Trial Outcomes & Findings for Real-world Study of Dedifferentiated Liposarcoma Patients in China (NCT NCT06115681)

NCT ID: NCT06115681

Last Updated: 2025-07-10

Results Overview

Overall survival (OS) as an event for each patient in Cohort 1 was defined as the date of death minus the index date or the start day of each line of therapy (LOT). For patients with no record of death, OS was censored at the last activity date before the end of the study period.

Recruitment status

COMPLETED

Target enrollment

1390 participants

Primary outcome timeframe

Time from index date until the earliest record of death or end of the study period, up to 10 years.

Results posted on

2025-07-10

Participant Flow

This was an observational cohort study conducted to investigate patient characteristics, current treatment patterns and outcomes in Chinese patients with dedifferentiated liposarcoma (DDLPS).

Only patients diagnosed with DDLPS, who met all the inclusion criteria of having at least 2 documented clinical visits in the National Anti-Tumor Drug Surveillance System (NATDSS) on or after January 1, 2013, and were ≥18 years at initial diagnosis, were included.

Participant milestones

Participant milestones
Measure
DDLPS Patients With 1L Treatment at Index Date (Cohort 1)
Patients with unresectable locally advanced or metastatic differentiated liposarcoma (DDLPS) who received at least one line of systemic antineoplastic treatment by the end of cohort identification period (index date = start date of first line (1L) treatment).
DDLPS Patients Without 1L Treatment at Index Date (Cohort 2)
Patients with DDLPS who have not initiated 1L systemic antineoplastic treatment by the end of cohort identification period (index date = date of initial DDLPS diagnosis during cohort identification period). Patients who initiated 1L treatment afterwards or patients who received adjuvant and/or neoadjuvant therapy only through follow-up were included in Cohort 2.
Overall Study
STARTED
275
1115
Overall Study
COMPLETED
275
1115
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Race and Ethnicity were not collected from any participant.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
DDLPS Patients With 1L Treatment at Index Date (Cohort 1)
n=275 Participants
Patients with unresectable locally advanced or metastatic differentiated liposarcoma (DDLPS) who received at least one line of systemic antineoplastic treatment by the end of cohort identification period (index date = start date of first line (1L) treatment).
DDLPS Patients Without 1L Treatment at Index Date (Cohort 2)
n=1115 Participants
Patients with DDLPS who have not initiated 1L systemic antineoplastic treatment by the end of cohort identification period (index date = date of initial DDLPS diagnosis during cohort identification period). Patients who initiated 1L treatment afterwards or patients who received adjuvant and/or neoadjuvant therapy only through follow-up were included in Cohort 2.
Total
n=1390 Participants
Total of all reporting groups
Age, Continuous
56.9 Years
STANDARD_DEVIATION 11.5 • n=275 Participants
57.4 Years
STANDARD_DEVIATION 11.7 • n=1115 Participants
57.3 Years
STANDARD_DEVIATION 11.7 • n=1390 Participants
Sex: Female, Male
Female
109 Participants
n=275 Participants
495 Participants
n=1115 Participants
604 Participants
n=1390 Participants
Sex: Female, Male
Male
166 Participants
n=275 Participants
620 Participants
n=1115 Participants
786 Participants
n=1390 Participants
Race and Ethnicity Not Collected
0 Participants
Race and Ethnicity were not collected from any participant.

PRIMARY outcome

Timeframe: Time from index date until the earliest record of death or end of the study period, up to 10 years.

Population: All patients diagnosed with dedifferentiated liposarcoma (DDLPS) who met the inclusion criteria of having at least 2 documented clinical visits in National Anti-Tumor Drug Surveillance System (NATDSS) in China on or after January 1, 2013 and aged ≥18 years at initial diagnosis. Only patients who received at least one line of systemic antineoplastic treatment by the end of cohort identification period were included in this analysis.

Overall survival (OS) as an event for each patient in Cohort 1 was defined as the date of death minus the index date or the start day of each line of therapy (LOT). For patients with no record of death, OS was censored at the last activity date before the end of the study period.

Outcome measures

Outcome measures
Measure
DDLPS Patients With 1L Treatment at Index Date (Cohort 1)
n=275 Participants
Patients with unresectable locally advanced or metastatic differentiated liposarcoma (DDLPS) who received at least one line of systemic antineoplastic treatment by the end of cohort identification period (index date = start date of first line (1L) treatment).
DDLPS Patients Without 1L Treatment at Index Date (Cohort 2)
Patients with DDLPS who have not initiated 1L systemic antineoplastic treatment by the end of cohort identification period (index date = date of initial DDLPS diagnosis during cohort identification period). Patients who initiated 1L treatment afterwards or patients who received adjuvant and/or neoadjuvant therapy only through follow-up were included in Cohort 2.
Cohort 1: Overall Survival
OS after first line (1L) treatment
13.4 months
Interval 12.5 to 15.3
Cohort 1: Overall Survival
OS after second line (2L) treatment
11.9 months
Interval 10.1 to 15.4
Cohort 1: Overall Survival
OS after third line (3L) treatment
8.1 months
Interval 6.0 to 18.2

SECONDARY outcome

Timeframe: Time from initial diagnosis until the earliest record of death or end of the study period, up to 10 years.

Population: All patients diagnosed with dedifferentiated liposarcoma (DDLPS) who met the inclusion criteria of having at least 2 documented clinical visits in National Anti-Tumor Drug Surveillance System (NATDSS) in China on or after January 1, 2013 and aged ≥18 years at initial diagnosis. Only patients with an existing diagnosis date were included in this analysis.

Survival after initial diagnosis for each patient was defined as the date of death minus the date of initial diagnosis. For patients with no record of death, survival after initial diagnosis was censored at the last activity date before the end of the study period.

Outcome measures

Outcome measures
Measure
DDLPS Patients With 1L Treatment at Index Date (Cohort 1)
n=272 Participants
Patients with unresectable locally advanced or metastatic differentiated liposarcoma (DDLPS) who received at least one line of systemic antineoplastic treatment by the end of cohort identification period (index date = start date of first line (1L) treatment).
DDLPS Patients Without 1L Treatment at Index Date (Cohort 2)
n=1106 Participants
Patients with DDLPS who have not initiated 1L systemic antineoplastic treatment by the end of cohort identification period (index date = date of initial DDLPS diagnosis during cohort identification period). Patients who initiated 1L treatment afterwards or patients who received adjuvant and/or neoadjuvant therapy only through follow-up were included in Cohort 2.
Cohort 1, Cohort 2: Survival After Initial Diagnosis
30.3 months
Interval 26.8 to 36.7
38.4 months
Interval 35.0 to 42.6

SECONDARY outcome

Timeframe: At index date and during follow-up, up to 10 years.

Population: All patients diagnosed with dedifferentiated liposarcoma (DDLPS) who met the inclusion criteria of having at least 2 documented clinical visits in National Anti-Tumor Drug Surveillance System (NATDSS) in China on or after January 1, 2013 and being age ≥18 years at initial diagnosis.

The total number of treatment lines in both cohorts is reported. Lines of therapy (LOT) were defined by the temporal relationship and sequencing of treatment regimens by using the dates of initiation and discontinuation of chemotherapy, targeted therapy, and/or immunotherapy.

Outcome measures

Outcome measures
Measure
DDLPS Patients With 1L Treatment at Index Date (Cohort 1)
n=275 Participants
Patients with unresectable locally advanced or metastatic differentiated liposarcoma (DDLPS) who received at least one line of systemic antineoplastic treatment by the end of cohort identification period (index date = start date of first line (1L) treatment).
DDLPS Patients Without 1L Treatment at Index Date (Cohort 2)
n=1115 Participants
Patients with DDLPS who have not initiated 1L systemic antineoplastic treatment by the end of cohort identification period (index date = date of initial DDLPS diagnosis during cohort identification period). Patients who initiated 1L treatment afterwards or patients who received adjuvant and/or neoadjuvant therapy only through follow-up were included in Cohort 2.
Cohort 1, Cohort 2: Total Number of Treatment Lines
1.0 Count of treatment lines per patient
Interval 1.0 to 2.0
0.0 Count of treatment lines per patient
Interval 0.0 to 0.0

SECONDARY outcome

Timeframe: At index date and during follow-up, up to 10 years

Population: All patients diagnosed with dedifferentiated liposarcoma (DDLPS) who met the inclusion criteria of having at least 2 documented clinical visits in National Anti-Tumor Drug Surveillance System (NATDSS) in China on or after January 1, 2013 and aged ≥18 years at initial diagnosis. Only patients with non-missing data were included in the analysis.

Number of patients with first line (1L) therapy by treatment type for both cohorts is reported. Lines of therapy (LOT) were defined by the temporal relationship and sequencing of treatment regimens by using the dates of initiation and discontinuation of chemotherapy, targeted therapy, and/or immunotherapy.

Outcome measures

Outcome measures
Measure
DDLPS Patients With 1L Treatment at Index Date (Cohort 1)
n=274 Participants
Patients with unresectable locally advanced or metastatic differentiated liposarcoma (DDLPS) who received at least one line of systemic antineoplastic treatment by the end of cohort identification period (index date = start date of first line (1L) treatment).
DDLPS Patients Without 1L Treatment at Index Date (Cohort 2)
n=35 Participants
Patients with DDLPS who have not initiated 1L systemic antineoplastic treatment by the end of cohort identification period (index date = date of initial DDLPS diagnosis during cohort identification period). Patients who initiated 1L treatment afterwards or patients who received adjuvant and/or neoadjuvant therapy only through follow-up were included in Cohort 2.
Cohort 1, Cohort 2: First Line (1L) of Therapy by Treatment Type
Anthracycline-based regimens
119 Participants
12 Participants
Cohort 1, Cohort 2: First Line (1L) of Therapy by Treatment Type
Anlotinib-based regimens
85 Participants
12 Participants
Cohort 1, Cohort 2: First Line (1L) of Therapy by Treatment Type
Apatinib-based regimens
15 Participants
1 Participants
Cohort 1, Cohort 2: First Line (1L) of Therapy by Treatment Type
Immune checkpoint inhibitor only
10 Participants
1 Participants
Cohort 1, Cohort 2: First Line (1L) of Therapy by Treatment Type
Palbociclib
9 Participants
0 Participants
Cohort 1, Cohort 2: First Line (1L) of Therapy by Treatment Type
Other
36 Participants
9 Participants

SECONDARY outcome

Timeframe: At index date and during follow-up, up to 10 years

Population: All patients diagnosed with dedifferentiated liposarcoma (DDLPS) who met the inclusion criteria of having at least 2 documented clinical visits in National Anti-Tumor Drug Surveillance System (NATDSS) in China on or after January 1, 2013 and aged ≥18 years at initial diagnosis. Only patients with non-missing data were included in the analysis.

Number of patients with second line (2L) therapy by treatment type for both cohorts is reported. Lines of therapy (LOT) were defined by the temporal relationship and sequencing of treatment regimens by using the dates of initiation and discontinuation of chemotherapy, targeted therapy, and/or immunotherapy.

Outcome measures

Outcome measures
Measure
DDLPS Patients With 1L Treatment at Index Date (Cohort 1)
n=114 Participants
Patients with unresectable locally advanced or metastatic differentiated liposarcoma (DDLPS) who received at least one line of systemic antineoplastic treatment by the end of cohort identification period (index date = start date of first line (1L) treatment).
DDLPS Patients Without 1L Treatment at Index Date (Cohort 2)
n=8 Participants
Patients with DDLPS who have not initiated 1L systemic antineoplastic treatment by the end of cohort identification period (index date = date of initial DDLPS diagnosis during cohort identification period). Patients who initiated 1L treatment afterwards or patients who received adjuvant and/or neoadjuvant therapy only through follow-up were included in Cohort 2.
Cohort 1, Cohort 2: Second Line (2L) of Therapy by Treatment Type
Anlotinib-based regimens
37 Participants
4 Participants
Cohort 1, Cohort 2: Second Line (2L) of Therapy by Treatment Type
Anthracycline-based regimens
22 Participants
2 Participants
Cohort 1, Cohort 2: Second Line (2L) of Therapy by Treatment Type
Immune checkpoint inhibitor only
13 Participants
1 Participants
Cohort 1, Cohort 2: Second Line (2L) of Therapy by Treatment Type
Apatinib-based regimens
8 Participants
0 Participants
Cohort 1, Cohort 2: Second Line (2L) of Therapy by Treatment Type
Gemcitabine, Docetaxel
4 Participants
0 Participants
Cohort 1, Cohort 2: Second Line (2L) of Therapy by Treatment Type
Other
30 Participants
1 Participants

SECONDARY outcome

Timeframe: At index date and during follow-up, up to 10 years

Population: All patients diagnosed with dedifferentiated liposarcoma (DDLPS) who met the inclusion criteria of having at least 2 documented clinical visits in National Anti-Tumor Drug Surveillance System (NATDSS) in China on or after January 1, 2013 and being age ≥18 years at initial diagnosis. Only patients with non-missing data were included in the analysis.

Number of patients with third line (3L) therapy by treatment type for both cohorts is reported. Lines of therapy (LOT) were defined by the temporal relationship and sequencing of treatment regimens by using the dates of initiation and discontinuation of chemotherapy, targeted therapy, and/or immunotherapy.

Outcome measures

Outcome measures
Measure
DDLPS Patients With 1L Treatment at Index Date (Cohort 1)
n=51 Participants
Patients with unresectable locally advanced or metastatic differentiated liposarcoma (DDLPS) who received at least one line of systemic antineoplastic treatment by the end of cohort identification period (index date = start date of first line (1L) treatment).
DDLPS Patients Without 1L Treatment at Index Date (Cohort 2)
n=2 Participants
Patients with DDLPS who have not initiated 1L systemic antineoplastic treatment by the end of cohort identification period (index date = date of initial DDLPS diagnosis during cohort identification period). Patients who initiated 1L treatment afterwards or patients who received adjuvant and/or neoadjuvant therapy only through follow-up were included in Cohort 2.
Cohort 1, Cohort 2: Third Line (3L) of Therapy by Treatment Type
Anlotinib-based regimens
16 Participants
1 Participants
Cohort 1, Cohort 2: Third Line (3L) of Therapy by Treatment Type
Anthracycline-based regimens
11 Participants
1 Participants
Cohort 1, Cohort 2: Third Line (3L) of Therapy by Treatment Type
Apatinib-based regimens
5 Participants
0 Participants
Cohort 1, Cohort 2: Third Line (3L) of Therapy by Treatment Type
Immune checkpoint inhibitor only
3 Participants
0 Participants
Cohort 1, Cohort 2: Third Line (3L) of Therapy by Treatment Type
Gemcitabine, Docetaxel
2 Participants
0 Participants
Cohort 1, Cohort 2: Third Line (3L) of Therapy by Treatment Type
Other
14 Participants
0 Participants

SECONDARY outcome

Timeframe: At index date and during follow-up, up to 10 years

Population: All patients diagnosed with dedifferentiated liposarcoma (DDLPS) who met the inclusion criteria of having at least 2 documented clinical visits in National Anti-Tumor Drug Surveillance System (NATDSS) in China on or after January 1, 2013 and aged ≥18 years at initial diagnosis.

Number of patients who received treatments with drugs classified as concurrent steroid therapy for both cohorts is reported.

Outcome measures

Outcome measures
Measure
DDLPS Patients With 1L Treatment at Index Date (Cohort 1)
n=275 Participants
Patients with unresectable locally advanced or metastatic differentiated liposarcoma (DDLPS) who received at least one line of systemic antineoplastic treatment by the end of cohort identification period (index date = start date of first line (1L) treatment).
DDLPS Patients Without 1L Treatment at Index Date (Cohort 2)
n=1115 Participants
Patients with DDLPS who have not initiated 1L systemic antineoplastic treatment by the end of cohort identification period (index date = date of initial DDLPS diagnosis during cohort identification period). Patients who initiated 1L treatment afterwards or patients who received adjuvant and/or neoadjuvant therapy only through follow-up were included in Cohort 2.
Cohort 1, Cohort 2: Number of Patients With Treatments Classified as Concurrent Steroid Therapy
1 Participants
1 Participants

SECONDARY outcome

Timeframe: At index date and during follow-up, up to 10 years

Population: All patients diagnosed with dedifferentiated liposarcoma (DDLPS) who met the inclusion criteria of having at least 2 documented clinical visits in National Anti-Tumor Drug Surveillance System (NATDSS) in China on or after January 1, 2013 and being age ≥18 years at initial diagnosis.

Number of patients who received treatments with drugs classified as concurrent immunosuppressant therapy for both cohorts is reported.

Outcome measures

Outcome measures
Measure
DDLPS Patients With 1L Treatment at Index Date (Cohort 1)
n=275 Participants
Patients with unresectable locally advanced or metastatic differentiated liposarcoma (DDLPS) who received at least one line of systemic antineoplastic treatment by the end of cohort identification period (index date = start date of first line (1L) treatment).
DDLPS Patients Without 1L Treatment at Index Date (Cohort 2)
n=1115 Participants
Patients with DDLPS who have not initiated 1L systemic antineoplastic treatment by the end of cohort identification period (index date = date of initial DDLPS diagnosis during cohort identification period). Patients who initiated 1L treatment afterwards or patients who received adjuvant and/or neoadjuvant therapy only through follow-up were included in Cohort 2.
Cohort 1, Cohort 2: Number of Patients With Treatments Classified as Concurrent Immunosuppressant Therapy
32 Participants
2 Participants

SECONDARY outcome

Timeframe: At index date and during follow-up, up to 10 years

Population: All patients diagnosed with dedifferentiated liposarcoma (DDLPS) who met the inclusion criteria of having at least 2 documented clinical visits in National Anti-Tumor Drug Surveillance System (NATDSS) in China on or after January 1, 2013 and being age ≥18 years at initial diagnosis.

Number of patients who received treatments with drugs classified as hormone replacement therapy for both cohorts is reported.

Outcome measures

Outcome measures
Measure
DDLPS Patients With 1L Treatment at Index Date (Cohort 1)
n=275 Participants
Patients with unresectable locally advanced or metastatic differentiated liposarcoma (DDLPS) who received at least one line of systemic antineoplastic treatment by the end of cohort identification period (index date = start date of first line (1L) treatment).
DDLPS Patients Without 1L Treatment at Index Date (Cohort 2)
n=1115 Participants
Patients with DDLPS who have not initiated 1L systemic antineoplastic treatment by the end of cohort identification period (index date = date of initial DDLPS diagnosis during cohort identification period). Patients who initiated 1L treatment afterwards or patients who received adjuvant and/or neoadjuvant therapy only through follow-up were included in Cohort 2.
Cohort 1, Cohort 2: Number of Patients With Treatments Classified as Hormone Replacement Therapy
10 Participants
0 Participants

Adverse Events

DDLPS Patients With 1L Treatment at Index Date (Cohort 1)

Serious events: 0 serious events
Other events: 0 other events
Deaths: 175 deaths

DDLPS Patients Without 1L Treatment at Index Date (Cohort 2)

Serious events: 0 serious events
Other events: 0 other events
Deaths: 423 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Boehringer Ingelheim, Call Center

Boehringer Ingelheim

Phone: 1-800-243-0127

Results disclosure agreements

  • Principal investigator is a sponsor employee Boehringer Ingelheim (BI) acknowledges that investigators have the right to publish the study results. Investigators shall provide BI with a copy of any publication or presentation for review prior to any submission. Such review will be done with regard to proprietary information, information related to patentable inventions, medical, scientific, and statistical accuracy within 60 days. BI may request a delay of the publication in order to protect BI's intellectual property rights.
  • Publication restrictions are in place

Restriction type: OTHER