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Ewing SarcomaPhase 1NCT03600649

Clinical Trial of SP-2577 (Seclidemstat) in Patients With Relapsed or Refractory Ewing or Ewing-related Sarcomas

A Phase 1 study testing Seclidemstat, Cyclophosphamide and Topotecan in people with Ewing Sarcoma and Myxoid Liposarcoma, run by Salarius Pharmaceuticals, LLC at 16 sites in United States.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

Single agent, non-randomized, open label expansion in select sarcoma patients including myxoid liposarcoma and other sarcomas that share similar chromosomal translocations to Ewing sarcoma; AND dose expansion of the combination of seclidemstat with topotecan and cyclophosphamide in patients with Ewing sarcoma Read more about this study

Who is it for?
Ages 12 years and older
What is being tested?
Seclidemstat, Cyclophosphamide and Topotecan
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
50 participants
Where
16 sitesUnited States
Study dates
4 Jun 2018to Dec 2025
Phase
Phase 1
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 12 years and older
  • All sexes
  • No healthy volunteers
  • Child, Adult, Older adult

Who may be able to join

  • Age ≥ 12 years and weight ≥ 40 kg.
  • Karnofsky ≥ 70% for over ≥ 16 years old and Lansky ≥ 70% for under 16 years old, equivalent to Eastern Cooperative Oncology Group (ECOG) performance status Grade 0 or 1.
  • Life expectancy of greater than 4 months in investigator's opinion.
  • Willingness to provide tumor biopsies during screening and while on treatment. Optional for patients < 18 years of age and patients enrolled in the Ewing sarcoma combination treatment arm. Biopsies can be exempt if deemed by the investigator that the biopsy is not medically feasible for the patient or the patient is unfit for the procedure.
  • Normal organ and marrow function as defined below:
  • absolute neutrophil count (ANC) ≥ 1.5 x 109/L
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  • platelets ≥ 100 x 109/L; no transfusion 7 days prior to labs
  • total bilirubin ≤ 1.5 x upper limit of normal (ULN) or, in patients with Gilbert syndrome, total bilirubin > 1.5 x ULN as long as direct bilirubin is normal
  • AST and ALT ≤ 3 x ULN
  • creatinine ≤ 1.5 x ULN OR creatinine clearance ≥ 60 mL/min/1.73 m2 for patients with creatinine levels above normal
  • Ability to understand and the willingness to sign a written informed consent document.
  • Additional Inclusion Criteria for Ewing Sarcoma Combination Treatment Cohort
  • Patients must have a histologic confirmed diagnosis of Ewing sarcoma with a known EWSR1 translocation through local assessment that is relapsed or refractory and must have received at least one prior course of therapy for Ewing sarcoma. For the purposes of this study, refractory disease is defined as metastatic or unresectable disease that has either progressed or is stable at completion of planned therapy.
  • Patients must have had no more than 2 lines/courses of systemic treatment for Ewing sarcoma
  • No prior therapy with the combination regimen of topotecan and cyclophosphamide. Prior cyclophosphamide is allowed if not combined with topotecan.
  • Patients must have measurable disease by computed tomography (CT) or magnetic resonance imaging (MRI) based on Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1
  • Additional Inclusion Criteria for Single Agent Myxoid Liposarcoma Cohort and for Single Agent FET-Translocated Sarcomas
  • Patients must have a histologic confirmed diagnosis of one of the following sarcomas that share similar known chromosomal translocations to Ewing sarcoma (per local assessment) and are relapsed or refractory and not amenable to surgery at time of enrollment.
  • Patients must have received at least one prior course of systemic therapy but no more than 3 courses of systemic therapy for sarcoma.
  • Patients must have measurable disease by computed tomography (CT) or magnetic resonance imaging (MRI) based on Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1

Who cannot join

  • Patients who have not recovered to Grade 1 or baseline from adverse events related to prior therapy excluding lymphopenia, alopecia, peripheral neuropathy and ototoxicity, which are only exclusionary if original AE was ≥ CTCAE Grade 3.
  • Patients receiving therapy with other anti-neoplastic or experimental agents.
  • Prior therapy with LSD1 targeted agents including monoamine oxidases for cancer therapy.
  • Prior oral tyrosine kinase inhibitors (i.e. sorafenib, pazopanib, regorafenib, cabozantanib) within 14 days of Cycle 1 Day 1.
  • Other, prior systemic anti-cancer treatment (chemotherapy or biologic therapy [i.e. monoclonal antibodies]) within 21 days prior to Cycle 1 Day 1. For agents that have known adverse events occurring beyond 21 days after administration, this period must be extended beyond the time during which adverse events are known to occur. The duration of this interval must be discussed with the Medical Monitor.
  • Prior therapy with immunotherapy such as a checkpoint inhibitor, cellular therapy or vaccine therapy within 28 days prior to Cycle 1 Day 1. Patients must have recovered from any immune-related adverse events to Grade 1 or baseline and require ≤ 10 mg of prednisone equivalent daily. Patients with immune-related hypothyroidism and/or hypoadrenalism may enroll while on thyroid or hydrocortisone replacement therapy, respectively.
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  • Prior small port palliative radiotherapy within 14 days of Cycle 1 Day 1 or within 42 days of Cycle 1 Day 1 from definitive local control radiation (any dose greater than 50 Gy, within 42 days of Cycle 1 Day 1).
  • Prior therapy with long acting myeloid growth factor within 14 days of Cycle 1 Day 1 or within 7 days of Cycle 1 Day 1 from a short acting myeloid growth factor.
  • Evidence of graft versus host disease or prior allo- or auto-bone marrow transplant or stem cell infusion within 84 days from Cycle 1 Day 1 or receiving immunosuppressants following a stem cell procedure.
  • Participation in a prior investigational study within 30 days prior to Cycle 1 Day 1 or within 5 half-lives of the investigational product, whichever is longer.
  • Progressive or symptomatic brain metastases; patients with brain metastases may be included in this trial as long as the brain metastases have received definitive treatment and are stable (i.e., no evidence of progression). The brain metastases must be stable for a minimum of 6 weeks prior to Cycle 1 Day 1.
  • Currently receiving any of the following substances and cannot be discontinued 14 days or 5 half-lives for CYP inhibitors (whichever is shorter) prior to Cycle 1 Day 1:
  • moderate or strong inhibitors or inducers of major CYP isoenzymes, including grapefruit, grapefruit hybrids, pomelos, star fruit, and Seville oranges
  • moderate or strong inhibitors or inducers of major drug transporters
  • substrates of CYP3A4/5 with a narrow therapeutic index
  • Uncontrolled concurrent illness including, but not limited to:
  • ongoing or active infection
  • transfusion dependent thrombocytopenia or anemia
  • psychiatric illness/social situations that would limit compliance with study requirements; discuss with Medical Monitor if there are any questions
  • Clinically significant, uncontrolled heart disease and/or cardiac repolarization abnormality, including any of the following:
  • symptomatic congestive heart failure
  • left ventricular ejection fraction (LVEF) ≤ 50%
  • unstable angina pectoris or cardiac arrhythmia
  • baseline QTc (Fridericia) ≥ 450 milliseconds
  • long QT syndrome or family history of idiopathic sudden death or congenital long QT syndrome
  • Any major surgery within 21 days prior to Cycle 1 Day 1. Major surgery is defined as any significantly invasive procedure into a major body cavity (abdomen, cranium etc.) and/or surgery requiring extensive recuperation (joint replacement). Please discuss with Medical Monitor if there are any questions.
  • Pregnant and breastfeeding women are excluded from this study. The effects of seclidemstat on the developing human fetus have the potential for teratogenic or abortifacient effects.
  • Men treated or enrolled on this protocol must also agree to use adequate contraception prior to the study, for the duration of study participation, and 4 months after completion of seclidemstat administration.
  • HIV-positive patients on combination antiretroviral therapy are ineligible because of the potential for pharmacokinetic interactions with seclidemstat. In addition, these patients are at increased risk of lethal infections when treated with marrow-suppressive therapy.

Trial locations and contacts

16 sites in 1 country.

16 sites in 1 country

United States16 sites
  • Dana-Farber Cancer Institute

    Boston, Massachusetts, 02215

  • Cleveland Clinic Taussig Cancer Institute

    Cleveland, Ohio, 44195

  • The Research Institute at Nationwide Children's Hospital

    Columbus, Ohio, 43205

  • Virginia Cancer Specialists

    Fairfax, Virginia, 77030

  • MD Anderson Cancer Center

    Houston, Texas, 77030

  • Mayo Clinic

    Jacksonville, Florida, 32224

  • Children's Hospital Los Angeles

    Los Angeles, California, 90027

  • Memorial Sloan Kettering Cancer Center

    New York, New York, 10065

  • Fox Chase Cancer Center

    Philadelphia, Pennsylvania, 19111

  • Oregon Health Sciences University

    Portland, Oregon, 97239

  • Mayo Clinic

    Rochester, Minnesota, 55905

  • Sarcoma Oncology Research Center

    Santa Monica, California, 90403

  • University of Washington

    Seattle, Washington, 98109

  • Washington University

    St Louis, Missouri, 63110

  • Johns Hopkins All Children's Hospital

    St. Petersburg, Florida, 33701

  • H. Lee Moffitt Cancer Center and Research Institute

    Tampa, Florida, 33612

Other trials in United States

About this study

Official title: Phase 1 Trial of the LSD1 Inhibitor Seclidemstat (SP 2577) With and Without Topotecan and Cyclophosphamide in Patients With Relapsed or Refractory Ewing Sarcoma and Select Sarcomas

Single agent, non-randomized, open label expansion in select sarcoma patients including myxoid liposarcoma and other sarcomas that share similar chromosomal translocations to Ewing sarcoma; AND dose expansion of the combination of seclidemstat with topotecan and cyclophosphamide in patients with Ewing sarcoma

Read the detailed description

The single agent expansion cohort of select sarcoma patients will enroll myxoid liposarcoma patients and patients with other sarcomas that share similar chromosomal translocations to Ewing sarcoma (FET-family translocations), including but not limited to desmoplastic small round cell tumor.

A safety lead-in dose escalation and dose expansion will be conducted assessing the combination of seclidemstat with topotecan and cyclophosphamide in patients with relapsed or refractory Ewing sarcoma.

Being tested
Seclidemstat, Cyclophosphamide, Topotecan
Medical subject headings
Sarcoma, Ewing, Liposarcoma, Myxoid, Sarcoma, Desmoplastic Small Round Cell Tumor, Chondrosarcoma, Extraskeletal Myxoid, Histiocytoma, Angiomatoid Fibrous, Sarcoma, Clear Cell, Myoepithelioma

What participants receive

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

  • SeclidemstatDrug

    Also called LSD1 Inhibitor, SP-2577

    Twice daily administration of seclidemstat

  • CyclophosphamideDrug

    250 mg/m2/day on Days 1 thru 5 of a 21-day cycle

  • TopotecanDrug

    0.75 mg/m2/day on Days 1 thru 5 of a 21-day cycle

Study groups in NCT03600649
Study groupRoleWhat they receive
Myxoid LiposarcomaExperimentalTwice-daily administration of oral seclidemstat
Receives: Drug: Seclidemstat
Sarcomas with FET-family translocations, including demoplastic small round cell tumorsExperimentalTwice-daily administration of oral seclidemstat
Receives: Drug: Seclidemstat
Ewing sarcoma, combination therapyExperimentalTwice daily administration of seclidemstat in combination with cyclophosphamide and topotecan
Receives: Drug: Seclidemstat; Drug: Cyclophosphamide; Drug: Topotecan

What is being measured

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

  1. Safety and tolerability of seclidemstat (SP-2577) as a single agent and in combination with topotecan and cyclophosphamide measured by dose limiting toxicities and adverse events according to CTCAE version 5.0

    To evaluate the safety and tolerability of seclidemstat (SP-2577) as a single agent and in combination with topotecan and cyclophosphamide in patients with relapsed or refractory Ewing sarcoma and select sarcomas. Toxicities will be graded in severity per the guidelines outlined in the NCI CTCAE version 5.0. The maximum tolerated dose (MTD) is defined as the dose level immediately below the dose level at which ≥ 2 patients from a cohort of 3 to 6 patients experience a dose-limiting toxicity.

    Measured: From screening through at least 30 days after end of treatment, up to approximately 24 months

Secondary outcomes (7)
  1. Determine the maximum tolerated dose of SP-2577 as determined by dose limiting toxicities measured according to CTCAE version 5.0

    To determine the maximum tolerated dose (MTD) of seclidemstat as a single agent and in combination with topotecan and cyclophosphamide in patients with relapsed or refractory Ewing sarcoma. Toxicities will be graded in severity per the guidelines outlined in the NCI CTCAE version 5.0. The maximum tolerated dose (MTD) is defined as the dose level immediately below the dose level at which ≥ 2 patients from a cohort of 3 to 6 patients experience a dose-limiting toxicity.

    Measured: From screening through at least 30 days after end of treatment, up to approximately 24 months

  2. Characterization of the pharmacokinetics of SP-2577 as measured by peak plasma concentration

    To characterize pharmacokinetics of seclidemstat as a single agent and in combination with topotecan and cyclophosphamide.

    Measured: From screening through at least 30 days after end of treatment, up to approximately 24 months

  3. Characterization of the pharmacokinetics of SP-2577 as measured by area under the curve

    To characterize pharmacokinetics of seclidemstat as a single agent and in combination with topotecan and cyclophosphamide.

    Measured: From screening through at least 30 days after end of treatment, up to approximately 24 months

  4. Characterization of the pharmacokinetics of SP-2577 as measured by apparent clearance of seclidemstat

    To characterize pharmacokinetics of seclidemstat as a single agent and in combination with topotecan and cyclophosphamide.

    Measured: From screening through at least 30 days after end of treatment, up to approximately 24 months

  5. Characterization of the pharmacokinetics of SP-2577 as measured by median half-life

    To characterize pharmacokinetics of seclidemstat as a single agent and in combination with topotecan and cyclophosphamide.

    Measured: From screening through at least 30 days after end of treatment, up to approximately 24 months

  6. Food effects on the pharmacokinetics of SP-2577 as measured in both fasted and fed populations, primarily measured by apparent clearance.

    To evaluate the effect of food on the pharmacokinetics of seclidemstat. Both fasted and fed PK samples will be taken.

    Measured: From screening through at least 30 days after end of treatment, up to approximately 24 months

  7. Anti-tumor activity as measured according to RECIST 1.1 criteria based upon radiological assessments.

    To evaluate the anti-tumor activity of seclidemstat as a single agent and in combination with topotecan and cyclophosphamide. Tumor response will be measured according to RECIST 1.1 criteria. Radiological assessments may be centrally collected and subjected to quality checks and review by a central imaging vendor at the discretion of Salarius.

    Measured: From screening through at least 30 days after end of treatment, up to approximately 24 months

Timeline

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

  1. First posted26 Jul 2018
  2. Study start4 Jun 2018
  3. Primary completionSep 2025 (estimated)
  4. Study completionDec 2025 (estimated)

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 1
Primary purpose
Treatment
Allocation
Non-randomised
Intervention model
Parallel groups
Model description
Two cohorts with single-agent seclidemstat in patients with myxoid liposarcoma and in patients with other sarcomas with similar chromosomal translocations to Ewing sarcoma (FET-family translocations), and one cohort of Ewing sarcoma patients treated with seclidemstat in combination with topotecan and cyclophosphamide
Masking
None (open label)
Enrolment
50 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03600649
Sponsor's protocol ID
SALA-002-EW16
Status last verified
Nov 2023
First submitted
4 Jun 2018
Last updated
21 Nov 2023
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing Seclidemstat, Cyclophosphamide and Topotecan in people with Ewing Sarcoma and Myxoid Liposarcoma, run by Salarius Pharmaceuticals, LLC at 16 sites in United States.

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 20 inclusion and 29 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: status not confirmed, as of the sponsor's last update on 21 Nov 2023. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 16 sites in United States. 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 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

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

Are results available for this study?

Results are not available in the source record.

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?

Safety and tolerability of seclidemstat (SP-2577) as a single agent and in combination with topotecan and cyclophosphamide measured by dose limiting toxicities and adverse events according to CTCAE version 5.0 (time frame: From screening through at least 30 days after end of treatment, up to approximately 24 months). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 21 Nov 2023.

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