Trabectedin for Patients With Locally Advanced or Metastatic Soft Tissue Sarcoma
Status: Recruiting
Phase:
Diagnosis: Sarcoma
NCT ID: NCT00707109
(View complete trial on ClinicalTrials.gov)
DFCI Protocol ID: 05-275
The objective of this study is to facilitate access to trabectedin for eligible previously treated subjects with soft tissue sarcoma (STS), who cannot be expected to benefit from currently available therapeutic options for treatment of STS but who may benefit from treatment with trabectedin.
Conducting Institutions:
Dana-Farber Cancer Institute, Brigham and Women's Hospital, Massachusetts General Hospital
Overall PI:
George Demetri, MD,
Dana-Farber Cancer Institute
Site-responsible Investigators:
David Harmon, MD,
Massachusetts General Hospital
Contacts:
Dana-Farber Cancer Institute:
Melissa Hohos,
mhohos@partners.org
Massachusetts General Hospital:
Cancer Trials Call Center, 877-789-6100
Dana-Farber Cancer Institute:
Mark Morley,
mmorley@partners.org
Eligibility Criteria
Inclusion Criteria:
- Male or female subject aged ≥18 years.
- Unresectable advanced or metastatic histologically proven STS. Eligibility will
include desmoplastic small round cell tumor, Ewing's sarcoma, and osteosarcoma.
- Subjects must have relapsed or had progressive disease following standard of care
treatment with chemotherapy prior to enrollment or intolerant to prior standard of
care treatment with chemotherapy due to safety issues.
- Recovery from toxic effects of prior therapies to Grade 1 or better according to
National Cancer Institute-Common Terminology Criteria of Adverse Events (NCI-CTCAE,
Version 3).
- Hematologic test results:
- Hemoglobin ≥8 g/dL
- Absolute neutrophil count (ANC) ≥1,500/μL
- Platelet count ≥100,000/μL
- Clinical chemistry test results:
- If serum creatinine ≤1.5 times the upper limit of normal (ULN), or if serum creatinine
is >1.5 times the ULN, then 24 hour creatinine clearance of >50 cc/min, creatine
phosphokinase (CPK) ≤2.5 times the ULN
- Hepatic function test results:
- Total bilirubin ≤ULN, if increased then measure indirectly to rule out Gilbert's
syndrome. If direct bilirubin is within normal limits, subject may be considered
eligible.
- Total alkaline phosphatase ≤1.5 times the ULN, or if liver metastases are present,
then alkaline phosphatase may be ≤2.5 times the ULN.
- AST and ALT must be ≤2.5 times the ULN.
- Female subjects must be surgically sterile, abstinent, or, if sexually active, be
practicing an effective method of birth control (e.g., prescription oral
contraceptives, contraceptive injections, intrauterine device, double-barrier method,
contraceptive patch) before entry and throughout the study, and have a negative urine
or serum pregnancy test result at screening. For male subjects and partners,
acceptable methods of birth control include sterilization, barrier contraception, and
abstinence.
- Subjects must have signed an informed consent document indicating that they understand
the purpose of and procedures required for the study and are willing to participate in
the study.
Exclusion Criteria:
- Less than 3 weeks from the last dose of radiation therapy; last dose or 4 half lives
of systemic cytotoxic therapy; therapy with any investigational agent; less than 2
weeks from the last dose of radiation therapy with any investigational agent or
systemic therapy, provided all side effects from those therapies have resolved to
Grade 1 or less.
- Active viral hepatitis or chronic liver disease.
- Unstable cardiac condition, including congestive heart failure or angina pectoris,
myocardial infarction within 1 year before enrollment, uncontrolled arterial
hypertension or arrhythmias.
- Active infection.
- Female subject who is pregnant or breast-feeding.