The TiNT trial is studying whether a medicine called trametinib can help children and young adults with Neurofibromatosis Type 1 (NF1) who have tumours in the nerves or brain. These tumours can cause pain, vision problems, and difficulties with daily life, and current treatments don’t always work well. The trial is testing whether trametinib can safely shrink or slow tumour growth and improve symptoms and quality of life for people aged 3 months to 25 years with NF1‑related plexiform neurofibromas or optic pathway gliomas.
There is also a sub-study occurring within this study to find out if trametinib can improve learning, behaviour, pain and well-being for those with NF1. For this part of the study, an untreated control group will be enrolled to compare to the trametinib-treated groups. The untreated control group will be children, teenagers and young adults with NF1 who do not have a tumour that requires trametinib treatment.
It is hoped this research will help determine if trametinib has an effect on tumours and if there are any additional impacts to cognitive function, behaviour and quality of life.
The TiNT trial is a multicentre Phase II study evaluating the MEK inhibitor trametinib in children, adolescents, and young adults (3 months–25 years) with Neurofibromatosis Type 1 (NF1) who have either plexiform neurofibromas or progressive optic pathway gliomas. The trial aims to assess trametinib’s antitumour activity, including radiological response and clinical benefit, alongside its impact on pain, vision, neurological function, and quality of life. A dedicated neurocognitive substudy is embedded within the trial to systematically evaluate changes in cognitive function given the high prevalence of neurodevelopmental challenges in NF1 and the potential for MEK inhibition to influence neurocognitive outcomes. Participants receive daily oral trametinib with regular monitoring for tumour response, treatment tolerance, and functional outcomes. The study seeks to determine whether trametinib offers a safe and effective therapeutic option for NF1‑associated tumours, where current treatments remain limited.