Discovery and development of NF drug candidates.
Clinical Trials Pipeline
Clinical Trials Progress
There are now 67 active clinical trials for NF – three times the number of clinical trials than there were just 10 years ago. The FDA approval of selumetinib (Koselugo) proved to be a beacon for NF researchers, pharma, and biotech companies, who have a renewed interest in NF.
1
FDA-approved Drug for NF, and more on the horizon
CTF-funded research paved the way to the first FDA-approved drug for NF, Koselugo (selumetinib).
3X
the number of NF Clinical Trials in the past 10 years
There are currently 67 active clinical trials for NF – three times the number of trials than just ten years ago!
45
years of funding NF research
CTF was founded 45 years ago as the first grassroots organization to support patients with all types of NF.
11,000
have joined the NF Registry
The NF Registry is a secure website where people with NF can take an active role in the search for better treatments.
20,000
patients each year visit the NF Clinic Network
The NF Clinic Network (NFCN) is dedicated to improving NF clinical care and establishing best practices.
Search for NF Clinical Trials
Clinical trials help identify potential new treatments that will benefit patients living with NF. The number of clinical trials for NF has increased to three times the number of trials from just a decade ago. Many of these potential treatments are directly due to research sponsored by the Children’s Tumor Foundation.
To search for active and upcoming clinical trials in the USA, each of the NF-specific links below will open a search at ClinicalTrials.gov. At this link are tips for navigating your search on that website.
Search for clinical trials in Europe by clicking the NF-specific links below
Tips for your Clinical Trials search
- “Targets” are the part of the disease that the drug tries to stop.
- “Agents” are the drug names.
- “Phases” are the current stage of research. The higher the number of the Phase, the closer the treatment is to being approved for use in NF patients.
- Phase 0 is very early stage testing
- Phase 1 tests for drug safety
- Phase 2 tests whether the treatment works.
- Phase 3 tests whether the new treatment is better than existing treatments
When searching for NF2-Related Schwannomatosis Clinical Trials
NF2-related schwannomatosis (NF2-SWN) was referred to as “neurofibromatosis type 2” or NF2 until May 2022. For the time being, if you are interested in NF2-SWN, we suggest searching for both of these terms.
For clinical trials in Europe, search www.clinicaltrialsregister.eu.
For Your Patients
Patients can choose to be contacted about clinical trials that they may be a candidate for by joining the NF Registry. Please direct your patients to visit www.nfregistry.org, and click “Clinical Trials” on the menu bar.
CTF’’s resource for patients considering joining a clinical trial is available to read or download at this link, What is a Clinical Trial?
NF Registry
The NF Registry represents the collaborative efforts of patients from around the world diagnosed with NF, including neurofibromatosis type 1 (NF1) and all forms of schwannomatosis (SWN), including NF2-related schwannomatosis (NF2-SWN), formerly called neurofibromatosis type 2.
The NF Registry was created in order to accelerate research and therapy development for patients. The database holds the information necessary to determine the prevalence and natural history of the disorders and to assist in identifying candidate patients for a particular study.
About the NF Registry
The database houses the information necessary to determine the prevalence and natural history of the disorders as well as to assist in the identification of appropriate candidate patients for a particular study, all of whom have agreed to be contacted by CTF about potential beneficial research. Identifiable information for registry participants will never be released by CTF. For centers conducting clinical trials, participants who may be candidates for studies will be contacted by CTF and provided with contact information; if the patient is interested in potential participation in a study, he or she will contact the study center.
Available Projects for Researchers
There are two main ways researchers use NF Registry data:
- Recruit patients for an IRB-approved clinical trial or research study.
- Request de-identified data maintained in the NF registry for data analysis.
All requests are reviewed by the Data Access Committee, consisting of NF clinicians, patients, and care advocates.
For all requests, please contact Kate Kelts at kkelts@ctf.org
NF Clinical Trials Consortium
The Neurofibromatosis Clinical Trials Consortium (NFCTC) was established by the Department of Defense Neurofibromatosis Research Program (NFRP) to develop and perform clinical trials for the treatment of NF complications in children and adults. The Consortium is composed of fifteen clinical sites, ten collaborating affiliate sites, and an Operations Center at the University of Alabama at Birmingham under the direction of Dr. Bruce Korf.
This presentation about the NF Clinical Trials Consortium was presented live on June 23, 2023 at the Children’s Tumor Foundation NF Summit in Scottsdale, Arizona.
Platform Trials
CTF is a funding partner with EU-PEARL (EU Patient-cEntric clinicAl tRial pLatforms), a joint project under a European Innovative Medicine Initiative (IMI). This pursuit is building platform trials in which multiple drugs are tested in parallel under the same clinical protocol. This approach allows more efficient identification of potential treatments.
Through this initiative, an NF1 platform trial protocol is being defined and finalized and will be operationalized through CTF and the Global Coalition for Adaptive Research. It will initially focus on treatments for plexiform neurofibromas, cutaneous neurofibromas, optic pathway gliomas (OPG), and non-OPG low-grade gliomas.
Separately, CTF is funding the INTUITT-NF2-SWN trial, which is currently in progress and testing brigatinib and neratinib in patients with NF2-SWN. This initiative is a result of the landmark work of CTF’s visionary Synodos for NF2 research collaboration. Read more on our Progress in NF2-SWN page.
Read More about Platform Trials
Thanks to CTF’s advocacy efforts in Europe, NF was chosen as a prototype for rare diseases by the IMI. The NF component of EU-PEARL is co-lead by CTF and the Erasmus Medical Center in Rotterdam, Netherlands. While a network of European clinics will be the first of many to execute these trials, the established protocols will enable trials such as this to run globally.
In addition to the NF1 protocol, a schwannomatosis platform trial protocol is being developed that will enroll schwannomatosis patients, including NF2-related schwannomatosis patients, and will test the ability of drugs to shrink tumors.
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