- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03359005
Irinotecan and Temozolomide for Ewing Sarcoma
October 31, 2022 updated by: GUO WEI, Peking University People's Hospital
Irinotecan and Temozolomide for Advanced Ewing Sarcoma After Failure of Standard Multimodal Therapy
The investigators explored the activity of vincristine and irinotecan combined with temozolomide (VIT) in patients with relapsed and metastatic Ewing Sarcoma.
Study Overview
Status
Recruiting
Conditions
Intervention / Treatment
Detailed Description
After standard multimodal therapy, the prognosis of relapsed and metastatic Ewing Sarcoma is dismal and unchanged over the last decades.
The anti-tumor activity of VIT was demonstrated by several studies in the past.
However, the detailed schedule of VIT was not decided.
Thus, the investigators explored the activity of 5-d shorter schedule of VIT and 5-d x2w longer schedule of VIT in patients with relapsed and metastatic Ewing Sarcoma after the failure of first-line chemotherapy with doxorubicin, vincristine, cyclophosphamide, ifosphamide and etoposide.
Study Type
Interventional
Enrollment (Anticipated)
60
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 Contact
- Name: Jie Xu, M.D.
- Phone Number: 86-15901040835
- Email: xujie_pkuph@sina.com
Study Contact Backup
- Name: Lu Xie, M.D.
- Phone Number: 86-13401044719
- Email: sweetdoctor@163.com
Study Locations
-
-
Beijing
-
Beijing, Beijing, China, 100034
- Recruiting
- Peking University People's Hospital
-
Contact:
- Jie Xu
- Phone Number: 86 15901040835
- Email: xujie_pkuph@sina.com
-
Principal Investigator:
- Wei Guo, M.D., Ph.D.
-
-
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
- Child
- Adult
- Older Adult
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Description
Inclusion Criteria:
- Histologically confirmed Ewing sarcoma.
- Evidence of Ewing sarcoma translocation by fluorescence in situ hybridization (FISH) or real-time polymerase chain reaction (RT-PCT).
- Recurrent or refractory tumors with no known curative treatment options according to the judgment of the investigator.
- Prior treatment consisted of standard Ewing Sarcoma chemotherapy agents including doxorubicin, vincristine, cyclophosphamide, ifosfamide and etoposide; metastatic relapsed and unresectable progressive disease (PD);
- Life expectancy of ≥ 3 months.
- Eastern Cooperative Oncology Group performance status 0-1
- Measurable disease on CT or MRI by RECIST 1.1.
- Adequate organ function.
- Time elapsed from previous therapy must be ≥ 3 weeks for systemic therapy, ≥ 2 weeks for radiation therapy or major surgery.
- Patients who have undergone autologous hematopoietic stem cell transplantation are eligible once they have recovered from all toxicities from therapy.
- Patients who have received allogeneic hematopoietic stem cell transplantation will be eligible 6 months after the procedure provided there is no evidence of active graft-versus-host disease and immunosuppressive treatment has been discontinued for at least 30 days.
- Patients with central nervous system disease are eligible for enrollment if they have received prior radiotherapy or surgery to sites of central nervous system metastatic disease, have been off glucocorticoids for at least 4 weeks, have no overt evidence of neurological deficit and are ≥ 6 weeks from completion of brain irradiation.
- Females of childbearing potential as well as males and their partners must agree to use an effective form of contraception during the study and for 6 months following the last dose of study medication.
Exclusion Criteria:
- Clinically significant unrelated illness which would, in the judgment of the treating physician, compromise the patient's ability to tolerate the investigational agent or be likely to interfere with the study procedures or results.
- Patients with baseline corrected QT interval(QTc) > 480 msec.
- Known hypersensitivity to any of the components of niraparib or prior hypersensitivity reactions to that class of drugs.
- Known hypersensitivity reaction to temozolomide or any of its components, or dacarbazine (DTIC) or any of its components, and irinotecan or any of its components.
- Concomitant use of any other investigational or anticancer agent(s).
- Pregnant patients or patients who are breast feeding. Subjects capable of pregnancy (post menarche and not post-menopausal, defined as over 12 months since final menstrual period) must have a negative pregnancy test within 7 days prior to first dose.
- Inability to swallow capsules.
- Other clinically significant malignant disease diagnosed within the previous 5 years, excluding intra-epithelial cervical neoplasia or non-melanoma skin cancer.
- Known persistent (> 4 weeks) ≥ Grade 2 neutropenia, ≥ Grade 2 thrombocytopenia or > Grade 3 anemia from prior cancer therapy.
- Other kinds of malignant tumors at the same time.
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: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: 5d VIT (irinotecan, temozolomide and vincristine)
Irinotecan 50mg/m2/d IV over 60 minutes on days 1-5. Treatment repeats every 3 weeks for at least 2 courses in the absence of disease progression or unacceptable toxicity. |
vincristine 1.5mg/m2 iv D1,D8
Other Names:
Temozolomide 100mg/m2/d iv on days 1-5.
Other Names:
|
Active Comparator: 5d x 2 VIT (irinotecan, temozolomide and vincristine)
Irinotecan 20mg/m2/d IV over 60 minutes on days 1-5 and 8-12. Treatment repeats every 3 weeks for at least 2 courses in the absence of disease progression or unacceptable toxicity. |
vincristine 1.5mg/m2 iv D1,D8
Other Names:
Temozolomide 100mg/m2/d iv on days 1-5.
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Object response rate(ORR) at 12 weeks
Time Frame: 4 months
|
complete response (CR) + partial response (PR) at 12 weeks
|
4 months
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Progression-free survival(PFS)
Time Frame: 2 years
|
Calculated from the date of treatment start until the time of disease progression or death, whichever comes first.
|
2 years
|
Overall survival(OS)
Time Frame: 2 years
|
Calculated from the date of treatment start until last follow-up or death, whichever comes first.
|
2 years
|
Duration of response(DOR)
Time Frame: 2 years
|
Duration of response is calculated from the day of first response assessment until either progression/death (event) or last day of follow-up (censored).
|
2 years
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Investigators
- Principal Investigator: Wei Guo, Ph.D, M.D., Peking University People's Hospital
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 (Actual)
February 7, 2018
Primary Completion (Anticipated)
November 28, 2022
Study Completion (Anticipated)
February 28, 2025
Study Registration Dates
First Submitted
November 26, 2017
First Submitted That Met QC Criteria
November 27, 2017
First Posted (Actual)
December 2, 2017
Study Record Updates
Last Update Posted (Actual)
November 1, 2022
Last Update Submitted That Met QC Criteria
October 31, 2022
Last Verified
October 1, 2022
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
- Neoplasms, Connective and Soft Tissue
- Neoplasms by Histologic Type
- Neoplasms
- Osteosarcoma
- Neoplasms, Bone Tissue
- Neoplasms, Connective Tissue
- Sarcoma
- Sarcoma, Ewing
- Molecular Mechanisms of Pharmacological Action
- Antineoplastic Agents
- Tubulin Modulators
- Antimitotic Agents
- Mitosis Modulators
- Antineoplastic Agents, Alkylating
- Alkylating Agents
- Antineoplastic Agents, Phytogenic
- Temozolomide
- Vincristine
Other Study ID Numbers
- PKUPH-EWS-01
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Undecided
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
No
product manufactured in and exported from the U.S.
No
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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-
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