Soft Tissue SarcomaPhase 3MULTISARCNCT03784014
Molecular Profiling of Advanced Soft-tissue Sarcomas
A Phase 3 study testing Nilotinib, Ceritinib and Capmatinib in people with Soft Tissue Sarcoma, run by Institut National de la Santé Et de la Recherche Médicale, France at 17 sites in France.
Trial summary
MULTISARC is a randomized multicenter study assessing whether high throughput molecular analysis (next generation sequencing exome - NGS) is feasible in advanced/metastatic soft-tissue sarcoma patients, that is, whether NGS can be conducted for a large proportion of patients, with results available within reasonnable… Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Soft Tissue Sarcoma
- What is being tested?
- Nilotinib, Ceritinib and Capmatinib
- Type of treatment
- Pill or oral medicine
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 603 participants
- Where
- 17 sitesFrance
- Study dates
- 19 Oct 2019to 20 Jan 2026
- Phase
- Phase 3
- 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
- Age ≥ 18 years,
- Histology: soft-tissue sarcoma confirmed by the RRePS Network, as recommended by the French NCI
- Unresectable locally advanced and/or metastatic STS
- No previous systemic treatment for advanced disease,
- ECOG ≤ 1
- Adequate hematological and metabolic functions: Hemoglobin > 9 g/dL and albumin > 30 g/L
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- Measurable disease according to RECIST 1.1. At least one site of disease must be uni-dimensionally > 10 mm,
- Availability of suitable frozen archive tumor material obtained from a metastatic lesion or advanced disease (not previously treated), or at least one lesion that can be biopsied for research purpose,
- Archived FFPE block of specimen tumor sampling obtained anytime during disease development for research purpose,
- Eligible to first-line systemic treatment,
- No prior or concurrent malignant disease diagnosed or treated in the last two years before inclusion. Note that patients with in situ carcinoma of the cervix, or adequately treated basal cell or squamous cell carcinoma of the skin, or adequately treated localized prostate cancer, or other localized cancer under maintenance therapy can be included as long as they don't limit assessment of efficacy of first-line systemic therapy,
- Participant with a social security in compliance with the French law,
- Voluntary signed and dated written informed consent prior to any study specific procedure (ICF1)
- Participants already enrolled in MULTISARC and randomized/switched in Arm "NGS",
- ECOG performance status < 1,
- Measurable disease according to RECIST v1.1,
- Molecular alteration identified by molecular profiling,
- Participants who have received a first-line systemic treatment at the inclusion,
- Participants must have advanced disease and must not be a candidate for other approved therapeutic regimen known to provide significant clinical benefit based on investigator judgement,
- Participants will have had a minimum of 21 days gap from last chemotherapy or immunotherapy or any other pharmacological therapy and/or radiotherapy prior to the first dose of study treatment,
- Women of childbearing potential must have a negative serum pregnancy test within 3 days of enrolment and serum/urine pregnancy test within 24 hours prior to the administration of the study drug,
- Female with child bearing potential and male participants with partners of child bearing potential must be willing to use two effectives forms of contraception (1 highly effective method and 1 barrier method), from beginning 3 weeks before the first dose of investigational product and until 3 months after discontinuing the study.
- Participant with a social security in compliance with the French law,
- Voluntary signed and dated written informed consent (ICF2) prior to any study specific procedure.
- Main exclusion Criteria:
- Previous treatment with the targeted therapy,
- No "targetable" genomic alteration generated during the screening phase either due to the lack of alteration or due to ineligible samples for genomic analysis (MULTISARC),
- Participants with total gastrectomy,
- Major surgery within 30 days prior to entry into the study (excluding placement of vascular access) or minor surgery within 14 days of entry into the study,
- History of hypersensitivity to involved study drug(s) or of its excipients,
- Radiological evidence of symptomatic or progressive brain metastases,
- Participant with oral anticoagulation therapy,
- Inability to swallow,
- Major problem with intestinal absorption,
- Any unresolved toxicity NCI CTCAE Grade ≥2 from previous anticancer therapy with the exception of alopecia, vitiligo, and the laboratory values defined in the inclusion criteria. Participants with Grade ≥2 neuropathy will be evaluated on a case-by-case basis after consultation with the Sponsor.
- Previous allogeneic bone marrow transplant,
- Altered hematopoietic or organ function,
- Mean resting corrected QT interval (QTcF)>470msec obtained from 3 consecutive ECGs
- Previous or current maligancies of other histologies within the last 2 years, with the exception of in situ carcinoma of the cervix, and adequately treated basal cell or squamous cell carcinoma of the skin and prostate cancer,
- Evidence of severe or uncontrolled systemic disease (uncontrolled hypertension, active bleeding diatheses), active uncontrolled systemic bacterial, viral, or fungal infection > Grade 2 as per NCI CTCAE v5.0
- Chronic or active hepatitis B or hepatitis C. Testing for hepatitis B surface antigen (HBs Ag) and hepatitis B core antibody (anti HBc) will be performed at screening,
- Human immunodeficiency virus (HIV) positive,
- Any condition which in the Investigator's opinion makes it undesirable for the subject to participate in the trial or which would jeopardize compliance with the protocol,
- Individuals deprived of liberty or placed under guardianship,
- Pregnant or breast feeding women.
Who cannot join
- Radiological evidence of symptomatic or progressive brain metastases,
- Inability to swallow,
- Major problem with intestinal absorption,
- Previous allogeneic bone marrow transplant,
- Evidence of severe or uncontrolled systemic disease (uncontrolled hypertension, active bleeding diatheses, or active Hepatitis B, C and HIV or active autoimmune disease),
- Any condition which in the Investigator's opinion makes it undesirable for the subject to participate in the trial or which would jeopardize compliance with the protocol,
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- Individuals deprived of liberty or placed under guardianship
- Pregnant or breast feeding women,
- Men or women refusing contraception,
- Previous enrolment in the present study,
- Any contraindication to first-line chemotherapy treatment.
- Phase II Sub-trials
Trial locations and contacts
17 sites in 1 country.
17 sites in 1 country
France17 sites
Institut Bergonie
Bordeaux
Centre Georges François Leclerc
Dijon
Centre Oscar Lambret
Lille
Centre Léon Bérard
Lyon
Institut Paoli Calmettes
Marseille
Institut de Cancérologie de Montpellier
Montpellier
Centre Antoine Lacassagne
Nice
Hôpital Cochin
Paris
Hôpital Pitié Salpétrière
Paris
Institut Curie
Paris
CHU Poitiers
Poitiers, 86000
Centre Eugène Marquis
Rennes, 35042
Centre Henri Becquerel
Rouen
Institut de Cancérologie de l'Ouest - Site René Gauducheau
Saint-Herblain
ICANS - Institut de Cancérologie Strasbourg
Strasbourg, 67033
IUCT Oncopôle
Toulouse
Institut Gustave Roussy
Villejuif
About this study
Official title: Molecular Profiling of Advanced Soft-tissue Sarcomas. A Phase III Study
MULTISARC is a randomized multicenter study assessing whether high throughput molecular analysis (next generation sequencing exome - NGS) is feasible in advanced/metastatic soft-tissue sarcoma patients, that is, whether NGS can be conducted for a large proportion of patients, with results available within reasonnable delays.
In parallel, MULTISARC aims to assess efficacy of an innovative treatment strategy guided by high throughput molecular analysis (next generation sequencing exome, RNASeq [NGS]) in patients with Advanced/metastatic soft-tissue sarcomas. At the end of first-line treatment, participant's tumor profile of experimental Arm NGS (treatment strategy based on NGS results) will be discussed within a multidisciplinary tumor board which aims at discussing the genomic profiles and at providing a therapeutic decision for each participant. Participants for whom a targetable genomic alteration has been identified will be proposed to enter in one of the subsequent phase II single-arm sub-trial.
Read the detailed description
Screening phase: frozen tumor sample (archived or newly obtained) and blood sample will be used for genetic profiling. Patients can be considered as pre-eligible for the randomized phase when all genetic material have been received by the Platform.
Randomization phase: the randomization will allocate the following arms with a ratio 1:1:
- experimental Arm NGS : treatment strategy based on NGS results [exome, RNASeq]
- standard Arm No NGS: treatment strategy not based on NGS (Note that for these participants and under specific conditions, subsequent NGS analyses may be allowed within the scope of the trial)
Single-arm phase II sub-trial: at the end of the first-line treatment and regardless of tumor response as per RECIST v1.1, patients randomized in Arm NGS and for whom a targetable alteration has been identified by the Molecular Tumor Board will be considered as pre-eligible for the targeted sub-study. The mandatory post-chemotherapy wash-out period of 21 days will provide time to achieve all the required tests and examinations.
- Conditions
- Soft Tissue Sarcoma
- Being tested
- Nilotinib, Ceritinib, Capmatinib, Lapatinib, Trametinib
- Keywords
- advanced disease, metastatic disease, Next generation sequencing exome
- Medical subject headings
- Sarcoma, Neoplasm Metastasis
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
NilotinibDrug
Also called TASIGNA
Target: KIT, PDGFRA, CSF1R Nilotinib will be administered orally, 400 mg twice daily on a continuous basis. A treatment cycle consists of 4 weeks. Treatment may continue until disease progression or study discontinuation.
CeritinibDrug
Also called ZYKADIA
Target: ALK, ROS. Ceritinib will be administered orally, 450mg once daily on a continuous basis. A treatment cycle consists of 4 weeks. Treatment may continue until disease progression or study discontinuation.
CapmatinibDrug
Target: MET. Capmatinib will be administered orally, 400mg twice daily on a continuous basis. A treatment cycle consists of 4 weeks. Treatment may continue until disease progression or study discontinuation.
LapatinibDrug
Also called TYVERB
Target: ERBB2, EGFR. Lapatinib will be administered orally, 1500mg once daily on a continuous basis. A treatment cycle consists of 4 weeks. Treatment may continue until disease progression or study discontinuation.
TrametinibDrug
Also called MEKINIST
Target: KRAS, NRAS, HRAS, PTPN11, NF1, MAP2K. Trametinib will be administered orally, 2 mg once daily on a continuous basis. A treatment cycle consists of 4 weeks. Treatment may continue until disease progression or study discontinuation.
Trametinib and DabrafenibCombination product
Also called MEKINIST and TAFINLAR
Target: KRAS, NRAS, HRAS, PTPN11, NF1, MAP2K, BRAF. Trametinib will be administered orally, 2mg once daily on a continuous basis. Dabrafenib will be administered orally, 150mg twice daily, on a continuous basis.
A treatment cycle consists of 4 weeks. Treatment may continue until disease progression or study discontinuation.
Olaparib and DurvalumabCombination product
Also called LYNPARZA, MEDI4736
Target: PDL1, PARP. Olaparib will be administered orally, 300mg twice daily on a continuous basis. Dabrafenib will be administered intraveinously, 1500mg on day 1 every 4 weeks. A treatment cycle consists of 4 weeks. Treatment may continue until disease progression or study discontinuation.
PalbociclibDrug
Also called IBRANCE, PD-0332991
Target: CDK4, CDK6. Palbociclib will be administered orally, 125mg once daily, 3 weeks on/1 week off.
A treatment cycle consists of 4 weeks. Treatment may continue until disease progression or study discontinuation.
GlasdegibDrug
Also called PF-04449913
Target: SMO. Glasdegib will be administered orally, 300 mg once daily on a continuous basis. A treatment cycle consists of 4 weeks. Treatment may continue until disease progression or study discontinuation.
TAS-120Drug
Target: FGFR. TAS-120 will be administered orally, 20 mg once daily on a continuous basis. A treatment cycle consists of 3 weeks. Treatment may continue until disease progression or study discontinuation.
Next Generation sequencing exomeOther
Also called RNA Seq, NGS, High throughput sequencing
Both frozentumor material (archived or newly obtained) and blood sample collection will be used for genetic profiling
| Study group | Role | What they receive |
|---|---|---|
| Arm No NGS | No intervention | Patients will be treated by standard first-line systemic treatment and tumor assessment will be performed every 2 cycles during treatment. Thereafter, disease will be managed as per standard care depending on tumor response observed at the end of the first-line treatment. Note that for these participants and under specific conditions, subsequent NGS analyses may be allowed within the scope of the trial |
| Arm NGS | Experimental | Patients will be treated by standard first-line systemic treatment and tumor assessment will be performed every 2 cycles during treatment. After tumor assessment at the end of first-line systemic treatment and regardless of tumor response as per RECIST v1.1, participants will be discussed within a multidisciplinary tumor board (molecular tumor board-MTB) which aims at discussing the genomic profiles and at providing a therapeutic decision for each participant.
Patients for whom a targetable genomic alteration has been highlighted will be proposed to enter in a subsequent single-arm phase II sub-trials. Otherwise, thereafter, disease will be managed as per standard care depending on tumor response observed at the end of the first-line treatment Receives: Other: Next Generation sequencing exome |
| Arm NGS - Targeted therapy | Experimental | Targeted therapy from a list of 10 targeted treatment strategies, guided by the genomic analyses: Nilotinib capsule per os 400 mg bd, continuous dosing ; Ceritinib capsule per os 450 mg od, continuous dosing; Capmatinib tablet per os 400 mg bd, continuous dosing; Lapatinib tablet per os 1500 mg od, continuous dosing; Trametinib tablet per os 2 mg od, continuous dosing; association of Trametinib tablet per os 2 mg od and Dabrafenib capsule per os 150 mg bd, continuous dosing; association of Olaparib tablet per os 300 mg bd, continuous dosing and Durvalumab intra-veinous 1500 mg on day 1, Q4W; Palbociclib capsule 125 mg od, 3 weeks on/1 week off; Glasdegib tablet per os 300 mg od, continuous dosing; TAS-120 tablet per os 20 mg od, continuous dosing. Receives: Drug: Nilotinib; Drug: Ceritinib; Drug: Capmatinib; Drug: Lapatinib; Drug: Trametinib; Combination Product: Trametinib and Dabrafenib; Combination Product: Olaparib and Durvalumab; Drug: Palbociclib; Drug: Glasdegib; Drug: TAS-120 |
What is being measured
The primary outcome is the main question the study is designed to answer.
To assess the feasibility of high throughput molecular analysis (next generation sequencing exome [NGS]
Feasibility will be defined as the proportion of participants for whom results from NGS are (i) interpretable and (ii) for whom a validated report of exome sequencing including a clinical recommendation from the molecular tumor board is available within 7 weeks (i.e. within at most 49 calendar days) after reception of blood and tumor samples by one of the molecular platform.
Measured: 7 weeks
Secondary outcomes (25)
Comparison of the efficacy of the 2 treatment strategies (NGS vs No NGS) in terms of 1-year progression-free survival (PFS)
PFS will be defined as the delay from the date of randomization to the date of progression as per RECIST v1.1 (or death, whichever occurs first)
Measured: 1 year
Comparison of the efficacy of the 2 treatment strategies (NGS vs No NGS) in terms of 2-year progression-free survival (PFS)
PFS will be defined as the delay from the date of randomization to the date of progression as per RECIST v1.1 (or death, whichever occurs first)
Measured: 2 years
Comparison of the efficacy of the 2 treatment strategies (NGS vs No NGS) in terms of 1-year overall survival (OS)
OS will be defined as the delay from the date of randomization to the date of death (whatever the cause)
Measured: 1 year
Comparison of the efficacy of the 2 treatment strategies (NGS vs No NGS) in terms of 2-year overall survival (OS)
OS will be defined as the delay from the date of randomization to the date of death (whatever the cause)
Measured: 2 years
Assessment of the feasibility of high throughput molecular analysis in terms of delay to obtain a clinical recommendation from the molecular tumor board for patients randomized in arm NGS with interpretable NGS
Delay from the date of signature of the informed consent to the date of the molecular tumor board
Measured: an average of 7 weeks
Assessment of the proportion of patients with Advanced STS presenting at least one targetable genomic alteration
A participant will be considered as "presenting at least one targetable genomic alteration", if the MTB considers that at least one genetic alteration identified can be matched with one of the drugs available through the MULTISARC study
Measured: An average of 7 weeks
Assessment of the efficacy of first-line systemic treatment in terms of 1-year progression-free survival
PFS will be defined as the delay from the date of onset of first-line treatment to the date of progression as per RECIST v1.1 (or death, whichever occurs first)
Measured: 1 year
Assessment of the efficacy of first-line systemic treatment in terms of 2-year progression-free survival
PFS will be defined as the delay from the date of onset of first-line treatment to the date of progression as per RECIST v1.1 (or death, whichever occurs first)
Measured: 2 years
Assessment of the efficacy of first-line systemic treatment in terms of 1-year overall survival
OS will be defined as the delay from the date of onset of first-line treatment to the date of death (whatever the cause).
Measured: 1 year
Assessment of the efficacy of first-line systemic treatment in terms of 2-year overall survival
OS will be defined as the delay from the date of onset of first-line treatment to the date of death (whatever the cause).
Measured: 2 years
Assessment of the efficacy of first-line systemic treatment in terms of best overall response under first-line treatment
Best response is recorded from the date of onset of first-line treatment until the end of first-line treatment taking into account any requirement for confirmation as per RECIST v1.1 criteria
Measured: Throughout the treatment period, an average of 18 weeks
Assessment of the efficacy of first-line systemic treatment in terms of 6-month objective response
Objective response is defined as complete or partial response (CR, PR) as per RECIST v1.1 under first-line treatment
Measured: 6 months
Assessment of the efficacy of first-line systemic treatment in terms of 6-month non progression
Non progression is defined as complete or partial response (CR, PR) or stable disease (SD) under first-line treatment as defined as per RECIST v1.1
Measured: 6 months
Assessment of the efficacy of each targeted treatment in terms of 6-month non progression
Non progression is defined as complete or partial response (CR, PR) or stable disease (SD) under targeted treatment as defined as per RECIST v1.1
Measured: 6 months
Assessment of the efficacy of each targeted treatment in terms of 1-year progression-free survival
PFS will be defined as the delay from the date of targeted treatment initiation to the date of progression as per RECIST v1.1 or death, whichever occurs first
Measured: 1 year
Assessment of the efficacy of each targeted treatment in terms of 1-year overall survival
OS is defined as the delay from the date of targeted treatment initiation to the date of death (whatever the cause)
Measured: 1 year
Assessment of the efficacy of each targeted treatment in terms of best overall response under treatment
Best response (partial or complete, as per RECIST v1.1) recorded from date of targeted treatment initiation taking into account any requirement for confirmation as per RECIST v1.1 criteria
Measured: Throughout the treatment period, an average of 6 months
Assessment of the efficacy of each targeted treatment in terms of objective response under treatment
Complete response or partial response under targeted treatment as defined as per RECIST evaluation criteria v1.1
Measured: Throughout the treatment period, an average of 6 months
Assessment of the efficacy of each targeted treatment in terms of change in tumor size (CTS)
CTS is defined as the difference (in percentage) in tumor size burden from the date of targeted treatment initiation (baseline) to the tumor assessment
Measured: Throughout the treatment period, an average of 6 months
Assessment of the safety profile of each targeted treatment using the CTCAE v5
Safety will be assessed as per CTCAE v5
Measured: Throughout the treatment period, an average of 6 months
Impact of the results of immunosequencing during first-line treatment
Correlation of TCR-sequencing data with objective response (OR), OR), progression-free survival (PFS) and overall survival (OS).
Evaluation of the association between immune profiles derived from ancillary analyses (VISIUM HD, multiplex IF, SomaScan proteomics) and treatment response, within an integrated immunosequencing framework.
Measured: At cycle 2 day 1 of targeted treatment
To estimate the cost-effectiveness of the strategy usdin NGS as compared to the strategy without NGS
The outcome will be the incremental cost-utility ratio or the incremental cost per incremental Quality Adjusted Life Year (QALY)
Measured: Trhoughout the study period, an average of 2 years
To assess the feasibility of NGS in participants who have switched treatment arm for NGS arm in terms of proportion of participants with interpretable NGS results
Proportion of participants with interpretable NGS results
Measured: an average of 7 weeks
To assess the feasibility of NGS in participants who have switched treatment arm for NGS arm in terms of delays
Delay from the date of treatment failure (progression, investigator decision, end of last treatment line) to the date of the molecular tumor board
Measured: an average of 7 weeks
To assess the feasibility of NGS in participants who have switched treatment arm for NGS arm in terms of proportion of participants with interpretable NGS results
Proportion of participants presenting at least one targetable genomic alteration
Measured: an average of 7 weeks
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted21 Dec 2018
- Study start19 Oct 2019
- Primary completion1 Dec 2023
- Study completion20 Jan 2026
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (3)Papers the sponsor has linked to this study.
- Other trials for Soft Tissue SarcomaStudies of the same condition, open and under way.
- More trials run by Institut National de la Santé Et de la Recherche Médicale, FranceThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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 3
- Primary purpose
- Health services research
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Model description
- MULTISARC is a randomized multicenter study assessing whether high throughput molecular analysis (next generation sequencing exome - NGS) is feasible in advanced soft tissue sarcoma participants. In parallel, MULTISARC aims to assess efficacy of an innovative treatment strategy guided by high throughput molecular analysis, in participants with advanced soft-tissue sarcomas. Randomization 1:1 with 1 participant randomized in experimental Arm NGS (treatment strategy based on NGS) and 1 participant randomized in standard Arm No NGS (treatment strategy not based on NGS). At the end of first-line treatment, participant's tumor profile of experimental Arm NGS will be discussed within a multidisciplinary tumor board which aims at discussing the genomic profiles and at providing a therapeutic decision for each participant. Participants for whom a targetable genomic alteration has been identified will be proposed to enter in one of the subsequent phase II single-arm sub-trial.
- Masking
- None (open label)
- Enrolment
- 603 participants (actual)
Sponsor and investigators
- Sponsor type
- Other government
- Collaborators
- Commissariat A L'energie Atomique, Institut Bergonié, Plateforme labellisée Inca - Institut Bergonié, Bordeaux, Plateforme labellisée Inca - Hôpital Européen Georges Pompidou, Paris, EUCLID Clinical Trial Platform
- Responsible party
- Sponsor
- Investigators
- Antoine Italiano, Principal investigator, Institut Bergonié
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT03784014
- Sponsor's protocol ID
- C16-40
- Other IDs
- 2024-514873-22-00, 2017-002851-27, 2017
- Acronym
- MULTISARC
- Status last verified
- Apr 2026
- First submitted
- 19 Dec 2018
- Last updated
- 29 Apr 2026
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- Yes: Data from the MULTISARC study will be integrated into the Data Collector and Analyzer (CAD) provided for the Plan for Personalized Genomic Medicine 2025, where they will be stored for use in diagnostic and prognostic decision support, the development of therapeutic strategies, and health-related research, studies and evaluations. Access to trial IPD can be requested by qualified researchers engaging in independent scientific research, and will be provided following review and approval of scientific and ethic commitee of the CAD.
Publications
Italiano A. Is There Value in Molecular Profiling of Soft-Tissue Sarcoma? Curr Treat Options Oncol. 2018 Dec 7;19(12):78. doi: 10.1007/s11864-018-0589-y.
PubMed 30523434FGM 2025 Workflow Study Group (Alliance nationale des Sciences de la Vie et de la Sante); Auzanneau C, Bacq D, Bellera C, Blons H, Boland A, Boucheix M, Bourdon A, Chollet E, Chomienne C, Deleuze JF, Delmas C, Dinart D, Esperou H, Geillon F, Geneste D, Italiano A, Jean D, Khalifa E, Laizet Y, Laurent-Puig P, Lethimonnier F, Levy-Marchal C, Lucchesi C, Malle C, Mancini P, Mathoulin-Pelissier S, Meyer V, Marie-Ange P, Perkins G, Sellan-Albert S, Soubeyran I, Wallet C. Feasibility of high-throughput sequencing in clinical routine cancer care: lessons from the cancer pilot project of the France Genomic Medicine 2025 plan. ESMO Open. 2020 Jul;5(4):e000744. doi: 10.1136/esmoopen-2020-000744.
PubMed 32713836Italiano A, Dinart D, Soubeyran I, Bellera C, Esperou H, Delmas C, Mercier N, Albert S, Poignie L, Boland A, Bourdon A, Geneste D, Cavaille Q, Laizet Y, Khalifa E, Auzanneau C, Squiban B, Truffaux N, Olaso R, Gerber Z, Wallet C, Benard A, Blay JY, Laurent-Puig P, Deleuze JF, Lucchesi C, Mathoulin-Pelissier S; MULTISARC study group. Molecular profiling of advanced soft-tissue sarcomas: the MULTISARC randomized trial. BMC Cancer. 2021 Nov 5;21(1):1180. doi: 10.1186/s12885-021-08878-2.
PubMed 34740331
Study at a glance
From the registry record, last updated by the sponsor on 29 Apr 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Molecular Profiling of Advanced Soft-tissue Sarcomas. A Phase III Study
- ClinicalTrials.gov ID
- NCT03784014
- Acronym / sponsor ID
- MULTISARC / C16-40
- Conditions
- Soft Tissue Sarcoma
- Keywords
- advanced disease, metastatic disease, Next generation sequencing exome
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 603 participants (actual)
- Lead sponsor
- Institut National de la Santé Et de la Recherche Médicale, FranceOther government
- Collaborators
- Commissariat A L'energie Atomique, Institut Bergonié, Plateforme labellisée Inca - Institut Bergonié, Bordeaux, Plateforme labellisée Inca - Hôpital Européen Georges Pompidou, Paris, EUCLID Clinical Trial Platform
- Study start
- 19 Oct 2019 (actual)
- Primary completion
- 1 Dec 2023 (actual)
- Study completion
- 20 Jan 2026 (actual)
- First posted
- 21 Dec 2018 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
MULTISARC is a randomized multicenter study assessing whether high throughput molecular analysis (next generation sequencing exome - NGS) is feasible in advanced/metastatic soft-tissue sarcoma patients, that is, whether NGS can be conducted for a large proportion of patients, with results available within reasonnable delays.
In parallel, MULTISARC aims to assess efficacy of an innovative treatment strategy guided by high throughput molecular analysis (next generation sequencing exome, RNASeq [NGS]) in patients with Advanced/metastatic soft-tissue sarcomas. At the end of first-line treatment, participant's tumor profile of experimental Arm NGS (treatment strategy based on NGS results) will be discussed within a multidisciplinary tumor board which aims at discussing the genomic profiles and at providing a therapeutic decision for each participant. Participants for whom a targetable genomic alteration has been identified will be proposed to enter in one of the subsequent phase II single-arm sub-trial.
Detailed description
Screening phase: frozen tumor sample (archived or newly obtained) and blood sample will be used for genetic profiling. Patients can be considered as pre-eligible for the randomized phase when all genetic material have been received by the Platform.
Randomization phase: the randomization will allocate the following arms with a ratio 1:1:
- experimental Arm NGS : treatment strategy based on NGS results [exome, RNASeq]
- standard Arm No NGS: treatment strategy not based on NGS (Note that for these participants and under specific conditions, subsequent NGS analyses may be allowed within the scope of the trial)
Single-arm phase II sub-trial: at the end of the first-line treatment and regardless of tumor response as per RECIST v1.1, patients randomized in Arm NGS and for whom a targetable alteration has been identified by the Molecular Tumor Board will be considered as pre-eligible for the targeted sub-study. The mandatory post-chemotherapy wash-out period of 21 days will provide time to achieve all the required tests and examinations.
Study design
- Primary purpose
- Health services research
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 3
- Model description
- MULTISARC is a randomized multicenter study assessing whether high throughput molecular analysis (next generation sequencing exome - NGS) is feasible in advanced soft tissue sarcoma participants. In parallel, MULTISARC aims to assess efficacy of an innovative treatment strategy guided by high throughput molecular analysis, in participants with advanced soft-tissue sarcomas. Randomization 1:1 with 1 participant randomized in experimental Arm NGS (treatment strategy based on NGS) and 1 participant randomized in standard Arm No NGS (treatment strategy not based on NGS). At the end of first-line treatment, participant's tumor profile of experimental Arm NGS will be discussed within a multidisciplinary tumor board which aims at discussing the genomic profiles and at providing a therapeutic decision for each participant. Participants for whom a targetable genomic alteration has been identified will be proposed to enter in one of the subsequent phase II single-arm sub-trial.
| Arm | Type | Receives |
|---|---|---|
| Arm No NGS | No intervention | –Patients will be treated by standard first-line systemic treatment and tumor assessment will be performed every 2 cycles during treatment. Thereafter, disease will be managed as per standard care depending on tumor response observed at the end of the first-line treatment. Note that for these participants and under specific conditions, subsequent NGS analyses may be allowed within the scope of the trial |
| Arm NGS | Experimental | Other: Next Generation sequencing exomePatients will be treated by standard first-line systemic treatment and tumor assessment will be performed every 2 cycles during treatment. After tumor assessment at the end of first-line systemic treatment and regardless of tumor response as per RECIST v1.1, participants will be discussed within a multidisciplinary tumor board (molecular tumor board-MTB) which aims at discussing the genomic profiles and at providing a therapeutic decision for each participant. Patients for whom a targetable genomic alteration has been highlighted will be proposed to enter in a subsequent single-arm phase II sub-trials. Otherwise, thereafter, disease will be managed as per standard care depending on tumor response observed at the end of the first-line treatment |
| Arm NGS - Targeted therapy | Experimental | Drug: Nilotinib, Drug: Ceritinib, Drug: Capmatinib, Drug: Lapatinib, Drug: Trametinib, Combination Product: Trametinib and Dabrafenib, Combination Product: Olaparib and Durvalumab, Drug: Palbociclib, Drug: Glasdegib, Drug: TAS-120Targeted therapy from a list of 10 targeted treatment strategies, guided by the genomic analyses: Nilotinib capsule per os 400 mg bd, continuous dosing ; Ceritinib capsule per os 450 mg od, continuous dosing; Capmatinib tablet per os 400 mg bd, continuous dosing; Lapatinib tablet per os 1500 mg od, continuous dosing; Trametinib tablet per os 2 mg od, continuous dosing; association of Trametinib tablet per os 2 mg od and Dabrafenib capsule per os 150 mg bd, continuous dosing; association of Olaparib tablet per os 300 mg bd, continuous dosing and Durvalumab intra-veinous 1500 mg on day 1, Q4W; Palbociclib capsule 125 mg od, 3 weeks on/1 week off; Glasdegib tablet per os 300 mg od, continuous dosing; TAS-120 tablet per os 20 mg od, continuous dosing. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (45 listed)
- Age ≥ 18 years,
- Histology: soft-tissue sarcoma confirmed by the RRePS Network, as recommended by the French NCI
- Unresectable locally advanced and/or metastatic STS
- No previous systemic treatment for advanced disease,
- ECOG ≤ 1
Key exclusion criteria (12 listed)
- Radiological evidence of symptomatic or progressive brain metastases,
- Inability to swallow,
- Major problem with intestinal absorption,
- Previous allogeneic bone marrow transplant,
- Evidence of severe or uncontrolled systemic disease (uncontrolled hypertension, active bleeding diatheses, or active Hepatitis B, C and HIV or active autoimmune disease),
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| NilotinibAlso: TASIGNATarget: KIT, PDGFRA, CSF1R Nilotinib will be administered orally, 400 mg twice daily on a continuous basis. A treatment cycle consists of 4 weeks. Treatment may continue until disease progression or study discontinuation. | Drug | Arm NGS - Targeted therapy |
| CeritinibAlso: ZYKADIATarget: ALK, ROS. Ceritinib will be administered orally, 450mg once daily on a continuous basis. A treatment cycle consists of 4 weeks. Treatment may continue until disease progression or study discontinuation. | Drug | Arm NGS - Targeted therapy |
| CapmatinibTarget: MET. Capmatinib will be administered orally, 400mg twice daily on a continuous basis. A treatment cycle consists of 4 weeks. Treatment may continue until disease progression or study discontinuation. | Drug | Arm NGS - Targeted therapy |
| LapatinibAlso: TYVERBTarget: ERBB2, EGFR. Lapatinib will be administered orally, 1500mg once daily on a continuous basis. A treatment cycle consists of 4 weeks. Treatment may continue until disease progression or study discontinuation. | Drug | Arm NGS - Targeted therapy |
| TrametinibAlso: MEKINISTTarget: KRAS, NRAS, HRAS, PTPN11, NF1, MAP2K. Trametinib will be administered orally, 2 mg once daily on a continuous basis. A treatment cycle consists of 4 weeks. Treatment may continue until disease progression or study discontinuation. | Drug | Arm NGS - Targeted therapy |
| Trametinib and DabrafenibAlso: MEKINIST and TAFINLARTarget: KRAS, NRAS, HRAS, PTPN11, NF1, MAP2K, BRAF. Trametinib will be administered orally, 2mg once daily on a continuous basis. Dabrafenib will be administered orally, 150mg twice daily, on a continuous basis. A treatment cycle consists of 4 weeks. Treatment may continue until disease progression or study discontinuation. | Combination product | Arm NGS - Targeted therapy |
| Olaparib and DurvalumabAlso: LYNPARZA, MEDI4736Target: PDL1, PARP. Olaparib will be administered orally, 300mg twice daily on a continuous basis. Dabrafenib will be administered intraveinously, 1500mg on day 1 every 4 weeks. A treatment cycle consists of 4 weeks. Treatment may continue until disease progression or study discontinuation. | Combination product | Arm NGS - Targeted therapy |
| PalbociclibAlso: IBRANCE, PD-0332991Target: CDK4, CDK6. Palbociclib will be administered orally, 125mg once daily, 3 weeks on/1 week off. A treatment cycle consists of 4 weeks. Treatment may continue until disease progression or study discontinuation. | Drug | Arm NGS - Targeted therapy |
| GlasdegibAlso: PF-04449913Target: SMO. Glasdegib will be administered orally, 300 mg once daily on a continuous basis. A treatment cycle consists of 4 weeks. Treatment may continue until disease progression or study discontinuation. | Drug | Arm NGS - Targeted therapy |
| TAS-120Target: FGFR. TAS-120 will be administered orally, 20 mg once daily on a continuous basis. A treatment cycle consists of 3 weeks. Treatment may continue until disease progression or study discontinuation. | Drug | Arm NGS - Targeted therapy |
| Next Generation sequencing exomeAlso: RNA Seq, NGS, High throughput sequencingBoth frozentumor material (archived or newly obtained) and blood sample collection will be used for genetic profiling | Other | Arm NGS |
Primary outcome
To assess the feasibility of high throughput molecular analysis (next generation sequencing exome [NGS]
Time frame: 7 weeks
Feasibility will be defined as the proportion of participants for whom results from NGS are (i) interpretable and (ii) for whom a validated report of exome sequencing including a clinical recommendation from the molecular tumor board is available within 7 weeks (i.e. within at most 49 calendar days) after reception of blood and tumor samples by one of the molecular platform.
25 secondary outcomes
Comparison of the efficacy of the 2 treatment strategies (NGS vs No NGS) in terms of 1-year progression-free survival (PFS)
Time frame: 1 year
Comparison of the efficacy of the 2 treatment strategies (NGS vs No NGS) in terms of 2-year progression-free survival (PFS)
Time frame: 2 years
Comparison of the efficacy of the 2 treatment strategies (NGS vs No NGS) in terms of 1-year overall survival (OS)
Time frame: 1 year
Comparison of the efficacy of the 2 treatment strategies (NGS vs No NGS) in terms of 2-year overall survival (OS)
Time frame: 2 years
Assessment of the feasibility of high throughput molecular analysis in terms of delay to obtain a clinical recommendation from the molecular tumor board for patients randomized in arm NGS with interpretable NGS
Time frame: an average of 7 weeks
Assessment of the proportion of patients with Advanced STS presenting at least one targetable genomic alteration
Time frame: An average of 7 weeks
Assessment of the efficacy of first-line systemic treatment in terms of 1-year progression-free survival
Time frame: 1 year
Assessment of the efficacy of first-line systemic treatment in terms of 2-year progression-free survival
Time frame: 2 years
Assessment of the efficacy of first-line systemic treatment in terms of 1-year overall survival
Time frame: 1 year
Assessment of the efficacy of first-line systemic treatment in terms of 2-year overall survival
Time frame: 2 years
Assessment of the efficacy of first-line systemic treatment in terms of best overall response under first-line treatment
Time frame: Throughout the treatment period, an average of 18 weeks
Assessment of the efficacy of first-line systemic treatment in terms of 6-month objective response
Time frame: 6 months
Assessment of the efficacy of first-line systemic treatment in terms of 6-month non progression
Time frame: 6 months
Assessment of the efficacy of each targeted treatment in terms of 6-month non progression
Time frame: 6 months
Assessment of the efficacy of each targeted treatment in terms of 1-year progression-free survival
Time frame: 1 year
Assessment of the efficacy of each targeted treatment in terms of 1-year overall survival
Time frame: 1 year
Assessment of the efficacy of each targeted treatment in terms of best overall response under treatment
Time frame: Throughout the treatment period, an average of 6 months
Assessment of the efficacy of each targeted treatment in terms of objective response under treatment
Time frame: Throughout the treatment period, an average of 6 months
Assessment of the efficacy of each targeted treatment in terms of change in tumor size (CTS)
Time frame: Throughout the treatment period, an average of 6 months
Assessment of the safety profile of each targeted treatment using the CTCAE v5
Time frame: Throughout the treatment period, an average of 6 months
Impact of the results of immunosequencing during first-line treatment
Time frame: At cycle 2 day 1 of targeted treatment
To estimate the cost-effectiveness of the strategy usdin NGS as compared to the strategy without NGS
Time frame: Trhoughout the study period, an average of 2 years
To assess the feasibility of NGS in participants who have switched treatment arm for NGS arm in terms of proportion of participants with interpretable NGS results
Time frame: an average of 7 weeks
To assess the feasibility of NGS in participants who have switched treatment arm for NGS arm in terms of delays
Time frame: an average of 7 weeks
To assess the feasibility of NGS in participants who have switched treatment arm for NGS arm in terms of proportion of participants with interpretable NGS results
Time frame: an average of 7 weeks
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 29 Apr 2026.
- Background: PubMed 30523434Italiano A. Is There Value in Molecular Profiling of Soft-Tissue Sarcoma? Curr Treat Options Oncol. 2018 Dec 7;19(12):78. doi: 10.1007/s11864-018-0589-y.
- Results publication: PubMed 32713836FGM 2025 Workflow Study Group (Alliance nationale des Sciences de la Vie et de la Sante); Auzanneau C, Bacq D, Bellera C, Blons H, Boland A, Boucheix M, Bourdon A, Chollet E, Chomienne C, Deleuze JF, Delmas C, Dinart D, Esperou H, Geillon F, Geneste D, Italiano A, Jean D, Khalifa E, Laizet Y, Laurent-Puig P, Lethimonnier F, Levy-Marchal C, Lucchesi C, Malle C, Mancini P, Mathoulin-Pelissier S, Meyer V, Marie-Ange P, Perkins G, Sellan-Albert S, Soubeyran I, Wallet C. Feasibility of high-throughput sequencing in clinical routine cancer care: lessons from the cancer pilot project of the France Genomic Medicine 2025 plan. ESMO Open. 2020 Jul;5(4):e000744. doi: 10.1136/esmoopen-2020-000744.
- Results publication: PubMed 34740331Italiano A, Dinart D, Soubeyran I, Bellera C, Esperou H, Delmas C, Mercier N, Albert S, Poignie L, Boland A, Bourdon A, Geneste D, Cavaille Q, Laizet Y, Khalifa E, Auzanneau C, Squiban B, Truffaux N, Olaso R, Gerber Z, Wallet C, Benard A, Blay JY, Laurent-Puig P, Deleuze JF, Lucchesi C, Mathoulin-Pelissier S; MULTISARC study group. Molecular profiling of advanced soft-tissue sarcomas: the MULTISARC randomized trial. BMC Cancer. 2021 Nov 5;21(1):1180. doi: 10.1186/s12885-021-08878-2.
- Individual participant dataSharing planned: Yes. Data from the MULTISARC study will be integrated into the Data Collector and Analyzer (CAD) provided for the Plan for Personalized Genomic Medicine 2025, where they will be stored for use in diagnostic and prognostic decision support, the development of therapeutic strategies, and health-related research, studies and evaluations. Access to trial IPD can be requested by qualified researchers engaging in independent scientific research, and will be provided following review and approval of scientific and ethic commitee of the CAD.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Antoine Italiano principal investigator
Institut Bergonié
17 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Nilotinib, Ceritinib and Capmatinib in people with Soft Tissue Sarcoma, run by Institut National de la Santé Et de la Recherche Médicale, France at 17 sites in France.
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 45 inclusion and 12 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 29 Apr 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 17 sites in France. 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 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
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?
To assess the feasibility of high throughput molecular analysis (next generation sequencing exome [NGS] (time frame: 7 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 NCT03784014, which also lists 3 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 29 Apr 2026.