Actively Recruiting

Phase 2
Age: 18Years - 75Years
All Genders
ID06849986

Tislelizumab Combined With Liposomal Doxorubicin and Ifosfamide as First-line Treatment for Patients With Specific Subtypes of Unresectable or Metastatic Soft Tissue Sarcoma

Led by Fudan University · Updated on 2026-01-08

45

Participants Needed

1

Research Sites

104 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

Researchers are evaluating a treatment for patients with specific subtypes of unresectable or metastatic soft tissue sarcoma, a rare cancer that arises from soft tissues and can spread to various body parts. This study looks at combining tislelizumab, an immune checkpoint inhibitor, with the standard chemotherapy drugs liposomal doxorubicin and ifosfamide to explore their combined effectiveness and safety. Soft tissue sarcomas are often difficult to treat once they spread, with limited survival times, making new treatment approaches important. Participants will receive tislelizumab at 200 mg via intravenous infusion on day 1, along with liposomal doxorubicin at 30 mg/m2 on day 1 and ifosfamide at 3 g/m2 per day on days 1 to 3. These treatments are given every three weeks as a first-line therapy. The study is a single-arm, prospective trial focusing on this combination over multiple treatment cycles. During the study, patients will be monitored for response to treatment, including tumor shrinkage and progression, using established criteria over a period of up to 36 months. Researchers will assess overall response rate as the primary outcome, along with progression-free survival, overall survival, and quality of life questionnaires. Safety and side effects will be closely followed, and participants will have regular laboratory tests and clinical evaluations throughout their involvement, which may last several years.

CONDITIONS

Brief Title

IO Combined With AI as First-line Treatment for Patients With Soft Tissue Sarcoma(TAIS)

Who Can Participate

Age: 18Years - 75Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Age 18 to 75 years, regardless of gender
  • Histopathologically confirmed subtypes of soft tissue sarcoma including undifferentiated sarcoma (except small round cell), synovial sarcoma, angiosarcoma, fibrosarcoma, smooth muscle sarcoma, liposarcoma (except well differentiated), pleomorphic rhabdomyosarcoma, malignant peripheral nerve sheath tumor, desmoplastic small round cell tumor, SMARCA4-deficient sarcoma, malignant phyllodes tumor of the breast, intimal sarcoma
  • Locally advanced disease not suitable for surgery or radiation, or recurrent/metastatic disease
  • ECOG performance status score of 0 to 1
  • Expected survival longer than 3 months
  • Laboratory values within specified limits for neutrophils, platelets, hemoglobin, bilirubin, liver enzymes, and kidney function within 7 days prior to screening
  • Presence of measurable lesions by RECIST 1.1 criteria
  • Signed informed consent indicating understanding and willingness to participate
Not Eligible

You will not qualify if you...

  • Previous treatment for advanced soft tissue sarcoma except relapse after more than 6 months following adjuvant therapy with doxorubicin cumulative dose 60 300 mg/m2
  • Use of experimental or anti-tumor drugs within 4 weeks prior to enrollment
  • Previous treatment with anti-PD-1, anti-PD-L1, anti-PD-L2, anti-CD137, anti-CTLA-4 antibodies or other immune checkpoint therapies
  • History of other tumors within 5 years except cured cervical cancer or basal cell carcinoma
  • Symptomatic brain or meningeal metastases unless stable after treatment
  • Clinically significant active bleeding
  • Pregnant or lactating women or inadequate contraception in women of childbearing potential
  • Alcohol abuse or drug addiction
  • Active autoimmune diseases or history of such diseases likely to recur, or immunosuppressive therapy requirements
  • Need for systemic corticosteroids >10 mg prednisone/day within 14 days prior or during study
  • Severe organ failure or serious cardiac, respiratory, or neurological diseases
  • History of HIV infection or other immune deficiency diseases or organ/stem cell transplantation
  • Active chronic hepatitis B or C infections (except stable or cured cases)
  • Severe neurological or psychiatric disorders, severe infection, disseminated intravascular coagulation, or other conditions endangering safety or study completion

AI-Screening

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 screening and enrollment visit

Treatment

Duration - Repeated 21-day cycles until disease progression or discontinuation

Participants receive Tislelizumab combined with liposomal doxorubicin and ifosfamide by intravenous infusion every 3 weeks as first-line treatment for unresectable or metastatic soft tissue sarcoma.

Visits every 3 weeks for treatment administration

Trial Site Locations

Total: 1 location

1

Fudan University Shanghai Cancer Center

Shanghai, Shanghai Municipality, China, 200030

Actively Recruiting

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Research Team

X

Xin Liu

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

NA

Model

SINGLE_GROUP

Primary Purpose

PREVENTION

Number of Arms

1

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Published Research Related To This Trial

Doxorubicin alone versus intensified doxorubicin plus ifosfamide for first-line treatment of advanced or metastatic soft-tissue sarcoma: a randomised controlled phase 3 trial.

Ian Judson, Jaap Verweij, Hans Gelderblom...

https://pubmed.ncbi.nlm.nih.gov/24618336

Safety and activity of sintilimab in patients with relapsed or refractory classical Hodgkin lymphoma (ORIENT-1): a multicentre, single-arm, phase 2 trial.

Yuankai Shi, Hang Su, Yongping Song...

https://pubmed.ncbi.nlm.nih.gov/30612710

Pembrolizumab in advanced soft-tissue sarcoma and bone sarcoma (SARC028): a multicentre, two-cohort, single-arm, open-label, phase 2 trial.

Hussein A Tawbi, Melissa Burgess, Vanessa Bolejack...

https://pubmed.ncbi.nlm.nih.gov/28988646