A Study of IMC-3G3 in Soft Tissue Sarcoma
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Purpose
The main purpose of this study is to gather information about the use of an investigational drug called IMC-3G3 with a drug for soft tissue sarcoma called doxorubicin.
| Condition | Intervention | Phase |
|---|---|---|
|
Sarcoma, Soft Tissue |
Biological: IMC-3G3 Drug: doxorubicin Drug: dexrazoxane |
Phase 1 Phase 2 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Parallel Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | A Phase 1b/2 Randomized Phase 2 Study Evaluating the Efficacy of Doxorubicin With or Without a Human Anti-PDGFRα Monoclonal Antibody (IMC-3G3) in the Treatment of Advanced Soft Tissue Sarcoma |
- Progression-free survival (PFS) [ Time Frame: 23 months ] [ Designated as safety issue: No ]PFS is the primary outcome for the Phase 2 portion of the study. PFS is measured from the date of randomization until the first radiographic documentation of objective progression as defined by Response Evaluation Criteria in Solid Tumors (RECIST) (version 1.1) or death from any cause.
- Summary of Safety for the Phase 1b Portion of the Study [ Time Frame: up to 24 weeks ] [ Designated as safety issue: Yes ]
- Overall Survival (OS) [ Time Frame: 23 months ] [ Designated as safety issue: No ]Date of randomization to the date of death from any cause
- Percentage of Participants with Objective Response (Objective Response Rate) [ Time Frame: 23 months ] [ Designated as safety issue: No ]Percentage of participants achieving a best overall response of partial or complete response (PR + CR), according to RECIST from the start of treatment until disease progression or occurrence.
- Pharmacokinetic (PK) Profile of IMC-3G3 [ Time Frame: up to week 24 ] [ Designated as safety issue: No ]
- Proportion of Participants Who are Progression-free (PFS) at 3 Months [ Time Frame: 3 months ] [ Designated as safety issue: No ]The 3 month progression-free survival (PFS) rate is defined as the proportion of participants that are alive and progression-free 3 months after randomization. PFS is measured from the date of randomization until the first radiographic documentation of objective progression as defined by Response Evaluation Criteria in Solid Tumors (RECIST) (version 1.1) or death from any cause.
| Enrollment: | 146 |
| Study Start Date: | October 2010 |
| Estimated Study Completion Date: | December 2014 |
| Estimated Primary Completion Date: | June 2013 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: Phase 1b: IMC-3G3 + doxorubicin
All cycles are 21 days. Cycles 1-4: IMC-3G3 15 mg/kg on days 1+8, and doxorubicin 75 mg/m2 on day 1 Cycles 5-8: IMC-3G3 15 mg/kg on days 1+8, and doxorubicin 75 mg/m2 and dexrazoxane 750 mg/m2 on day 1 All subsequent cycles: IMC-3G3 15 mg/kg on days 1+8 |
Biological: IMC-3G3
IMC-3G3 15 mg/kg by intravenous transfusion (I.V.) on days 1+8 of a 21-day cycle
Other Name: LY3012207
Drug: doxorubicin
Doxorubicin 75 mg/m2 by intravenous injection on day 1 of the 21-day cycle.
Drug: dexrazoxane
Dexrazoxane given at 750 mg/m2 by intravenous injection on day 1 of the 21-day cycle prior to administration of each doxorubicin infusion during cycles 5-8 for prevention of cardiotoxicity.
|
|
Experimental: Phase 2: IMC-3G3 and doxorubicin
All cycles are 21 days. Cycles 1-4: IMC-3G3 15 mg/kg on days 1+8, and doxorubicin 75 mg/m2 on day 1 Cycles 5-8: IMC-3G3 15 mg/kg on days 1+8, and doxorubicin 75 mg/m2 and dexrazoxane 750 mg/m2 on day 1 All subsequent cycles: IMC-3G3 15 mg/kg on days 1+8 |
Biological: IMC-3G3
IMC-3G3 15 mg/kg by intravenous transfusion (I.V.) on days 1+8 of a 21-day cycle
Other Name: LY3012207
Drug: doxorubicin
Doxorubicin 75 mg/m2 by intravenous injection on day 1 of the 21-day cycle.
Drug: dexrazoxane
Dexrazoxane given at 750 mg/m2 by intravenous injection on day 1 of the 21-day cycle prior to administration of each doxorubicin infusion during cycles 5-8 for prevention of cardiotoxicity.
|
|
Active Comparator: Phase 2: doxorubicin
All cycles are 21 days. Cycles 1-4: doxorubicin 75 mg/m2 on day 1 Cycles 5-8: dexrazoxane 750 mg/m2 and doxorubicin 75 mg/m2 on day 1 All subsequent cycles or earlier if disease progresses: IMC-3G3 15 mg/kg on days 1+8 |
Drug: doxorubicin
Doxorubicin 75 mg/m2 by intravenous injection on day 1 of the 21-day cycle.
Drug: dexrazoxane
Dexrazoxane given at 750 mg/m2 by intravenous injection on day 1 of the 21-day cycle prior to administration of each doxorubicin infusion during cycles 5-8 for prevention of cardiotoxicity.
|
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- The patient has histologically- or cytologically-confirmed malignant soft tissue sarcoma (STS), including uterine leiomyosarcoma
- The patient has advanced STS, not amenable to treatment with surgery or radiotherapy
- The patient's Eastern Cooperative Oncology Group (ECOG) performance status is 0-2
- The patient has available tumor tissue from either the primary or metastatic tumor for determination of PDGFRα expression
- The patient has adequate hematologic function as defined by an absolute neutrophil count (ANC) ≥ 1500 μL, hemoglobin ≥ 9.0 g/dL, and a platelet count of 100,000/μL obtained within 2 weeks prior to study entry
- The patient has adequate hepatic function as defined by a total bilirubin ≤ 1.5 mg/dL, and aspartate transaminase (AST) and alanine transaminase (ALT) ≤ 3.0 times the upper limit of normal (ULN)
- The patient has adequate renal function as defined by serum creatinine ≤ 1.5 × the institutional ULN. If creatinine is above the ULN, the patient's creatinine clearance is ≥ 45 mL/min
- The patient has urinary protein ≤ 1+ on dipstick or routine urinalysis; if urine dipstick or routine analysis is ≥ 2+, a 24-hour urine for protein must demonstrate < 1 g of protein in 24 hours to allow participation
- Because the teratogenicity of IMC-3G3 is not known, women of childbearing potential (WOCBP) and sexually active males must agree to use adequate contraception (hormonal or barrier method of birth control; abstinence) prior to study entry and for the duration of study participation
Exclusion Criteria:
- The patient has histologically- or cytologically-confirmed Kaposi's sarcoma
- The patient has untreated central nervous system metastases
- The patient received prior treatment with doxorubicin, daunorubicin, idarubicin, and/or other anthracyclines and anthracenediones (ie, mitoxantrone)
- The patient received prior radiation therapy to the mediastinal/pericardial area
- The patient has a history of another primary cancer, with the exception of a) curatively resected nonmelanomatous skin cancer; b) curatively treated cervical carcinoma in situ; or c) other primary solid tumor treated with curative intent, no known active disease present, and no treatment administered during the last 3 years prior to study entry
- The patient is receiving concurrent treatment with other anticancer therapy, including other chemotherapy, immunotherapy, hormonal therapy, radiotherapy, chemo-embolization, targeted therapy, or an investigational agent
- The patient has an elective or a planned major surgery to be performed during the course of the study
- The patient has an uncontrolled intercurrent illness including, but not limited to, ongoing or active infection, requiring parenteral antibiotics, symptomatic congestive heart failure, severe myocardial insufficiency, cardiac arrhythmia, or psychiatric illness/social situations that would limit compliance with study requirements
- The patient has unstable angina pectoris, angioplasty, cardiac stenting, or myocardial infarction 6 months prior to study entry
- The patient has known immunodeficiency virus (HIV) infection
- The patient, if female, is pregnant or lactating
- The patient has a known allergy to any of the treatment components
Contacts and Locations| United States, Arizona | |
| ImClone Investigational Site | |
| Tucson, Arizona, United States, 85724 | |
| United States, California | |
| ImClone Investigational Site | |
| Los Angeles, California, United States, 90024 | |
| United States, Colorado | |
| ImClone Investigational Site | |
| Aurora, Colorado, United States, 80045 | |
| United States, Florida | |
| ImClone Investigational Site | |
| Gainesville, Florida, United States, 32608 | |
| ImClone Investigational Site | |
| Orlando, Florida, United States, 32806 | |
| United States, Georgia | |
| ImClone Investigational Site | |
| Atlanta, Georgia, United States, 30308 | |
| United States, Illinois | |
| ImClone Investigational Site | |
| Chicago, Illinois, United States, 60611 | |
| United States, Minnesota | |
| ImClone Investigational Site | |
| Rochester, Minnesota, United States, 55902 | |
| United States, Missouri | |
| ImClone Investigational Site | |
| St Louis, Missouri, United States, 63110 | |
| United States, New York | |
| ImClone Investigational Site | |
| New York, New York, United States, 10065 | |
| United States, North Carolina | |
| ImClone Investigational Site | |
| Charlotte, North Carolina, United States, 28203 | |
| United States, Ohio | |
| ImClone Investigational Site | |
| Cleveland, Ohio, United States, 44106 | |
| United States, South Carolina | |
| ImClone Investigational Site | |
| Charleston, South Carolina, United States, 29425 | |
| United States, Tennessee | |
| ImClone Investigational Site | |
| Memphis, Tennessee, United States, 38119 | |
| United States, Texas | |
| ImClone Investigational Site | |
| San Antonio, Texas, United States, 78229 | |
| United States, Washington | |
| ImClone Investigational Site | |
| Seattle, Washington, United States, 98109 | |
| United States, Wisconsin | |
| ImClone Investigational Site | |
| Madison, Wisconsin, United States, 53792 | |
| Study Director: | ClinicalTrials@ ImClone.com | ImClone LLC |
More Information
No publications provided
| Responsible Party: | ImClone LLC |
| ClinicalTrials.gov Identifier: | NCT01185964 History of Changes |
| Other Study ID Numbers: | 14055, I5B-IE-JGDG, CP15-0806 |
| Study First Received: | August 19, 2010 |
| Last Updated: | June 14, 2013 |
| Health Authority: | United States: Food and Drug Administration |
Keywords provided by ImClone LLC:
|
Sarcoma, Soft Tissue Advanced Soft Tissue Sarcoma |
Additional relevant MeSH terms:
|
Sarcoma Neoplasms, Connective and Soft Tissue Neoplasms by Histologic Type Neoplasms Doxorubicin Razoxane Antibiotics, Antineoplastic |
Antineoplastic Agents Therapeutic Uses Pharmacologic Actions Cardiovascular Agents Chelating Agents Molecular Mechanisms of Pharmacological Action |
ClinicalTrials.gov processed this record on June 18, 2013