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PTC596

Phase 1

High Grade Glioma | Small molecule | Oncology |PTC Therapeutics, Inc.|Last Updated: Mar 27, 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
UNCONTROLLEDDMCBiomarker
Total Trials1
Total Enrollment64
FDA Designations
No designations recorded
Clinical Trials (1)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT03605550A Phase 1b Study of PTC596 in Children With Newly Diagnosed Diffuse Intrinsic Pontine Glioma and High Grade GliomaPHASE1 ACTIVE NOT_RECRUITING 64Aug 1, 2018Mar 1, 2029Mar 27, 202610 United States
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Study Endpoints
Primary Endpoints
Establish MTD and RP2D of PTC596
At the end of Cycle 1 (42-49 days)

To determine the maximum tolerated dose (MTD) and recommended phase II dose (RP2D) of PTC596 given concurrently with radiation in newly-diagnosed patients with DIPG or HGG (Parts A and C)

Number of participants with treatment-related adverse events as assessed by CTCAE v5.0
From Day 1 of treatment through 30 days following end of protocol treatment

To determine the toxicities of PTC596 given concurrently with radiotherapy and during maintenance therapy (Parts A, C) in newly diagnosed HGG and DIPG patients treated with PTC596 by calculating the number of participants with, as well as frequency and severity of, PTC596-related Adverse Events as assessed by CTCAE v5.0.

Maximum Plasma Concentration [Cmax] of PTC596 (A, B, C, D)
Days1 through 29

To characterize the plasma pharmacokinetics of PTC596 in children with newly-diagnosed DIPG or HGG when given concurrently with radiotherapy and during maintenance (Parts A, C, D) by measuring the Maximum Concentration \[Cmax\] and Area Under the Curve (AUC) of PTC596 in plasma

Tumor Concentration of PTC596 (B)
Day 4 of surgical cycle

To characterize the pharmacokinetics of PTC596 in tumor tissue of children with newly-diagnosed DIPG and HGG who are treated with PTC596 before undergoing a second resection

Protein levels of BMI1 in tumor
Day 4 of surgical cycle

To test the ability of PTC596 to inhibit BMI-1 activity and downstream effectors by measuring protein levels in tumor and peripheral blood mononuclear cells (PBMCs) of children with newly-diagnosed HGG and DIPG who are treated with PTC596 before undergoing a second resection

Secondary Endpoints
Evaluate Overall survival
From date of treatment until date of death due to any cause or date of last follow-up, assessed up to 60 months
Evaluate Progression Free survival
From date of treatment until date of progressive disease or death due to any cause or date of last follow-up, assessed up to 60 months
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Study Design & Arms
AllocationNA
MaskingNONE
ModelSINGLE_GROUP
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Treatment (PTC596)EXPERIMENTALPTC596 administered orally twice weekly (M/Th or T/F schedule) concomitantly with RT for 6 -7 weeks. Each subsequent cycle is defined as 28 days. Post RT patients will continue to receive PTC596 twice weekly for up to 26 cycles at RP2D of 200mg/m2 with a maximum dose capped at 400mg for patients with BSA ≥2.0
Interventions
NameTypeDescription
PTC596DRUGOral tablets
RadiotherapyRADIATIONCycle1
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Eligibility Criteria
Age Range12 Months — 21 Years
SexALL
Healthy VolunteersNo
Study Sites10

Inclusion Criteria: Age: Patients must be ≥12 months and ≤ 21 years of age at the time of study enrollment. Diagnosis: Patients with newly-diagnosed diffuse intrinsic pontine gliomas (DIPGs), defined as tumors with a pontine epicenter and diffuse involvement of at least 2/3 of the pons, are eligib...

Countries:United States
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Recent Changes (Last 90 Days)
LOWMay 24, 2026NCT03605550studyFirstPostDate: changed