NCT02451943

Brief Summary

The main purpose of this study is to evaluate the efficacy of the combination of doxorubicin plus the study drug known as olaratumab versus doxorubicin plus placebo in participants with advanced or metastatic soft tissue sarcoma.

Trial Health

98
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Strong global presence with extensive site network
Enrollment
509

participants targeted

Target at P50-P75 for phase_3

Timeline
Completed

Started Sep 2015

Longer than P75 for phase_3

Geographic Reach
24 countries

113 active sites

Status
completed

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

First Submitted

Initial submission to the registry

May 20, 2015

Completed
2 days until next milestone

First Posted

Study publicly available on registry

May 22, 2015

Completed
4 months until next milestone

Study Start

First participant enrolled

September 14, 2015

Completed
3.2 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 5, 2018

Completed
1 year until next milestone

Results Posted

Study results publicly available

December 17, 2019

Completed
4.5 years until next milestone

Study Completion

Last participant's last visit for all outcomes

June 27, 2024

Completed
Last Updated

July 15, 2025

Status Verified

June 1, 2025

Enrollment Period

3.2 years

First QC Date

May 20, 2015

Results QC Date

November 27, 2019

Last Update Submit

June 27, 2025

Conditions

Keywords

leiomyosarcomasoft tissue sarcoma (STS)advanced soft tissue sarcomametastatic soft tissue sarcomaliposarcomaundifferentiated pleomorphic sarcomadoxorubicin

Outcome Measures

Primary Outcomes (2)

  • Overall Survival (OS)

    Overall survival was defined as the time from the date of randomization to the date of death due to any cause. For each participant, prior to data analysis, a reasonable effort was made to obtain the most up-to-date status (date of death or last date known to be alive). For any participant not known to have died as of the data cutoff date, OS was censored at the date the participant was last known to be alive. For any participant who withdrew consent for survival follow-up, OS was censored at the last date for which the participant provided consent for follow-up contact. The Kaplan-Meier method was used to estimate median parameters.

    Randomization to Date of Death Due to Any Cause (Up to 35.8 Months)

  • Overall Survival (OS) Leiomyosarcoma (LMS)

    Overall survival was defined as the time from the date of randomization to the date of death due to any cause. For each participant, prior to data analysis, a reasonable effort was made to obtain the most up-to-date status (date of death or last date known to be alive). For any participant not known to have died as of the data cutoff date, OS was censored at the date the participant was last known to be alive. For any participant who withdrew consent for survival follow-up, OS was censored at the last date for which the participant provided consent for follow-up contact. The Kaplan-Meier method was used to estimate median parameters.

    Randomization to Date of Death Due to Any Cause (Up to 35.8 Months)

Secondary Outcomes (10)

  • Progression Free Survival (PFS)

    Randomization to Objective Progression or Death Due to Any Cause (Up to 35.8 Months)

  • Percentage of Participants Achieving Complete Response (CR) or Partial Response (PR): Objective Response Rate (ORR)

    Randomization to Objective Disease Progression or Death Due to Any Cause (Up to 35.8 Months)

  • Percentage of Participants With a Best Overall Response of CR, PR, or Stable Disease (SD): Disease Control Rate (DCR)

    Randomization to Objective Disease Progression or Death Due to Any Cause (Up to 35.5 Months)

  • Time to First Worsening on the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire-Core 30 (EORTC QLQ-C30) Scores

    Randomization (Cycle 1) through Follow-up (Up to 35.8 Months)

  • Change From Baseline to Maximum Improvement in Health Status Index Score on the EuroQol 5-Dimension 5-Level (EQ-5D-5L)

    Randomization through Follow-up (Up to 35.8 Months)

  • +5 more secondary outcomes

Study Arms (2)

Doxorubicin + Olaratumab

EXPERIMENTAL

75 milligrams per meter squared (mg/m\^2) doxorubicin administered intravenously (IV) on day 1 of each 21-day cycle for 8 cycles plus 20 milligrams per kilogram (mg/kg) dose of olaratumab administered IV on day 1 and day 8 of cycle 1 and 15 mg/kg olaratumab administered IV on day 1 and day 8 of cycles 2-8. Beginning with cycle 9, 15 mg/kg olaratumab administered IV on day 1 and day 8 of each subsequent 21-day cycle until documented progressive disease (PD) or discontinuation for any other reason.

Drug: OlaratumabDrug: Doxorubicin

Doxorubicin + Placebo

PLACEBO COMPARATOR

75 mg/m\^2 doxorubicin administered IV on day 1 of each 21-day cycle for 8 cycles plus placebo (equivalent volume) administered IV on day 1 and day 8 for 8 cycles. Beginning with cycle 9, placebo (equivalent volume) administered on days 1 and 8 of each subsequent 21-day cycle until PD or discontinuation for any other reason.

Drug: DoxorubicinDrug: Placebo

Interventions

Administered IV

Also known as: LY3012207
Doxorubicin + Olaratumab

Administered IV

Doxorubicin + OlaratumabDoxorubicin + Placebo

Administered IV

Doxorubicin + Placebo

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Histologically confirmed diagnosis of advanced unresectable or metastatic soft tissue sarcoma not amenable to curative treatment with surgery or radiotherapy. Participants with Kaposi's sarcoma and gastrointestinal stromal tumors (GIST) will be excluded. Note: Evidence of disease progression is required for participants that are not newly diagnosed.
  • Presence of measurable or nonmeasurable but evaluable disease as defined by the Response Evaluation Criteria in Solid Tumors (RECIST 1.1, Eisenhauer et al. 2009).
  • Performance status 0-1 on the Eastern Cooperative Oncology Group (ECOG) scale.
  • The participant has not received any previous treatment with anthracyclines.
  • The participant may have had any number of prior systemic cytotoxic therapies for advanced/metastatic disease and are considered appropriate candidates for anthracycline therapy. All previous anticancer treatments must be completed ≥ 3 weeks (21 days) prior to first dose of study drug.
  • Availability of tumor tissue is required for study eligibility. The participant must have consented to provide archived formalin-fixed paraffin embedded (FFPE) tumor tissue or be subject to a pre-treatment re-biopsy of primary or metastatic tumor tissue for future central pathology review and translational research (if archived tissue is unavailable).
  • Adequate hematologic, organ, and coagulation within 2 weeks (14 days) prior to randomization.
  • Left ventricular ejection fraction (LVEF) ≥50% assessed within 28 days prior to randomization.
  • Females of child-bearing potential must have a negative serum pregnancy test within 7 days prior to randomization.
  • Females of child-bearing potential and males must agree to use highly effective contraceptive precautions during the trial and up to 3 months following the last dose of study drug.
  • The participant has, in the opinion of the investigator, a life expectancy of at least 3 months.

You may not qualify if:

  • Diagnosis of GIST or Kaposi sarcoma.
  • Active central nervous system (CNS) or leptomeningeal metastasis (brain metastasis) at the time of randomization. Participants with a history of a CNS metastasis previously treated with curative intent (for example, stereotactic radiation or surgery) that have not progressed on follow-up imaging, have been asymptomatic for at least 60 days and are not receiving systemic corticosteroids and or/anticonvulsants, are eligible. Participants with signs or symptoms of neurological compromise should have appropriate radiographic imaging performed before randomization to rule out brain metastasis.
  • Prior treatment with doxorubicin, epirubicin, idarubicin, and/or other anthracyclines or anthracenediones; the participant has received treatment with olaratumab or has participated in a prior olaratumab trial.
  • Prior radiotherapy of the mediastinal/pericardial area or whole pelvis radiation.
  • The participant has symptomatic congestive heart failure (CHF), left ventricular dysfunction (LVEF \< 50%), severe myocardial insufficiency, cardiac arrhythmia, or cardiomyopathy.
  • The participant has unstable angina pectoris, angioplasty, cardiac stenting, or myocardial infarction within 6 months of randomization.
  • The participant has a QT interval calculated using Bazett's formula (QTcB) interval of \>450 milliseconds (msec) for males and \>470 msec for females on screening electrocardiogram (ECG).
  • Females who are pregnant or breastfeeding.
  • Known allergy to any of the treatment components including a history of allergic reactions attributed to compounds of chemical or biological composition similar to olaratumab.
  • The participant has a known active fungal, bacterial, or viral infection including human immunodeficiency virus (HIV) or viral (A, B, or C) hepatitis (screening is not required).

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (114)

City of Hope National Medical Center

Duarte, California, 91010-0269, United States

Location

UCLA Medical Center

Los Angeles, California, 90024, United States

Location

Stanford University

Stanford, California, 94305, United States

Location

University of Colorado Cancer Center

Aurora, Colorado, 80045, United States

Location

Mayo Clinic in Florida

Jacksonville, Florida, 32224, United States

Location

Moffitt Cancer Center & Research Institute

Tampa, Florida, 33612, United States

Location

Georgia Cancer Specialists PC

Atlanta, Georgia, 30341, United States

Location

Dana Farber Cancer Institute

Boston, Massachusetts, 02215, United States

Location

University of Michigan

Ann Arbor, Michigan, 48109, United States

Location

Washington University Medical School

St Louis, Missouri, 63110, United States

Location

Nebraska Methodist Cancer Center

Omaha, Nebraska, 68114, United States

Location

University of New Mexico Cancer Center

Albuquerque, New Mexico, 87102, United States

Location

Columbia University Medical Center

New York, New York, 10032, United States

Location

Memorial Sloan Kettering Cancer Center

New York, New York, 10065, United States

Location

Duke Cancer Institute

Durham, North Carolina, 27710, United States

Location

Oncology Hematology Care Inc

Cincinnati, Ohio, 45202, United States

Location

Oncology Hematology Care Inc

Cincinnati, Ohio, 45211, United States

Location

Oncology Hematology Care Inc

Cincinnati, Ohio, 45230, United States

Location

Oncology Hematology Care Inc

Cincinnati, Ohio, 45236, United States

Location

Oncology Hematology Care Inc

Fairfield, Ohio, 45014, United States

Location

Oregon Health and Science University

Portland, Oregon, 97239, United States

Location

Pennsylvania Oncology Hematology Associates

Philadelphia, Pennsylvania, 19106, United States

Location

University of Pittsburgh Medical Center

Pittsburgh, Pennsylvania, 15232, United States

Location

The West Clinic

Germantown, Tennessee, 38138, United States

Location

Oncology Hematology Care Inc

Nashville, Tennessee, 37203, United States

Location

Tennessee Oncology PLLC

Nashville, Tennessee, 37203, United States

Location

Vanderbilt University Medical Center

Nashville, Tennessee, 37232-6307, United States

Location

Utah Cancer Specialists

Salt Lake City, Utah, 84106, United States

Location

University of Utah School of Medicine

Salt Lake City, Utah, 84112, United States

Location

Fairfax Northern Virginia Hematology Oncology, PC

Fairfax, Virginia, 22031, United States

Location

Alexander Fleming

CABA, BS, 1426, Argentina

Location

CENIT Centro de Neurociencias, Investigación y Tratamiento

Caba, Buenos Aires, C1125ABD, Argentina

Location

Hospital Provincial del Centenario

Rosario, Santa Fe Province, S2002KDS, Argentina

Location

Chris O'Brien Lifehouse

Camperdown, New South Wales, 2050, Australia

Location

AKH

Vienna, 1090, Austria

Location

Cliniques universitaires Saint-Luc

Brussels, Brussels Capital, 1200, Belgium

Location

Universitair Ziekenhuis Gent

Ghent, Oost-Vlaanderen, 9000, Belgium

Location

Universitaire Ziekenhuizen Leuven - Campus Gasthuisberg

Leuven, 3000, Belgium

Location

INCA Hospital do Câncer III

Rio de Janeiro, Rio de Janeiro, 20220-410, Brazil

Location

Icesp - Instituto Do Câncer Do Estado de São Paulo

São Paulo, São Paulo, 01246-000, Brazil

Location

Tom Baker Cancer Center

Calgary, Alberta, T2N4N2, Canada

Location

BC Cancer Vancouver

Vancouver, British Columbia, V5Z 4E6, Canada

Location

Princess Margaret Hospital (Ontario)

Lai Chi Kok, Kowloon, Canada

Location

Royal Victoria Hospital-Montreal

Montreal, Quebec, H4A 3J1, Canada

Location

Herlev and Gentofte Hospital

Herlev, 2730, Denmark

Location

Tampereen yliopistollinen sairaala

Tampere, Pirkanmaa, 33521, Finland

Location

Turku University Central Hospital

Turku, SF-20520, Finland

Location

Centre Leon Berard

Lyon, Auvergne-Rhône-Alpes, 69008, France

Location

Centre Georges François Leclerc

Dijon, Côte-d'Or, 21079, France

Location

Institut Bergonié - Centre Régional de Lutte Contre Le Cancer de Bordeaux et Sud Ouest

Bordeaux, 33076, France

Location

CHU Hopital d'enfants de la Timone

Marseille, 13385, France

Location

Institut Curie

Paris, 75248, France

Location

Institut Claudius Regaud

Toulouse, 31059, France

Location

Gustave Roussy

Villejuif, 94805, France

Location

Klinikum Mannheim gGmbH Universitätsmedizin

Mannheim, Baden-Wurttemberg, 68167, Germany

Location

Universitätsklinikum Tübingen

Tübingen, Baden-Wurttemberg, 72076, Germany

Location

Klinikum der Universität München Großhadern

München, Bavaria, 81377, Germany

Location

Universitaetsklinikum Essen

Essen, North Rhine-Westphalia, 45122, Germany

Location

HELIOS Klinikum Berlin-Buch

Berlin, 13125, Germany

Location

Magyar Honvedseg Egeszsegugyi Kozpont

Budapest, 1062, Hungary

Location

Sheba Medical Center

Tel Litwinsky, Ramat Gan, 5265601, Israel

Location

Hadassah Medical Center

Jerusalem, 9112001, Israel

Location

Tel Aviv Sourasky Medical Center

Tel Aviv, 6423906, Israel

Location

Istituto Nazionale dei Tumori

Milan, Lombardy, 20133, Italy

Location

Istituto Clinico Humanitas

Rozzano, Milano, 20089, Italy

Location

Università degli Studi di Catania - Azienda Policlinico

Catania, Sicily, 95123, Italy

Location

Istituto di Candiolo IRCCS - Fondazione del Piemonte per l'Oncologia

Candiolo, Torino, 10060, Italy

Location

Nagoya University Hospital

Nagoya, Aichi-ken, 466-8560, Japan

Location

National Cancer Center Hospital East

Kashiwa, Chiba, 277-8577, Japan

Location

National Hospital Organization Hokkaido Cancer Center

Sapporo, Hokkaido, 003-0804, Japan

Location

Osaka University Hospital

Suita, Osaka, 565-0871, Japan

Location

Saitama Medical University International Medical Center

Hidaka, Saitama, 350-1298, Japan

Location

National Cancer Center Hospital

Chuo-Ku, Tokyo, 104-0045, Japan

Location

Japanese Foundation for Cancer Research

Koto-ku, Tokyo, 135-8550, Japan

Location

National Hospital Organization Kyushu Cancer Center

Fukuoka, 811-1395, Japan

Location

Okayama University Hospital

Okayama, 700-8558, Japan

Location

National Hospital Organization Osaka National Hospital

Osaka, 540-0006, Japan

Location

Osaka International Cancer Institute

Osaka, 541-8567, Japan

Location

Hospital Angeles

Tijuana, Estado de Baja California, 22010, Mexico

Location

Hospital Civil Fray Antonio Alcalde

Guadalajara, Jalisco, 44280, Mexico

Location

Consultorio Dr. Reinoso

Monterrey, Nuevo León, 64320, Mexico

Location

Centro de Atención E Investigación Clínica En Oncología

Mérida, Yucatán, 97134, Mexico

Location

Centro de Alta Especialidad Reumatologia Inv del Potosi SC

San Luis Potosí City, 78213, Mexico

Location

Maastricht UMC+

Maastricht, Limburg, 6229 HX, Netherlands

Location

University Medical Center Groningen

Groningen, 9713 GZ, Netherlands

Location

Leids Universitair Medisch Centrum

Leiden, 2333 ZA, Netherlands

Location

Universitair Medisch Centrum St Radboud Nijmegen

Nijmegen, 6525 GA, Netherlands

Location

Erasmus Medisch Centrum

Rotterdam, 3015 GD, Netherlands

Location

Narodowy Instytut Onkologii im. Marii Sklodowskiej-Curie Panstwowy Instytut Badawczy

Warsaw, 02-781, Poland

Location

Kazan Oncology Dispensary

Kazan', Tatarstan Republic, 420029, Russia

Location

Blokhin Cancer Research Center

Moscow, 115478, Russia

Location

St-Petersburg scientifical practical cente spec medical care

Saint Petersburg, 197758, Russia

Location

National Cancer Center

Goyang-si, Gyeonggi-do, 10408, South Korea

Location

Asan Medical Center

Seoul, Korea, 05505, South Korea

Location

Seoul St. Mary's Hospital

Seoul, Korea, 06591, South Korea

Location

Severance Hospital, Yonsei University Health System

Seoul, 03722, South Korea

Location

Samsung Medical Center

Seoul, 06351, South Korea

Location

Hospital Universitario Virgen Del Rocio

Seville, Andalusia, 41013, Spain

Location

Hospital Universitari Vall d'Hebron

Barcelona, 08035, Spain

Location

Hospital Duran I Reynals

Barcelona, 08907, Spain

Location

Hospital Clinico San Carlos

Madrid, 28040, Spain

Location

Hospital Universitario 12 de Octubre

Madrid, 28041, Spain

Location

Hospital Universitario La Fe de Valencia

Valencia, 46026, Spain

Location

Skånes universitetssjukhus Lund

Lund, 22185, Sweden

Location

Cantonal Hospital St.Gallen

Sankt Gallen, Canton of St. Gallen, 9007, Switzerland

Location

Inselspital Bern

Bern, 3010, Switzerland

Location

National Taiwan University Hospital

Taipei, 10002, Taiwan

Location

Taipei Veterans General Hospital

Taipei, 11217, Taiwan

Location

Chang Gung Memorial Hospital - Linkou

Taoyuan Hsien, 333, Taiwan

Location

University College Hospital - London

London, Greater London, NW1 2BU, United Kingdom

Location

Royal Marsden NHS Trust

London, Greater London, SW3 6JJ, United Kingdom

Location

The Christie NHS Foundation Trust

Manchester, Greater Manchester, M20 4BX, United Kingdom

Location

The Clatterbridge Cancer Centre

Bebbington, Merseyside, CH63 4JY, United Kingdom

Location

Weston Park Hospital

Sheffield, South Yorkshire, S10 2SJ, United Kingdom

Location

Related Publications (3)

  • Jones RL, Wagner AJ, Kawai A, Tamura K, Shahir A, Van Tine BA, Martin-Broto J, Peterson PM, Wright J, Tap WD. Prospective Evaluation of Doxorubicin Cardiotoxicity in Patients with Advanced Soft-tissue Sarcoma Treated in the ANNOUNCE Phase III Randomized Trial. Clin Cancer Res. 2021 Jul 15;27(14):3861-3866. doi: 10.1158/1078-0432.CCR-20-4592. Epub 2021 Feb 25.

  • Tap WD, Wagner AJ, Schoffski P, Martin-Broto J, Krarup-Hansen A, Ganjoo KN, Yen CC, Abdul Razak AR, Spira A, Kawai A, Le Cesne A, Van Tine BA, Naito Y, Park SH, Fedenko A, Papai Z, Soldatenkova V, Shahir A, Mo G, Wright J, Jones RL; ANNOUNCE Investigators. Effect of Doxorubicin Plus Olaratumab vs Doxorubicin Plus Placebo on Survival in Patients With Advanced Soft Tissue Sarcomas: The ANNOUNCE Randomized Clinical Trial. JAMA. 2020 Apr 7;323(13):1266-1276. doi: 10.1001/jama.2020.1707.

  • Tobias A, O'brien MP, Agulnik M. Olaratumab for advanced soft tissue sarcoma. Expert Rev Clin Pharmacol. 2017 Jul;10(7):699-705. doi: 10.1080/17512433.2017.1324295. Epub 2017 May 5.

Related Links

MeSH Terms

Conditions

SarcomaLeiomyosarcomaLiposarcomaHistiocytoma, Malignant Fibrous

Interventions

olaratumabDoxorubicin

Condition Hierarchy (Ancestors)

Neoplasms, Connective and Soft TissueNeoplasms by Histologic TypeNeoplasmsNeoplasms, Muscle TissueNeoplasms, Adipose TissueHistiocytomaNeoplasms, Fibrous TissueNeoplasms, Connective Tissue

Intervention Hierarchy (Ancestors)

DaunorubicinAnthracyclinesNaphthacenesPolycyclic Aromatic HydrocarbonsHydrocarbons, AromaticHydrocarbons, CyclicHydrocarbonsOrganic ChemicalsPolycyclic CompoundsAminoglycosidesGlycosidesCarbohydrates

Results Point of Contact

Title
Chief Medical Officer
Organization
Eli Lilly and Company

Study Officials

  • Call 1-877-CTLILLY (1-877-285-4559) or 1-317-615-4559 Mon - Fri 9 AM - 5 PM Eastern time (UTC/GMT - 5 hours, EST)

    Eli Lilly and Company

    STUDY DIRECTOR

Publication Agreements

PI is Sponsor Employee
No
Restrictive Agreement
Yes

Study Design

Study Type
interventional
Phase
phase 3
Allocation
RANDOMIZED
Masking
DOUBLE
Who Masked
PARTICIPANT, INVESTIGATOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

May 20, 2015

First Posted

May 22, 2015

Study Start

September 14, 2015

Primary Completion

December 5, 2018

Study Completion

June 27, 2024

Last Updated

July 15, 2025

Results First Posted

December 17, 2019

Record last verified: 2025-06

Data Sharing

IPD Sharing
Will share

Anonymized individual patient level data will be provided in a secure access environment upon approval of a research proposal and a signed data sharing agreement.

Shared Documents
STUDY PROTOCOL, SAP, CSR
Time Frame
Data are available 6 months after the primary publication and approval of the indication studied in the US and European Union (EU), whichever is later. Data will be indefinitely available for requesting.
Access Criteria
A research proposal must be approved by an independent review panel and researchers must sign a data sharing agreement.
More information

Locations