Clinical trial Recruiting at 33 sites Phase 2 Interventional Ages 6 Months to 25

Evaluating Tovorafenib for Pediatric Low-Grade Glioma and Advanced Solid Tumors

Official title: FIREFLY-1: A Phase 2, Open-Label, Multicenter Study to Evaluate the Safety and Efficacy of the Oral Pan-RAF Inhibitor DAY101 in Pediatric Patients With RAF-Altered, Recurrent or Progressive Low-Grade Glioma and Advanced Solid Tumors

Run by Day One Biopharmaceuticals, Inc. · NCT04775485 · Data updated 2026-11-12

This study is testing a new drug called Tovorafenib to see if it can help kids and young adults with certain brain tumors and advanced solid tumors feel better.

Quick facts

PhasePhase 2
Study typeInterventional
Ages6 Months to 25 Years
SexAll
Enrollment141 (estimated)
SponsorDay One Biopharmaceuticals, Inc.
Industry-sponsored
Locations35 sites (San Francisco, California and 34 other locations)
StatusRecruiting
StartedApril 22, 2021
Main results expectedMay 31, 2027
Study endsMay 31, 2027
Registry record updatedApril 10, 2025
Trial IDNCT04775485 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates are pediatric and young adult patients with relapsed or progressive low-grade glioma or advanced solid tumors with specific genomic alterations.

Probably not a fit

Patients with tumors that have additional known activating molecular alterations or those without radiographically recurrent disease may not benefit from this study.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This Phase 2, multi-center, open-label study aims to assess the safety and efficacy of Tovorafenib in pediatric and young adult participants with relapsed or progressive low-grade glioma and advanced solid tumors. Participants will undergo genomic testing to identify qualifying alterations before enrollment. The study includes a screening period, treatment phase, long-term extension, and follow-up assessments to monitor safety and efficacy outcomes.

Why it matters

Potential benefit: If successful, this treatment could provide a new therapeutic option for children and young adults with challenging low-grade gliomas and advanced solid tumors.

How similar studies have gone: Other studies have shown promise with targeted therapies in similar patient populations, suggesting potential for success with this approach.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Low Grade Glioma \& Low-Grade Glioma Extension: a relapsed or progressive LGG with documented known activating BRAF alteration.
* Advanced Solid Tumor: locally advanced or metastatic solid tumor with documented known or expected to be activating RAF fusion.
* Participants must have histopathologic verification of malignancy at either original diagnosis or relapse.
* Must have received at least one line of prior systemic therapy and have documented evidence of radiographic progression.
* Must have at least 1 measurable lesion as defined by RANO (Arms 1 \& 2) or RECIST v1.1 (Arm 3) criteria

Exclusion Criteria:

* Participant's tumor has additional previously-known activating molecular alterations.
* Participant has symptoms of without radiographically recurrent or radiographically progressive disease.
* Known or suspected diagnosis of neurofibromatosis type 1 (NF-1) via genetic testing or current diagnostic criteria.

Other inclusion/exclusion criteria as stipulated by protocol may apply

Where it's running

  • UCSF Benioff Children's Hospital
    San Francisco, California, United States
    Recruiting
  • Children's National Medical Center
    Washington D.C., District of Columbia, United States
    Recruiting
  • Lurie Children's Hospital of Chicago
    Chicago, Illinois, United States
    Recruiting
  • Dana-Farber Cancer Institute
    Boston, Massachusetts, United States
    Recruiting
  • CS Mott Children's Hospital
    Ann Arbor, Michigan, United States
    Recruiting
  • St. Louis Children's Hospital
    St Louis, Missouri, United States
    Recruiting
Show 29 more locations
  • NYU Langone Health
    New York, New York, United States
    Recruiting
  • Duke Cancer Center
    Durham, North Carolina, United States
    Recruiting
  • Children's Hospital of Philadelphia
    Philadelphia, Pennsylvania, United States
    Recruiting
  • Texas Children's Hospital
    Houston, Texas, United States
    Recruiting
  • University of Utah
    Salt Lake City, Utah, United States
    Recruiting
  • Seattle Children's Hospital
    Seattle, Washington, United States
    Recruiting
  • Queensland Children's Hospital
    Brisbane, Australia
    Recruiting
  • Royal Children's Hospital
    Parkville, Australia
    Recruiting
  • Perth Children's Hospital
    Perth, Australia
    Recruiting
  • Sydney Children's Hospital
    Randwick, Australia
    Recruiting
  • The Children's Hospital at Westmead
    Westmead, Australia
    Recruiting
  • Centre Hospitalier Universitaire Ste-Justine
    Montreal, Quebec, Canada
    Recruiting
  • Montreal Children's Hospital
    Montreal, Quebec, Canada
    Recruiting
  • Centre Mère-Enfant Soleil du CHU
    Québec, Quebec, Canada
    Recruiting
  • Rigshospitalet
    Copenhagen, Denmark
    Recruiting
  • Charité Universitätsmedizin Berlin, Campus Virchow Klinikum, Otto-Heubner-Centrum für Kinder
    Berlin, Germany
    Recruiting
  • Hopp-Kindertumorzentrum Heidelberg (KiTZ), KiTZ Clinical Trial Unit (ZIPO)
    Heidelberg, Germany
    Recruiting
  • Rambam Health Care Campus
    Haifa, Israel
    Recruiting
  • Schneider Children's Medical Center of Israel
    Petah Tikva, Israel
    Recruiting
  • The Chaim Sheba Medical Center
    Ramat Gan, Israel
    Recruiting
  • Princess Maxima Center for Pediatric Oncology
    Utrecht, Netherlands
    Recruiting
  • KK Women's and Children's Hospital
    Singapore, Singapore
    Recruiting
  • Seoul National University Hospital
    Seoul, South Korea
    Recruiting
  • Severance Hospital - Yonsei University
    Seoul, South Korea
    Recruiting
  • Universitäts-Kinderspital Zürich - Eleonorenstiftung
    Zurich, Switzerland
    Recruiting
  • UCL Great Ormond Street Institute of Child Health
    London, United Kingdom
    Recruiting
  • Newcastle University
    Newcastle upon Tyne, United Kingdom
    Recruiting
  • Johns Hopkins Hospital
    Baltimore, Maryland, United States
    Terminated
  • Doernbecher Children's Hospital Oregon & Health Science University
    Portland, Oregon, United States
    Terminated

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.