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SarcomaPhase 2MAGNATE-SNCT07359053

MAGNATE-S: Paclitaxel Polymer Micelles Combo in Advanced Sarcoma

A Phase 2 study testing Paclitaxel Polymer Micelles + Gemcitabine + Lenvatinib and Paclitaxel Polymer Micelles + Gemcitabine + Anlotinib in people with Sarcoma, run by Shanghai 6th People's Hospital at 1 site in China.

Recruiting

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

Sites and contacts
Official record
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Trial summary

What is this study about? This is a medical research study testing a new drug combination ("Paclitaxel Polymer Micelles" + "Gemcitabine" + "Targeted Therapy") for patients with locally advanced unresectable or metastatic bone and soft tissue sarcomas whose disease has progressed after first-line standard therapy. Read more about this study

Who is it for?
Ages 12 to 70 years
Conditions the study is for
Sarcoma
What is being tested?
Paclitaxel Polymer Micelles + Gemcitabine + Lenvatinib and Paclitaxel Polymer Micelles + Gemcitabine + Anlotinib
Could I receive a placebo?
No, everyone receives an active treatment
How many people
46 participants
Where
1 siteChina
Study dates
25 Dec 2025to 30 Sep 2028
Phase
Phase 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 12 to 70 years
  • All sexes
  • No healthy volunteers
  • Child, Adult, Older adult

Who may be able to join

  • Informed Consent: The subject has signed the informed consent form after receiving and understanding full explanation regarding the trial's purpose, procedures, anticipated efficacy, pharmacological actions, and risks.
  • Target Population:
  • Histologically confirmed advanced/metastatic bone or soft tissue sarcoma. (If recurrence or metastasis is not definitive, a biopsy with frozen section is recommended. Enrollment may proceed if frozen pathology suggests recurrence/metastasis.)
  • At least one measurable lesion per RECIST 1.1 criteria.
  • Disease progression after prior first-line standard chemotherapy; ECOG performance status 0-2.
  • Life expectancy ≥ 3 months.
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  • Willing and able to comply with study procedures, treatment, and follow-up.
  • No contraindications to paclitaxel polymer micelles, gemcitabine, or small-molecule anti-angiogenic targeted agents.
  • Physical Examination and Laboratory Results:
  • Adequate hematologic function: i) Absolute neutrophil count (ANC) ≥ 1.8 × 10⁹/L; ii) Platelet count ≥ 100 × 10⁹/L; iii) Hemoglobin ≥ 90 g/L. (If transfusions are given during screening, a repeat test after 1 week must meet these criteria.)
  • Adequate hepatic function: i) Total bilirubin ≤ 1.5 × upper limit of normal (ULN); ii) AST and ALT ≤ 2.5 × ULN (≤ 5 × ULN if liver metastases are present); Alkaline phosphatase (ALP) ≤ 5 × ULN (liver mets) or ≤ 10 × ULN (bone mets).
  • Adequate renal function: Serum creatinine ≤ 1.5 × ULN or calculated creatinine clearance ≥ 50 mL/min.
  • Adequate coagulation: INR ≤ 1.5 × ULN and PT/aPTT ≤ 1.5 × ULN, unless on stable anticoagulant therapy.
  • Hepatitis B: Subjects positive for HBsAg are eligible if, in the investigator's judgment, their chronic hepatitis B is stable and does not increase the subject's risk.
  • Cardiac Function: No symptomatic cardiac insufficiency at baseline (NYHA class ≤ II) and no clinically significant ECG abnormalities.
  • Age and Reproductive Status:
  • Aged 12-70 years (male and female).
  • Subjects of childbearing potential must agree to use effective contraception during the trial. A negative serum or urine pregnancy test within 24 hours before chemotherapy is required for women of childbearing potential.
  • Female subjects must not be breastfeeding.

Who cannot join

  • Known allergy or intolerance to any component or excipient of the investigational products.
  • Primary brain tumor or central nervous system (CNS) metastases (including leptomeningeal metastases), except for a single, well-controlled, asymptomatic brain metastasis. CNS tumors still presenting with increased intracranial pressure or neuropsychiatric symptoms after treatment.
  • Uncontrolled acute or chronic infections, or other severe concurrent medical conditions.
  • History of other malignancies within the past 5 years, except for cured basal cell carcinoma of the skin or carcinoma in situ of the cervix.
  • Active hepatitis or hepatic tumor burden exceeding 50% of the total liver volume.
  • Uncontrolled third-space fluid accumulation not manageable by drainage (e.g., moderate to large pleural effusion, pericardial effusion, or ascites). Minimal asymptomatic fluid not requiring intervention may be allowed upon strict review.
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  • Psychiatric illness or cognitive impairment leading to poor compliance or inability to cooperate and report treatment responses.
  • Severe organic disease or major organ failure (e.g., decompensated heart or lung failure) precluding tolerance to chemotherapy.
  • Coagulopathy (INR >1.5, APTT >1.5 × ULN), bleeding tendency (e.g., active gastric ulcer, stool occult blood [++], hematemesis and/or melena within the past 3 months, hemoptysis), or tumor proximity to major blood vessels.
  • Coronary artery disease above grade I, arrhythmia (including QTc interval >450 ms for males, >470 ms for females), use of antiarrhythmic medication, or relevant underlying cardiac disease/cardiac insufficiency.
  • Renal insufficiency, history of renal disease, or proteinuria (urine protein ≥2+ or 24-hour urine protein >1.0 g).
  • History of organ transplantation.
  • History of substance abuse, chronic alcoholism, or infectious diseases such as AIDS.
  • Long-term use of corticosteroids or immunosuppressants.
  • Vaccination with live or attenuated vaccines (e.g., measles, mumps, rubella, varicella, yellow fever, rabies, BCG, oral typhoid) within 4 weeks prior to enrollment, or planned vaccination during the study. COVID-19 vaccination is permitted.
  • Active hepatitis B (HBV DNA ≥1×10⁴ copies/mL or ≥2000 IU/mL) or hepatitis C (HCV RNA ≥15 IU/mL) infection; positive HIV antibody (unless clinically indicated); or positive syphilis antibody (TPPA).
  • Any other condition deemed by the investigator to prevent completion of the trial or render the subject unsuitable (e.g., tumors like GIST or ALK-mutant inflammatory myofibroblastic tumor unsuitable for this chemotherapy regimen).

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

Chenliang Zhou, MD contact

18930170437

billzcl@msn.cn

China1 site, 1 recruiting
  • Shanghai Sixth Peolple'S Hospital

    Shanghai, CH, 200233

    Chenliang Zhou, MD, 18930170437, billzcl@msn.cn

    Recruiting

Other trials in China

About this study

Official title: MAGNATE-S: A Phase 2 Exploratory Study of Paclitaxel Polymer Micelles Combined With Gemcitabine and Anti-Angiogenic TKIs (Lenvatinib or Anlotinib) for Advanced Bone and Soft Tissue Sarcomas

What is this study about? This is a medical research study testing a new drug combination ("Paclitaxel Polymer Micelles" + "Gemcitabine" + "Targeted Therapy") for patients with locally advanced unresectable or metastatic bone and soft tissue sarcomas whose disease has progressed after first-line standard therapy. Currently, there is a lack of highly effective subsequent treatment options for these patients.

Why is this study being done? To improve efficacy: the investigators hope this drug combination can control tumor growth more effectively than current treatments.

Read more

To reduce toxicity: The "Paclitaxel Polymer Micelles" used in the study is a new formulation that may be safer than traditional paclitaxel, with a lower risk of severe allergic reactions.

For precise treatment: the investigators will select different targeted drugs (Lenvatinib for bone sarcoma or Anlotinib for soft tissue sarcoma) based on the tumor type, aiming for more tailored therapy.

How will the study be conducted?

Design: This is an exploratory study, planning to enroll approximately 46 patients in total, divided into two separate groups (23 for bone sarcoma, 23 for soft tissue sarcoma).

Process: Eligible and consenting patients will receive periodic combined drug therapy. Doctors will regularly evaluate efficacy and monitor safety through blood tests, US, CT, or MRI scans.

Primary Goal: The main focus is to see how many patients experience significant tumor shrinkage (Objective Response Rate), and to record all adverse reactions that occur.

Biomarker Research: To better understand treatment mechanisms and identify potential predictive markers, this study includes the collection of biological samples for future research, with careful design to minimize additional burden. Small extra blood samples will be collected during scheduled routine blood draws required for clinical monitoring. If a tumor biopsy or surgery is performed as part of necessary clinical care, the investigators will request permission to preserve a portion of the remaining tissue that would otherwise be discarded. These samples may be analyzed using techniques such as genetic or protein testing.

What does this mean for participants?

Potential Benefits: Participants have the opportunity to receive the new drug "Paclitaxel Polymer Micelles" free of charge and may benefit from it. Their participation will provide valuable treatment experience for all future patients with similar conditions.

Potential Risks: The drug combination may increase the risk of certain side effects, such as fatigue, nausea, high blood pressure, hand-foot skin reactions, or decreased blood cell counts. The research team has developed detailed plans to prevent and manage these situations.

Voluntary Principle: Participation is completely voluntary. Patients have the right to withdraw from the study at any time, for any reason, without affecting their right to receive other routine medical care.

In summary, this study explores a regimen combining a novel nano-drug, chemotherapy, and precise targeted therapy, aiming to find a more effective and safer treatment option for patients with advanced bone and soft tissue sarcomas who have failed first-line treatment.

Conditions
Sarcoma
Being tested
Paclitaxel Polymer Micelles + Gemcitabine + Lenvatinib, Paclitaxel Polymer Micelles + Gemcitabine + Anlotinib
Keywords
advanced sarcoma, Paclitaxel Polymer Micelles
Medical subject headings
Sarcoma

What participants receive

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

  • Paclitaxel Polymer Micelles + Gemcitabine + LenvatinibDrug

    1. Paclitaxel Polymer Micelles + Gemcitabine: Paclitaxel Micelles: 230 mg/m² (C1), then 300 mg/m² if tolerated, IV (≥3h), D8, Q3W. Gemcitabine: 800 mg/m², IV (90min), D1\&D8, Q3W. Planned for 6 cycles, may extend >6 cycles (based on investigator assessment of continued clinical benefit and patient tolerance) with patient self-pay for Paclitaxel Micelles.
    2. Lenvatinib (Bone Sarcoma): 12-16 mg daily (8-12 mg if <60 kg), continuous oral dosing until progression.

    General Rules: Dose adjustments based on CTCAE v5.0. For patients with systemic benefit (PR/SD per RECIST 1.1 for ≥2 cycles), localized interventions (e.g., surgery, radiation) are permitted following MDT evaluation and with protocol-defined study drug adjustments.

  • Paclitaxel Polymer Micelles + Gemcitabine + AnlotinibDrug

    1. Paclitaxel Polymer Micelles + Gemcitabine: Paclitaxel Micelles: 230 mg/m² (C1), then 300 mg/m² if tolerated, IV (≥3h), D8, Q3W. Gemcitabine: 800 mg/m², IV (90min), D1\&D8, Q3W. Planned for 6 cycles, may extend >6 cycles (based on investigator assessment of continued clinical benefit and patient tolerance) with patient self-pay for Paclitaxel Micelles.
    2. Anlotinib (Soft Tissue Sarcoma): 12 mg daily (8 mg if <45 kg), oral (2 wks on/1 wk off) until progression.

    General Rules: Dose adjustments based on CTCAE v5.0. For patients with systemic benefit (PR/SD per RECIST 1.1 for ≥2 cycles), localized interventions (e.g., surgery, radiation) are permitted following MDT evaluation and with protocol-defined study drug adjustments.

Study groups in NCT07359053
Study groupRoleWhat they receive
bone sarcomaExperimentalNot described
Receives: Drug: Paclitaxel Polymer Micelles + Gemcitabine + Lenvatinib
soft tissue sarcomaExperimentalNot described
Receives: Drug: Paclitaxel Polymer Micelles + Gemcitabine + Anlotinib

What is being measured

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

  1. Overall Response Rate

    Measured: assessed up to 1 year

Secondary outcomes (5)
  1. Progression-Free-Survival

    Measured: assessed up to 1 year

  2. Disease Control Rate

    Measured: assessed up to 1 year

  3. Duration of Response

    Measured: assessed up to 1 year

  4. Time To Progression

    Measured: assessed up to 1 year

  5. Incidence of adverse events

    Measured: assessed up to 1 year

Timeline

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

  1. First posted22 Jan 2026
  2. Study start25 Dec 2025 (estimated)
  3. Primary completion30 Sep 2027 (estimated)
  4. Study completion30 Sep 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 2
Primary purpose
Treatment
Allocation
Non-randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
46 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07359053
Sponsor's protocol ID
2025-206
Other IDs
2025-206
Acronym
MAGNATE-S
Status last verified
Jan 2026
First submitted
5 Jan 2026
Last updated
22 Jan 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes: Individual participant data that underlie the results reported in the primary publication of this trial (including de-identified demographic, clinical, efficacy, and safety data), the study protocol, statistical analysis plan, and informed consent form will be made available. Access Criteria: Data will be shared with researchers who provide a methodologically sound proposal that has been approved by an independent review committee. Proposals should be directed to the corresponding author. Time Frame: Data will become available 12 months after the primary results publication and will remain accessible for 5 years. Mechanism: Data will be provided in a secure, de-identified format via a trusted data repository or upon direct request, subject to a data sharing agreement.

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Paclitaxel Polymer Micelles + Gemcitabine + Lenvatinib and Paclitaxel Polymer Micelles + Gemcitabine + Anlotinib in people with Sarcoma, run by Shanghai 6th People's Hospital at 1 site in China.

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 19 inclusion and 17 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 22 Jan 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in China. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

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

What does this phase mean?

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

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

Are results available for this study?

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 Chenliang Zhou, MD (18930170437, billzcl@msn.cn), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Overall Response Rate (time frame: assessed up to 1 year). 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 22 Jan 2026.

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