Study of Pimicotinib (ABSK021) for Tenosynovial Giant Cell Tumor (MANEUVER)

NCT ID: NCT05804045

Last Updated: 2025-09-08

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

ACTIVE_NOT_RECRUITING

Clinical Phase

PHASE3

Total Enrollment

90 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-04-27

Study Completion Date

2028-06-30

Brief Summary

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The goal of this clinical trial is to assess the efficacy and safety of Pimicotinib (ABSK021) in patients with Tenosynovial Giant Cell Tumor (TGCT). The main questions it aims to answer are:

* Whether the Pimicotinib(ABSK021) works well in patients with TGCT.
* Whether the Pimicotinib(ABSK021) is safe in patients with TGCT.

Participants will be asked to complete the study procedures:

* Receive the administration of Pimicotinib(ABSK021) or placebo (a placebo is a look-alike substance that contains no active drug) about 24 weeks in study part 1.
* Receive the administration of Pimicotinib(ABSK021) about 24 weeks in study part 2.
* Receive the administration of Pimicotinib(ABSK021) till study end in study part 3.
* Complete the study procedures speficied in the protocol, which is guided by researchers.

Detailed Description

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This study consists of part 1 and part 2. Part 1 is a double-blind phase, eligible patients will be randomized to Pimicotinib(ABSK021) treatment group or matching placebo group and will receive Pimicotinib(ABSK021) or matching placebo until completion of Part 1.

Part 2 is an open-label treatment phase, and all patients entering this phase will receive open-label Pimicotinib(ABSK021) until completion of 24 weeks of dosing or withdrawal from the study.

Part 3 is an open-label extension treatment phase, and patients who completed the part 2 and continuted to be eligible, will go to the Part 3. Patients will receive the open-label Pimicotinib(ABSK021) until all patients withdraw from the study, or the sponsor decides to terminate the study, whichever occurs first.

Conditions

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Tenosynovial Giant Cell Tumor Pigmented Villonodular Synovitis Giant Cell Tumor of Tendon Sheath

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Part 1/Part 2/Part 3- Pimicotinib(ABSK021)/ Pimicotinib(ABSK021)

Participants receive the blinded treatment of ABSK021 for 24 weeks in Part 1 and continue on the open-label Pimicotinib(ABSK021) in Part 2 and Part 3.

Group Type EXPERIMENTAL

Pimicotinib(ABSK021)

Intervention Type DRUG

capsule

Part 1- Placebo/ Pimicotinib(ABSK021)

Participants receive the blinded treatment of matching placebo for 24 weeks in Part 1 and have option to receive the open-label Pimicotinib(ABSK021) in Part 2.

Group Type PLACEBO_COMPARATOR

Pimicotinib(ABSK021)

Intervention Type DRUG

capsule

Placebo

Intervention Type DRUG

capsule

Interventions

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Pimicotinib(ABSK021)

capsule

Intervention Type DRUG

Placebo

capsule

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Patients should understand the study procedures and sign the informed consent form prior to screening.
* Age ≥ 18 years.
* A histologically confirmed TGCT with unresectable.
* Measurable disease as defined by RECIST 1.1, and with at least one lesion of ≥ 2 cm.
* Stable prescription of analgesic regimen for patients with an analgesic need.
* Participants should complete stiffness and pain scales during the screening period, and symptomatic disease because of active TGCT should meet minimum requirements as outlined in study protocol.
* ECOG PS (Eastern Cooperative Oncology Group Performance Status) of 0 or 1.
* Adequate organ function and bone marrow function.

Exclusion Criteria

* Known allergy or hypersensitivity to any components of the investigational drug product.
* Previous treatment with highly selective inhibitors targeting CSF-1/CSF-1R. Previous therapy with imatinib and nilotinib is allowed.
* Known additional malignancy that required active treatment and may affect the patient's participation in the study or affect the outcome of the study as assessed by the Investigator.
* Known metastatic TGCT.
* Significant concomitant arthropathy in the affected joint, serious disease, uncontrolled infection.
* Known MRI contraindications.
* Has factors that significantly affected the absorption of oral drug.
* Major surgery or previous anti-tumor therapy for TGCT within 4 weeks prior to randomization.
* Concomitant use of strong CYP inhibitors or inducers as outlined in study protocol.
* Impaired cardiac function or clinically significant cardiac disease.
* Known active human immunodeficiency virus, active hepatitis B, active hepatitis C, or known active tuberculosis.
* Known active liver or biliary disease, or other diseases that may lead to abnormal liver function test results during the study.
* Pregnant or lactating women.
* Childbearing potential males or non-surgically sterilized female patients must agree to use effective methods of contraception during the study.
* Any other clinically significant comorbidities, which in the judgment of the Investigator, could compromise compliance with the protocol, interfere with the interpretation of study results, or predispose the patient to safety risks.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Abbisko Therapeutics Co, Ltd

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Precision NextGen Oncology

Beverly Hills, California, United States

Site Status

Duke University Medical Center

Durham, California, United States

Site Status

Henry Ford Health System

Detroit, Michigan, United States

Site Status

Roswell Park Comprehensive Cancer Center

Buffalo, New York, United States

Site Status

The Cleveland Clinic Foundation

Cleveland, Ohio, United States

Site Status

The Ohio State University

Columbus, Ohio, United States

Site Status

The University of Texas M.D. Anderson Cancer Center

Houston, Texas, United States

Site Status

Fred Hutchinson Cancer Center

Seattle, Washington, United States

Site Status

McGill University Health Center

Montreal, , Canada

Site Status

Princess Margaret Cancer Center

Toronto, , Canada

Site Status

The First Affiliated Hospital of Bengbu Medical College

Bengbu, Anhui, China

Site Status

Peking University People's Hospital

Beijing, Beijing Municipality, China

Site Status

The First Affiliated Hospital of Fujian Medical University

Fuzhou, Fujian, China

Site Status

Guangdong Provincial People's Hospital

Guangzhou, Guangdong, China

Site Status

The First Affiliated Hospital of Jinan University

Guangzhou, Guangdong, China

Site Status

The First Affiliated Hospital, Sun Yat-sen University

Guangzhou, Guangdong, China

Site Status

The Affiliated Hospital of Guizhou Medical University

Guiyang, Guizhou, China

Site Status

Henan Cancer Hospital

Zhengzhou, Henan, China

Site Status

The Central Hospital of Enshi Tujia and Miao Autonomous Prefecture

Enshi, Hubei, China

Site Status

Union Hospital Affiliated to Tongji Medical College, Huazhong University of Science and Technology

Wuhan, Hubei, China

Site Status

Hunan Provincial People's Hospital

Changsha, Hunan, China

Site Status

The Second Xiangya Hospital of Central South University

Changsha, Hunan, China

Site Status

Nanjing Drum Tower hospital

Nanjing, Jiangsu, China

Site Status

Liaoning Cancer Hospital&Institute

Shenyang, Liaoning, China

Site Status

Weifang People's Hospital

Weifang, Shandong, China

Site Status

Shanghai General Hospital

Shanghai, Shanghai Municipality, China

Site Status

The Second Hospital of Shanxi Medical University

Taiyuan, Shanxi, China

Site Status

Xi'an Honghui Hospital

Xi’an, Shanxi, China

Site Status

West China Hospital Sichuan University

Chengdu, Wuhan, China

Site Status

The First Affiliated Hospital of Xinjiang Medical University

Ürümqi, Xinjiang, China

Site Status

The Second Affiliated Hospital Zhejiang University School of Medicine

Hangzhou, Zhejiang, China

Site Status

Zhejiang Cancer Hospital

Hangzhou, Zhejiang, China

Site Status

Beijing Jishuitan Hospital

Beijing, , China

Site Status

IRCCS Istituto Ortopedico Rizzoli

Bologna, , Italy

Site Status

Fondazione IRCCS Istituto Nazionale dei Tumori

Milan, , Italy

Site Status

Ospedale di Prato

Prato, , Italy

Site Status

Leiden University Medical Center

Leiden, , Netherlands

Site Status

Maria Sklodowska-Curie National Research Institute of Oncology

Warsaw, , Poland

Site Status

Hospital Universitari Vall d'Hebron

Barcelona, , Spain

Site Status

Fundacion Jimenez Diaz

Madrid, , Spain

Site Status

Countries

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United States Canada China Italy Netherlands Poland Spain

References

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Niu X, Ravi V, Shan B, Guo Q, Shi H, Zou Q, Gelderblom H. MANEUVER: A Phase III study of pimicotinib to assess efficacy and safety in tenosynovial giant cell tumor patients. Future Oncol. 2024 Sep 17:1-8. doi: 10.1080/14796694.2024.2396227. Online ahead of print.

Reference Type DERIVED
PMID: 39287124 (View on PubMed)

Other Identifiers

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ABSK021-301

Identifier Type: -

Identifier Source: org_study_id

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