Metastatic Bone Sarcomas, Metastatic Soft-Tissue Sarcomas
Conditions
Brief summary
The purpose of this study is to determine whether maintenance therapy with oral AP23573 (ridaforolimus), by preventing and controlling tumor growth for a prolonged period of time in patients with metastatic soft-tissue or bone sarcomas responding to chemotherapy, will result in clinically significant improvement in progression-free survival as compared to oral placebo.
Interventions
Four 10 mg tablets taken by mouth for 5 days per week continuously
Four 10 mg tablets taken by mouth for 5 days per week continuously
Sponsors
Study design
Eligibility
Inclusion criteria
* Confirmed diagnosis of metastatic soft-tissue or bone sarcoma * Ongoing complete response, partial response, or stable disease (RECIST) after a minimum of 4 cycles (and maximum of 12 months) of any one first, second, or third line of prior cytotoxic chemotherapy for metastatic disease * Eastern Cooperative Oncology Group performance status of 0 or 1 * Adequate organ and bone marrow function * Completed prior chemotherapy with last dose received at least 3 and up to 12 weeks prior to randomization
Exclusion criteria
* Prior therapy with rapamycin or rapamycin analogs * Ongoing toxicity associated with prior anticancer therapy * Another primary malignancy within the past three years * Concomitant medications that induce or inhibit CYP3A * Significant, uncontrolled cardiovascular disease
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Progression-free Survival | Up to 157 weeks after randomization |
Secondary
| Measure | Time frame |
|---|---|
| Overall survival: First Analysis | Up to 157 weeks after randomization |
| Best Target Lesion Response (RECIST) | Up to 157 weeks after randomization |
| Overall Survival: Updated Analysis as of 30 April 2011 | Up to 184 weeks after randomization |
| Overall Survival: Updated Analysis as of 21 January 2012 | Up to 222 weeks after randomization |
| Safety and tolerability | Up to 157 weeks after randomization |