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
| Phase | Phase 2 |
|---|---|
| Study type | Interventional |
| Ages | 6 Months to 25 Years |
| Sex | All |
| Enrollment | 141 (estimated) |
| Sponsor | Day One Biopharmaceuticals, Inc. Industry-sponsored |
| Locations | 35 sites (San Francisco, California and 34 other locations) |
| Status | Recruiting |
| Started | April 22, 2021 |
| Main results expected | May 31, 2027 |
| Study ends | May 31, 2027 |
| Registry record updated | April 10, 2025 |
| Trial ID | NCT04775485 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
- Study coordinator: Day One Biopharmaceuticals, Inc.
- Email: firefly-1@dayonebio.com
- Phone: 650-484-0899
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
-
SGT003 in people with advanced solid tumors
This early-phase study tests SGT003 in adults with advanced solid tumors to see if it is safe and tolerable and to get a first look at how it behaves in the body and any early signs of benefit.
-
YSCH-01 Nebulized Therapy for Lung Metastases in NSCLC and Advanced Solid Tumors
A first-in-human, early-phase study tests a nebulized therapy called YSCH-01 to see if it is safe and shows any signs of benefit for adults with NSCLC or other cancers that have spread to the lungs.
-
Personalized neoantigen-pulsed dendritic cell injections for malignant solid tumors
This study tests personalized dendritic cell injections, with or without immune checkpoint inhibitors, to see if they are safe and can help patients with advanced solid tumors.
-
STX-003 in advanced solid tumors given by IV, alone or with pembrolizumab
This study tests STX-003, given by IV, to see if it is safe and potentially effective for patients with advanced solid tumors, either alone or with pembrolizumab.
-
ARV-6723 alone or with pembrolizumab in adults with advanced solid tumors
This study tests ARV-6723, by itself or with pembrolizumab, to see if it is safe and could help the immune system fight advanced solid tumors in adults.
-
BG-85738 alone or with other anticancer drugs in RAS-mutant advanced or metastatic solid tumors
This study tests BG-85738, alone or with other cancer drugs, in adults whose solid tumors have RAS mutations and have progressed.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.