Trabectedin First Line Therapy In Unfit Sarcoma Study
TR1US
SAFETY AND ACTIVITY OF TRABECTEDIN AS FIRST LINE IN ADVANCED SOFT TISSUE SARCOMA (STS) PATIENTS UNFIT TO RECEIVE STANDARD CHEMOTHERAPY: A PROSPECTIVE PHASE II STUDY WITH CLINICAL AND MOLECULAR CORRELATES
2 other identifiers
interventional
24
1 country
16
Brief Summary
Phase II, non-randomized, two-stage study according to Bryant \& Day The study enroll patients with Metastatic and locally advanced soft tissue sarcoma unfit to receive standard chemotherapy (doxorubicin/epirubicin and/or ifosfamide)
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for phase_2
Started Feb 2014
Typical duration for phase_2
16 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
Study Start
First participant enrolled
February 1, 2014
CompletedFirst Submitted
Initial submission to the registry
February 13, 2014
CompletedFirst Posted
Study publicly available on registry
February 19, 2014
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 31, 2016
CompletedStudy Completion
Last participant's last visit for all outcomes
December 31, 2016
CompletedApril 11, 2018
April 1, 2018
2.9 years
February 13, 2014
April 9, 2018
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Progression Free Survival Rate
The primary end point of this trial is the Progression Free Survival Rate at 3 months Non progression, is defined as Complete Response, Partial Response or Stable Disease according to Response Evaluation Criteria In Solid Tumours v.1.1 criteria.
3 Months
Secondary Outcomes (4)
Tolerability and intolerable adverse reaction rate.
Day21
Objective response rate
5 years
Progression free survival
Average of 5 Months
Overall survival
18 Months (average)
Study Arms (1)
Trabectedin
EXPERIMENTALTrabectedin administered at the dose of 1.5 mg/mq-1.3 mg/mq a 24-hour continuous infusion via a central venous access, every 3 weeks
Interventions
Each patients will receive intravenous trabectedin (1.5 mg/mq-1.3 mg/mq) over 24 hours every 3 weeks
Eligibility Criteria
You may qualify if:
- Adult patients (≥18 years), who, in the judgment of the clinician, is deemed not suitable to receive an anthracycline and/or ifosfamide based chemotherapy;
- Pathological diagnosis of soft tissue sarcoma
- Inoperable, locally advanced or metastatic tumor;
- Unsuited to receive doxorubicine and ifosfamide: ie stable arrhythmia, previous myocardial infarction; age≥80 years
- Eastern Cooperative Oncology Group Performance Status 0-2
- Glomerular filtration rate ≥30 mL per min
- Adequate hematologic function: Hemoglobin ≥9 g/dL; Absolute neutrophil count ≥1,500/μL, and Platelet count ≥100,000/microliter
- Creatinine phosphokinase \< 2.5 Upper Normal Limit
- Adequate hepatic function: total bilirubin \< Upper Normal Limit, total alkaline phosphatase \< 2.5 Upper Normal Limit, or if \> 2.5 Upper Normal Limit consider alkaline phosphatase liver fraction or gamma-glutamyltransferase or 5' nucleotidase must be \< Transminase \<2.5 x Upper Normal Limit, Albumin \> 20 g/L.
- Patient´s written informed consent
You may not qualify if:
- Prior exposure to Trabectedin
- Performance status ≥2.
- Prior treatment with anthracyclines and or ifosfamide.
- History of other malignancies (except basal cell carcinoma or cervical carcinoma in situ, adequately treated), unless in remission for 5 or more years and judged of negligible potential of relapse.
- Active viral hepatitis or chronic liver diseases, which in the judgement of the primary investigator represents a clinical contraindication to the therapy.
- Unstable cardiac condition, including congestive heart failure or angina pectoris, myocardial infarction within 6 months before enrolment, uncontrolled arterial hypertension or arrhythmias, left ventricular ejection fraction \<40%
- Active major infection.
- Other serious concomitant illnesses
- Pregnant subjects or breast feeding, or planning to become pregnant within 6 months after the end of treatment All sexually active female patients with reproductive potential must have a negative pregnancy test (serum or urine) within the 7 days prior to enrollment and must agree to use highly effective contraception during treatment and for 6 months after the end of treatment.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (16)
Ospedali Riuniti di Bergamo
Bergamo, BG, Italy
Istituto Scientifico Romagnolo per lo Studio e la Cura dei Tumori - IRST
Meldola, FC, Italy
Ospedale Galliera
Genova, Genovs, Italy
IRCCS Azienda Ospedaliera Universitaria San Martino IST
Genova, GE, Italy
Ospedale Villa Scassi
Genova, GE, Italy
Ospedale Misericordia e Dolce" Istituto Toscano Tumori, Azienda USL4
Prato, PO, Italy
I.R.C.C. - Unit of Medical Oncology
Candiolo, Torino, 10060, Italy
Presidio Sanitario Gradenigo
Torino, TO, 10153, Italy
A.S.O. "SS Antonio e Biagio e Cesare Arrigo"
Alessandria, Italy
Istituti Ortopedici Rizzoli - Unit of Chemotherapy of Muscoloskeletal Tumors
Bologna, 40136, Italy
Ospedale SS. Trinità di Sora
Frosinone, Italy
IST
Genova, Italy
Policlinico Federico II Napoli
Napoli, Italy
Istituto Oncologico Veneto
Padua, Italy
Ospedale Giaccone
Palermo, Italy
Campus Biomedico
Roma, Italy
Related Publications (1)
Fayette J, Coquard IR, Alberti L, Boyle H, Meeus P, Decouvelaere AV, Thiesse P, Sunyach MP, Ranchere D, Blay JY. ET-743: a novel agent with activity in soft-tissue sarcomas. Curr Opin Oncol. 2006 Jul;18(4):347-53. doi: 10.1097/01.cco.0000228740.70379.3f.
PMID: 16721129BACKGROUND
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Federica Grosso, MD
ASO SS Antonio e Biagio e C Arrigo Alessandria, Italy
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- NA
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- NETWORK
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
February 13, 2014
First Posted
February 19, 2014
Study Start
February 1, 2014
Primary Completion
December 31, 2016
Study Completion
December 31, 2016
Last Updated
April 11, 2018
Record last verified: 2018-04