Trial Outcomes & Findings for Recombinant Interferon Gamma in Treating Patients With Soft Tissue Sarcoma (NCT NCT01957709)

NCT ID: NCT01957709

Last Updated: 2019-07-10

Results Overview

It would be highly relevant to observe marked increase macrophages (effect size \> 2.5). Four patients gives over 90% power to detect such a large increase with a two-tailed alpha of 0.05.

Recruitment status

TERMINATED

Study phase

EARLY_PHASE1

Target enrollment

8 participants

Primary outcome timeframe

Baseline to up to 2 weeks post-surgery

Results posted on

2019-07-10

Participant Flow

Recruitment was done in the Seattle Cancer Care Alliance medical clinic, or by patient referral.

Participant milestones

Participant milestones
Measure
Basic Science (Interferon Gamma and MHC Expression)
Patients receive recombinant interferon gamma SC weekly for 4 weeks before surgery. Laboratory Biomarker Analysis: Correlative studies Recombinant Interferon Gamma: Given Subcutaneously
Overall Study
STARTED
8
Overall Study
COMPLETED
7
Overall Study
NOT COMPLETED
1

Reasons for withdrawal

Reasons for withdrawal
Measure
Basic Science (Interferon Gamma and MHC Expression)
Patients receive recombinant interferon gamma SC weekly for 4 weeks before surgery. Laboratory Biomarker Analysis: Correlative studies Recombinant Interferon Gamma: Given Subcutaneously
Overall Study
Patient refused to complete post-tx bx
1

Baseline Characteristics

Recombinant Interferon Gamma in Treating Patients With Soft Tissue Sarcoma

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Basic Science (Interferon Gamma and MHC Expression)
n=8 Participants
Patients receive recombinant interferon gamma SC every 7 days for 4 weeks before surgery or thrice weekly for 2 weeks before surgery. Laboratory Biomarker Analysis: Correlative studies Recombinant Interferon Gamma: Given SC
Age, Categorical
<=18 years
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
6 Participants
n=5 Participants
Age, Categorical
>=65 years
2 Participants
n=5 Participants
Sex: Female, Male
Female
3 Participants
n=5 Participants
Sex: Female, Male
Male
5 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
1 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
7 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
2 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=5 Participants
Race (NIH/OMB)
White
6 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants

PRIMARY outcome

Timeframe: Baseline to up to 2 weeks post-surgery

It would be highly relevant to observe marked increase macrophages (effect size \> 2.5). Four patients gives over 90% power to detect such a large increase with a two-tailed alpha of 0.05.

Outcome measures

Outcome measures
Measure
Basic Science (Interferon Gamma and MHC Expression)
n=8 Participants
Patients receive recombinant interferon gamma SC every 7 days for 4 weeks before surgery or thrice weekly for 2 weeks before surgery. Laboratory Biomarker Analysis: Correlative studies Recombinant Interferon Gamma: Given SC
Change in Class I Major Histocompatibility Complex (MHC) Expression After Treatment With IFN Gamma
Pre-treatment
8.91 percentage of MHC Class I+ on tumor cell
Interval 0.131 to 51.6
Change in Class I Major Histocompatibility Complex (MHC) Expression After Treatment With IFN Gamma
Post-treatment
26.6 percentage of MHC Class I+ on tumor cell
Interval 1.39 to 92.2

SECONDARY outcome

Timeframe: Baseline to 2 weeks post biopsy.

To determine whether systemic administration of IFNg will increase class II MHC expression in SS and MRCL tumors.

Outcome measures

Outcome measures
Measure
Basic Science (Interferon Gamma and MHC Expression)
n=8 Participants
Patients receive recombinant interferon gamma SC every 7 days for 4 weeks before surgery or thrice weekly for 2 weeks before surgery. Laboratory Biomarker Analysis: Correlative studies Recombinant Interferon Gamma: Given SC
MHC Class II Expression
Pre-treatment
2.556 percentage of MHC Class II on tumor cell
Interval 0.0 to 6.1
MHC Class II Expression
Post-treatment
6.125 percentage of MHC Class II on tumor cell
Interval 0.0 to 10.5

SECONDARY outcome

Timeframe: Baseline to 2 weeks post biopsy

To examine changes in the immune response to MRCL and SS by examining changes in the immune infiltrates, antibody response and antigen specific T cell response before and after IFNg treatment.

Outcome measures

Outcome measures
Measure
Basic Science (Interferon Gamma and MHC Expression)
n=8 Participants
Patients receive recombinant interferon gamma SC every 7 days for 4 weeks before surgery or thrice weekly for 2 weeks before surgery. Laboratory Biomarker Analysis: Correlative studies Recombinant Interferon Gamma: Given SC
Changes in Immune Response
Pre-treatment
0.14 percentage of T cells
Interval 0.015 to 1.05
Changes in Immune Response
Post-treatment
0.82 percentage of T cells
Interval 0.074 to 3.39

Adverse Events

Basic Science (Interferon Gamma and MHC Expression)

Serious events: 0 serious events
Other events: 8 other events
Deaths: 7 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Basic Science (Interferon Gamma and MHC Expression)
n=8 participants at risk
Patients receive recombinant interferon gamma SC every 7 days for 4 weeks before surgery or thrice weekly for 2 weeks before surgery. Laboratory Biomarker Analysis: Correlative studies Recombinant Interferon Gamma: Given SC
General disorders
Flu-like symptoms
62.5%
5/8 • Number of events 5 • Patients will be evaluated at their baseline visit prior to administration of the IFNg through two weeks following their surgery. Ideally this will be a period of 6-10 weeks, depending on the number of times a patient received IFNg subcutaneously and when their surgery was scheduled.
General disorders
Fatigue
62.5%
5/8 • Number of events 5 • Patients will be evaluated at their baseline visit prior to administration of the IFNg through two weeks following their surgery. Ideally this will be a period of 6-10 weeks, depending on the number of times a patient received IFNg subcutaneously and when their surgery was scheduled.
General disorders
Chills
50.0%
4/8 • Number of events 4 • Patients will be evaluated at their baseline visit prior to administration of the IFNg through two weeks following their surgery. Ideally this will be a period of 6-10 weeks, depending on the number of times a patient received IFNg subcutaneously and when their surgery was scheduled.
Nervous system disorders
Headache
50.0%
4/8 • Number of events 4 • Patients will be evaluated at their baseline visit prior to administration of the IFNg through two weeks following their surgery. Ideally this will be a period of 6-10 weeks, depending on the number of times a patient received IFNg subcutaneously and when their surgery was scheduled.
General disorders
Fever
25.0%
2/8 • Number of events 2 • Patients will be evaluated at their baseline visit prior to administration of the IFNg through two weeks following their surgery. Ideally this will be a period of 6-10 weeks, depending on the number of times a patient received IFNg subcutaneously and when their surgery was scheduled.
Musculoskeletal and connective tissue disorders
Body Aches
25.0%
2/8 • Number of events 2 • Patients will be evaluated at their baseline visit prior to administration of the IFNg through two weeks following their surgery. Ideally this will be a period of 6-10 weeks, depending on the number of times a patient received IFNg subcutaneously and when their surgery was scheduled.
General disorders
Injection site pain
25.0%
2/8 • Number of events 2 • Patients will be evaluated at their baseline visit prior to administration of the IFNg through two weeks following their surgery. Ideally this will be a period of 6-10 weeks, depending on the number of times a patient received IFNg subcutaneously and when their surgery was scheduled.
Nervous system disorders
Dizziness
12.5%
1/8 • Number of events 1 • Patients will be evaluated at their baseline visit prior to administration of the IFNg through two weeks following their surgery. Ideally this will be a period of 6-10 weeks, depending on the number of times a patient received IFNg subcutaneously and when their surgery was scheduled.
Psychiatric disorders
Insomnia
12.5%
1/8 • Number of events 1 • Patients will be evaluated at their baseline visit prior to administration of the IFNg through two weeks following their surgery. Ideally this will be a period of 6-10 weeks, depending on the number of times a patient received IFNg subcutaneously and when their surgery was scheduled.
General disorders
Night Sweats
12.5%
1/8 • Number of events 1 • Patients will be evaluated at their baseline visit prior to administration of the IFNg through two weeks following their surgery. Ideally this will be a period of 6-10 weeks, depending on the number of times a patient received IFNg subcutaneously and when their surgery was scheduled.
Musculoskeletal and connective tissue disorders
Arthralgia
12.5%
1/8 • Number of events 1 • Patients will be evaluated at their baseline visit prior to administration of the IFNg through two weeks following their surgery. Ideally this will be a period of 6-10 weeks, depending on the number of times a patient received IFNg subcutaneously and when their surgery was scheduled.
General disorders
Malaise
12.5%
1/8 • Number of events 1 • Patients will be evaluated at their baseline visit prior to administration of the IFNg through two weeks following their surgery. Ideally this will be a period of 6-10 weeks, depending on the number of times a patient received IFNg subcutaneously and when their surgery was scheduled.
Nervous system disorders
Paresthesia
12.5%
1/8 • Number of events 1 • Patients will be evaluated at their baseline visit prior to administration of the IFNg through two weeks following their surgery. Ideally this will be a period of 6-10 weeks, depending on the number of times a patient received IFNg subcutaneously and when their surgery was scheduled.
Musculoskeletal and connective tissue disorders
Bone pain
12.5%
1/8 • Number of events 1 • Patients will be evaluated at their baseline visit prior to administration of the IFNg through two weeks following their surgery. Ideally this will be a period of 6-10 weeks, depending on the number of times a patient received IFNg subcutaneously and when their surgery was scheduled.
Musculoskeletal and connective tissue disorders
Neck pain
12.5%
1/8 • Number of events 1 • Patients will be evaluated at their baseline visit prior to administration of the IFNg through two weeks following their surgery. Ideally this will be a period of 6-10 weeks, depending on the number of times a patient received IFNg subcutaneously and when their surgery was scheduled.
General disorders
Injection site erythema
12.5%
1/8 • Number of events 1 • Patients will be evaluated at their baseline visit prior to administration of the IFNg through two weeks following their surgery. Ideally this will be a period of 6-10 weeks, depending on the number of times a patient received IFNg subcutaneously and when their surgery was scheduled.
Gastrointestinal disorders
Dry mouth
12.5%
1/8 • Number of events 1 • Patients will be evaluated at their baseline visit prior to administration of the IFNg through two weeks following their surgery. Ideally this will be a period of 6-10 weeks, depending on the number of times a patient received IFNg subcutaneously and when their surgery was scheduled.
Infections and infestations
Upper Respiratory Infection
12.5%
1/8 • Number of events 1 • Patients will be evaluated at their baseline visit prior to administration of the IFNg through two weeks following their surgery. Ideally this will be a period of 6-10 weeks, depending on the number of times a patient received IFNg subcutaneously and when their surgery was scheduled.
Gastrointestinal disorders
Diarrhea
12.5%
1/8 • Number of events 1 • Patients will be evaluated at their baseline visit prior to administration of the IFNg through two weeks following their surgery. Ideally this will be a period of 6-10 weeks, depending on the number of times a patient received IFNg subcutaneously and when their surgery was scheduled.
Infections and infestations
Urinary Tract Infection
12.5%
1/8 • Number of events 1 • Patients will be evaluated at their baseline visit prior to administration of the IFNg through two weeks following their surgery. Ideally this will be a period of 6-10 weeks, depending on the number of times a patient received IFNg subcutaneously and when their surgery was scheduled.
General disorders
Biopsy site pain
12.5%
1/8 • Number of events 1 • Patients will be evaluated at their baseline visit prior to administration of the IFNg through two weeks following their surgery. Ideally this will be a period of 6-10 weeks, depending on the number of times a patient received IFNg subcutaneously and when their surgery was scheduled.

Additional Information

Seth Pollack, MD

Fred Hutchinson Cancer Research Center

Phone: 206-667-6629

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place