🏛️ Verified NIH Record • Updated 2026-08-12

A Study Evaluating the Safety, Pharmacokinetics, and Efficacy of Alectinib in Pediatric Participants With ALK Fusion-Positive Solid or CNS Tumors (NCT04774718)

A Phase I/II, Open-Label, Multicenter, Study Evaluating the Safety, Pharmacokinetics, and Efficacy of Alectinib in Pediatric Participants With ALK Fusion-Positive Solid or CNS Tumors for Whom Prior Treatment Has Proven to be Ineffective or for Whom There is No Satisfactory Treatment Available

🔵 Active, Not Recruiting Phase1 / Phase2 💊 Investigational Drug / Biologic Sponsor: Hoffmann-La Roche

🩺 Plain-English Summary (8th-Grade Level)

This study will evaluate the safety, pharmacokinetics, and efficacy of alectinib in children and adolescents with ALK fusion-positive solid or CNS tumors for whom prior treatment has proven to be ineffective or for whom there is no satisfactory standard treatment available.

Who can join: To join this study, participants generally need to meet the listed inclusion criteria (9 items) and avoid the listed exclusions (14 items).

Location: Lucile Packard Children's Hospital — Palo Alto, California

Age range: Not specified to 17 Years

🧪 Interventions in This Study

📋 "Do I Qualify?" — 1-Minute Self Screener

Instant Checklist

Check every box below. If you can check all of them, you may meet the study's basic screening requirements (final eligibility is confirmed by the site team).

Usually NOT eligible if any of the following apply:

  • Exclusion Criteria
  • Medical history of: prior use of ALK inhibitors; diagnosis of Anaplastic Large Cell Lymphoma (ALCL); any gastrointestinal disorder that may affect absorption of oral medications, such as mal-absorption syndrome or status post-major bowel resection; history of organ transplant; stem cell infusions as defined by the protocol
  • Substance abuse within 12 months prior to screening
  • Familial or personal history of congenital bone disorders, bone metabolism alterations, or osteopenia
  • Treatment with investigational therapy 28 days prior to initiation of study drug
  • Liver or kidney disease as defined by the protocol
  • National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE) v5.0 grade \>/=3 toxicities attributed to any prior therapy such as radiotherapy (excluding alopecia), which have not shown improvement and are strictly considered to interfere with alectinib
  • Co-administration of anti-cancer therapies other than those administered in this study
  • Active hepatitis B or C virus (HBV, HBC), or known HIV-positivity or AIDS-related illness
  • Any clinically significant concomitant disease or condition that could interfere with, or for which the treatment might interfere with, the conduct of the study or the absorption of oral medications or that would, in the opinion of the Principal Investigator, pose an unacceptable risk to the participant in this study
  • Any psychological, familial, sociological, or geographical condition potentially hampering compliance with the study protocol requirements and/or follow-up procedures; such conditions should be discussed with the participant before trial entry
  • Planned procedure or surgery during the study except as permitted treatment as defined by the protocol

🔍 Extracted verbatim from the official NIH eligibility criteria. Always confirm with the study coordinator.

📍 All Participating Trial Locations (31 Sites)

Showing the first 25 of 31 sites.

  • Lucile Packard Children's Hospital — Palo Alto, California
  • Johns Hopkins All Children's Hospital — St. Petersburg, Florida
  • University of Michigan, C.S. Mott Children's Hospital — Ann Arbor, Michigan
  • Children's Minnesota — Minneapolis, Minnesota
  • Memorial Sloan Kettering Cancer Center — New York, New York
  • Cincinnati Children's Hospital Medical Center — Cincinnati, Ohio
  • St. Jude Children'S Research Hospital — Memphis, Tennessee
  • Sydney Children's Hospital — Randwick, New South Wales
  • Royal Children's Hospital — Parkville, Victoria
  • Hospital de Cancer de Barretos — Barretos, São Paulo
  • Graacc-Grupo de Apoio ao adolescente e a crianca com cancer — São Paulo, São Paulo
  • The Hospital for Sick Children — Toronto, Ontario
  • CHU Sainte-Justine — Montreal, Quebec
  • Beijing Children's Hospital, Capital Medical University — Beijing,
  • Xinhua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine — Shanghai,
  • Rigshospitalet — København Ø,
  • Centre Léon Bérard, Institut d?Hémato-Oncologie Pédiatrique — Lyon,
  • Hôpital de la Timone, Oncologie Pédiatrique — Marseille,
  • Institut Curie - Centre de Lutte Contre le Cancer (CLCC) de Paris — Paris,
  • Istituto Giannina Gaslini-Ospedale Pediatrico IRCCS — Genoa, Liguria
  • Istituto Nazionale Tumori di Milano — Milan, Lombardy
  • Dipartimento di Scienze Pediatriche Adolescenza — Turin, Piedmont
  • Seoul National University Hospital — Seoul,
  • Asan Medical Center — Seoul,
  • Samsung Medical Center — Seoul,

💰 Cost, Insurance & Patient Rights

  • 100% Free Items: The investigational treatment and protocol-required procedures are supplied at zero cost by the sponsor.
  • Routine Patient Care: Under federal law (ACA § 2709) and many state statutes, routine care costs are covered during participation.
  • Voluntary Participation: You may withdraw at any time without affecting your standard medical care.

💡 How to Participate

  1. Check the checklist above to see if you may qualify.
  2. Review the official NIH record below to find the coordinating site.
  3. Ask about the visit schedule, what is covered at no cost, and any travel support.
  4. Confirm with your own doctor before making a decision.
🏛️ View Official NIH Record ↗