Implantable Microdevice for the Delivery of Drugs and Their Effect on Tumors in Patients With Metastatic or Recurrent Sarcoma

NCT ID: NCT04199026

Last Updated: 2025-08-14

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

RECRUITING

Clinical Phase

NA

Total Enrollment

20 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-02-25

Study Completion Date

2025-12-31

Brief Summary

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This early phase I trial studies the side effects of implanting and removing a microdevice in patients with sarcomas that have spread to other places in the body (metastatic) or have come back (recurrent). Microdevices are rice-sized devices that are implanted into tumor tissue and are loaded with 10 different drugs that are delivered at very small doses, or "microdoses," which may only affect a very small, local area inside the tumor. The purpose of this study is to determine which drugs delivered in the microdevice affect tumor tissue in patients with sarcomas.

Detailed Description

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PRIMARY OBJECTIVES:

I. Assess the safety of drug delivery microdevice (microdevice) placement and removal in subjects undergoing resection of sarcoma.

II. Determine the technical feasibility of microdevice placement and removal with intact surrounding tissue in subjects undergoing resection of a sarcoma.

SECONDARY OBJECTIVE:

I. Use the intratumoral cellular response to evaluate individual agents and/or drug combinations released from the microdevice reservoirs to assess the relative drug efficacy across all individual agents or drug combinations tested using the microdevice technology.

EXPLORATORY OBJECTIVES:

I. Evaluate the microdevice performance for its capacity to predict Response Evaluation Criteria in Solid Tumors (RECIST) response in the subset of patients that receive systemic chemotherapies as part of their standard-of-care or clinical trial treatments. II. Determine genomic, transcriptomic, and proteomic predictive biomarkers from resected specimens that correlate with local (i.e. microdevice-based) and systemic drug response. III. Determine, at a single-cell level, proteomic traits associated with chemosensitivity versus (vs.) resistance using mathematical notions of network robustness and fragility.

OUTLINE:

Patients undergo percutaneous implantation of up to 3 drug delivery microdevices up to 2 days before standard of care surgery. Patients receive doxorubicin hydrochloride, ifosfamide, vincristine, irinotecan, temozolomide, pazopanib, everolimus, polyethylene glycol, ganitumab, and temsirolimus via the microdevice in the absence of unacceptable toxicity. At the time of surgery 2 days later, patients have the drug delivery microdevice(s) removed. Conditions Conditions: Metastatic Sarcoma Recurrent Sarcoma

Conditions

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Metastatic Sarcoma Recurrent Sarcoma Resectable Sarcoma

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

DEVICE_FEASIBILITY

Blinding Strategy

NONE

Study Groups

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Device Feasibility (microdevice, surgery)

Patients undergo percutaneous implantation of up to 3 drug delivery microdevices up to 2 days before standard of care surgery. Patients receive doxorubicin hydrochloride, ifosfamide, vincristine, irinotecan, temozolomide, pazopanib, everolimus, polyethylene glycol, ganitumab, and temsirolimus via the microdevice in the absence of unacceptable toxicity. At the time of surgery 2 days later, patients have the drug delivery microdevice(s) removed.

Group Type EXPERIMENTAL

Doxorubicin

Intervention Type DRUG

Given via microdevice

Doxorubicin Hydrochloride

Intervention Type DRUG

Given via microdevice

Drug Delivery Microdevice

Intervention Type DEVICE

Undergo percutaneous implantation of drug delivery microdevice

Everolimus

Intervention Type DRUG

Given via microdevice

Ganitumab

Intervention Type BIOLOGICAL

Given via microdevice

Ifosfamide

Intervention Type DRUG

Given via microdevice

Irinotecan

Intervention Type DRUG

Given via microdevice

Pazopanib

Intervention Type DRUG

Given via microdevice

Polyethylene Glycol

Intervention Type DRUG

Given via microdevice

Temozolomide

Intervention Type DRUG

Given via microdevice

Temsirolimus

Intervention Type DRUG

Given via microdevice

Therapeutic Conventional Surgery

Intervention Type PROCEDURE

Undergo standard of care surgery

Vincristine

Intervention Type DRUG

Given via microdevice

Interventions

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Doxorubicin

Given via microdevice

Intervention Type DRUG

Doxorubicin Hydrochloride

Given via microdevice

Intervention Type DRUG

Drug Delivery Microdevice

Undergo percutaneous implantation of drug delivery microdevice

Intervention Type DEVICE

Everolimus

Given via microdevice

Intervention Type DRUG

Ganitumab

Given via microdevice

Intervention Type BIOLOGICAL

Ifosfamide

Given via microdevice

Intervention Type DRUG

Irinotecan

Given via microdevice

Intervention Type DRUG

Pazopanib

Given via microdevice

Intervention Type DRUG

Polyethylene Glycol

Given via microdevice

Intervention Type DRUG

Temozolomide

Given via microdevice

Intervention Type DRUG

Temsirolimus

Given via microdevice

Intervention Type DRUG

Therapeutic Conventional Surgery

Undergo standard of care surgery

Intervention Type PROCEDURE

Vincristine

Given via microdevice

Intervention Type DRUG

Other Intervention Names

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Adriablastin Hydroxydaunomycin Hydroxyl Daunorubicin Hydroxyldaunorubicin 5,12-Naphthacenedione, 10-[(3-amino-2,3,6-trideoxy-alpha-L-lyxo-hexopyranosyl)oxy]-7,8, 9,10-tetrahydro-6,8,11-trihydroxy-8-(hydroxyacetyl)-1-methoxy-, hydrochloride, (8S-cis)- (9CI) ADM Adriacin Adriamycin Adriamycin Hydrochloride Adriamycin PFS Adriamycin RDF ADRIAMYCIN, HYDROCHLORIDE Adriamycine Adriblastina Adriblastine Adrimedac Chloridrato de Doxorrubicina DOX DOXO-CELL Doxolem Doxorubicin HCl Doxorubicin.HCl Doxorubin Farmiblastina FI 106 FI-106 hydroxydaunorubicin Rubex Microdevice 42-O-(2-Hydroxy)ethyl Rapamycin Afinitor Certican RAD 001 RAD001 Votubia Zortress AMG 479 Anti-IGF-1R Human Monoclonal Antibody AMG-479 Asta Z 4942 Asta Z-4942 Cyfos Holoxan Holoxane Ifex IFO IFO-Cell Ifolem Ifomida Ifomide Ifosfamidum Ifoxan IFX Iphosphamid Iphosphamide Iso-Endoxan Isoendoxan Isophosphamide Mitoxana MJF 9325 MJF-9325 Naxamide Seromida Tronoxal Z 4942 Z-4942 GW786034 Glycol, polyethylene PEG Poly(oxyethylene) Polyethylene Glycol 400 Polyethylene Glycol 8000 POLYETHYLENE GLYCOL, UNSPECIFIED Polyethylene Oxide CCRG-81045 Imidazo[5,1-d]-1,2,3,5-tetrazine-8-carboxamide, 3, 4-dihydro-3-methyl-4-oxo- M & B 39831 M and B 39831 Methazolastone RP-46161 SCH 52365 Temcad Temodal Temodar Temomedac TMZ CCI-779 CCI-779 Rapamycin Analog Cell Cycle Inhibitor 779 Rapamycin Analog Rapamycin Analog CCI-779 Torisel LEUROCRISTINE VCR Vincrystine

Eligibility Criteria

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Inclusion Criteria

* Patients with a biopsy-confirmed recurrent or metastatic sarcoma for which surgery is indicated as a standard of care.
* 10 years of age or older
* Documented, signed, dated informed consent to participate in the microdevice study
* Eastern Cooperative Oncology Group (ECOG) performance status of =\< 2

Exclusion:

* Subjects who do not wish to undergo surgical resection, or those who are high-risk or not candidates for surgical resection
* Age \< 10 years old
* Women of childbearing potential without a negative pregnancy test; or women who are lactating
* Allergies or prior adverse drug reactions to any of the drugs loaded within the microdevice.
Minimum Eligible Age

10 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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National Cancer Institute (NCI)

NIH

Sponsor Role collaborator

M.D. Anderson Cancer Center

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Joseph Ludwig, MD

Role: PRINCIPAL_INVESTIGATOR

The University of Texas MD Anderson Cancer Center

Locations

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M D Anderson Cancer Center

Houston, Texas, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Joseph A Ludwig, MD

Role: CONTACT

713-792-3626

Facility Contacts

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Joseph A. Ludwig

Role: primary

713-792-3626

Provided Documents

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Document Type: Informed Consent Form

View Document

Related Links

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http://www.mdanderson.org

University of Texas MD Anderson Cancer Center Website

Other Identifiers

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NCI-2019-05820

Identifier Type: REGISTRY

Identifier Source: secondary_id

2019-0171

Identifier Type: OTHER

Identifier Source: secondary_id

R01CA180279

Identifier Type: NIH

Identifier Source: secondary_id

View Link

2019-0171

Identifier Type: -

Identifier Source: org_study_id

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