Actively Recruiting

Phase 2
Age: 18Years +
All Genders
ID05961761

An Open Label Phase 2 Study on Propranolol and Pembrolizumab in Advanced Angiosarcoma and Undifferentiated Pleomorphic Sarcoma - a Scandinavian Sarcoma Group Collaboration

Led by Niels Junker · Updated on 2023-07-27

80

Participants Needed

4

Research Sites

47 weeks

Total Duration

On this page

Sponsors

N

Niels Junker

Lead Sponsor

A

Aarhus University Hospital

Collaborating Sponsor

AI-Summary

What this Trial Is About

Researchers are evaluating the combination of propranolol and pembrolizumab in patients with advanced angiosarcoma or undifferentiated pleomorphic sarcoma, two aggressive types of soft tissue sarcomas. This phase 2 trial aims to determine the progression-free survival rate at 3 months and assess other outcomes like response rate, overall survival, safety, tolerability, and quality of life. The study also explores the tumor microenvironment to understand immune responses better. Participants will receive propranolol at 40 mg twice daily and pembrolizumab at 2 mg/kg every 3 weeks until disease progression, unacceptable side effects, or withdrawal, for up to two years. The study is open-label and single-arm with two separate cohorts, enrolling up to 40 patients per group. Baseline and optional biopsies will be collected for biomarker studies. During the trial, participants will undergo regular evaluations including blood tests, quality of life questionnaires, and biomarker blood samples according to a schedule. Researchers will monitor treatment safety using established criteria and measure tumor responses by standard imaging criteria. The total participation duration can last up to two years, with ongoing assessments of survival and quality of life.

CONDITIONS

Brief Title

Propranolol and Pembrolizumab in Advanced Soft Tissue Sarcoma Patients

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Signed informed consent following regulatory guidelines before any study procedures
  • Willingness and ability to comply with visits, treatment, and testing requirements
  • Histologically confirmed unresectable locally advanced or metastatic angiosarcoma or undifferentiated pleomorphic sarcoma
  • Age 18 years or older
  • ECOG Performance Status score of 0, 1, or 2 at enrollment
  • Disease measurable by RECIST version 1.1 criteria
  • Archived tumor tissue within 3 months or willingness to undergo biopsy for biomarker studies
  • Normal organ and bone marrow function based on specified blood counts and lab values
  • Women of childbearing potential must agree to use effective contraception during treatment and for 120 days after
  • Men sexually active with women of childbearing potential must use effective contraception during treatment and for 120 days after
  • Women not of childbearing potential and azoospermic men are exempt from contraception requirements
Not Eligible

You will not qualify if you...

  • Life expectancy less than 3 months
  • Moderate to severe bronchial asthma or chronic obstructive pulmonary disease
  • Acute or unstable congestive heart failure
  • Any contraindication to propranolol treatment as per product guidelines
  • Prior treatment with PD-1/PD-L1 immune checkpoint inhibitors
  • Propranolol use within 4 weeks before treatment start
  • Radiation, chemotherapy, targeted therapy within 2 weeks or monoclonal antibody treatment within 4 weeks before study day one
  • Not recovered from effects of previous treatments
  • Clinically active or unstable central nervous system metastases
  • Serious or uncontrolled medical conditions increasing risk or interfering with study treatment or results
  • Active, known or suspected autoimmune disease except certain controlled conditions
  • Need for systemic corticosteroids over 10 mg prednisone equivalents or other immunosuppressive drugs
  • Known HIV infection or AIDS
  • History of allergy to study drugs or severe hypersensitivity to monoclonal antibodies
  • Women who are pregnant or breastfeeding

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 visit (in-person)

Treatment

Duration - Up to 2 years

Participants receive pembrolizumab every 3 weeks and propranolol twice daily until disease progression, unacceptable toxicity, or withdrawal, for up to two years.

Visits every 3 weeks for pembrolizumab dosing and regular assessments

Trial Site Locations

Total: 4 locations

1

Aarhus University Hospital

Aarhus, Denmark, 8200

Not Yet Recruiting

2

Herlev Gentofte Hospital

Herlev, Denmark, 2730

Actively Recruiting

3

Oslo University Hospital

Oslo, Norway

Actively Recruiting

4

Karolinska University Hospital

Stockholm, Sweden

Not Yet Recruiting

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Research Team

N

Niels Junker, MD, PhD

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

NA

Model

SINGLE_GROUP

Primary Purpose

TREATMENT

Number of Arms

1

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