Actively Recruiting

Phase 3
Age: 18Years - 99Years
All Genders
NCT05712694

Study of ADI-PEG 20 or Placebo Plus Gem and Doc in Previously Treated Subjects With Leiomyosarcoma (ARGSARC)

Led by Polaris Group · Updated on 2026-04-20

300

Participants Needed

31

Research Sites

213 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

To compare the efficacy and safety in subjects with advanced or metastatic LMS previously treated with an anthracycline.

CONDITIONS

Official Title

Study of ADI-PEG 20 or Placebo Plus Gem and Doc in Previously Treated Subjects With Leiomyosarcoma (ARGSARC)

Who Can Participate

Age: 18Years - 99Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Histologically or cytologically confirmed grade 2 or 3 leiomyosarcoma (LMS) soft tissue sarcoma suitable for treatment with gemcitabine or gemcitabine plus docetaxel.
  • Determined LMS subtype as uterine or non-uterine.
  • Measurable disease per RECIST 1.1 criteria with lesions of specified size by CT scan, chest x-ray, or clinical exam.
  • Previous treatment with up to 2 systemic regimens including at least one containing doxorubicin.
  • Prior adjuvant/neoadjuvant treatment with gemcitabine or docetaxel allowed if more than one year ago.
  • Age over 18 years.
  • ECOG performance status less than 1 at enrollment.
  • Leukocyte count of at least 3,000/mcL.
  • Absolute neutrophil count of at least 1,500/mcL.
  • Platelet count of at least 100,000/mcL.
  • Hemoglobin level of at least 8.0 g/dL.
  • Total bilirubin less than or equal to twice the upper limit of normal (or up to 3 times for Gilbert's disease).
  • AST/ALT levels less than or equal to 3 times the upper limit of normal (or up to 5 times if liver metastases present).
  • Creatinine clearance of at least 60 mL/min.
  • Serum uric acid less than or equal to 8 mg/dL, with or without medication.
  • QTc interval between 350 and 450 ms for men, 360 and 460 ms for women.
  • Agreement to use appropriate contraception or abstain from intercourse during the study and for specified times after treatment.
  • Ability to understand and sign informed consent.
  • No concurrent participation in other investigational drug studies.
Not Eligible

You will not qualify if you...

  • History of another primary cancer except curatively treated non-melanoma skin cancer, cervical carcinoma in situ, or other solid tumors with no active disease.
  • Currently receiving chemotherapy, immunotherapy, interferon, radiation, or other investigational agents; with specified washout periods before randomization.
  • Prior treatment with ADI-PEG 20, gemcitabine, or docetaxel except if given over one year ago in adjuvant/neoadjuvant setting.
  • Prior pelvic radiation.
  • Known brain metastases.
  • History of allergic reactions to ADI-PEG 20, gemcitabine, docetaxel, or related compounds.
  • Uncontrolled illnesses including infection, heart failure, unstable angina, arrhythmia, psychiatric illness, or social situations limiting compliance.
  • History of seizure disorder not related to cancer.
  • Grade 2 or higher neuropathy.
  • Pregnant or breastfeeding; women of childbearing potential must have a negative pregnancy test within 14 days before entry.
  • Known HIV positivity.
  • Currently receiving other immunosuppressive agents.
  • Subjects under legal guardianship, curatorship, legal protection, or deprived of liberty by judicial decision.

AI-Screening

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Trial Site Locations

Total: 31 locations

1

Mayo Clinic Arizona

Phoenix, Arizona, United States, 85054

Actively Recruiting

2

USC Norris comprehensive cancer center

Los Angeles, California, United States, 90033

Actively Recruiting

3

Stanford University Medical Centre

Palo Alto, California, United States, 94304

Actively Recruiting

4

UCSF

San Francisco, California, United States, 94158

Actively Recruiting

5

UCLA

Santa Monica, California, United States, 90404

Actively Recruiting

6

University of Colorado Cancer Center/ CU Anschutz Medical Campus

Aurora, Colorado, United States, 80045

Actively Recruiting

7

Mayo Clinic Florida

Jacksonville, Florida, United States, 32224

Actively Recruiting

8

University of Miami/ Sylvester Comprehensive Cancer Center

Miami, Florida, United States, 33136

Actively Recruiting

9

Moffitt Cancer Center

Tampa, Florida, United States, 33612

Actively Recruiting

10

Northwestern

Chicago, Illinois, United States, 60611

Actively Recruiting

11

Indiana University

Indianapolis, Indiana, United States, 46202

Actively Recruiting

12

University of Iowa

Iowa City, Iowa, United States, 52242

Active, Not Recruiting

13

Mass General Brigham Cancer Center

Boston, Massachusetts, United States, 02114

Actively Recruiting

14

University of Michigan

Ann Arbor, Michigan, United States, 48109

Actively Recruiting

15

Mayo Clinic Rochester

Rochester, Minnesota, United States, 55905

Actively Recruiting

16

Washington University School of Medicine - Siteman Cancer Center

St Louis, Missouri, United States, 63110

Actively Recruiting

17

NYU Langone Health

New York, New York, United States, 10016

Actively Recruiting

18

Columbia University

New York, New York, United States, 10032

Not Yet Recruiting

19

Memorial Sloan Kettering Cancer Center

New York, New York, United States, 10065

Actively Recruiting

20

Duke Cancer Institute

Durham, North Carolina, United States, 27710

Actively Recruiting

21

University Hospitals Cleveland Medical Center

Cleveland, Ohio, United States, 44106

Actively Recruiting

22

Ohio State University Wexner Medical Center/ The James Cancer Hospital and Solove Research Institute

Columbus, Ohio, United States, 43210

Actively Recruiting

23

UPenn (Abramson Cancer Center, Pennsylvania Hospital)

Philadelphia, Pennsylvania, United States, 19106

Actively Recruiting

24

UPMC Hillman Cancer Center

Pittsburgh, Pennsylvania, United States, 15232

Actively Recruiting

25

University of Texas MD Anderson Cancer Center

Houston, Texas, United States, 77030

Actively Recruiting

26

Medical College of Wisconsin/ Froedtert Hospital

Milwaukee, Wisconsin, United States, 53226

Actively Recruiting

27

UHN - Princess Margaret Cancer Center (Ontario)

Toronto, Ontario, Canada, M5G 2M9

Actively Recruiting

28

McGill University Health Centre (Quebec)

Montreal, Quebec, Canada, H4A 311

Actively Recruiting

29

Chang Gung Medical Foundation Kaohsiung

Kaohsiung City, Niaosong District, Taiwan, 83301

Actively Recruiting

30

National Taiwan University Hospital

Taipei, Taipei, Taiwan, 10002

Actively Recruiting

31

Taipei Veterans General Hospital

Taipei, Taipei, Taiwan, 11217

Actively Recruiting

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Research Team

M

Mirla Langlois

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

TRIPLE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

2

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