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Indoximod

Phase 1

Ependymoma | Small molecule | Oncology |Johnson & Johnson|Last Updated: Jan 9, 2026

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
CONTROLLEDDMCBiomarker
Total Trials1
Total Enrollment37
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT05106296Chemo-immunotherapy Using Ibrutinib Plus Indoximod for Patients With Pediatric Brain CancerPHASE1 RECRUITING 37Feb 8, 2022Sep 30, 2028Jan 9, 20261 United States
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Study Endpoints
Primary Endpoints
Incidence of regimen-limiting toxicity (RLT) for Regimen A
First 90 days of treatment

To determine the pediatric recommended phase 2 dose (RP2D) of ibrutinib, when combined with indoximod-based chemo-immunotherapy (Regimen A)

Objective Response Rate (ORR) for Regimen A
Up to 5 years

Defined as the proportion of patients with a best objective response of either complete response (CR) or partial response (PR), using "immunotherapy Response Assessment for Neuro-Oncology" (iRANO) criteria

Incidence of regimen-limiting toxicity (RLT) for Regimen B
First 90 days of treatment

To determine the pediatric recommended phase 2 dose (RP2D) of ibrutinib, when combined with indoximod-based chemo-immunotherapy (Regimen B)

Objective Response Rate (ORR) for Regimen B
Up to 5 years

Defined as the proportion of patients with a best objective response of either complete response (CR) or partial response (PR), using "immunotherapy Response Assessment for Neuro-Oncology" (iRANO) criteria

Secondary Endpoints
Adverse events (AEs)
Up to 19 months
Frequency of cycle delays for toxicity
Up to 18 months
Frequency of dose-reductions of the chemotherapy regimen
Up to 18 months
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Study Design & Arms
AllocationNON_RANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Regimen AEXPERIMENTALPatients will be treated with ibrutinib plus indoximod, cyclophosphamide, and etoposide. Cycles are a minimum of 28 days.
Regimen BEXPERIMENTALPatients will be treated with ibrutinib plus indoximod and temozolomide. Cycles are a minimum of 28 days.
Interventions
NameTypeDescription
IndoximodDRUGIndoximod will be taken by mouth twice daily, throughout each treatment cycle.
IbrutinibDRUGFor Regimen A, Ibrutinib will be taken by mouth once daily, on days 1-21 of each treatment cycle.
CyclophosphamideDRUGCyclophosphamide will be taken by mouth once daily, on days 1-21 of each treatment cycle.
EtoposideDRUGEtoposide will be taken by mouth once daily, on days 1-21 of each treatment cycle.
TemozolomideDRUGTemozolomide will be taken by mouth once daily, on days 1-5 of each treatment cycle.
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Eligibility Criteria
Age Range3 Years — 25 Years
SexALL
Healthy VolunteersNo
Study Sites1

Inclusion Criteria: Diagnosis: * Patients must have prior documented progressive or refractory disease with histologically proven initial diagnosis of ependymoma, medulloblastoma, glioblastoma, or another type of primary cancer of the central nervous system with no curative conventional therapy op...

Countries:United States
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