Combination Therapy of Gemcitabine and Trabectedin in L-sarcomas

Heidelberg University

Status and phase

Completed

Phase 1

Conditions

Leiomyosarcoma

Liposarcoma

Treatments

Drug: Gemcitabine + Trabectedin

Study type

Interventional

Funder types

Other

Identifiers

NCT01426633

GISG-02

Details and patient eligibility

About

L-sarcomas represent about one third of all adult soft tissue sarcomas (24 % liposarcomas and 12 % leiomyosarcomas). Approval for the induction of trabectedin into the treatment armamentarium of advanced and/or metastatic soft tissue sarcomas after treatment failure with anthracyclines and/or ifosfamide depended mainly on its activity in the L-sarcomas (Garcia-Carbonero 2004, Le Cesne 2005, and Demetri 2009). Significant activity has been described for the use of gemcitabine and especially the combination of gemcitabine and docetaxel mainly in leiomyosarcomas and liposarcomas (Maki 2007). However, the combination of gemcitabine and docetaxel is associated with significant toxicity. Pulmonary toxicity and refractory peripheral oedema are the most common severe adverse events. The aim of the present phase I study will be to examine safety data of this promising treatment combination of gemcitabine and trabectedin in L-sarcomas.

Enrollment

5 patients

Sex

All

Ages

18+ years old

Volunteers

No Healthy Volunteers

Inclusion criteria

Patients with histologically confirmed L-sarcomas (leiomyosarcoma and liposarcoma)
Measurable disease according to RECIST 1.1
Any treatment line except adjuvant setting: evidence of primary metastatic situation or disease progression within the last 6 months (based on RECIST 1.1) in computed tomography or magnetic resonance imaging
Any prior treatment possible
Age >= 18 years
WHO PS =< 1
Effective contraception during study medication and up to 3 months from treatment discontinuation
Signed informed consent form

Exclusion criteria

Surgical intervention < 4 weeks
Pregnancy or lactation
Known allergic reaction to trabectedin or gemcitabine or one of their components
The following laboratory values:

Absolute neutrophil count < 1.5 x 103/mm3 Platelets < 100.000/mm3 Hb < 9 g/dL Serum creatinine >= 2.5 mg/dl SGOT and/or SGPT and/or alkaline phosphatase and/or CPK > 2.5 x ULN Total bilirubin > 1 x ULN except in the case of Gilbert's syndrome

Participation in another study (four weeks before and during the study)
Prior malignancy apart from completely resected basal cell carcinoma of the skin or carcinoma in situ of the uterine cervix