Vismodegib in Treating Patients With Recurrent or Refractory Medulloblastoma

PRIMARY OBJECTIVES:

I. To estimate the efficacy of GDC-0449 (vismodegib) treatment for adult patients with
recurrent or refractory medulloblastoma, as measured by the objective response rates for
patients without (Stratum A) and with (Stratum B) evidence of activation of Sonic Hedgehog
(SHH) signaling pathway tumors.

SECONDARY OBJECTIVES:

I. To assess the safety and tolerability of GDC-0449 administered on a once daily schedule.

II. To estimate the duration of objective response and progression-free survival (PFS).

III. To characterize the pharmacokinetics (plasma and cerebrospinal fluid) of GDC-0449 in
adults with refractory medulloblastoma.

IV. To document pathologic and genomic methods to identify CNS tumors with activation of the
PTCH/SHH pathway.

V. To describe the objective responses observed in patients whose pathologic assessment of
tumor result in unknown (Stratum C) evidence of activation of Sonic Hedgehog (SHH) signaling
pathway tumors.

OUTLINE: This is a multicenter study. Patients are stratified according to PTCH/Sonic
Hedgehog signaling pathway activation (inactivated vs activated vs unknown).

Patients receive vismodegib orally (PO) once daily on days 1-28. Treatment repeats every 28
days for up to 26 courses in the absence of disease progression or unacceptable toxicity.

After completion of study treatment, patients are followed up periodically for up to 12
months.

Inclusion Criteria:

- Patients with a histologically confirmed diagnosis of medulloblastoma (including
posterior fossa PNET) that is recurrent, progressive, or refractory to standard
therapy and for which there is no known curative therapy are eligible; there must be
evidence of residual measurable disease or lesion in pre-study MRI as described in
section; patients with spinal disease that is measurable will be eligible

- The diagnosis should be confirmed at the treating institution and tissue (either from
the diagnosis or relapse or preferably from both time points) must be available for
biological studies

- Patients with neurological deficits should have deficits that are stable for a
minimum of 1 week prior to registration; this is to be documented in the database

- Eastern Cooperative Oncology Group (ECOG) performance status 0- 2

- No other myelosuppressive chemotherapy or immunotherapy within 4 weeks prior to study
entry (6 weeks if prior nitrosourea)

- Decadron dose should also be stable or decreasing for at least 1 week (7days) prior
to starting therapy

- Radiation therapy (XRT) >= 3 months prior to study entry for craniospinal irradiation
(>= 23 Gy); >= 8 weeks for local irradiation to primary tumor; >= 2 weeks prior to
study entry for focal irradiation for symptomatic metastatic sites

- Off all colony stimulating factors >= 1 week prior to study entry (GCSF, GM CSF,
erythropoietin)

- Absolute neutrophil count (ANC) >= 1000/μL

- Platelet count >= 50,000/uL (transfusion independent)

- Hemoglobin >= 8.0 gm/dL (may receive RBC transfusions)

- Creatinine clearance or radio-isotope GFR >= 70ml/min/1.73 m2 or

- A serum creatinine =< 2.0 mg/dL

- Total bilirubin =< 1.5 x upper limit of normal (ULN) for age

- Serum glutamic pyruvic transaminase (SGPT) (alanine aminotransferase [ALT]) =< 2.5 x
institutional ULN

- Serum glutamic-oxalacetic transaminase (SGOT) (aspartate aminotransferase [AST]) =<
2.5 times institutional ULN

- Serum albumin >= 2.5 g/dL

- Patient must have recovered from the significant acute toxicities of all prior
therapy before entering this study and meet all other eligibility criteria

- Pregnancy should be avoided for 12 months after the last dose of GDC-0449 for females
of child-bearing potential; female patients of childbearing potential must not be
pregnant or breast-feeding; female patients of childbearing potential must have a
negative serum or urine pregnancy test within 24 hours prior to beginning treatment

- Women of childbearing potential are required to use 2 forms of acceptable
contraception, including one barrier method during participation in the study and for
the 12 months following the last dose; for medical or personal reasons, 100%
commitment to abstinence is considered an acceptable form of birth control. All
patients should receive contraceptive counseling either by the investigator, or by an
OB/gynecologist or other physician who is qualified in this area of expertise; prior
to dispensing GDC-0449, the investigator must confirm and document the patient's use
of two contraceptive methods, dates of negative pregnancy test, and confirm the
patient's understanding of the of GDC-0449 to cause spontaneous abortion or birth
defects

- Signed informed consent according to institutional guidelines must be obtained

Exclusion Criteria:

- Patients with any clinically significant unrelated systemic illness (serious
infections or significant cardiac, pulmonary, hepatic or other organ dysfunction),
that would compromise the patient's ability to tolerate protocol therapy or would
likely interfere with the study procedures or results

- Patients receiving any other anticancer or investigational drug therapy

- Patients with inability to return for follow-up visits or obtain follow-up studies
required to assess toxicity to therapy

- Life expectancy < 12 weeks as determined by treating physician

- Inability to swallow capsules

- Prior treatment with GDC-0449 or other antagonists of the HH pathway

- Malabsorption syndrome or other condition that would interfere with enteral
absorption

- History of congestive heart failure

- History of ventricular arrhythmia requiring medication

- Uncontrolled hypocalcemia, hypomagnesemia, hyponatremia or hypokalemia defined as
less than the lower limit of normal for the institution despite adequate electrolyte
supplementation

- Congenital long QT syndrome