TRASTS: Trabectedin Plus Radiotherapy in Soft Tissue Sarcoma Patients

Sponsor
Grupo Espanol de Investigacion en Sarcomas (Other)
Overall Status
Recruiting
CT.gov ID
NCT02275286
Collaborator
Centre Leon Berard (Other), Italian Sarcoma Group (Other)
165
16
1
163
10.3
0.1

Study Details

Study Description

Brief Summary

Phase I-II trial that combines trabectedin plus radiotherapy for tumor reduction response measure in two cohorts of patients:

Cohort A: Patients with diagnosis of non-operable or unresectable or not oncologically recommended metastasectomy of limited to lung metastases soft tissue sarcoma.

Cohort B: Patients with locally advanced resectable Myxoid Liposarcoma. Cohort C: Patients with retroperitoneal and resectable soft tissue sarcoma (liposarcoma and leiomyosarcoma) Phase I: escalating dose of 1.3 or 1.5 mg/m2. Phase I for cohort C: de-escalating dose of 1.5 or 1.3mg/m2 Radiotherapy for cohort A: 30Gy in 10 fractions (3Gy/fraction) Radiotherapy for cohort B: 45Gy in 25 fractions (1.8Gy/fraction) Radiotherapy for cohort C: 45Gy in 25 fractions (1.8Gy/fraction) A translational substudy is developed to analyse different biomarkers predictive value.

Condition or Disease Intervention/Treatment Phase
Phase 1/Phase 2

Detailed Description

In this study investigators plan to measure tumor response (RECIST and Choi criteria) when administering trabectedin standard dose or inferior with simultaneous radiotherapy treatment. The hypothesis states that administering trabectedin at 1.3mg/m2 or ≤1.5mg/m2 plus Radiotherapy 30-45Gy shows synergic activity that turns into tumor shrinkage.

A phase I trial (dose escalation -or de-escalation for cohort C- level of 1.3 or 1.5 mg/m2) will provide the proper dose level to perform a phase II trial to measure RECIST and Choi response, progression free survival, overall survival and register safety and quality of life details.

Three cohorts are indicated for this trial, A: Patients with diagnosis of non-operable or unresectable or not oncologically recommended metastasectomy of limited to lung metastases soft tissue sarcoma and cohort B: Patients with locally advanced resectable Myxoid Liposarcoma, C:Patients with retroperitoneal and resectable soft tissue sarcoma (liposarcoma and leiomyosarcoma).

Unlimited cycles of chemotherapy are considered to be beneficial for cohort A patients, whereas cohort B and C only 3 cycles are indicated. About radiotherapy treatment, 30Gy will be given to cohort A patients, whereas cohort B and C will receive 45Gy. TCs and MRI are selected for imaging purposes.

Phase I:
For cohorts A and B:Trabectedin at two dose escalation levels:

0 1.3 mg/m2 as a 24h I.V. infusion

1 1.5 mg/m2 as a 24h I.V. infusion

For cohort C:Trabectedin at two dose de-escalation levels:

0 1.5 mg/m2 as a 24h I.V. infusion

-1 1.3 mg/m2 as a 24h I.V. infusion

Administration of trabectedin with a portable pump, i.v infusion of 24h, in cycles of 3 weeks.

Premedication:
  • 4 mg oral dexamethasone 24h and 12h before chemotherapy administration.

  • 20 mg I.V. dexamethasone 30minutes before treatment.

  • Ondansetron or analogue will also be given prior to trabectedin.

Pathology review, radiology review and radiotherapy review are performed to every patient.

Several biomarkers are selected to perform FFPE tumor assays in relation to prediction

Study Design

Study Type:
Interventional
Anticipated Enrollment :
165 participants
Allocation:
N/A
Intervention Model:
Single Group Assignment
Masking:
None (Open Label)
Primary Purpose:
Treatment
Official Title:
Phase I-II Prospective Trial, Multicenter, Open Label, Exploring the Combination of Trabectedin Plus Radiotherapy in Soft Tissue Sarcoma Patients
Actual Study Start Date :
Nov 1, 2014
Anticipated Primary Completion Date :
Jun 1, 2028
Anticipated Study Completion Date :
Jun 1, 2028

Arms and Interventions

Arm Intervention/Treatment
Experimental: Trabectedin+Radiotherapy

Trabectedin 1.3 or 1.5mg/m2 and radiotherapy 30Gy or 45Gy.

Drug: Trabectedin
Escalating or deescalating dose of 1.3 or 1.5mg/m2, i.v 24h, once every 3 weeks. Cohort A: unlimited cycles Cohort B: 3 cycles Cohort C: 3 cycles
Other Names:
  • Yondelis
  • Radiation: Radiotherapy
    3D conformal radiotherapy (3D-CRT) or intensity modulated radiotherapy (IMRT) providing: Cohort A: 30Gy in 10 fractions (3Gy/fraction) Cohort B: 45Gy in 25 fractions (1.8Gy/fraction) Cohort C: 45Gy in 25 fractions (1.8Gy/fraction)

    Outcome Measures

    Primary Outcome Measures

    1. Tumor size [every 6 weeks for 24 months]

      Image tumor assessment measured by RECIST criteria.

    Secondary Outcome Measures

    1. Number and grade of adverse events [every 21 days until 30 days after last dose or during 25 months]

      CTCAE v4.03 adverse events registration to evaluate safety

    2. Number of months without progression [24 months]

      Progression free survival (PFS)

    3. Number of months alive [24 months]

      Overall survival (OS)

    4. Tumor size [every 6 weeks during 24 months (cohort A) or every 4months during 36 months (cohort B and C)]

      Image tumor assessment measured by Choi criteria.

    5. Questionnaire [every 3 months during 24 months]

      QLQ-C30 EORTC questionnaire to evaluate patient quality of life

    6. Overall response rate (ORR) [every 6 weeks during 24 months]

      Sum of complete responses, partial responses and stable diseases

    7. relapse free survival (RFS) at 3 years [After 3 year since last patient treatment initiation]

      percentage of relapses from diagnosis at 3 years

    8. relapse at 5 years [After 5 years since last patient treatment initiation]

      number of months without relapse from treatment initiation until 5 years.

    9. Tumor cells response to the treatment [Week 11, at surgery]

      Number of tumor necrotic cells

    10. Predictive and prognostic biomarker [Baseline and week 11 (at surgery)]

      percentage of protein and RNA expression of FAS, Ca2+ and NER pathways in tumor samples obtained at baseline and at surgery (approx week 11)

    Eligibility Criteria

    Criteria

    Ages Eligible for Study:
    18 Years and Older
    Sexes Eligible for Study:
    All
    Accepts Healthy Volunteers:
    No

    Cohort A: STS

    Inclusion Criteria:
    1. The patient must sign voluntarily the informed consent form before any study test is conducted that is not part of routine patient care.

    2. Aged equal or over 18.

    3. Patients must have a diagnostic of Soft Tissue Sarcoma with metastasis limited to lung, and not suitable for metastasectomy or surgery resection or not oncologically recommended metastasectomy.A centralized diagnostic will be performed, the tumor sample must be available and sent prior to inclusion.

    4. Disease distribution allows meeting with normal tissue constraints of radiation therapy. Radiation oncologist must confirm this point.

    5. Metastatic spread could be present in two organs at maximum (i.e. lungs and pelvic fosa).

    6. Those lesions considered for radiation therapy have to be considered as target lesions as well. (i.e. in a patient with nodules in lungs, those lesions selected for radiation therapy have to include at least the target lesions)

    7. It is allowed that not all the lesions will be under radiation fields. As a general rule, it will be prioritized to select, as target-irradiating lesions, those with greater increase in size and those largest lesions. It should be discouraged to irradiate pulmonary lesions with infiltration of pleural serosa.

    8. Patients must have documentation of disease progression within 6 months prior to study entry.

    9. The patient must have been considered eligible for systemic chemotherapy. A maximum of two previous lines for advanced/metastatic disease are allowed as long as trabectedin has not been included.

    10. The following histological subtypes can be included:

    Undifferentiated pleomorphic sarcoma (previously, malignant fibrous histiocytoma) Leiomyosarcoma Angiosarcoma/ epithelial hemangioendothelioma Liposarcoma and its variants (well differentiated, dedifferentiated, myxoid/round cells, pleomorphic).

    Synovial sarcoma Fibrosarcoma and its variants (epithelial fibrosarcoma/low grade fibromyxoid sarcoma) Hemangiopericytoma/solitary fibroid tumor Neurogenic sarcoma (Malignant peripheral nerve sheath tumor, MPNST) Myxofibrosarcoma Epithelioid Sarcoma Unclassified sarcoma (spindle cell/epithelioid/pleomorphic/myxoid)

    1. Measurable disease, according to RECIST V 1.1 criteria

    2. Performance status ≤1 (ECOG).

    3. Adequate respiratory functions: FEV1 >1L; DLco > 40% (patients with pulmonary target lesions)

    4. Adequate bone marrow function (hemoglobin > 10 g/dl, leukocytes ≥ 3.000/mm3, neutrophils ≥ 1.500/mm3, platelets ≥ 100.000/mm3). Patients with plasma creatinine ≤ 1,6 mg/dl, transaminases ≤ 2.5 times the UNL, total bilirubin ≤ UNL, CPK ≤ 2.5 times UNL, alkaline phosphatase ≤ 2.5 times the UNL are acceptable. If the increase of alkaline phosphatase is > 2.5 times the UNL, then the alkaline phosphatase liver fraction and/or GGT must be ≤ UNL.

    5. Men or women of child bearing potential should be using an effective method of contraception before entry into the study and throughout the same and for 6 months after ending the study. Women of childbearing potential must have a negative urine pregnancy test before study entry.

    6. Normal cardiac function with a LVEF ≥ 50% by echocardiogram or MUGA.

    7. It should be performed HBV and HCV serologies prior to inclusion. If HbsAg is positive it is recommended to reject the existence of replicative phase (HbaAg+, DNA VHB+). If these were positives the inclusion is not recommended, remaining at investigators' discretion the preventive treatment with lamivudine. If a potential patient is positive for anti-HCV antibodies, presence of the virus should be ruled out with a qualitative PCR, or the patient should NOT be included in the study (if a qualitative PCR cannot be performed then patient will not be able to enter the study)

    8. Patient must have a Central Venous Catheter for treatment

    Exclusion Criteria:
    1. Previous treatment with trabectedin or previous treatment with radiotherapy (except if previous radiotherapy treatment plus planned study radiotherapy treatment allow tissues constrains)

    2. Performance status ≥ 2 (ECOG).

    3. Plasma bilirubin > UNL.

    4. Creatinine > 1.6 mg/dL.

    5. History of other neoplastic disease with less than 5 years free of disease with the exception of basal cell carcinoma or in situ cervical cancer adequately treated.

    6. Severe COPD or other severe pulmonary diseases.

    7. Significant cardiovascular disease (for example, dyspnea > 2 NYHA)

    8. Significant systemic diseases grade 3 or higher on the NCI-CTCAE v4.03 scale, that limit patient availability, or according to investigator judgment may contribute significantly to treatment toxicity.

    9. Uncontrolled bacterial, mycotic or viral infections.

    10. Known positive test for infection by human immunodeficiency virus (HIV).

    11. Women who are pregnant or breast-feeding.

    12. Psychological, familial, social or geographic circumstances that limit the patient"s ability to comply with the protocol or informed consent.

    13. Patients participating in another clinical trial or receiving any other investigational product

    14. Patients who had participated in another clinical trial and/or had received any other investigational product in the last 30 days prior to inclusion.

    15. Histologies other than those described in inclusion criteria.

    Cohort B: ML

    Inclusion criteria:
    1. The patient must sign voluntarily the informed consent form before any study test is conducted that is not part of routine patient care.

    2. Age ≥18 years old.

    3. Pathological diagnosis of Myxoid Liposarcoma, deep located and more than 5 cm or superficial more than 10 cm. A centralized diagnostic will be performed to confirm that the patient can be included in the study.

    4. Tumor must be resectable and without evidence of regional or distal spread after adequate staging procedure. Tumor must be located in limbs or superficial trunk wall.

    5. Disease distribution allows meeting with normal tissue constraints of radiation therapy. Radiation oncologist must confirm this point.

    6. Measurable disease, according to RECIST V 1.1 criteria

    7. Performance status 0-1 (ECOG).

    8. Adequate bone marrow function (hemoglobin > 10 g/dL, leukocytes ≥ 3.000/mm3, neutrophils ≥ 1.500/mm3, platelets ≥ 100.000/mm3). Patients with plasma creatinine ≤ 1,6 mg/dL, transaminases ≤ 2.5 times the UNL, total bilirubin ≤ UNL, CPK ≤ 2.5 times UNL, alkaline phosphatase ≤ 2.5 times the UNL are acceptable. If the increase of alkaline phosphatase is > 2.5 times the UNL, then the alkaline phosphatase liver fraction and/or GGT must be ≤ UNL.

    9. Men or women of child bearing potential should be using an effective method of contraception before entry into the study and throughout the same and for 6 months after ending the study. Women of childbearing potential must have a negative urine pregnancy test before study entry.

    10. Normal cardiac function with a LVEF ≥ 50% by echocardiogram or MUGA.

    11. It should be performed HBV and HCV serologies prior to inclusion. If HbsAg is positive it is recommended to reject the existence of replicative phase (HbaAg+, DNA HBV+). If these were positives the inclusion is not recommended, remaining at investigators' discretion the preventive treatment with lamivudine. If a potential patient is positive for anti-HCV antibodies, presence of the virus should be ruled out with a qualitative PCR, or the patient should NOT be included in the study (if a qualitative PCR cannot be performed then patient will not be able to enter the study).

    12. Patient may have had one previous chemotherapy line.

    13. Patient must have a Central Venous Catheter for treatment.

    Exclusion criteria:
    1. Unresectable tumors (with limb sparing surgery)

    2. More than one previous chemotherapy treatment for local disease including trabectedin.

    3. Radiotherapy involving the tumoral bed.

    4. Performance status ≥ 2 (ECOG).

    5. Presence of metastases or lymph node involvement by the tumor.

    6. Location other than limb or superficial trunk wall.

    7. Plasma bilirubin > UNL.

    8. Creatinine > 1.6 mg/dL.

    9. History of other neoplastic disease with less than 5 years free of disease with the exception of basal cell carcinoma or in situ cervical cancer adequately treated.

    10. Significant cardiovascular disease (for example, dyspnea > 2 NYHA)

    11. Significant systemic diseases grade 3 or higher on the NCI-CTCAE v4.03 scale, that limit patient availability, or according to investigator judgment may contribute significantly to treatment toxicity.

    12. Uncontrolled bacterial, mycotic or viral infections.

    13. Known positive test for infection by human immunodeficiency virus (HIV).

    14. Women who are pregnant or breast-feeding.

    15. Psychological, familial, social or geographic circumstances that limit the patient"s ability to comply with the protocol or informed consent.

    16. Patients who had participated in another clinical trial and/or had received any other investigational product in the last 30 days prior to inclusion.

    Cohort C: Retroperitoneum sarcoma

    Inclusion criteria:
    1. The patient must voluntarily sign the informed consent form before performing any study-specific test that is not part of the patient's usual care.

    2. Aged between 18 and 75 years.

    3. The following histological subtypes may be included: High grade leiomyosarcoma (G2-3), liposarcoma, if at least 30% of the tumour is dedifferentiated, pleomorphic liposarcoma. A centralised diagnosis will be made to confirm that the patient can be included in the study.

    4. The tumour must be located in the retroperitoneum and it must be resectable and without evidence of regional or distal spread after the appropriate staging process.

    5. The location and size of the disease in the retroperitoneum must allow for compliance with radiotherapy limitations in healthy tissue. This point must be confirmed by the site's radiation oncologist.

    6. Measurable disease according to RECIST V 1.1 criteria.

    7. ECOG performance status 0-1.

    8. Adequate haematological parameters (haemoglobin >10 g/dl, leukocytes ≥3,000/mm3, neutrophils ≥1,500/mm3, platelets ≥100,000/mm3). Patients with plasma creatinine ≤1.6 mg/dl, transaminases ≤2.5 times the ULN, total bilirubin ≤ ULN, CPK ≤2.5 times ULN, alkaline phosphatase ≤2.5 times ULN are acceptable. If the increase in alkaline phosphatase is >2.5 times the ULN, the liver fraction of alkaline phosphatase and/or GGT should be ≤ULN.

    9. Fertile men or women must use an effective contraceptive method before starting the study, during the study and for 6 months following the conclusion thereof. Women of childbearing potential who participate in the study must undergo a pregnancy test before starting the study.

    10. Normal cardiac function with LVEF ≥50% by echocardiogram or MUGA.

    11. HBV and HCV serology must be performed before including the patient in the study. If HbsAg is positive, it is advisable to rule out a replicative phase (HbsAg*, DNA HBV+). If positive, the patient's inclusion in the trial is not recommended, and it is at the discretion of the investigator to administer preventive treatment with lamivudine. If a potential patient is positive to anti-HCV antibodies, the presence of the virus will be ruled out with a qualitative PCR, or the patient cannot be included in the study (if the qualitative PCR test cannot be performed on the patient, they cannot be included in the study).

    12. Patient may have had one previous chemotherapy line.

    13. The patient must have a central venous catheter for the administration of the treatment.

    Exclusion criteria

    1. Unresectable tumours.

    2. Location other than the retroperitoneum

    3. Patients who have previously received systemic treatment (chemotherapy or trabectedin).

    4. Patients who underwent prior local treatment for retroperitoneal sarcoma: surgery or radiotherapy in the tumour bed.

    5. ECOG performance status ≥2.

    6. Presence of metastasis or lymph node involvement of the tumour.

    7. Previous history of another neoplastic disease with less than 5 years free of disease except for basal cell carcinoma or properly treated in situ cervical cancer.

    8. Significant cardiovascular disease (e.g. dyspnoea >2 NYHA).

    9. A significant grade 3 or greater systemic disease on the NCI-CTCAE v4.03 scale, which may limit the availability of the patient or which, in the opinion of the investigator, may contribute to the toxicity caused by the study treatment.

    10. Uncontrolled viral, mycotic or bacterial infections.

    11. Known HIV-positive patients.

    12. Pregnant or breast-feeding women.

    13. Psychological, familial, social or geographical circumstances that limit the patient's ability to comply with the protocol or informed consent form.

    14. Patients who have participated in another clinical trial and/or have received another investigational product in the 30 days prior to inclusion in the trial.

    Contacts and Locations

    Locations

    Site City State Country Postal Code
    1 Institut Bergonié Bordeaux France 33000
    2 Centre Léon Berard Lyon France
    3 Istituto Clinico Humanitas Rozzano Milan Italy 20089
    4 Centro di Referimento Ocologico Aviano Italy 33081
    5 Istituto Ortopedico Rizzoli Bologna Italy 40136
    6 Candiolo Cancer Institute Candiolo Italy 10060
    7 Istituto Nazionale dei Tumori Milan Italy 20133
    8 Hospital Miguel Servet Zaragoza Aragón Spain 50009
    9 Hospital Sant Pau Barcelona Cataluña Spain 08041
    10 Hospital Son Espases Palma de Mallorca Mallorca Spain 07010
    11 Hospital Universitario Canarias San Cristobal de la Laguna Tenerife Spain 38320
    12 Hospital Vall d'Hebrón Barcelona Spain 08035
    13 Hospital Puerta de Hierro Madrid Spain 28006
    14 Hospital Universitario Gregorio Marañón Madrid Spain 28007
    15 Hospital Uniersitario La Paz Madrid Spain 28046
    16 Hospital Virgen del Rocío Sevilla Spain 41013

    Sponsors and Collaborators

    • Grupo Espanol de Investigacion en Sarcomas
    • Centre Leon Berard
    • Italian Sarcoma Group

    Investigators

    • Principal Investigator: Javier Martín-Broto, MD, Hospital Virgen del Rocío

    Study Documents (Full-Text)

    None provided.

    More Information

    Publications

    None provided.
    Responsible Party:
    Grupo Espanol de Investigacion en Sarcomas
    ClinicalTrials.gov Identifier:
    NCT02275286
    Other Study ID Numbers:
    • GEIS 37
    First Posted:
    Oct 27, 2014
    Last Update Posted:
    Jun 7, 2022
    Last Verified:
    Jun 1, 2022
    Individual Participant Data (IPD) Sharing Statement:
    No
    Plan to Share IPD:
    No
    Keywords provided by Grupo Espanol de Investigacion en Sarcomas
    Additional relevant MeSH terms:

    Study Results

    No Results Posted as of Jun 7, 2022