Measured: Pre-dose up to 336 hours post-dose, assessed up to approximately 876 days

  10. Dose Escalation Part 1: Serum Concentration Observed Immediately Before Next Dosing (Ctrough) of Avelumab

    Measured: Pre-dose up to 30 days after last dose, assessed up to approximately 876 days

  11. Dose Escalation Part 1: Maximum Observed Plasma Concentration (Cmax) of Lenvatinib

    Measured: Pre-dose up to 30 days after last dose, assessed up to approximately 876 days

  12. Dose Escalation Part 1: Time to Reach Maximum Observed Plasma Concentration (Tmax) of Lenvatinib

    Measured: Pre-dose up to 30 days after last dose, assessed up to approximately 876 days

  13. Dose Escalation (Part 1): Area Under the Plasma Concentration-Time Curve From the Time of Dosing to 24 Hours (AUC0-24 [hr]) of Lenvatinib:

    Measured: Pre-dose up to 24 hours post-dose, assessed up to approximately 876 days

  14. Dose Escalation Part 1: Immunogenicity of Avelumab as Measured by Antidrug Antibody (ADA) Assay

    Measured: up to 876 days

  15. Dose Expansion Part 2: Number of Participants with Treatment-Emergent Adverse Events (TEAEs), Treatment-related Adverse Events (AEs), Adverse Event of Special Interest (AESIs), AEs Leading to Deaths

    Measured: up to Day 1534

  16. Dose Expansion Part 2: Number of Participants with Treatment-Emergent Adverse Events (AEs) Based on Severity According to National Cancer Institute - Common Terminology Criteria for Adverse Events (NCI-CTCAE) Version 5.0

    Measured: up to Day 1534

  17. Dose Expansion Part 2: Number of Participants with Clinically Significant Changes in Laboratory Parameters

    Measured: up to Day 1534

  18. Dose Expansion Part 2: Objective Response Rate (ORR) Rate According to Response Assessment in Neuro-Oncology (RANO) Criteria as Assessed by Investigators

    Measured: up to Day 1534

  19. Dose Expansion Part 2: Duration of Response (DOR) According to Response Assessment in Neuro-Oncology (RANO) Criteria as Assessed by Investigators

    Measured: up to Day 1534

  20. Dose Expansion Part 2: Overall Survival (OS)

    Measured: up to Day 1534

  21. Dose Expansion Part 2: Serum Observed Concentration at End of Infusion (CEOI) of Avelumab

    Measured: Pre-dose up to 30 days after last dose, assessed up to approximately Day 1534

  22. Dose Expansion Part 2:Serum Concentration Observed Immediately Before Next Dosing (Ctrough) of Avelumab

    Measured: Pre-dose up to 30 days after last dose, assessed up to approximately Day 1534

  23. Dose Expansion Part 2: Maximum Observed Plasma Concentration (Cmax) of Lenvatinib

    Measured: Pre-dose up to 30 days after last dose, assessed up to approximately Day 1534

  24. Dose Expansion Part 2: Time to Reach Maximum Observed Plasma Concentration (Tmax) of Lenvatinib

    Measured: Pre-dose up to 30 days after last dose, assessed up to approximately Day 1534

  25. Dose Expansion Part 2: Immunogenicity of avelumab as measured by ADA assay

    Measured: up to Day 1534

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted18 Oct 2021
  2. Study start3 Dec 2021
  3. Primary completion11 Feb 2026
  4. Study completion9 Jun 2026

Why it stopped: The study was stopped due to a lack of clear evidence of anti-tumor activity with the combination treatment in the participants treated.

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 1
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Sequential
Masking
None (open label)
Enrolment
17 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05081180
Sponsor's protocol ID
MS100070_0087
Other IDs
2020-004397-22, 2024-512940-51-00
Status last verified
Jul 2026
First submitted
4 Oct 2021
Last updated
29 Jul 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No: IPD will not be shared for Phase I interventional or observational studies. Further information on how to request data can be found on our website bit.ly/IPD21.

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing Avelumab and Lenvatinib in people with Central Nervous System Tumors, run by EMD Serono Research & Development Institute, Inc. at 9 sites in 4 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 4 inclusion and 7 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: stopped early, as of the sponsor's last update on 29 Jul 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 9 sites in France, Canada, Germany, South Korea. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

The study was stopped early (reason given: The study was stopped due to a lack of clear evidence of anti-tumor activity with the combination treatment in the participants treated.). Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Dose Escalation Part 1: Number of Participants with Common Terminology Criteria for Adverse Events (CTCAE) Grade Greater Than or Equal to (>=) 3 Treatment-emergent Adverse Event (TEAEs) According to National Cancer Institute-CTCAE Version 5.0 (time frame: up to 857 days). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 29 Jul 2026.

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