Study of Cabozantinib With Selumetinib for Plexiform Neurofibromas

This study is looking at a combination of two oral medications, cabozantinib and selumetinib, for people aged 16 and older with Neurofibromatosis 1 (NF1) and plexiform neurofibromas (PNs). PNs are tumors that can cause problems like pain or disfigurement. Researchers want to see if taking these two drugs together is safe and what side effects might occur. The study will also look at how well the combination works to treat PNs. You must have a diagnosis of NF1 to join. The study plans to enroll 30 participants, but its current status is unclear.

Study design
This is an open-label, dose escalation study, meaning you and your doctors will know which medications you are receiving. Up to 6 participants will be enrolled at each dose level to evaluate safety.
What's involved
You will take cabozantinib once a day and selumetinib twice a day, both on an empty stomach. The specific dose will depend on when you join the study.
Compensation
Not stated in the trial record.
Follow-up
The study will track side effects and safety for 12 months.

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NCT06502171

Study of Cabozantinib With Selumetinib for Plexiform Neurofibromas

Recruiting
PHASE1Ages 16+InterventionalTreatment
Girish Dhall, MD
~30 participants
Updated 2026-08-24 on ClinicalTrials.gov
What's tested:Cabozantinib Oral TabletSelumetinib Oral Capsule

At a glance

Recruiting sites
6 of 6 listed sites are recruiting right now
RecruitingSuspended, closed, or not yet open
What they're measuring
The number of participants that experienced a dose limiting toxicity when taking cabozantinib and selumetinib together.
Measured over 12 months
+1 more outcome measured
Neurofibromatosis 1
Plexiform Neurofibroma
6 sites across 6 states
Alabama1
District of Columbia1
Massachusetts1
Ohio1
Pennsylvania1
Texas1
  • Girish Dhall, MD · STUDY_DIRECTOR · University of Alabama at Birmingham

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Do you actually qualify for this trial?

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Eligibility criteria

Inclusion

Males: (140 - age) x weight (kg)/(serum creatinine \[mg/dL\] × 72)
Females: \[(140 - age) x weight (kg)/(serum creatinine \[mg/dL\] × 72)\] × 0.85 Urine protein/creatinine ratio (UPCR) ≤ 1 mg/mg (≤ 113.2 mg/mmol), or 24-h urine protein ≤ 1 g.
  • The number of participants that experienced a dose limiting toxicity when taking cabozantinib and selumetinib together.12 months

    The phase 1 uses a modified Rolling 6 design to test up to 5 dose level combinations of selumetinib and cabozantinib. In this design, six participants can be enrolled at a given dose level and then evaluated for dose limiting toxicity (DLT) within the DLT window. The DLT window is defined as 16 weeks in this study based on the long half-life of cabozantinib and the desire to have maximum confidence about long-term tolerability of the combination prior to proceeding to the next dose level. Enrollment will start at dose level one and enrollment to the next dose level will occur when 3/3, 4/4, 5/5, 5/6 or 6/6 participants have completed 16 weeks of therapy without DLT. From 6 to 30 participants, depending on the number enrolled at each dose level, will be enrolled for the Rolling 6 design evaluation of DLT.

  • To define and describe the toxicities of the combination therapy with cabozantinib and selumetinib12 months

    Adverse events based on the NCI Common Terminology Criteria (CTC) version 5.0