Study of Doxorubicin and Trabectedin in First Line Treatment on Patients With Metastatic Leiomyosarcoma (LMS02)

January 25, 2017 updated by: Gustave Roussy, Cancer Campus, Grand Paris

A Multicentric Phase II Trial Studying Efficacy of Doxorubicin Associated With Trabectedin (Yondelis) in First Line Treatment on Patients With Metastatic Leiomyosarcoma (Uterus or Soft Tissue) and/or Inoperable Relapse

Uterine leiomyosarcomas and soft tissues are rare tumors with a poor prognosis when metastatic or locally advanced. They have an average chemosensitivity mainly to doxorubicin, ifosfamide, cisplatin, gemcitabine and trabectedin but response rates in combination in first line does not exceed 55% for uterine leiomyosarcomas and 35% for leiomyosarcomas of soft tissue.

The trabectedin is a new cancer drug that has obtained marketing authorization after failure of anthracyclines and ifosfamide in the treatment of soft tissue sarcomas (STM) in Europe. It has especially shown efficacy in myxoid liposarcomas, leiomyosarcomas and synoviosarcoma.

This study aims to evaluate the usefulness of the combination of trabectedin with doxorubicin in first-line treatment of uterine or soft tissue leiomyosarcoma.

Study Overview

Status

Completed

Conditions

Intervention / Treatment

Study Type

Interventional

Enrollment (Actual)

110

Phase

  • Phase 2

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

  • France
    • Val de Marne
      • Villejuif, Val de Marne, France, 94805
        • Gustave Roussy Cancer Campus Grand Paris

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

18 years to 70 years (Adult, Older Adult)

Accepts Healthy Volunteers

No

Genders Eligible for Study

All

Description

Inclusion Criteria:

  • Metastatic leiomyosarcoma (uterus or soft tissue) in inoperable relapse with no previous chemotherapy
  • At least one measurable lesion according to RECIST criteria before inclusion. At least one of the target is in a none irradiated area
  • Aged >/= 18 years and physiological age </= 70 years
  • PS </= 2
  • Normal hematological function (Polymorphonuclear Neutrophils >/= 1500/mm3, platelets >/= 100 000/mm3)
  • Normal kidney function (creatinine < 1.5xN)
  • Creatinine phosphokinase </= 2.5xN
  • Normal hepatic function (total bilirubin </= 1xN; transaminase </= 2.5xN and alkaline phosphatase </= 1.5xN)
  • Cardiac function: normal echography and/or isotopic ventriculography (FR>30%, FEVG > 50%)
  • Patients able to procreate must use a birth control device during treatment and during 3 months after treatment for women; 5 months for men
  • Signed informed consent
  • Patient under affiliated to a system of care

Exclusion Criteria:

  • Any other histological type of uterus sarcoma (carcinosarcoma...) or soft tissue
  • Specific contraindication to the treatment
  • Previous or evolutive mental disease
  • Previous cancer
  • Symptomatic or known brain metastasis
  • Previous radiotherapy ont he only measurable lesion
  • Previous allograft or autograft
  • Known positive serology (HIV, HbC, HbS)
  • Pregnant or breastfeeding women
  • Impossibility to follow the treatment for geographical, social or mental reason
  • Patients under legal protection

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Treatment
  • Allocation: Non-Randomized
  • Interventional Model: Parallel Assignment
  • Masking: None (Open Label)

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: Soft tissue
Drug: Doxorubicin
60 mg/m²
Other Names:
  • Adriamycin
Drug: Trabectedin
1,1 mg/m²
Other Names:
  • Yondelis®
Experimental: Uterus
Drug: Doxorubicin
60 mg/m²
Other Names:
  • Adriamycin
Drug: Trabectedin
1,1 mg/m²
Other Names:
  • Yondelis®

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Disease control rate
Time Frame: Assessed every 6 weeks from inclusion up to 6 months
Disease control rate (objective response + stability) as defined by RECIST criteria
Assessed every 6 weeks from inclusion up to 6 months

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Response rate
Time Frame: Assessed every 6 weeks from inclusion up to 6 months
Assessed using RECIST criteria
Assessed every 6 weeks from inclusion up to 6 months
Progression Free Survival
Time Frame: Assessed every 6 weeks from inclusion up to 12 weeks
Assessed every 6 weeks from inclusion up to 12 weeks

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Gustave Roussy, Cancer Campus, Grand Paris

Publications and helpful links

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

General Publications

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start

June 1, 2010

Primary Completion (Actual)

January 1, 2013

Study Completion (Actual)

October 1, 2016

Study Registration Dates

First Submitted

May 5, 2014

First Submitted That Met QC Criteria

May 5, 2014

First Posted (Estimate)

May 6, 2014

Study Record Updates

Last Update Posted (Estimate)

January 26, 2017

Last Update Submitted That Met QC Criteria

January 25, 2017

Last Verified

January 1, 2017

More Information

Terms related to this study

Additional Relevant MeSH Terms

Other Study ID Numbers

  • 2009-012430-70
  • 2008/1485 (Other Identifier: CSET number)

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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