Study to Evaluate Safety and Antitumor Activity of Lete-Cel (GSK3377794) in HLA-A2+ Participants With NY-ESO-1 Positive Previously Untreated Advanced (Metastatic or Unresectable) Synovial Sarcoma and Myxoid/Round Cell Liposarcoma
Evaluation of Safety and Antitumor Activity of Lete-Cel (GSK3377794) in HLA-A2+ Participants With NY-ESO-1 Positive Previously Untreated Advanced (Metastatic or Unresectable) Synovial Sarcoma and Myxoid/Round Cell Liposarcoma
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
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Toronto, Canada, M5G 2M9
- Princess Margaret Cancer Centre
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Quebec
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Montreal, Quebec, Canada, H1T 2M4
- CIUSSS de L'Est-De-Lile-De-Montreal
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Lyon, France, 69373
- Centre Leon Berard
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Pessac, France, 33604
- CHU de Bordeaux GH Sud Hôpital Haut Lévêque
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Milan, Italy, 20133
- Fondazione IRCCS Instituto Nazionale Dei Tumori
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Romano di Lombardia, Italy, 20089
- Ircss Istituto Clinico Humanitas
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Amsterdam, Netherlands, 1066 CX
- The Netherlands Cancer Institute
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Barcelona, Spain, 08025
- Hospital Santa Creu Y Sant Pau
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Hospitalet de Llobregat, Barcelona, Spain, 08907
- Ico Duran y Reynals l'Hospitalet de Llobrega
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Madrid, Spain, 28040
- Hospital Universitario Fundacion Jimenez Diaz
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Seville, Spain, 41013
- Hospital Virgen del Rocío
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London, United Kingdom, SW3 6JJ
- Royal Marsden Hospital
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London, United Kingdom, WC1E 6AG
- University College Hospital-London
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Manchester, United Kingdom, M20 4BX
- Christie Hospital NHS Foundation Trust
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California
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Duarte, California, United States, 91010
- City of Hope National Medical Center
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Stanford, California, United States, 94305
- Stanford Hospital and Clinics
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Colorado
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Denver, Colorado, United States, 80218
- Sarah Cannon Research Institute
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Florida
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Jacksonville, Florida, United States, 32224
- Mayo Clinic Jacksonville
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Illinois
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Chicago, Illinois, United States, 60637
- University of Chicago
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Iowa
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Iowa City, Iowa, United States, 52242-1009
- University of Iowa College of Medicine
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Massachusetts
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Boston, Massachusetts, United States, 02114
- Massachusetts General Hospital
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Boston, Massachusetts, United States, 02114
- Dana Farber Cancer Institute
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Michigan
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Ann Arbor, Michigan, United States, 48109
- University of Michigan Medical Center
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Minnesota
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Minneapolis, Minnesota, United States, 55455
- Minnesota Oncology Hematology
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Rochester, Minnesota, United States, 55905
- Mayo Clinic Rochester
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Missouri
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St Louis, Missouri, United States, 63110
- Washington University
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New York
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New York, New York, United States, 10065
- Memorial Sloan Kettering Cancer Center
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North Carolina
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Durham, North Carolina, United States, 27710
- Duke University Medical Center
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Ohio
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Columbus, Ohio, United States, 43210
- Ohio State University-Columbus
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Oregon
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Portland, Oregon, United States, 97239
- Oregon Health and Science University
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Pennsylvania
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Pittsburgh, Pennsylvania, United States, 15232
- University of Pittsburgh, Hillman Cancer Centre
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Tennessee
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Nashville, Tennessee, United States, 37203
- Tennessee Oncology
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Texas
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Dallas, Texas, United States, 75390-9063
- University of Texas Southwestern Medical Center
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Dallas, Texas, United States, 75390-8565
- University of Texas Southwestern Medical Center
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Utah
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Salt Lake City, Utah, United States, 84112
- University of Utah
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Virginia
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Richmond, Virginia, United States, 23298
- Virginia Commonwealth University
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Washington
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Seattle, Washington, United States, 98109-1024
- Fred Hutchinson Cancer Research Center
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Wisconsin
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Milwaukee, Wisconsin, United States, 53226
- Froedtert Hospital
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Child
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Participant must be greater than or equal to 10 years of age on the day of signing informed consent.
- Participant scheduled to receive clinical drug product supply must also weigh ≥40 kg
- Participant must be positive for HLA-A*02:01, HLA-A*02:05, and/or HLA-A*02:06 alleles by a designated central laboratory
- Participant's tumor is positive for NY-ESO-1 expression by a designated central laboratory.
- Participant has a diagnosis of synovial sarcoma (SS) or myxoid/round cell liposarcoma (MRCLS)
- Performance status: dependent on age - Lansky > 60, Karnofsky > 60, Eastern
- Cooperative Oncology Group 0-1.
- Participant must have adequate organ function and blood cell counts, within 7 days prior to leukapheresis.
- At time of treatment, participant has measurable disease according to RECIST v1.1.
- Male or female. Contraception requirements will apply at the time of leukapheresis and treatment.
- Consultation for prior history per protocol specifications.
Exclusion Criteria:
- Central nervous system metastases.
- Any other prior malignancy that is not in complete remission.
- Clinically significant systemic illness (.(Serious active infections or significant cardiac, pulmonary, hepatic or other organ dysfunction, that in the judgment of the Investigator would compromise the participant's ability to tolerate protocol therapy or significantly increase the risk of complications)
- Prior or active demyelinating disease.
- History of chronic or recurrent (within the last year prior to leukapheresis) severe autoimmune or immune mediated disease (e.g. Crohn's disease, systemic lupus) requiring steroids or other immunosuppressive treatments.
- Previous treatment with genetically engineered NY-ESO-1-specific T cells.
- Previous NY-ESO-1 vaccine or NY-ESO-1 targeting antibody.
- Prior gene therapy using an integrating vector.
- Previous allogeneic hematopoietic stem cell transplant.
- Washout periods for prior radiotherapy and systemic chemotherapy must be followed.
- Participant had major surgery in less than or equal to 28 days of first dose of study intervention.
- Prior radiation exceeds protocol specified limits.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
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Experimental: Letetresgene autoleucel
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Fludarabine will be used as a lymphodepleting chemotherapy.
Cyclophosphamide will be used as a lymphodepleting chemotherapy.
Letetresgene autoleucel will be administered.
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Overall Response Rate (ORR)
Time Frame: Up to approximately 36 months
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ORR is defined as the percentage of participants with a confirmed complete response (CR) or confirmed partial response (PR) via investigator assessment per Response Evaluation Criteria in Solid Tumors Criteria (RECIST) version 1.1 relative to the total number of participants in the analysis population.
CR is defined as disappearance of all target lesions.
Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to less than (<)10 millimeters (mm).
PR is defined as at least a 30% decrease in the sum of the diameters of target lesions, taking as a reference, the baseline sum of the diameters (e.g., percent change from baseline).
95% CI is based on Clopper-Pearson exact confidence interval.
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Up to approximately 36 months
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Time to Response (TTR)
Time Frame: Up to approximately 54 months
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Time to response was defined as the interval of time between the date of T-cell infusion and the first documented evidence of the confirmed response (PR or CR), in the subset of participants with a confirmed PR or CR as their best confirmed overall response.
CR is defined as disappearance of all target lesions.
Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to less than (<)10 millimeters (mm).
PR is defined as at least a 30% decrease in the sum of the diameters of target lesions, taking as a reference, the baseline sum of the diameters (e.g., percent change from baseline).
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Up to approximately 54 months
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Duration of Response (DOR)
Time Frame: Up to approximately 54 months
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Duration of response was defined as the interval between the initial date of confirmed response (PR/CR) and the date of progressive disease as assessed by local investigators, or death among participants with a confirmed response per RECIST 1.1.
CR is defined as disappearance of all target lesions.
Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to less than (<)10 millimeters (mm).
PR is defined as at least a 30% decrease in the sum of the diameters of target lesions, taking as a reference, the baseline sum of the diameters (e.g., percent change from baseline).
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Up to approximately 54 months
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Disease Control Rate (DCR)
Time Frame: Up to approximately 36 months
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DCR is defined as the percentage of participants with a confirmed CR, PR, or stable disease (SD) with a minimal 12 weeks (84 days ± 7 day window) duration relative to the total number of participants within the analysis population at the time of primary analysis as determined by local investigators per RECIST v1.1.
CR is defined as disappearance of all target lesions.
Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to less than (<)10 millimeters (mm).
PR is defined as at least a 30% decrease in the sum of the diameters of target lesions, taking as a reference, the baseline sum of the diameters (e.g., percent change from baseline).
SD is defined as neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for progressive disease.
The disease progression (PD) is defined as the date of radiological disease progression based on imaging data per RECIST v1.1.
95% CI is based on Clopper-Pearson exact confidence interval.
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Up to approximately 36 months
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Progression Free Survival (PFS)
Time Frame: Up to approximately 54 months
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PFS is defined as the interval of time between from the date of T-cell infusion to the earliest date of radiological progression of disease (PD) as assessed by local investigator per RECIST v1.1, or death due to any cause.
The PD is defined as the date of radiological disease progression based on imaging data per RECIST v1.1.
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Up to approximately 54 months
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Number of Participants With Treatment Emergent Adverse Events (TEAEs) and Treatment Emergent Serious Adverse Events (TESAEs)
Time Frame: Up to approximately 54 months
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An AE is any untoward medical occurrence in a clinical investigation participant, temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product.
SAE is defined as any untoward medical occurrence that, at any dose results in death, is life-threatening, requires hospitalization or prolongation of existing hospitalization, results in disability/incapacity, is a congenital anomaly/birth defect, other situations which involve medical or scientific judgment or is associated with liver injury and impaired liver function.
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Up to approximately 54 months
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Number of Participants With AEs of Special Interest (AESIs)
Time Frame: Up to approximately 54 months
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An AESI may be of scientific and medical concern related to the treatment, monitored, and rapidly communicated by investigator to sponsor.
AESIs included cytokine release syndrome (CRS), hematopoietic cytopenias (including pancytopenia and aplastic anemia), graft vs host disease (GVHD), ICANS, Guillain-Barre syndrome, treatment-related inflammatory response at tumor site(s), and neutropenia Grade 4 lasting ≥28 days.
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Up to approximately 54 months
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Number of Participants With TEAEs and TESAEs by Severity
Time Frame: Up to approximately 54 months
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An AE is any untoward medical occurrence in a clinical investigation participant, temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product.
SAE is defined as any untoward medical occurrence that, at any dose results in death, is life-threatening, requires hospitalization or prolongation of existing hospitalization, results in disability/incapacity, is a congenital anomaly/birth defect, other situations which involve medical or scientific judgment or is associated with liver injury and impaired liver function.
AEs and SAEs were graded according to National Cancer Institute-Common Toxicity Criteria for Adverse Events (NCI-CTCAE) version 5.0.
Grade 1- Mild; Grade 2- Moderate; Grade 3- Severe or medically significant but not immediately life-threatening; Grade 4- Life-threatening consequences; Grade 5- Death related to AE.
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Up to approximately 54 months
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Number of Participants With AESIs by Severity
Time Frame: Up to approximately 54 months
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An AESI may be of scientific and medical concern related to the treatment, monitored, and rapidly communicated by investigator to sponsor.
AESIs included cytokine release syndrome (CRS), hematopoietic cytopenias (including pancytopenia and aplastic anemia), graft vs host disease (GVHD), ICANS, Guillain-Barre syndrome, treatment-related inflammatory response at tumor site(s), and neutropenia Grade 4 lasting ≥28 days.
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Up to approximately 54 months
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Percentage of Participants With Replication Competent Lentivirus (RCL) Positive
Time Frame: Up to approximately 54 months
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RCL was monitored using a polymerase chain reaction (PCR)-based assay that detects and measures copies of the gene coding for the vector's envelope protein, namely vesicular stomatitis virus G protein (VSV-G).
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Up to approximately 54 months
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Instances of Insertional Oncogenesis (IO)
Time Frame: Up to approximately 54 months
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Instances of Insertional Oncogenesis (IO) was summarized descriptively.
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Up to approximately 54 months
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Maximum Transgene Expansion (Cmax)
Time Frame: Day 1 to Day 14
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Cmax was defined as maximum observed persistence, determined directly from the persistence-time data.
Blood samples were collected for PK analysis.
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Day 1 to Day 14
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Time to Cmax (Tmax)
Time Frame: Day 1 to Day 14
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Tmax was defined as time to reach Cmax, determined directly from the persistence-time data.
Blood samples were collected for PK analysis.
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Day 1 to Day 14
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Area Under the Time Curve From Zero to Time 28 Days (AUC[0-28])
Time Frame: Up to 28 days
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Area under the persistence-time curve from time zero to Day 28.
Blood samples were collected for PK analysis.
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Up to 28 days
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Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Study Director: GSK Clinical Trials, GlaxoSmithKline
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
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
- Neoplasms
- Neoplasms by Histologic Type
- Sarcoma
- Neoplasms, Connective and Soft Tissue
- Neoplasms, Connective Tissue
- Neoplasms, Adipose Tissue
- Neoplasms
- Organic Chemicals
- Hydrocarbons
- Phosphoramide Mustards
- Nitrogen Mustard Compounds
- Mustard Compounds
- Hydrocarbons, Halogenated
- Phosphoramides
- Organophosphorus Compounds
- Cyclophosphamide
- fludarabine
Other Study ID Numbers
Other Study ID Numbers
- 208467 Substudy 1
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
IPD Sharing Time Frame
IPD Sharing Access Criteria
IPD Sharing Supporting Information Type
- STUDY_PROTOCOL
- SAP
- ICF
- CSR
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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.
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