Combined Treatment With Nivolumab and Trabectedin in Patients With Metastatic or Inoperable Soft Tissue Sarcomas
NiTraSarc
NiTraSarc Combined Treatment With Nivolumab and Trabectedin in Patients With Metastatic or Inoperable Soft Tissue Sarcomas - The NiTraSarc Phase II Trial
The "NiTraSarc" trial evaluates the efficacy and feasibility (as determined by the safety and tolerability) of combined treatment with trabectedin and nivolumab in patients with metastatic or inoperable soft tissue sarcomas
Registry Overview
Registry-reported information. Elapsed time and enrollment totals alone do not measure study progress or recruitment pace.
Recruitment status
completed
Actual enrollment (reported)
92 participants
Study completion date
February 12, 2022
Actual (reported)
Listed locations
1 countries · 9 sites
Trial Relationships
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Study Timeline
Dates and qualifiers reported by the registry. Estimated dates do not confirm that a milestone has occurred.
progression free survival rate at 6 months - PFSR6
The primary efficacy endpoint of the trial is the progression-free survival rate after 6 months (PFSR6), assessed by applying RECIST 1.1.
after 6 months of treatment
safety, as measured by: - Incidence of adverse events (AEs), serious adverse events (SAEs), adverse events leading to discontinuation, and deaths - Incidence of clinical laboratory test abnormalities
The primary safety endpoint is to assess the feasibility of combined treatment with trabectedin and nivolumab in patients with metastatic or inoperable soft tissue sarcomas as determined by the safety and tolerability of the combination treatment.
through study completion, an average of 24 months
Secondary Outcomes (5)
overall response rate (ORR)
through study completion, an average of 24 months
overall survival (OS)
through study completion, an average of 24 months
progression-free survival (PFS)
through study completion, an average of 24 months
duration of disease stabilization (DoDS)
through study completion, an average of 24 months
PDL-1 expression
through study completion, an average of 24 months
Study Arms (2)
Group A - L-sarcoma
EXPERIMENTAL
Patients with unresectable or metastatic liposarcoma or leiomyosarcoma who received a prior anthracycline-containing regimen will receive drug treatment with trabectedin (1 cycle mono-therapy) followed by trabectedin/nivolumab combination (up to 15 additional cycles); 16 cycles in total
Drug: TrabectedinDrug: Nivolumab
Group B - non-L-sarcoma
EXPERIMENTAL
Patients with unresectable or metastatic soft tissue sarcoma other than liposarcoma or leiomyosarcoma who received a prior anthracycline-containing regimen (GIST excluded) will receive drug treatment with trabectedin (1 cycle mono-therapy) followed by trabectedin/nivolumab combination (up to 15 additional cycles); 16 cycles in total
Drug: TrabectedinDrug: Nivolumab
Interventions
TrabectedinDrug
Cycle 1 to 16 1.5mg/m² IV over 24 hours, q3w
Also known as: Yondelis
Group A - L-sarcomaGroup B - non-L-sarcoma
NivolumabDrug
Cycle 2 to 16 240 mg IV over 30 minutes, q3w
Eligibility Criteria
Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)
You may qualify if:
Group A:
Patients must have histologically confirmed liposarcoma or leiomyosarcoma
Registry-reported names are shown in full. Names without a link have not yet been matched to a Syfrah profile.
Group B:
Patients must have histologically confirmed soft tissue sarcoma (STS) other than liposarcoma or leiomyosarcoma (GIST excluded)
Both Groups (A and B):
≥ 1 prior systemic therapy for sarcoma, including adjuvant systemic therapy (anthracycline-containing regimen)
Signed Written Informed Consent
Men and women aged ≥ 18 years.
Eastern Cooperative Oncology Group (ECOG) performance status ≤ 1.
Measurable disease (according to RECIST criteria version 1.1)
Locally advanced/unresectable or metastatic disease
No prior therapy with ipilimumab or nivolumab, or any agent targeting programmed cell death 1 (PD-1), PD-L1 or cytotoxic T-lymphocyte-associated protein 4 (CTLA-4), or any other antibody or drug specifically targeting T-cell costimulation or immune checkpoint pathways
No treatment with biologic therapy, immunotherapy, chemotherapy, investigational agent for malignancy, or radiation ≤ 28 days before study registration; no treatment with nitrosourea or mitomycin ≤ 42 days before study registration
Patients should have resolution of any toxic effects of prior therapy (except alopecia) to NCI CTCAE, version 4.0, grade 1 or less
Patients must have a formalin-fixed, paraffin-embedded (FFPE) tumor block OR 1 representative hematoxylin and eosin (H\&E) and 20 unstained sarcoma tissue slides available for submission to central pathology review. If no archival tissue is available, a fresh biopsy has to be performed during screening.
+11 more criteria
You may not qualify if:
Prior exposure to trabectedin
Active known or suspected autoimmune disease (e.g. autoimmune colitis, autoimmune panhypopituitarism, autoimmune adrenal insufficiency)
EXCEPT:
i) Subjects with vitiligo, type 1 diabetes mellitus, resolved childhood asthma or atopy are permitted to enroll.
ii) Subjects with suspected autoimmune thyroid disorders may be enrolled if they are currently euthyroid or with residual hypothyroidism requiring only hormone replacement.
iii) Subjects with psoriasis requiring systemic therapy must be excluded from enrollment.
Patients with human immunodeficiency virus (HIV) infection are excluded unless cluster of differentiation (CD)4+ cells are \> 350 and no viral load is detectable
Symptomatic, untreated, or uncontrolled brain metastases present
Known significant chronic liver disease, such as cirrhosis or active hepatitis B or C
Hepatitis B can be defined as (all of the following conditions must be met):
Universitätsklinikum Münster, Medizinische Klinik A Hämatologie / Onkologie / Pneumologie
Münster, 48149, Germany
Universitätsklinikum Tübingen, Innere Medizin II - Medizinische Onkologie und Pneumologie
Tübingen, 72076, Germany
Universitätsklinikum Würzburg, Medizinische Klinik und Poliklinik II Hämatologie / Onkologie
Würzburg, 97080, Germany
Heterocyclic Compounds, Fused-Ring
Antibodies, Monoclonal, Humanized
Antibodies, Monoclonal
Antibodies
Immunoglobulins
Immunoproteins
Blood Proteins
Proteins
Amino Acids, Peptides, and Proteins
Serum Globulins
Globulins
Primary Completion
February 12, 2022
Actual (reported)
Study Completion
February 12, 2022
Actual (reported)
Last Updated
November 8, 2022
Record last verified: 2022-11
Data Sharing
IPD Sharing
Will not share
Source record
Download the complete ClinicalTrials.gov record imported by Syfrah, including fields not shown in this page. The registry may contain a newer revision.
Source: ClinicalTrials.gov.
JSON downloads include source attribution and retrieval details alongside the unchanged original record or the separately normalized values.