AzTrials
AzTrials

Refractory Ewing SarcomaPhase 1/2NCT05734066

Study of Lurbinectedin Monotherapy in Pediatric and Young Adult Participants With Relapsed/Refractory Ewing Sarcoma

A Phase 1/2 study testing Lurbinectedin in people with Refractory Ewing Sarcoma and Relapsed Ewing Sarcoma, run by Jazz Pharmaceuticals at 16 sites in 2 countries.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
Search all trials

Trial summary

This study is conducted in two phases. The phase 1 portion of the study evaluates the safety, tolerability, pharmacokinetics (PK), recommended phase 2 dose (RP2D), and effectiveness of lurbinectedin monotherapy in pediatric participants with previously treated solid tumors. Read more about this study

Who is it for?
Ages 2 to 30 years
What is being tested?
Lurbinectedin
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
60 participants
Where
16 sitesin 2 countries
Study dates
23 May 2023to 20 Apr 2028
Phase
Phase 1/2
Are there results?
Not yet: the study is under way

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 2 to 30 years
  • All sexes
  • No healthy volunteers
  • Child, Adult

Who may be able to join

  • Age
  • Participant must meet the following age requirements at the time the informed consent form (ICF) (and assent form, if applicable) is signed:
  • Phase 1 Part 1: participants must be ≥ 2 to < 18 years of age.
  • Phase 1 Part 2: participants must be ≥ 2 to ≤ 30 years of age.
  • Phase 2: participants must be ≥ 2 to ≤ 30 years of age.
  • Type of Participant and Disease Characteristics
Show all 42Show fewer
  • Participant has a confirmed solid tumor
  • The participant has a Lansky/Karnofsky performance status score of ≥ 50%.
  • The participant has adequate liver function, evidenced by the following laboratory values:
  • Aspartate aminotransferase (AST), alanine aminotransferase (ALT) ≤ 2.5 × upper limit of normal (ULN).
  • Total bilirubin ≤ 1.5 × institutional ULN (with the exception of participants with Gilbert's syndrome who must have bilirubin < 3 × institutional ULN).
  • The participant has adequate bone marrow function, evidenced by the following:
  • Absolute neutrophil count (ANC) ≥ 1.0 × 10^9/L (independent of growth factor support within 1 week of screening laboratories).
  • Platelets ≥ 100 × 10^9/L (without platelet transfusion within previous 7 days of screening laboratories).
  • Hemoglobin ≥ 8 g/dL (note: may have been transfused).
  • The participant has an adequate renal function:
  • Calculated creatinine clearance (use Cockcroft-Gault formula for participants ≥ 18 years; Schwartz equation for participants < 18 years) ≥ 60 mL/min.
  • The participant has an adequate cardiac function:
  • Left ventricular ejection fraction or shortening fraction per institutional norm ≥ institutional lower level of normal.
  • The participant has creatine phosphokinase ≤ 2.5 × institutional ULN.
  • Weight
  • The participant has body weight ≥ 15 kg.
  • Sex and Contraceptive/Barrier Requirements
  • Male participants:
  • Male participants are eligible to participate if they agree to the following during the study intervention period and for at least 4 months after the last dose of study intervention:
  • Refrain from donating sperm.
  • PLUS, either:
  • Be abstinent from heterosexual intercourse as their preferred and usual lifestyle (abstinent on a long-term and persistent basis) and agree to remain abstinent.
  • OR
  • Must agree to use contraception/barrier as detailed below:
  • Agree to use a male condom with female partner and use of an additional highly effective contraceptive method with a failure rate of < 1% per year when having sexual intercourse with a Woman of childbearing potential (WOCBP) who is not currently pregnant.
  • Note: male participants who are azoospermic (vasectomized or due to a medical cause) are still required to follow the protocol-specified contraception/barrier criteria.
  • Female participants:
  • A female participant is eligible to participate if she is not pregnant or breastfeeding, and one of the following conditions applies:
  • Is a Woman of nonchildbearing potential (WONCBP). OR
  • Is a WOCBP and using an acceptable contraceptive method during the study intervention period (at least 7 months after the last dose of study intervention). The investigator should evaluate the potential for contraceptive method failure (eg, noncompliance, recently initiated) in relationship to the first dose of study intervention.
  • A WOCBP must have a negative highly sensitive pregnancy test (urine or serum as required by local regulations) within 7 days before the first dose of study intervention.
  • If a urine test cannot be confirmed as negative (eg, an ambiguous result), a serum pregnancy test is required. In such cases, the participant must be excluded from participation if the serum pregnancy result is positive.
  • Additional requirements for pregnancy testing during and after study intervention.
  • The investigator is responsible for review of medical history, menstrual history, and recent sexual activity to decrease the risk for inclusion of a woman with an early undetected pregnancy.
  • Informed Consent
  • Capable of giving signed informed consent, which includes compliance with the requirements and restrictions listed in the ICF and in this protocol.

Who cannot join

  • Medical Conditions
  • corrected QT interval (QTc) prolongation defined as a QTc ≥ 460 ms using the Bazett formula in age < 18 years and QTc ≥ 470 ms using the Bazett formula in age ≥ 18 years.
  • Known symptomatic Central nervous system (CNS) metastases requiring steroids. Participants with previously diagnosed CNS metastases are eligible if they have completed their treatment and have recovered from the acute effects of radiation therapy or surgery prior to enrollment, have discontinued high dose steroid treatment for these metastases for at least 2 weeks, and are neurologically stable (physiologic doses of steroids and short courses of steroids for other indications are acceptable).
  • Persisting toxicity related to prior therapy; however, alopecia, sensory neuropathy, hypothyroidism, and rash Grade ≤ 2 are acceptable, and other Grade ≤ 2 adverse events (AEs) not constituting a safety risk based on the investigator's judgement are acceptable.
  • An uncontrolled intercurrent illness including but not limited to ongoing or active infection requiring antibiotic, antifungal, or antiviral therapy, symptomatic heart failure, cardiac arrhythmia, or psychiatric illness/social situations that would limit compliance with study requirements.
  • Any other major illness that, in the investigator's judgment, could substantially increase the risk associated with participation in this study.
Show all 20Show fewer
  • Any other diseases, metabolic dysfunction, physical examination finding, or clinical laboratory finding giving reasonable suspicion of a disease or condition that contraindicates the use of an investigational drug or that may affect the interpretation of the results or render the participant at high-risk for treatment complications.
  • Prior/Concomitant Therapy
  • Received prior treatment with lurbinectedin or trabectedin.
  • Received prior treatment with any investigational product within 4 weeks of first infusion of study intervention. Observational studies are permitted.
  • Received live or live attenuated vaccines within 4 weeks of the first dose of study treatment or plans to receive live vaccines during study participation. Administration of inactive vaccines or messenger ribonucleic acid (mRNA) vaccines (for example, inactivated influenza vaccines or COVID-19 vaccines) are allowed.
  • Had major surgery ≤ 4 weeks or radiation therapy ≤ 2 weeks prior to enrollment unless fully recovered. Prior palliative radiotherapy is permitted, provided it was completed at least 2 weeks prior to participant enrollment.
  • Received prior allogeneic bone marrow transplantation or solid organ transplant.
  • Received chemotherapy ≤ 3 weeks prior to start of study intervention.
  • Diagnostic Assessments
  • Hepatitis B virus (HBV) or Hepatitis C virus (HCV) infection at screening (positive HBV surface antigen or Polymerase chain reaction (PCR) test for HCV RNA if HCV antibody test is positive).
  • Human immunodeficiency infection at screening (positive anti-HIV antibody).
  • Other Exclusions
  • Has a known or suspected hypersensitivity to any of the components of the study intervention.
  • The participant or parent(s)/guardian(s) is/are unable to comply with the study visit schedule and other protocol requirements, in the opinion of the investigator

Trial locations and contacts

16 sites in 2 countries. Contact the study team or a site near you to ask about taking part.

Clinical Trial Disclosure & Transparency contact

215-832-3750

ClinicalTrialDisclosure@JazzPharma.com

16 sites in 2 countries

United States15 sites, 15 recruiting
  • Children's Healthcare of Atlanta at Arthur M. Blank Hospital

    Atlanta, Georgia, 30329

    Recruiting
  • Johns Hopkins University

    Baltimore, Maryland, 21238

    Recruiting
  • Cincinnati Children's Hospital Medical Center

    Cincinnati, Ohio, 45229

    Recruiting
  • Nationwide Children's Hospital

    Columbus, Ohio, 43205

    Recruiting
  • Children's Health Dallas

    Dallas, Texas, 75235

    Recruiting
  • Duke University School of Medicine

    Durham, North Carolina, 27710

    Recruiting
  • Corewell Health

    Grand Rapids, Michigan, 49503

    Recruiting
  • The University of Texas MD Anderson Cancer Center

    Houston, Texas, 77030

    Recruiting
  • Children's Hospital of Los Angeles

    Los Angeles, California, 90027

    Recruiting
  • St. Jude Children's Research Hospital

    Memphis, Tennessee, 38105

    Recruiting
  • Memorial Sloan Kettering Cancer Center

    New York, New York, 10065

    Recruiting
  • Lucile Packard Children's Hospital

    Palo Alto, California, 94304

    Recruiting
  • Children's Hospital of Philadelphia

    Philadelphia, Pennsylvania, 19104

    Recruiting
  • Johns Hopkins All Children's Hospital

    St. Petersburg, Florida, 33701

    Recruiting
  • Children's National Hospital

    Washington D.C., District of Columbia, 20010

    Recruiting

Other trials in United States

Canada1 site, 1 recruiting
  • The Hospital for Sick Children

    Toronto, Ontario, M5G 1X8

    Recruiting

Other trials in Canada

About this study

Official title: A Phase 1/2, Open-label Study to Evaluate the Safety, Tolerability, Pharmacokinetics (PK), Recommended Phase 2 Dose (RP2D), and Efficacy of Lurbinectedin Monotherapy in Pediatric Participants With Previously Treated Solid Tumors Followed by Expansion to Assess Efficacy and Safety in Pediatric and Young Adult Participants With Relapsed/Refractory Ewing Sarcoma.

This study is conducted in two phases. The phase 1 portion of the study evaluates the safety, tolerability, pharmacokinetics (PK), recommended phase 2 dose (RP2D), and effectiveness of lurbinectedin monotherapy in pediatric participants with previously treated solid tumors. This is followed by the phase 2 portion, to further assess the effectiveness and safety in pediatric and young adult participants with recurrent/refractory Ewing sarcoma.

Being tested
Lurbinectedin
Keywords
Solid Tumors, lurbinectedin, ewing's sarcoma, soft tissue sarcoma, sarcomas
Medical subject headings
Sarcoma, Ewing, Sarcoma

What participants receive

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

  • LurbinectedinDrug

    Also called JZP712

    Administered as intravenous (IV) infusion once every 3 weeks (Q3W)

Study groups in NCT05734066
Study groupRoleWhat they receive
Phase 1 Part 1: Dose SelectionExperimentalPediatric participants ≥ 2 to < 18 years of age with previously treated solid tumors of any histology at 5 dose levels to determine the RP2D, followed by a safety expansion cohort. Participants aged ≥ 6 to < 18 years will be enrolled at the starting dose of 3.2 mg/m^2 lurbinectedin. If, after review, the starting dose of 3.2 mg/m^2 lurbinectedin Q3W is deemed safe in participants aged ≥ 6 to < 18 years, participants aged ≥ 2 to < 6 years may enroll and start at the dose as determined by the DMC. After this, the study opens to all participants (aged ≥ 2 to < 18 years) for all dose levels. Upon completion of the cohort at all dose levels, participants may be eligible to enroll in a safety expansion cohort.
Receives: Drug: Lurbinectedin
Phase 1 Part 2: RP2DExperimentalParticipants aged ≥ 2 to ≤ 30 years with recurrent/refractory Ewing sarcoma at the RP2D to assess safety and efficacy signals.
Receives: Drug: Lurbinectedin
Phase 2ExperimentalIf a signal of efficacy is observed in Phase 1 Part 2, additional participants aged ≥ 2 to ≤ 30 years with recurrent/refractory Ewing sarcoma will be enrolled. Phase 2 will further assess the safety and efficacy of lurbinectedin monotherapy.
Receives: Drug: Lurbinectedin

What is being measured

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

  1. Phase 1: Number of Participants Experiencing Dose-limiting Toxicities (DLTs)

    Measured: From the first dose through end of Cycle 1 (21 days).

  2. Phase 1: Number of Participants Experiencing Serious Adverse Events (SAEs) and Treatment Emergent Adverse Events (TEAEs)

    Measured: Post-baseline (Day 1) up to approximately 31 months.

  3. Phase 1: Number of Participants With Dose Modifications

    Measured: Post-baseline (Day 1) up to approximately 31 months.

  4. Phase 1: Number of Participants Who Discontinued Study Intervention Due to TEAEs

    Measured: Post-baseline (Day 1) up to approximately 31 months.

  5. Phase 2: Objective Response Rate (ORR) Based on Investigator Assessment (IA)

    Measured: Day -28 up to a total of 13 months postdose.

Secondary outcomes (38)
  1. Phase 1: Plasma Concentration of Lurbinectedin

    Measured: Day 1: Predose up to approximately 168 hours postdose; Days 16, 31, 46: Predose up to approximately 5 minutes postdose.

  2. Phase 1: Objective Response Rate (ORR) Based on Investigator Assessment (IA)

    Measured: Day -28 up to a total of 31 months postdose.

  3. Phase 1: Progression-Free Survival (PFS) Based on Investigator Assessment (IA)

    Measured: Day -28 up to a total of 31 months postdose.

  4. Phase 1: Duration of Response (DOR) in Participants with Confirmed Complete Response (CR) or Partial Response (PR)

    Measured: Day -28 up to a total of 31 months postdose.

  5. Phase 1: Disease Control Rate (DCR)

    Measured: Day -28 up to a total of 31 months postdose.

  6. Phase 1: Clinical Benefit Rate (CBR) With Stable Disease (SD) for At Least 12 Weeks

    Measured: Day -28 up to a total of 31 months postdose.

  7. Phase 1: Overall Survival (OS)

    Measured: Post-baseline (Day 1) up to 31 months postdose.

  8. Phase 1: Change From Baseline in Respiratory Rate

    Measured: Post-baseline (Day 1) up to approximately 31 months.

  9. Phase 1: Change From Baseline in Pulse Rate

    Measured: Post-baseline (Day 1) up to approximately 31 months.

  10. Phase 1: Change From Baseline in Blood Pressure

    Measured: Post-baseline (Day 1) up to approximately 31 months.

  11. Phase 1: Change From Baseline in Weight

    Measured: Post-baseline (Day 1) up to approximately 31 months.

  12. Phase 1: Change from Baseline in Platelet Count

    Measured: Post-baseline (Day 1) up to approximately 31 months.

  13. Phase 1: Change from Baseline in Red Blood Cell Count

    Measured: Post-baseline (Day 1) up to approximately 31 months.

  14. Phase 1: Change from Baseline in Hemoglobin

    Measured: Post-baseline (Day 1) up to approximately 31 months.

  15. Phase 1: Change from Baseline in Differential White Blood Cell Count

    Measured: Post-baseline (Day 1) up to approximately 31 months.

  16. Phase 1: Change From Baseline in AST/ALT Levels

    Measured: Post-baseline (Day 1) up to approximately 31 months.

  17. Phase 1: Change From Baseline in Creatinine Levels

    Measured: Post-baseline (Day 1) up to approximately 31 months.

  18. Phase 1: Change From Baseline in CPK Levels

    Measured: Post-baseline (Day 1) up to approximately 31 months.

  19. Phase 2: Plasma Concentration of Lurbinectedin

    Measured: Day 1: Predose up to approximately 168 hours postdose; Days 16, 31, 46: Predose up to approximately 5 minutes postdose.

  20. Phase 2: Number of Participants Experiencing Serious Adverse Events (SAEs) and Treatment-emergent Adverse Events (TEAEs)

    Measured: Post-baseline (Day 1) up to approximately 13 months.

  21. Phase 2: Number of Participants With Dose Modifications

    Measured: Post-baseline (Day 1) up to approximately 13 months.

  22. Phase 2: Number of Participants Who Discontinued Study Intervention Due to TEAEs

    Measured: Post-baseline (Day 1) up to approximately 13 months.

  23. Phase 2: Progression-Free Survival (PFS) Based on IA

    Measured: Day -28 up to a total of 13 months postdose.

  24. Phase 2: Duration of Response (DOR) in Participants with Confirmed Complete Response (CR) or Partial Response (PR)

    Measured: Day -28 up to a total of 13 months postdose.

  25. Phase 2: Disease Control Rate (DCR)

    Measured: Day -28 up to a total of 13 months postdose.

  26. Phase 2: Clinical Benefit Rate (CBR) With Stable Disease (SD) for At Least 12 Weeks

    Measured: Day -28 up to a total of 13 months postdose.

  27. Phase 2: Overall Survival (OS)

    Measured: Post-baseline (Day 1) up to 13 months postdose.

  28. Phase 2: Change From Baseline in Respiratory Rate

    Measured: Post-baseline (Day 1) up to approximately 13 months.

  29. Phase 2: Change From Baseline in Pulse Rate

    Measured: Post-baseline (Day 1) up to approximately 13 months.

  30. Phase 2: Change From Baseline in Blood Pressure

    Measured: Post-baseline (Day 1) up to approximately 13 months.

  31. Phase 2: Change From Baseline in Weight

    Measured: Post-baseline (Day 1) up to approximately 13 months.

  32. Phase 2: Change From Baseline in Platelet Count

    Measured: Post-baseline (Day 1) up to approximately 13 months.

  33. Phase 2: Change From Baseline in Red Blood Cell Count

    Measured: Post-baseline (Day 1) up to approximately 13 months.

  34. Phase 2: Change From Baseline in Hemoglobin

    Measured: Post-baseline (Day 1) up to approximately 13 months.

  35. Phase 2: Change From Baseline in Differential White Blood Cell Count

    Measured: Post-baseline (Day 1) up to approximately 13 months.

  36. Phase 2: Change From Baseline in AST/ALT Levels

    Measured: Post-baseline (Day 1) up to approximately 13 months.

  37. Phase 2: Change From Baseline in Creatinine Levels

    Measured: Post-baseline (Day 1) up to approximately 13 months.

  38. Phase 2: Change From Baseline in CPK Levels

    Measured: Post-baseline (Day 1) up to approximately 13 months.

Timeline

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

  1. First posted17 Feb 2023
  2. Study start23 May 2023
  3. Primary completion28 Jan 2028 (estimated)
  4. Study completion20 Apr 2028 (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 1/2
Primary purpose
Treatment
Allocation
Non-randomised
Intervention model
Sequential
Masking
None (open label)
Enrolment
60 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05734066
Sponsor's protocol ID
JZP712-101
Status last verified
Nov 2026
First submitted
2 Feb 2023
Last updated
5 Nov 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 1/2 study testing Lurbinectedin in people with Refractory Ewing Sarcoma and Relapsed Ewing Sarcoma, run by Jazz Pharmaceuticals at 16 sites in 2 countries.

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 42 inclusion and 20 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: looking for participants now, as of the sponsor's last update on 5 Nov 2026. 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, Canada. 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 combined 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.

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?

This study is still under way. Results are not available in the source record yet.

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

Contact Clinical Trial Disclosure & Transparency (215-832-3750, ClinicalTrialDisclosure@JazzPharma.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Phase 1: Number of Participants Experiencing Dose-limiting Toxicities (DLTs) (time frame: From the first dose through end of Cycle 1 (21 days).). The study lists 5 primary outcomes in all. 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 5 Nov 2026.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in