Patients With Metastatic or Relapsed Unresectable Uterine or Soft Tissue Leiomyosarcoma MedDRA version: 19.0 Level: PT Classification code 10024191 Term: Leiomyosarcoma metastatic System Organ Class: 10029104 - Neoplasms benign, malignant and unspecified (incl cysts and polyps) MedDRA version: 19.0 Level: PT Classification code 10046799 Term: Uterine leiomyosarcoma System Organ Class: 10029104 - Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Patients must have histologically confirmed diagnosis of metastatic or or relapsed, unresectable uterine or soft tissue leiomyosarcoma, reviewed in a reference center (among RREPS network), previously untreated with chemotherapy , and with available Formalin Fixed Paraffin Embedded (FFPE) blocks 2. At least one measurable lesion according to RECIST V 1.1 criteria. Target could be in a previously irradiated field but has to be progressive or a biopsy had to be positive before inclusion. 3. Age = 18 years old 4. ECOG performance status =65 years) yes F.1.3.1 Number of subjects for this age range 40
Exclusion criteria
Exclusion criteria: 1. All other histological types of uterine sarcomas or soft tissue sarcomas 2. Any contraindication for the use of trabectedin and/or doxorubicin (cardiac, renal, hepatic, known hypersensitivity…) 3. History of another type of cancer not in complete remission for more than 3 years prior to study entry (except for cutaneous basal cell carcinoma or in situ cervical epithelioma), and/or having required any chemotherapy treatment at any time. 4. Known cerebral metastasis 5. History of allograft or autograft 6. Active viral hepatitis or known human immunodeficiency virus (HIV) infection or any other uncontrolled infection
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: Determine and compare the progression-free survival (PFS) of patients treated in first line with doxorubicin alone or with the association of doxorubicin and trabectedin followed by trabectedin for non-progressive patients;Secondary Objective: Determine and compare for each arm : 1. Clinical benefice rate 2. Response rate 3. Duration of response 4. Toxicities. 5. Overall survival of patients 6. Progression-free survival in second line therapy (PFS2) after progression ;Primary end point(s): RECIST 1.1;Timepoint(s) of evaluation of this end point: At baseline, Every 6 weeks while on treatment period, Every 9 weeks while on maintenance period or follow up period. | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary end point(s): RECIST 1.1 NCI CTCAE Version 4;Timepoint(s) of evaluation of this end point: 1. 2. 3. At baseline and then every 6 weeks up to 6 cycles of treatment. 4. All along the study 5. All along the study until patient death (including long term follow-up) 6. All along the study until progression under second line therapy | — |
Countries
France
Contacts
GUSTAVE ROUSSY