Status:
RECRUITING
Study on Trabectedin in Advanced Rearranged Mesenchymal Chondrosarcoma
Lead Sponsor:
Italian Sarcoma Group
Collaborating Sponsors:
PharmaMar
Conditions:
Mesenchymal Chondrosarcoma
Eligibility:
All Genders
16+ years
Phase:
PHASE2
Brief Summary
Prospective, uncontrolled, investigator-initiated, phase II clinical study to explore the activity of trabectedin in a population of patients aged ≥16 years with progressive, advanced (locally advance...
Detailed Description
Prospective, uncontrolled, multicenter, Italian, investigator-initiated, phase II clinical study to explore the activity of trabectedin in a population of patients aged ≥16 years with progressive, adv...
Eligibility Criteria
Inclusion
- Age ≥ 16 years old
- Histological centrally confirmed diagnosis of skeletal or extra-skeletal MCS with the documented presence of HEY1-NCOA2 fusion
- Locally advanced disease and/or metastatic disease
- Measurable or evaluable disease with RECIST v1.1
- Evidence of progression by RECIST v1.1 during the 6 months before study entry
- Patients must be pre-treated with at least one prior chemotherapy treatment containing anthracyclines for the advanced phase of disease and with a maximum of 3 lines
- Eastern Cooperative Oncology Group (ECOG) Performance Status ≤ 2
- Adequate bone marrow function
- Adequate organ function
- Female patients of childbearing potential must have negative pregnancy test within 7 days before initiation each cycle of chemotherapy.
- Cardiac ejection fraction ≥50% as measured by echocardiogram
- No history of arterial and/or venous thromboembolic event within the previous 12 months
- The patient or legal representative must be able to read and understand the informed consent form and must have been willing to give written informed consent and any locally required authorisation before any study-specific procedures, including screening evaluations, sampling, and analyses.
- Any other factors, that, at judgment of investigator, could affect the safety of the patients according to the available trabectedin safety data
Exclusion
- Other primary malignancy with \<5 years clinically assessed disease free interval, except basal cell skin cancer, cervical carcinoma in situ or other neoplasm judged to entail a low risk of relapse
- Previous treatment with radiation therapy within 14 days of first day of study drug dosing, or patients who have not recovered from adverse events due to agents previously administered
- Previous radiotherapy to 25% of the bone marrow
- Major surgery within 2 weeks prior to study entry
- Participation in another clinical study with an investigational product, which last dose was taken less than 4 weeks prior to the start of the treatment.
- Persistent toxicities (≥ grade 2) with the exception of alopecia, caused by previous anticancer therapies.
- Pregnancy or breast feeding
- Grade III/IV cardiac problems as defined by the New York Heart Association Criteria
- Medical history of arterial thrombotic or embolic events such as cerebrovascular accident (including transient ischemic attacks), or pulmonary embolism within 6 months prior to the initiation of study treatment
- Known brain metastasis
- Known chronic liver disease (i.e. chronic active hepatitis and cirrhosis)
- Known diagnosis oh human deficiency virus (HIV) infection
- Active or chronic hepatitis B or C requiring treatment with antiviral therapy
- Medical history of hemorrhage or a bleeding event ≥ Grade 3 within 4 weeks prior to the initiation of study treatment
- Evidence of any other serious or unstable illness, or medical, psychological, or social condition, that could jeopardize the safety of the subject and/or his/her compliance with study procedures, or may interfere with the subject's participation in the study or evaluation of the study results
- Known hypersensitivity to any of the study drugs, study drug classes, or excipients in the formulation of the study drugs
- Expected non-compliance to medical regimens
Key Trial Info
Start Date :
September 14 2021
Trial Type :
INTERVENTIONAL
Allocation :
ESTIMATED
End Date :
December 31 2026
Estimated Enrollment :
16 Patients enrolled
Trial Details
Trial ID
NCT04305548
Start Date
September 14 2021
End Date
December 31 2026
Last Update
November 18 2025
Active Locations (7)
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1
Nuovo Ospedale di Prato
Prato, Firenze, Italy, 59100
2
Policlinico Universitario Campus Biomedico
Roma, RM, Italy, 00128
3
Fondazione del Piemonte per l'Oncologia IRCC Candiolo
Candiolo, Torino, Italy, 10060
4
Istituto Ortopedico Rizzoli - Unit of Chemotherapy of Muscoloskeletal Tumors
Bologna, Italy, 40136