Brostallicin in Treating Patients With Locally Advanced or Metastatic Soft Tissue Sarcoma

NCT ID: NCT00041249

Last Updated: 2012-07-18

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

64 participants

Study Classification

INTERVENTIONAL

Study Start Date

2002-05-31

Brief Summary

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RATIONALE: Drugs used in chemotherapy use different ways to stop tumor cells from dividing so they stop growing or die.

PURPOSE: Phase II trial to study the effectiveness of brostallicin in treating patients who have locally advanced or metastatic soft tissue sarcoma that has not responded to one previous chemotherapy regimen.

Detailed Description

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OBJECTIVES:

* Determine the antitumor activity of brostallicin, in terms of objective response, in patients with locally advanced or metastatic soft tissue sarcoma who have failed one prior chemotherapy treatment.
* Determine the time to progression and duration of response in patients treated with this drug.
* Determine the safety and toxic effects of this drug in these patients.
* Correlate clinical outcome with whole blood glutathione level in patients treated with this drug.

OUTLINE: This is a multicenter study. Patients are stratified according to tumor (tumors other than gastrointestinal stromal tumor (GIST) vs GIST).

Patients receive brostallicin IV over 10 minutes on day 1. Treatment repeats every 21 days for at least 4 courses in the absence of disease progression or unacceptable toxicity.

Patients are followed every 2 months for 1 year and then every 4 months for 1 year.

PROJECTED ACCRUAL: A total of 58-72 patients (40 for stratum I and 18-32 for stratum II) will be accrued for this study.

Conditions

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Gastrointestinal Stromal Tumor Sarcoma

Keywords

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adult angiosarcoma adult fibrosarcoma adult leiomyosarcoma adult liposarcoma adult neurofibrosarcoma adult synovial sarcoma stage III adult soft tissue sarcoma recurrent adult soft tissue sarcoma adult malignant fibrous histiocytoma adult malignant hemangiopericytoma adult rhabdomyosarcoma gastrointestinal stromal tumor stage IV adult soft tissue sarcoma

Study Design

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Primary Study Purpose

TREATMENT

Interventions

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brostallicin

Intervention Type DRUG

Eligibility Criteria

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Exclusion Criteria

* Mixed mesodermal tumors of the uterus (and carcinosarcoma)
* Chondrosarcoma
* Malignant mesothelioma
* Neuroblastoma
* Osteosarcoma
* Ewing's sarcoma
* Embryonal rhabdomyosarcoma
* At least one measurable lesion
* Progressive disease after 1 prior anthracycline- and/or alkylating-containing chemotherapy regimen for locally advanced or metastatic disease
* Clinical evidence of progression within 6 weeks prior to study treatment
* No known or symptomatic CNS metastases

PATIENT CHARACTERISTICS:

Age:

* Over 15

Performance status:

* WHO 0-1

Life expectancy:

* Not specified

Hematopoietic:

* WBC at least 4,000/mm\^3
* Platelet count at least 100,000/mm\^3

Hepatic:

* Bilirubin no greater than 1.25 times upper limit of normal (ULN)
* SGPT and SGOT no greater than 3 times ULN
* Alkaline phosphatase no greater than 2.5 times ULN

Renal:

* Creatinine no greater than 1.4 mg/dL OR
* Creatinine clearance greater than 65 mL/min

Cardiovascular:

* No prior severe cardiovascular disease

Other:

* Not pregnant
* Negative pregnancy test
* Fertile patients must use effective contraception during and for up to 6 months after study
* No other prior or concurrent malignancy except adequately treated basal cell skin cancer or carcinoma in situ of the cervix
* No other severe medical illness
* No psychosis

PRIOR CONCURRENT THERAPY:

Biologic therapy:

* No concurrent biologic response modifiers or immunotherapy
* No concurrent prophylactic hematopoietic growth factors (e.g., filgrastim (G- CSF) or sargramostim (GM-CSF)

Chemotherapy:

* See Disease Characteristics
* More than 4 weeks since prior chemotherapy and recovered
* Prior adjuvant chemotherapy as first-line treatment allowed provided disease progressed within 6 months after the completion of chemotherapy
* No prior ecteinascidin 743 (stratum I)
* No other concurrent chemotherapy

Endocrine therapy:

* No concurrent hormonal therapy

Radiotherapy:

* See Disease Characteristics
* Recovered from prior radiotherapy
* No prior radiotherapy to sole measurable lesion
* Concurrent palliative radiotherapy to nontarget lesions allowed at investigator's discretion

Surgery:

* See Disease Characteristics
* Recovered from prior surgery

Other:

* No other concurrent anticancer therapy (approved or investigational)
* No concurrent participation in any other clinical treatment study
* No other concurrent investigational drugs
Minimum Eligible Age

15 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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European Organisation for Research and Treatment of Cancer - EORTC

NETWORK

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Michael Leahy, MBChB, FRACP, FRCP, FRC Path

Role: STUDY_CHAIR

Fremantle Hospital

Locations

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Universitair Ziekenhuis Antwerpen

Edegem, , Belgium

Site Status

U.Z. Gasthuisberg

Leuven, , Belgium

Site Status

Centre Leon Berard

Lyon, , France

Site Status

CHU de la Timone

Marseille, , France

Site Status

Institut Gustave Roussy

Villejuif, , France

Site Status

Robert Roessle Klinik

Berlin, , Germany

Site Status

Universitaets-Krankenhaus Eppendorf

Hamburg, , Germany

Site Status

Medizinische Hochschule Hannover

Hanover, , Germany

Site Status

Klinikum Grosshadern der Ludwig-Maximilians Universitaet Muenchen

Munich, , Germany

Site Status

Netherlands Cancer Institute - Antoni van Leeuwenhoek Hospital

Amsterdam, , Netherlands

Site Status

Academisch Ziekenhuis Groningen

Groningen, , Netherlands

Site Status

Leiden University Medical Center

Leiden, , Netherlands

Site Status

Daniel Den Hoed Cancer Center at Erasmus University Medical Center

Rotterdam, , Netherlands

Site Status

St. James's University Hospital

Leeds, England, United Kingdom

Site Status

Royal Marsden NHS Trust - London

London, England, United Kingdom

Site Status

Northern Centre for Cancer Treatment at Newcastle General Hospital

Newcastle upon Tyne, England, United Kingdom

Site Status

Countries

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Belgium France Germany Netherlands United Kingdom

References

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Leahy M, Ray-Coquard I, Verweij J, Le Cesne A, Duffaud F, Hogendoorn PC, Fowst C, de Balincourt C, di Paola ED, van Glabbeke M, Judson I, Blay JY; European Organisation for Research and Treatment of Cancer Soft Tissue and Bone Sarcoma Group. Brostallicin, an agent with potential activity in metastatic soft tissue sarcoma: a phase II study from the European Organisation for Research and Treatment of Cancer Soft Tissue and Bone Sarcoma Group. Eur J Cancer. 2007 Jan;43(2):308-15. doi: 10.1016/j.ejca.2006.09.014. Epub 2006 Nov 13.

Reference Type RESULT
PMID: 17095209 (View on PubMed)

Leahy MG, Blay JY, Verweij J, et al.: EORTC 62011: phase II trial of brostallicin for soft tissue sarcoma. [Abstract] Eur J Cancer Suppl 1 (5): S209, A-694, 2003.

Reference Type RESULT

Other Identifiers

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EORTC-62011

Identifier Type: -

Identifier Source: secondary_id

EORTC-62011

Identifier Type: -

Identifier Source: org_study_id