On December 16, 2025 FivepHusion, an advanced clinical-stage biotechnology company, reported that Dr Marion Mateos, Co-Principal Investigator of the phase 1/2 Deflexifol at Relapse Trial (DART) proudly supported by the Kids with Cancer Foundation, recently presented a poster of the phase 1 (Part A) trial results at the Society of Neuro-Oncology (SNO) 2025 Annual Meeting in Honolulu, Hawaii, USA, which was held from the 19th – 23rd November.
The poster can be found on the FivepHusion website here.
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Key outcomes of the phase 1 trial are:
Nine participants (aged 4-14 years) with ependymoma (n=6), diffuse midline glioma (DMG) (n-2) and embryonal tumour with multilayered rosettes (n=1) were enrolled
Deflexifol is well tolerated in children, with a side effect profile consistent with adults
Deflexifol pharmacokinetic properties are similar to those reported previously in adults, and for 5-FU in children
The Deflexifol paediatric maximum tolerated dose (MTD) was defined as 525mg/m2 bolus (of delivered 5-FU) followed by a 3000mg/m2 infusion. These results reflect:
~25% greater than typical 5-FU clinical dosing in adults
~9x the previously reported 5-FU MTD in children
The Recommended Phase 2 Dose for future paediatric studies was declared as the MTD
The DART phase 2 expansion cohort (DART Part B) evaluating the activity of Deflexifol in children with ependymoma will commence soon
The phase 1/2 DART study is an Australian investigator-initiated trial, led by Principal Investigators Professor David Ziegler and Dr Marion Mateos and sponsored by the Australian and New Zealand Children’s Haematology / Oncology Group (ANZCHOG) in collaboration with FivepHusion. The trial is designed to investigate Deflexifol monotherapy as a treatment for paediatric ependymoma and other childhood brain cancers. All major paediatric oncology centres in Australia are participating in the trial, and major trial funding has been provided by the Kids with Cancer Foundation, through Sydney Children’s Hospitals Foundation, and the Robert Connor Dawes Foundation.
Dr Christian Toouli, CEO and Managing Director of FivepHusion commented, "Presentation of the DART Phase 1 results at SNO 2025 was an excellent opportunity to raise international awareness of Deflexifol and its potential use in the treatment of paediatric ependymoma and other brain cancers. Congratulations and thanks to Dr Mateos for presenting the DART study results at such a prestigious international congress."
Deflexifol is an advanced clinical-stage, next-generation co-formulation of 5-FU and leucovorin (LV), a drug that significantly enhances 5-FU activity. Deflexifol has been previously evaluated in two successfully completed clinical trials in adults with a variety of solid tumours; the DART study is the first clinical evaluation of Deflexifol in paediatric patients. FivepHusion is harnessing the proven cytotoxic activity of 5-FU together with the unique, optimised attributes of the Deflexifol co-formulation to pursue Deflexifol development in a range of strategic solid tumour indications presenting with significant unmet medical needs, including paediatric ependymoma.
Ependymomas are rare central nervous system tumours (annual incidence of ~4 patients per million) that are more common in young children 0-4 years of age. The current standard treatment for ependymoma is surgery and radiotherapy, though relapse occurs in one third of all paediatric patients and is associated with a poor prognosis. Currently, there are no therapeutic drugs approved for the treatment of ependymoma, presenting a significant unmet medical need for the development of safe and efficacious new treatments for this disease.
Previously, 5-FU has been reported as a promising drug candidate for the treatment of paediatric ependymoma by independent research groups1,2, and in a clinical trial conducted at the St Jude Children’s Research Hospital (Memphis, Tennessee, USA)3. Recently, independent studies have gained further insights into understanding the susceptibility of paediatric ependymoma to 5-FU4. Research by FivepHusion collaborators indicates that Deflexifol, as an optimised co-formulation of 5-FU and LV, may be efficacious against paediatric ependymoma and other brain cancers. Due to its improved safety, tolerability, and potentially superior anti-tumour efficacy, Deflexifol offers the exciting opportunity of addressing the limitations of current 5-FU formulations to enable development as potentially the first approved drug for ependymoma and possibly other brain tumours.
(Press release, FivepHusion, DEC 16, 2025, View Source [SID1234661451])