A Study of R1507 in Participants With Recurrent or Refractory Sarcoma
A Phase II Trial of R1507, a Recombinant Human Monoclonal Antibody to the Insulin-Like Growth Factor-1 Receptor for the Treatment of Participants With Recurrent or Refractory Ewing's Sarcoma, Osteosarcoma, Synovial Sarcoma, Rhabdomyosarcoma and Other Sarcomas.
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 2
Contacts and Locations
Study Locations
-
-
Victoria
-
Melbourne, Victoria, Australia, 3000
- Peter Maccallum Cancer Institute; Medical Oncology
-
-
-
-
British Columbia
-
Vancouver, British Columbia, Canada, V5Z 4E6
- BCCA-Vancouver Cancer Centre
-
-
-
-
-
Bordeaux, France, 33076
- Institut Bergonie; Oncologie
-
Lille, France, 59000
- Centre Oscar Lambret; Chir Cancerologie General
-
Lyon, France, 69373
- Centre Leon Berard; Departement Oncologie Medicale
-
Paris, France, 75231
- Institut Curie; Oncologie Medicale
-
Villejuif, France, 94805
- Institut Gustave Roussy; Service Pediatrique
-
-
-
-
-
Bad Saarow, Germany, 15526
- HELIOS Klinikum Bad Saarow; Klinik für Innere Medizin III
-
Mannheim, Germany, 68167
- Uniklinik Mannheim; Sektion Chirurgische Onkologie & Thoraxchirurgie
-
Tübingen, Germany, 72076
- University Hospital Tübingen
-
-
-
-
Emilia-Romagna
-
Bologna, Emilia-Romagna, Italy, 40136
- Istituti Ortopedici Rizzoli
-
-
Lombardia
-
Milano, Lombardia, Italy, 20133
- Istituto Nazionale Tumori, Sarcoma Unit
-
-
-
-
-
Rotterdam, Netherlands, 3015 CE
- Erasmus Mc - Daniel Den Hoed Kliniek; Medical Oncology
-
-
-
-
-
Oslo, Norway, 0310
- Norwegian Radium Hospital
-
-
-
-
Barcelona
-
Esplugues De Llobregas, Barcelona, Spain, 08950
- Hospital Sant Joan de Déu
-
-
-
-
-
Lund, Sweden, 221 85
- Skånes University Hospital, Skånes Department of Onclology
-
-
-
-
-
London, United Kingdom, SW3 6JJ
- Royal Marsden Hospital; Dept of Med-Onc
-
London, United Kingdom, NW1 2PG
- UCL Hospital NHS Trust
-
Manchester, United Kingdom, M20 4BX
- Christie Hospital Nhs Trust
-
-
-
-
California
-
Duarte, California, United States, 91010
- City of Hope National Medical Center
-
Los Angeles, California, United States, 90095-1752
- UCLA School Of Medicine Mattel's Children's Hospital At UCLA; Division Of Hematology-Oncology
-
Santa Monica, California, United States, 90403
- Sarcoma Oncology Center
-
Stanford, California, United States, 94305
- Stanford Comprehensive Cancer Center
-
-
District of Columbia
-
Washington, District of Columbia, United States, 20010
- Washington Cancer Institute; Washington Hospital Center
-
-
Idaho
-
Coeur d'Alene, Idaho, United States, 83814
- Kootenai Medical Center
-
-
Maryland
-
Baltimore, Maryland, United States, 21287
- Johns Hopkins Hospital
-
Bethesda, Maryland, United States, 20892
- NIH/NCI
-
-
Massachusetts
-
Boston, Massachusetts, United States, 02115-6084
- Dana Farber Partners Can Ctr
-
Boston, Massachusetts, United States, 02114
- Massachusetts General Hospital; Dana Farber Partnes Cancer Center
-
-
Michigan
-
Ann Arbor, Michigan, United States, 48109
- University Of Michigan Comprehensive Cancer Center
-
-
Nebraska
-
Omaha, Nebraska, United States, 68114
- Nebraska Methodist Hospital; Onc Hem West
-
-
New York
-
Bronx, New York, United States, 10467
- Albert Einstein College of Medical Pediatrics; Department of Pediatrics
-
New York, New York, United States, 10065
- Memorial Sloan-Kettering Cancer Center
-
New York, New York, United States, 10065
- Memorial Sloan Kettering Cancer Center
-
-
North Carolina
-
Charlotte, North Carolina, United States, 28203
- Carolinas Hematology Oncology Associates; Investigational Drug Services - Pharmacy
-
-
Oregon
-
Portland, Oregon, United States, 97239
- Oregon Health and Science University Cancer Institute
-
-
Pennsylvania
-
Philadelphia, Pennsylvania, United States, 19111
- Fox Chase Cancer Center
-
Philadelphia, Pennsylvania, United States, 19106
- Pennsylvania Oncology Hema Asc
-
-
Texas
-
Houston, Texas, United States, 77030
- University of Texas M.D. Anderson Cancer Center
-
Houston, Texas, United States, 77030
- Texas Children's Cancer Center; Baylor College of Medicine
-
-
Utah
-
Salt Lake City, Utah, United States, 84112
- Huntsman Cancer Institute; Orthopedic Center
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- progressive, recurrent or refractory Ewing's sarcoma, or recurrent or refractory osteosarcoma, synovial sarcoma, rhabdomyosarcoma, or other sarcomas of the following sub-types: alveolar soft part sarcoma, desmoplastic small round cell tumor, extraskeletal myxoid chondrosarcoma, clear cell sarcoma and myxoid liposarcoma;
- Cohort 3 only: age must be >= 2 and <= 21 years
Exclusion Criteria:
- clinically significant unrelated systemic illness which would compromise the participant's ability to tolerate the investigational agent, or interfere with the study procedures or results;
- known hypersensitivity to any of the components of R1507 or prior hypersensitivity reactions to monoclonal antibodies;
- treatment (within the past 2 weeks) with pharmacologic doses of corticosteroids or other immunosuppressive agents;
- current or prior therapy with insulin-like growth factor (IGF) inhibitor (monoclonal or specific kinase inhibitor);
- history of solid organ transplant;
- other malignant disease diagnosed within the previous 5 years, excluding intra-epithelial cervical neoplasia or non-melanoma skin cancer;
- active central nervous system disease
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Non-Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Cohort 1: Ewings Sarcoma Primary Cohort
Participants 2 years of age and older with recurrent or refractory sarcoma receive R1507 as 9 mg/kg via IV infusion once weekly until disease progression, intercurrent illness, unacceptable toxicity, prolonged (2-week) time off treatment, withdrawal, loss to follow-up, investigator decision, or death.
Cohort 1 includes individuals with Ewing's sarcoma who have relapsed within 24 weeks after diagnosis and have received two or more prior chemotherapy regimens.
|
Participants will receive R1507 IV infusion as 9 mg/kg once weekly or 27 mg/kg every 3 weeks, depending upon the cohort in which the participants are enrolled.
|
|
Experimental: Cohort 2: Ewings Sarcoma Secondary Cohort
Participants 2 years of age and older with recurrent or refractory sarcoma receive R1507 as 9 mg/kg via IV infusion once weekly until disease progression, intercurrent illness, unacceptable toxicity, prolonged (2-week) time off treatment, withdrawal, loss to follow-up, investigator decision, or death.
Cohort 2 includes individuals with Ewing's sarcoma who have relapsed more than 24 weeks after diagnosis and have only received one prior chemotherapy regimen.
|
Participants will receive R1507 IV infusion as 9 mg/kg once weekly or 27 mg/kg every 3 weeks, depending upon the cohort in which the participants are enrolled.
|
|
Experimental: Cohort 3: Ewings Sarcoma Expanded Cohort
Participants 2 to 21 years of age with recurrent or refractory sarcoma receive R1507 as 27 mg/kg via IV infusion every 3 weeks until disease progression, intercurrent illness, unacceptable toxicity, prolonged (2-week) time off treatment, withdrawal, loss to follow-up, investigator decision, or death.
Cohort 3 includes individuals with Ewing's sarcoma who were enrolled and treated following safety evaluation in other cohorts.
|
Participants will receive R1507 IV infusion as 9 mg/kg once weekly or 27 mg/kg every 3 weeks, depending upon the cohort in which the participants are enrolled.
|
|
Experimental: Cohort 4: Osteosarcoma
Participants 2 years of age and older with recurrent or refractory sarcoma receive R1507 as 9 mg/kg via IV infusion once weekly until disease progression, intercurrent illness, unacceptable toxicity, prolonged (2-week) time off treatment, withdrawal, loss to follow-up, investigator decision, or death.
Cohort 4 includes individuals with osteosarcoma.
|
Participants will receive R1507 IV infusion as 9 mg/kg once weekly or 27 mg/kg every 3 weeks, depending upon the cohort in which the participants are enrolled.
|
|
Experimental: Cohort 5: Synovial Sarcoma
Participants 2 years of age and older with recurrent or refractory sarcoma receive R1507 as 9 mg/kg via IV infusion once weekly until disease progression, intercurrent illness, unacceptable toxicity, prolonged (2-week) time off treatment, withdrawal, loss to follow-up, investigator decision, or death.
Cohort 5 includes individuals with synovial sarcoma.
|
Participants will receive R1507 IV infusion as 9 mg/kg once weekly or 27 mg/kg every 3 weeks, depending upon the cohort in which the participants are enrolled.
|
|
Experimental: Cohort 6: Rhabdomyosarcoma
Participants 2 years of age and older with recurrent or refractory sarcoma receive R1507 as 9 mg/kg via IV infusion once weekly until disease progression, intercurrent illness, unacceptable toxicity, prolonged (2-week) time off treatment, withdrawal, loss to follow-up, investigator decision, or death.
Cohort 6 includes individuals with rhabdomyosarcoma.
|
Participants will receive R1507 IV infusion as 9 mg/kg once weekly or 27 mg/kg every 3 weeks, depending upon the cohort in which the participants are enrolled.
|
|
Experimental: Cohort 7a: Alveolar Soft Part Sarcoma
Participants 2 years of age and older with recurrent or refractory sarcoma receive R1507 as 9 mg/kg via IV infusion once weekly until disease progression, intercurrent illness, unacceptable toxicity, prolonged (2-week) time off treatment, withdrawal, loss to follow-up, investigator decision, or death.
Cohort 7a includes individuals with alveolar soft part sarcoma.
|
Participants will receive R1507 IV infusion as 9 mg/kg once weekly or 27 mg/kg every 3 weeks, depending upon the cohort in which the participants are enrolled.
|
|
Experimental: Cohort 7b: Desmoplastic Small Round Cell Tumors.
Participants 2 years of age and older with recurrent or refractory sarcoma receive R1507 as 9 mg/kg via IV infusion once weekly until disease progression, intercurrent illness, unacceptable toxicity, prolonged (2-week) time off treatment, withdrawal, loss to follow-up, investigator decision, or death.
Cohort 7b includes individuals with desmoplastic small round cell tumors.
|
Participants will receive R1507 IV infusion as 9 mg/kg once weekly or 27 mg/kg every 3 weeks, depending upon the cohort in which the participants are enrolled.
|
|
Experimental: Cohort 7c: Extraskeletal Myxoid Chondrosarcoma
Participants 2 years of age and older with recurrent or refractory sarcoma receive R1507 as 9 mg/kg via IV infusion once weekly until disease progression, intercurrent illness, unacceptable toxicity, prolonged (2-week) time off treatment, withdrawal, loss to follow-up, investigator decision, or death.
Cohort 7c includes individuals with extraskeletal myxoid chondrosarcoma.
|
Participants will receive R1507 IV infusion as 9 mg/kg once weekly or 27 mg/kg every 3 weeks, depending upon the cohort in which the participants are enrolled.
|
|
Experimental: Cohort 7d: Clear Cell Sarcoma
Participants 2 years of age and older with recurrent or refractory sarcoma receive R1507 as 9 mg/kg via IV infusion once weekly until disease progression, intercurrent illness, unacceptable toxicity, prolonged (2-week) time off treatment, withdrawal, loss to follow-up, investigator decision, or death.
Cohort 7d includes individuals with clear cell sarcoma.
|
Participants will receive R1507 IV infusion as 9 mg/kg once weekly or 27 mg/kg every 3 weeks, depending upon the cohort in which the participants are enrolled.
|
|
Experimental: Cohort 7e: Myxoid Liposarcoma
Participants 2 years of age and older with recurrent or refractory sarcoma receive R1507 as 9 mg/kg via IV infusion once weekly until disease progression, intercurrent illness, unacceptable toxicity, prolonged (2-week) time off treatment, withdrawal, loss to follow-up, investigator decision, or death.
Cohort 7e includes individuals with myxoid liposarcoma.
|
Participants will receive R1507 IV infusion as 9 mg/kg once weekly or 27 mg/kg every 3 weeks, depending upon the cohort in which the participants are enrolled.
|
|
Experimental: Cohort 8: Diagnosis Not Specified
Participants 2 years of age and older with recurrent or refractory sarcoma receive R1507 as 9 mg/kg via IV infusion once weekly until disease progression, intercurrent illness, unacceptable toxicity, prolonged (2-week) time off treatment, withdrawal, loss to follow-up, investigator decision, or death.
Cohort 8 includes individuals with subtypes of sarcoma not specified in the protocol.
|
Participants will receive R1507 IV infusion as 9 mg/kg once weekly or 27 mg/kg every 3 weeks, depending upon the cohort in which the participants are enrolled.
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Percentage of Participants With Complete or Partial Response, According to World Health Organization (WHO) Criteria in Cohorts 2 to 8
Time Frame: Baseline up to 6 years (assessed at baseline, every 6 weeks for 24 weeks, then every 12 weeks until disease progression)
|
Complete response is the disappearance of all known disease, determined by two consecutive observations not less than 4 weeks apart.
Partial response is >=50% decrease in the total tumor load of the lesions that have been measured to determine the effect of therapy not less than four weeks apart.
The observations must be consecutive.
|
Baseline up to 6 years (assessed at baseline, every 6 weeks for 24 weeks, then every 12 weeks until disease progression)
|
|
Progression-Free Survival (PFS) Rate According to WHO Response Criteria at 18 Weeks From Start of R2607 Treatment in Cohort 1
Time Frame: Baseline up to 18 weeks (assessed at baseline, every 6 weeks until disease progression)
|
The PFS survival rate is a landmark analysis of progression-free survival at 18 weeks from start of treatment.
Progression-free survival rate at 18 weeks is a dichotomous endpoint, with a patient categorized as alive (with either stable disease or objective response) at 18 weeks from start of treatment.
|
Baseline up to 18 weeks (assessed at baseline, every 6 weeks until disease progression)
|
|
Percentage of Participants With Adverse Events (AEs) in Cohort 1 and 2
Time Frame: Baseline up to 6 years
|
Baseline up to 6 years
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Percentage of Participants With Complete or Partial Response According to WHO Response Criteria in Cohort 1
Time Frame: Baseline, every 6 weeks for 24 weeks, then every 12 weeks until disease progression (up to 6 years)
|
Complete response is the disappearance of all known disease, determined by two consecutive observations not less than 4 weeks apart.
Partial response is >=50% decrease in the total tumor load of the lesions that have been measured to determine the effect of therapy not less than four weeks apart.
The observations must be consecutive.
|
Baseline, every 6 weeks for 24 weeks, then every 12 weeks until disease progression (up to 6 years)
|
|
PFS Rate According to WHO Response Criteria at 18 Weeks From Start of R1507 Treatment in Cohorts 2 to 8
Time Frame: Baseline, every 6 weeks until disease progression (up to 18 weeks)
|
The PFS survival rate is a landmark analysis of progression-free survival at 18 weeks from start of treatment.
Progression-free survival rate at 18 weeks is a dichotomous endpoint, with a patient categorized as alive (with either stable disease or objective response at 18 weeks) from start of treatment.
|
Baseline, every 6 weeks until disease progression (up to 18 weeks)
|
|
Percentage of Participants With AEs in Cohorts 3-8
Time Frame: Baseline up to 6 years
|
Baseline up to 6 years
|
|
|
Duration of Response (DOR) According to WHO Response Criteria in Cohorts 1 to 8
Time Frame: Baseline, every 6 weeks for 24 weeks, then every 12 weeks until disease progression (up to 6 years)
|
The duration of overall response is measured from the time measurement criteria are met for CR or PR (whichever is first recorded) until the first date that recurrent or progressive disease is objectively documented.
Complete response is the disappearance of all known disease, determined by two consecutive observations not less than 4 weeks apart.
Partial response is >=50% decrease in the total tumor load of the lesions that have been measured to determine the effect of therapy not less than four weeks apart.
The observations must be consecutive.
|
Baseline, every 6 weeks for 24 weeks, then every 12 weeks until disease progression (up to 6 years)
|
|
Time to Progression (TTP) According to WHO Response Criteria in Cohorts 1 to 8
Time Frame: Baseline, every 6 weeks for 24 weeks, then every 12 weeks until disease progression (up to 6 years)
|
TTP is defined as the time from date of randomization until objective tumor progression.
According to the WHO Response Criteria, objective tumor progression is > 25% increase in the area of one or more measurable lesions or the appearance of new lesions.
|
Baseline, every 6 weeks for 24 weeks, then every 12 weeks until disease progression (up to 6 years)
|
|
Failure-Free Survival (FFS) According to WHO Response Criteria in Cohorts 1 to 8
Time Frame: Baseline, every 6 weeks for 24 weeks, then every 12 weeks until disease progression (up to 6 years)
|
FFS was measured from the date of treatment start to the date of documented disease progression, relapse, or death from any cause.
|
Baseline, every 6 weeks for 24 weeks, then every 12 weeks until disease progression (up to 6 years)
|
|
Overall Survival (OS) in Cohorts 1 to 8
Time Frame: Baseline until death (up to 6 years)
|
OS was measured from the time of study registration to the date of death or was censored at the date of last contact.
|
Baseline until death (up to 6 years)
|
|
PFS According to WHO Response Criteria in Cohorts 1 to 8
Time Frame: Baseline, every 6 weeks for 24 weeks, then every 12 weeks until disease progression (up to 6 years)
|
PFS is defined as the duration of time from start of treatment to time of objective progression or death.
|
Baseline, every 6 weeks for 24 weeks, then every 12 weeks until disease progression (up to 6 years)
|
|
Pharmacokinetics: Area Under the Concentration-Time Curve (AUC) of R1507
Time Frame: Predose (0 hours [h]), end of 60-90 minutes infusion (EOI), postdose (2, 24, 72-96 h) in Week 1; predose (0 h) and EOI in Weeks 2, 4, 6, 9; predose (0 h), EOI, postdose (48 h) in Week 12; predose (0 h) in Week 13, at final visit (up to 6 years)
|
Predose (0 hours [h]), end of 60-90 minutes infusion (EOI), postdose (2, 24, 72-96 h) in Week 1; predose (0 h) and EOI in Weeks 2, 4, 6, 9; predose (0 h), EOI, postdose (48 h) in Week 12; predose (0 h) in Week 13, at final visit (up to 6 years)
|
|
|
Pharmacokinetics: Clearance (CL) of R1507
Time Frame: Predose (0 h), EOI (infusion over 60-90 minutes), postdose (2, 24, 72-96 h) in Week 1; predose (0 h) and EOI in Weeks 2, 4, 6, 9; predose (0 h), EOI, postdose (48 h) in Week 12; predose (0 h) in Week 13, at final visit (up to 6 years)
|
Predose (0 h), EOI (infusion over 60-90 minutes), postdose (2, 24, 72-96 h) in Week 1; predose (0 h) and EOI in Weeks 2, 4, 6, 9; predose (0 h), EOI, postdose (48 h) in Week 12; predose (0 h) in Week 13, at final visit (up to 6 years)
|
Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Publications and helpful links
General Publications
- Asmane I, Watkin E, Alberti L, Duc A, Marec-Berard P, Ray-Coquard I, Cassier P, Decouvelaere AV, Ranchere D, Kurtz JE, Bergerat JP, Blay JY. Insulin-like growth factor type 1 receptor (IGF-1R) exclusive nuclear staining: a predictive biomarker for IGF-1R monoclonal antibody (Ab) therapy in sarcomas. Eur J Cancer. 2012 Nov;48(16):3027-35. doi: 10.1016/j.ejca.2012.05.009. Epub 2012 Jun 7.
- Pappo AS, Patel SR, Crowley J, Reinke DK, Kuenkele KP, Chawla SP, Toner GC, Maki RG, Meyers PA, Chugh R, Ganjoo KN, Schuetze SM, Juergens H, Leahy MG, Geoerger B, Benjamin RS, Helman LJ, Baker LH. R1507, a monoclonal antibody to the insulin-like growth factor 1 receptor, in patients with recurrent or refractory Ewing sarcoma family of tumors: results of a phase II Sarcoma Alliance for Research through Collaboration study. J Clin Oncol. 2011 Dec 1;29(34):4541-7. doi: 10.1200/JCO.2010.34.0000. Epub 2011 Oct 24.
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimate)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- NO21157
- SARC011
- 2007-003940-30 (EudraCT Number)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.