A Safety Study Utilizing Yondelis and Doxorubicin in Patients With a Type of Cancer Called Soft Tissue Sarcoma

Overview[ - collapse ][ - ]

Purpose The purpose of the study is to determine the dose of the combination of trabectedin (Yondelis) and Doxorubicin for which neutropenia (low white blood cell counts) could be managed with filgrastim (a Granulocyte-Colony Stimulation Factor that is used to help control neutropenia) in patients with a type of cancer called soft tissue sarcoma.
ConditionSoft Tissue Sarcoma
Sarcoma
Neoplasms, Connective and Soft Tissue
Neoplasms by Histologic Type
Neoplasms
InterventionDrug: Doxorubicin
Drug: Trabectedin
Drug: Dexamethasone
PhasePhase 1
SponsorJohnson & Johnson Pharmaceutical Research & Development, L.L.C.
Responsible PartyJohnson & Johnson Pharmaceutical Research & Development, L.L.C.
ClinicalTrials.gov IdentifierNCT00102609
First ReceivedJanuary 31, 2005
Last UpdatedJanuary 9, 2013
Last verifiedJanuary 2013

Tracking Information[ + expand ][ + ]

First Received DateJanuary 31, 2005
Last Updated DateJanuary 9, 2013
Start DateApril 2005
Estimated Primary Completion DateOctober 2007
Current Primary Outcome MeasuresNumber of patients with adverse events as a measure of safety [Time Frame: Up to approximately 19 weeks (six 3-week treatment cycles+30 day safety follow up)] [Designated as safety issue: Yes]
Current Secondary Outcome Measures
  • The number of patients with clinically relevant changes in clinically laboratory tests [Time Frame: Up to approximately19 weeks (six 3-week treatment cycles+30 day safety follow up)] [Designated as safety issue: Yes]
  • Number of patients with neutropenia [Time Frame: Up to approximately19 weeks (six 3-week treatment cycles+30 day safety follow up)] [Designated as safety issue: Yes]
  • Plasma concentrations of trabectedin (Yondelis) [Time Frame: During the first 3 weeks of treatment] [Designated as safety issue: No]
  • Plasma concentrations of Doxorubicin [Time Frame: During the first 3 weeks of treatment] [Designated as safety issue: No]
  • Plasma concentrations of Doxorubicinol [Time Frame: During the first 3 weeks of treatment] [Designated as safety issue: No]

Descriptive Information[ + expand ][ + ]

Brief TitleA Safety Study Utilizing Yondelis and Doxorubicin in Patients With a Type of Cancer Called Soft Tissue Sarcoma
Official TitleA Phase I Study to Determine the Dose of the Combination of Yondelis and Doxorubicin for Which Neutropenia is Manageable With the Support of Granulocyte-Colony Stimulation Factor in Subjects With Recurrent or Persistent Soft Tissue Sarcoma
Brief Summary
The purpose of the study is to determine the dose of the combination of trabectedin
(Yondelis) and Doxorubicin for which neutropenia (low white blood cell counts) could be
managed with filgrastim (a Granulocyte-Colony Stimulation Factor that is used to help
control neutropenia) in patients with a type of cancer called soft tissue sarcoma.
Detailed Description
This is a multicenter, open-label (identity of the assigned study treatments will be known
to patients and study staff) study to determine the dose of the combination of trabectedin
(Yondelis) and Doxorubicin for which the neutropenia (low white blood cell counts) is
manageable with the use of filgrastim (an agent used to manage neutropenia) and associated
with clinically acceptable number of side effects severe enough to continuation of treatment
in patients with recurrent or persistent soft tissue sarcoma (STS, a malignant tumor that
attacks the body's infrastructure of fat, muscles, nerves, joints, blood vessels, or deep
skin tissues). Patients will be enrolled in the study after all study-specific entry
criteria are met and informed consent is obtained. Patients will be required to attend
regular clinic visits to receive study medication and have their status monitored. A
detailed explanation can be provided by the study physician (Investigator) conducting this
study. Doxorubicin (50 to 75 mg/m2) will be given as a 10-15 minute intravenous (i.v.)
infusion on Day 1 via a central venous catheter which is a tube placed into a large vein.
Trabectedin (0.9 to 1.3 mg/m2) will be given as a 3 hour i.v. infusion, immediately
following the administration of doxorubicin. Dexamethasone 20 mg will be given within 1 hour
before the start of each doxorubicin i.v. infusion and filgrastim will be administered
according to manufacturer's instructions.
Study TypeInterventional
Study PhasePhase 1
Study DesignEndpoint Classification: Safety/Efficacy Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Treatment
Condition
  • Soft Tissue Sarcoma
  • Sarcoma
  • Neoplasms, Connective and Soft Tissue
  • Neoplasms by Histologic Type
  • Neoplasms
InterventionDrug: Doxorubicin
Doxorubicin 50 to 75 mg/m2 administered intravenously on Day 1
Drug: Trabectedin
Trabectedin 0.9 to 1.3 mg/m2 administered intravenously on Day 1 every 3 weeks for up to 6 cycles
Drug: Dexamethasone
Dexamethasone 20 mg administered intravenously within 1 hour before the start of doxorubicin
Study Arm (s)Experimental: Trabectedin and doxorubicin
Doxorubicin (50 to 75 mg/m2) administered intravenously on Day 1 followed by trabectedin (0.9 to 1.3 mg/m2) administered intravenously on Day 1 every 3 weeks for up to 6 cycles. Dexamethasone 20 mg administered intravenously will be given within 1 hour before the start of doxorubicin. Patients may receive filgrastim for unmanageable neutropenia.

Recruitment Information[ + expand ][ + ]

Recruitment StatusCompleted
Estimated Enrollment41
Estimated Completion DateOctober 2007
Estimated Primary Completion DateNot Provided
Eligibility Criteria
Inclusion Criteria:

- Have a diagnosis of soft tissue sarcoma, recurrent or persistent

- Signed informed consent obtained for all patients before performing any study-related
procedures

Exclusion Criteria:

- Patients treated with more than 1 prior chemotherapy regimen (including adjuvant (or
other additional) therapy)

- Previous exposure to anthracyclines (a class of drugs used in cancer chemotherapy,
example is Doxorubicin) or trabectedin

- Less than 4 weeks since radiation therapy

- Known metastases (spread) of cancer to the central nervous system

- Other ongoing serious illness present at the time of enrollment as determined by the
Investigator
GenderBoth
Ages18 Years
Accepts Healthy VolunteersNo
ContactsNot Provided
Location CountriesNot Provided

Administrative Information[ + expand ][ + ]

NCT Number NCT00102609
Other Study ID NumbersCR003250
Has Data Monitoring CommitteeNo
Information Provided ByJohnson & Johnson Pharmaceutical Research & Development, L.L.C.
Study SponsorJohnson & Johnson Pharmaceutical Research & Development, L.L.C.
CollaboratorsPharmaMar
PharmaMar S.A.U.
Investigators Study Director: Johnson & Johnson Pharmaceutical Research and Development, LLC Clinical Trial Johnson & Johnson Pharmaceutical Research and Development, LLC
Verification DateJanuary 2013