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Solitary Fibrous TumorsPhase 2STRADANCT03023124

Study With Trabectedin Versus Adriamycin Plus Dacarbazine, in Patients With Advanced Solitary Fibrous Tumor

A Phase 2 study testing Trabectedin, Adriamycin and Dacarbazine in people with Solitary Fibrous Tumors, run by Italian Sarcoma Group at 6 sites in Italy.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

Phase II randomized study for the comparison of trabectedin versus doxorubicin plus dacarbazine in patients with advanced solitary fibrous tumor Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Solitary Fibrous Tumors
What is being tested?
Trabectedin, Adriamycin and Dacarbazine
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
23 participants
Where
6 sitesItaly
Study dates
4 Mar 2018to 6 Dec 2024
Phase
Phase 2
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • The patient or legal representative must be able to read and understand the informed consent form (ICF) and must have been willing to give written informed consent and any locally required authorisation before any study-specific procedures, including screening evaluations, sampling, and analyses.
  • Age ≥18 years
  • Histological centrally and molecularly confirmed diagnosis of solitary fibrous tumor (inclusive of the last available tumor sample)
  • Locally advanced disease (i.e. surgical resection of local disease unfeasible radically, or unaccepted by the patient, or amenable to become less demolitive, or feasible, or easier, after cytoreduction) and/or metastatic disease
  • Measurable or evaluable disease with RECIST
  • Evidence of progression by RECIST during the 6 months before study entry
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  • Patients must be cytotoxic chemotherapy naïve (patients treated with neoadjuvant/adjuvant chemotherapy cannot be included) or could have received a previous target agent in front-line setting.
  • Eastern Cooperative Oncology Group (ECOG) Performance Status ≤ 2
  • Adequate bone marrow function
  • Adequate organ function
  • Cardiac ejection fraction ≥50% as measured by echocardiogram
  • Female patients of child-bearing potential must have negative pregnancy test within 7 days before initiation each cycle of chemotherapy. Post-menopausal women must be amenorrhoeic for at least 12 months to be considered of non-childbearing potential. Male and female patients of reproductive potential must agree to employ an effective method of birth control throughout the study.
  • No history of arterial and/or venous thromboembolic event within the previous 12 months.

Who cannot join

  • Any prior treatment with cytotoxic chemotherapy
  • >1 line of anticancer targeted agents
  • Previous treatment with any other investigational or not investigational agents within 14 days of first day of study drug dosing
  • Previous treatment with radiation therapy within 14 days of first day of study drug dosing, or patients who have not recovered from adverse events due to agents previously administered
  • Previous radiotherapy to 25 % of the bone marrow
  • Major surgery within 4 weeks prior to study entry
Show all 16Show fewer
  • Other primary malignancy with <5 years clinically assessed disease-free interval, except basal cell skin cancer, cervical carcinoma in situ, or other neoplasms judged to entail a low risk of relapse
  • Pregnancy or breast feeding
  • Cardiovascular diseases resulting in a New York Heart Association Functional Status >2 (24). Medical history of a myocardial infarction < 6 months prior to initiation of study treatment
  • Medical history of arterial thrombotic or embolic events such as cerebrovascular accident (including transient ischemic attacks), or pulmonary embolism within 6 months prior to the initiation of study treatment
  • Known history of human immunodeficiency virus infection
  • Active or chronic hepatitis B or C requiring treatment with antiviral therapy
  • Medical history of hemorrhage or a bleeding event ≥ Grade 3 (NCI-CTCAE v 4.0) within 4 weeks prior to the initiation of study treatment
  • Evidence of any other serious or unstable illness, or medical, psychological, or social condition, that could jeopardize the safety of the subject and/or his/her compliance with study procedures, or may interfere with the subject's participation in the study or evaluation of the study results
  • Known hypersensitivity to any of the study drugs, study drug classes, or excipients in the formulation of the study drugs
  • Expected non-compliance to medical regimens

Trial locations and contacts

6 sites in 1 country.

6 sites in 1 country

Italy6 sites
  • IRCCS Istituto ortopedico Rizzoli

    Bologna, 40136

  • Fondazione Del Piemonte Per L'Oncologia Ircc Di Candiolo -

    Candiolo, 10060

  • Fondazione IRCCS Istituto Nazionale dei Tumori

    Milan, MI, 20133

  • Ospedale Giaccone

    Palermo

  • Nuovo Ospedale di Prato

    Prato, Firenze, 59100

  • Policlinico Universitario Campus Biomedico

    Roma, RM, 00128

Other trials in Italy

About this study

Official title: Solitary Fibrous Tumor: Phase II Study on Trabectedin Versus Adriamycin Plus Dacarbazine in Advanced Patients

Phase II randomized study for the comparison of trabectedin versus doxorubicin plus dacarbazine in patients with advanced solitary fibrous tumor

Read the detailed description

Patients with solitary fibrous tumor will be randomized to receive 6 cycles of trabectedin or doxorubicin plus dacarbazine.

In case of progression or unacceptable toxicity while under the experimental treatment prior to the completion of the 6 cycles, the patients will be offered to cross to the other arm (trabectedin arm to doxorubicin plus dacarbazine arm and vice versa).

Being tested
Trabectedin, Adriamycin, Dacarbazine
Medical subject headings
Solitary Fibrous Tumors

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • TrabectedinDrug

    Treatment with trabectedin repeated every 21 days for 6 cycles

  • AdriamycinDrug

    Treatment with Adriamycin at day 1 every 21 days for 6 cycles

  • DacarbazineDrug

    Treatment with Dacarbazine at days 1 and 2 every 21 days for 6 cycles

Study groups in NCT03023124
Study groupRoleWhat they receive
TrabectedinExperimentaltrabectedin: 1.5 mg/m² - 1.3 mg/m² given in 24-hour continuous infusion every 21 days for 6 cycles
Receives: Drug: Trabectedin
Adriamycin and DacarbazineExperimentalAdriamycin: 75 mg/m2/day, bolus, day 1 every 21 days for 6 cycles Dacarbazine: 400 mg/m2/day, days 1, 2 every 21 days for 6 cycles
Receives: Drug: Adriamycin; Drug: Dacarbazine

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Overall Tumor Response Rate

    evaluate the activity of trabectedin and of adriamycin in combination with dacarbazine, according to Response Evaluation Criteria in Solid Tumor (RECIST), version 1.1

    Measured: From the date of randomization until the date of first documented progression or date of death from any cause, whichever came first assessed up to 54 weeks.

Secondary outcomes (7)
  1. Choi Response Rate

    Percentage of patient who experienced Complete or Partial Responses after treatment according to Choi Criteria.

    Measured: week 6, week 12, week 18, then every 12 weeks up to 54 weeks

  2. Overall Survival (OS)

    Time from the date of enrollment to date of death

    Measured: From enrollment up to 5 years

  3. Progression Free Survival (PFS)

    Survival free of progressive disease evaluated from enrollment up to progression according to RECIST, or death

    Measured: From date of randomization until the date of first documented progression or date of death from any cause, whichever came first, assessed up to 52 weeks

  4. Clinical Benefit Rate (CBR)

    Percentage of patients who have achieved complete response, partial response or stable disease ≥ 6 months

    Measured: week 6, week 12, week 18, then every 12 weeks up to 54 weeks

  5. Response rate by RECIST after the cross over

    Percentage of patient who experienced Complete or Partial Responses according RECIST 1.1 after cross over

    Measured: week 18, week 24, week 30, week 36 and then every 12 weeks up to 54 weeks

  6. Progression Free Survival (PFS) after cross over up to progression according to RECIST, or death

    Survival free of progressive disease evaluated from

    Measured: From date of cross over until the date of first documented progression or date of death from any cause, whichever came first, assessed up to 52 weeks

  7. Safety according to Common Terminology Criteria for Adverse Events (CTCAE)

    Safety profile of the treatment evaluated according to Common Terminology Criteria for Adverse Events version 4.03

    Measured: From enrollment every 3 weeks up to 54 weeks

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted18 Jan 2017 (estimated)
  2. Study start4 Mar 2018
  3. Primary completion6 Dec 2024
  4. Study completion6 Dec 2024

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Crossover
Masking
None (open label)
Enrolment
23 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03023124
Sponsor's protocol ID
ISG STRADA
Acronym
STRADA
Status last verified
Feb 2024
First submitted
19 Dec 2016
Last updated
9 Dec 2024
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Dagrada GP, Spagnuolo RD, Mauro V, Tamborini E, Cesana L, Gronchi A, Stacchiotti S, Pierotti MA, Negri T, Pilotti S. Solitary fibrous tumors: loss of chimeric protein expression and genomic instability mark dedifferentiation. Mod Pathol. 2015 Aug;28(8):1074-83. doi: 10.1038/modpathol.2015.70. Epub 2015 May 29.

    PubMed 26022454
  • Beadle GF, Hillcoat BL. Treatment of advanced malignant hemangiopericytoma with combination adriamycin and DTIC: a report of four cases. J Surg Oncol. 1983 Mar;22(3):167-70. doi: 10.1002/jso.2930220306.

    PubMed 6682161
  • Stacchiotti S, Libertini M, Negri T, Palassini E, Gronchi A, Fatigoni S, Poletti P, Vincenzi B, Dei Tos AP, Mariani L, Pilotti S, Casali PG. Response to chemotherapy of solitary fibrous tumour: a retrospective study. Eur J Cancer. 2013 Jul;49(10):2376-83. doi: 10.1016/j.ejca.2013.03.017. Epub 2013 Apr 6.

    PubMed 23566418
  • Stacchiotti S, Tortoreto M, Bozzi F, Tamborini E, Morosi C, Messina A, Libertini M, Palassini E, Cominetti D, Negri T, Gronchi A, Pilotti S, Zaffaroni N, Casali PG. Dacarbazine in solitary fibrous tumor: a case series analysis and preclinical evidence vis-a-vis temozolomide and antiangiogenics. Clin Cancer Res. 2013 Sep 15;19(18):5192-201. doi: 10.1158/1078-0432.CCR-13-0776. Epub 2013 Jul 25.

    PubMed 23888069
  • Park MS, Ravi V, Conley A, Patel SR, Trent JC, Lev DC, Lazar AJ, Wang WL, Benjamin RS, Araujo DM. The role of chemotherapy in advanced solitary fibrous tumors: a retrospective analysis. Clin Sarcoma Res. 2013 May 11;3(1):7. doi: 10.1186/2045-3329-3-7.

    PubMed 23663788
  • Chaigneau L, Kalbacher E, Thiery-Vuillemin A, Fagnoni-Legat C, Isambert N, Aherfi L, Pauchot J, Delroeux D, Servagi-Vernat S, Mansi L, Pivot X. Efficacy of trabectedin in metastatic solitary fibrous tumor. Rare Tumors. 2011 Jul 11;3(3):e29. doi: 10.4081/rt.2011.e29. Epub 2011 Jul 18.

    PubMed 22066036
  • Khalifa J, Ouali M, Chaltiel L, Le Guellec S, Le Cesne A, Blay JY, Cousin P, Chaigneau L, Bompas E, Piperno-Neumann S, Bui-Nguyen B, Rios M, Delord JP, Penel N, Chevreau C. Efficacy of trabectedin in malignant solitary fibrous tumors: a retrospective analysis from the French Sarcoma Group. BMC Cancer. 2015 Oct 15;15:700. doi: 10.1186/s12885-015-1697-8.

    PubMed 26472661
  • Domont J, Massard C, Lassau N, Armand JP, Le Cesne A, Soria JC. Hemangiopericytoma and antiangiogenic therapy: clinical benefit of antiangiogenic therapy (sorafenib and sunitinib) in relapsed malignant haemangioperyctoma /solitary fibrous tumour. Invest New Drugs. 2010 Apr;28(2):199-202. doi: 10.1007/s10637-009-9249-1. Epub 2009 Apr 8. No abstract available.

    PubMed 19352594
  • Park MS, Patel SR, Ludwig JA, Trent JC, Conrad CA, Lazar AJ, Wang WL, Boonsirikamchai P, Choi H, Wang X, Benjamin RS, Araujo DM. Activity of temozolomide and bevacizumab in the treatment of locally advanced, recurrent, and metastatic hemangiopericytoma and malignant solitary fibrous tumor. Cancer. 2011 Nov 1;117(21):4939-47. doi: 10.1002/cncr.26098. Epub 2011 Apr 8.

    PubMed 21480200
  • Valentin T, Fournier C, Penel N, Bompas E, Chaigneau L, Isambert N, Chevreau C. Sorafenib in patients with progressive malignant solitary fibrous tumors: a subgroup analysis from a phase II study of the French Sarcoma Group (GSF/GETO). Invest New Drugs. 2013 Dec;31(6):1626-7. doi: 10.1007/s10637-013-0023-z. Epub 2013 Sep 5.

    PubMed 24005614
  • Stacchiotti S, Tortoreto M, Baldi GG, Grignani G, Toss A, Badalamenti G, Cominetti D, Morosi C, Dei Tos AP, Festinese F, Fumagalli E, Provenzano S, Gronchi A, Pennacchioli E, Negri T, Dagrada GP, Spagnuolo RD, Pilotti S, Casali PG, Zaffaroni N. Preclinical and clinical evidence of activity of pazopanib in solitary fibrous tumour. Eur J Cancer. 2014 Nov;50(17):3021-8. doi: 10.1016/j.ejca.2014.09.004. Epub 2014 Sep 27.

    PubMed 25269954
  • Martin-Broto J, Pousa AL, de Las Penas R, Garcia Del Muro X, Gutierrez A, Martinez-Trufero J, Cruz J, Alvarez R, Cubedo R, Redondo A, Maurel J, Carrasco JA, Lopez-Martin JA, Sala A, Meana JA, Ramos R, Martinez-Serra J, Lopez-Guerrero JA, Sevilla I, Balana C, Vaz A, De Juan A, Alemany R, Poveda A. Randomized Phase II Study of Trabectedin and Doxorubicin Compared With Doxorubicin Alone as First-Line Treatment in Patients With Advanced Soft Tissue Sarcomas: A Spanish Group for Research on Sarcoma Study. J Clin Oncol. 2016 Jul 1;34(19):2294-302. doi: 10.1200/JCO.2015.65.3329. Epub 2016 May 16.

    PubMed 27185843

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Trabectedin, Adriamycin and Dacarbazine in people with Solitary Fibrous Tumors, run by Italian Sarcoma Group at 6 sites in Italy.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 13 inclusion and 16 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 9 Dec 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 6 sites in Italy. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Overall Tumor Response Rate (time frame: From the date of randomization until the date of first documented progression or date of death from any cause, whichever came first assessed up to 54 weeks.). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT03023124, which also lists 12 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 9 Dec 2024.

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