Clinical trial • Phase II • Oncology

Pasireotide for Synovial sarcoma | Desmoplastic small round cell tumor

Phase II trial of Pasireotide for Synovial sarcoma | Desmoplastic small round cell tumor. 28 participants.

Overview

Trial Therapeutic Area
Oncology
Trial Disease
Synovial sarcoma | Desmoplastic small round cell tumor
Trial Stage
Phase II
Drug Modality
Peptide/protein/enzyme
Paediatric Trial
Yes
Orphan Drug
Yes

Key dates

Initial CTIS Submission Date
23-08-2024
First CTIS Authorization Date
12-11-2024

Trial design

Phase II trial across 4 sites in Germany.

Biomarker Stratified
True, biomarker: SSTR2/3/5 mRNA expression
Target Sample Size
28

Eligibility

Recruits 28 paediatric patients.

Pregnancy Exclusion
Pregnancy/lactation
Vulnerable Population
Adolescents are included (age 13-17). Vulnerable population flag selected. Consent/assent handled with age-specific subject information and informed consent forms: documents include L1_SIS and ICF_adolescents_public and L1_SIS and ICF_LegalGuardians_public for guardians, and L1_SIS and ICF_adults_public (also L1_SIS and ICF_adults_EN). Parental/guardian consent is required for minors alongside adolescent information/assent documents.

Inclusion criteria

  • {"criterion_text":"- Reference pathological proven diagnosis of DSRCT in any stage; or Reference pathological proven diagnosis of SySa, IRS III, metastatic or relapsed disease\n- High SSTR2/3/5 mRNA expression, as determined by RNA sequencing within DKFZ/NCT/DKTK MASTER program\n- Stable disease, partial or complete response after completion of standard treatment\n- Age from 13 to 50 years\n- Bodyweight ≥ 30 kg\n- Lansky-Index ≥ 80% in patients < 16 years of age and Karnofsky-Index ≥ 80% in patients ≥ 16 years of age (including adults).\n- No curative treatment option\n- Time from last chemotherapy (at least 2 chemotherapy cycles) to enrollment <8 weeks\n- For women of childbearing potential negative urine pregnancy test at screening as well as highly effective forms of contraception have to be in place thereafter\n- Female patients of childbearing potential and male patients with partners of childbearing potential who are sexually active must agree to the use of two forms of contraception in combination (male condom and one highly effective method). These should be started immediately after signing the informed consent form and continued throughout the period of study treatment plus 3 months for female and male patients. Male patients should refrain from fathering a child or donating sperm during the trial and for at least 3 months following the last dose.\n- Adequate bone marrow, renal, and hepatic function defined by laboratory tests within 14 days prior to study treatment (for details refer to protocol)"}

Exclusion criteria

  • {"criterion_text":"- History of hypersensitivity to the investigational medicinal product or to any drug with similar chemical structure or to any excipient present in the pharmaceutical form of the investigational medicinal product\n- Concurrent or previous treatment within 30 days in another interventional clinical trial / Participation in other ongoing clinical trials\n- Uncontrolled concurrent disease, in particular diabetes mellitus\n- Bleeding disorder\n- Therapeutic anticoagulation which cannot be paused temporarily in order to ensure safe intramuscular injection\n- Is taking or requiring any of the prohibited medication listed in 6.4.2\n- Heart rate at rest < 60/min\n- fasting glucose level > 110mg/dl\n- Severe neurologic or psychiatric disorder\n- Pregnancy/lactation\n- Prior treatment with somatostatin analog"}

Endpoints

Primary endpoints

  • {"endpoint_text":"- Progression free survival (PFS), measured from study registration to radiologically confirmed disease progression according to Response Evaluation Criteria In Solid Tumors (RECIST) version 1.1, or death from any cause, whichever occurs first (censoring of patients without an event at date of last follow-up)","definition_or_measurement_approach":"Measured from study registration to radiologically confirmed disease progression according to RECIST v1.1, or death from any cause; patients without an event are censored at date of last follow-up."}

Secondary endpoints

  • {"endpoint_text":"- Overall survival (OS), measured from study registration to death from any cause (censoring of patients without an event at date of last follow-up)","definition_or_measurement_approach":"Measured from study registration to death from any cause; patients without an event are censored at date of last follow-up."}

Recruitment

Planned Sample Size
28
Recruitment Window Months
48
Consent Approach
Informed consent obtained from adult participants. For adolescents, assent procedures plus parental/legal guardian consent are used. Specific subject information and informed consent forms exist for adults, adolescents and legal guardians (documents listed: L1_SIS and ICF_adults_public, L1_SIS and ICF_adolescents_public, L1_SIS and ICF_LegalGuardians_public). An English version for adults is available (L1_SIS and ICF_adults_EN).

Geography

Total Number Of Sites
4
Total Number Of Participants
28

Germany

Earliest CTIS Part Ii Submission Date
31-10-2024
Latest Decision Or Authorization Date
03-02-2025
Processing Time Days
95
Number Of Sites
4
Number Of Participants
28

Sites

Site Name
Universitaetsklinikum Heidelberg AöR
Department Name
National Center for Tumor Diseases (NCT)
Principal Investigator Name
Richard F. Schlenk
Principal Investigator Email
richard.schlenk@nct-heidelberg.de
Contact Person Name
Richard F. Schlenk
Site Name
Klinikum Der Landeshauptstadt Stuttgart gKAöR
Department Name
Tumorzentrum Eva-Mayr-Stihl
Principal Investigator Name
Dennis Hahn
Principal Investigator Email
d.hahn@klinikum-stuttgart.de
Contact Person Name
Dennis Hahn
Contact Person Email
d.hahn@klinikum-stuttgart.de
Site Name
Klinikum Der Landeshauptstadt Stuttgart gKAöR
Department Name
Zentrum für Kinder-, Jugend und Frauenmedizin Pädiatrie 5 (Onkologie, Hämatologie; Immunologie)
Principal Investigator Name
Monika Sparber Sauer
Principal Investigator Email
m.sparber@klinikum-stuttgart.de
Contact Person Name
Monika Sparber Sauer
Site Name
Universitaetsklinikum Essen AöR
Department Name
Pädiatrische Hämatologie und Onkologie
Principal Investigator Name
Uta Dirksen
Principal Investigator Email
Uta.Dirksen@uk-essen.de
Contact Person Name
Uta Dirksen
Contact Person Email
Uta.Dirksen@uk-essen.de

Sponsor

Primary sponsor

Full Name
Universitaetsklinikum Heidelberg AöR
Organisation Type
Hospital/Clinic/Other health care facility
Country Of Registered Address
Germany

Investigational products

Investigational Product Name
PASIREOTIDE
Active Substance
Pasireotide
Modality
Peptide/protein/enzyme
Routes Of Administration
Intramuscular
Route
Intramuscular
Orphan Designation
Yes
Frequency
monthly
Maximum Dose
60 mg (max daily); max total 2160 mg

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