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
- Contact Person Email
- richard.schlenk@nct-heidelberg.de
- 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
- Contact Person Email
- m.sparber@klinikum-stuttgart.de
- 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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