CBT-1® in Combination With Doxorubicin in Patients With Metastatic, Unresectable Sarcomas Who Previously Progressed on Doxorubicin

NCT ID: NCT03002805

Last Updated: 2019-08-19

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

UNKNOWN

Clinical Phase

PHASE1

Total Enrollment

46 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-03-29

Study Completion Date

2020-09-30

Brief Summary

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This study evaluates the combination of CBT-1® and doxorubicin for the treatment of metastatic, unresectable sarcoma in patients who have progressed after treatment with 150mg/m2 or less of doxorubicin. Participants will receive CBT-1® on days 1-7 of each 21-day cycle, as well as doxorubicin on days 5 and 6.

Detailed Description

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Conditions

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Sarcoma

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Interventions

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CBT-1®

CBT-1®, oral, on days 1-7 of each cycle 21-day cycle. Participants will be assigned to dose level of CBT-1®:

Dose level 1 - 50 mg/m2/day Dose level 2 - 100 mg/m2/day Dose level 3 - 150 mg/m2/day Dose level 4 - 200 mg/m2/day Dose level 5 - 250 mg/m2/day Dose level 6 - 300 mg/m2/day doxorubicin, 37.5 mg/m2, IV, on days 5 and 6 of each cycle Study treatment discontinued after 450 mg/m2 lifetime cumulative dose of doxorubicin reached or after 4-5 cycles completed.

Intervention Type DRUG

Other Intervention Names

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doxorubicin

Eligibility Criteria

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Inclusion Criteria

* Age ≥ 18 years
* Locally advanced or metastatic, unresectable sarcoma that has progressed after treatment with 150 mg/m2 or less of doxorubicin or anthracycline equivalent
* Measurable disease by RECIST 1.1
* ECOG performance status of ≤ 1
* Life expectancy of \> 3 months
* Able to swallow pills
* Adequate bone marrow and organ function as defined as:
* Hemoglobin \> 9 g/dl
* Absolute neutrophil count ≥ 1,500/mcL
* Platelets ≥ 100,000/mcL
* Total bilirubin \< 1.5 X ULN
* AST(SGOT)/ALT(SGPT) ≤3 X ULN (including patients with liver metastases)
* Creatinine \<1.5 X ULN
* Cardiac ejection fraction \>50% (by echocardiogram or MUGA) within 15 days of enrollment
* Women of childbearing potential must have a negative serum or urine pregnancy test within 7 days prior to enrollment.
* Participants must be willing and able to comply with the study scheduled visits, laboratory tests, and other procedures outlined in the protocol.
* Pre-menopausal women must have a negative pregnancy test before study entry. Both women and men must agree to use a medically acceptable method of contraception throughout the treatment period and for at least six weeks after treatment discontinuation. Acceptable methods of contraception include intrauterine device (IUD), oral contraceptive, subdermal implant, double barrier and/or complete abstinence (non-periodic).
* Washout period prior to Day 1 Cycle 1:
* 3 weeks since last chemotherapy or therapeutic radiation therapy
* 4 weeks or 3 half-lives since prior antibody-based therapy, whichever is shorter
* 2 weeks since any oral anti-neoplastic or oral investigational agent
* Resolution of treatment-related toxicity to \< grade 1; alopecia and cutaneous toxicity are allowed \< grade 2
* \>1 week since palliative RT
* Ability to understand and the willingness to sign a written informed consent document

Exclusion Criteria

* Prior exposure to CBT-1
* Previously untreated sarcomas
* Low-grade sarcomas as well as alveolar soft parts sarcoma, clear cell sarcoma, extraskeletal myxoid chondrosarcoma, well-differentiated liposarcoma, gastrointestinal stromal tumor, chordoma
* Participants receiving other investigational agents
* Participants with known uncontrolled brain metastases
* Uncontrolled intercurrent illness including, but not limited to, ongoing or active infection, symptomatic congestive heart failure, unstable angina pectoris, cardiac arrhythmia, chronic indwelling drains, history of interstitial pneumonitis or pulmonary fibrosis or psychiatric illness/social situations that would limit compliance with study requirements
* Actively breastfeeding women unless it is interrupted during treatment and at least 6 weeks after treatment discontinuation
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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CBA Research

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Sarcoma Oncology Research Center

Santa Monica, California, United States

Site Status RECRUITING

Mayo Clinic

Jacksonville, Florida, United States

Site Status RECRUITING

Massachusetts General Hospital

Boston, Massachusetts, United States

Site Status RECRUITING

Dana Farber Cancer Institute

Boston, Massachusetts, United States

Site Status RECRUITING

University of Pittsburgh Medical Center

Pittsburgh, Pennsylvania, United States

Site Status RECRUITING

Seattle Cancer Care Alliance

Seattle, Washington, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Beth Gudeman

Role: CONTACT

859-266-5757

Beth Gudeman

Role: CONTACT

859-227-0699

Facility Contacts

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Victoria Chua-Alcala

Role: primary

310-552-9999

Sherry Cook, RN

Role: primary

904-953-3321

Barbara Anderson, RN

Role: primary

617-643-2427

Research Nursing

Role: primary

617-632-5204

Melissa Burgess, M.D.

Role: primary

412-692-4724

Roxanne Moore

Role: primary

206-606-6425

References

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Hattinger CM, Patrizio MP, Magagnoli F, Luppi S, Serra M. An update on emerging drugs in osteosarcoma: towards tailored therapies? Expert Opin Emerg Drugs. 2019 Sep;24(3):153-171. doi: 10.1080/14728214.2019.1654455. Epub 2019 Aug 14.

Reference Type DERIVED
PMID: 31401903 (View on PubMed)

Other Identifiers

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STS-1701

Identifier Type: -

Identifier Source: org_study_id

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