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A Study of Olaratumab (IMC-3G3) in Prostate Cancer

A Randomized Phase 2 Study of Human Anti-PDGFRα Monoclonal Antibody IMC-3G3 Plus Mitoxantrone Plus Prednisone or Mitoxantrone Plus Prednisone in Metastatic Castration-Refractory Prostate Cancer Following Disease Progression or Intolerance on Docetaxel-based Chemotherapy

Status
Completed
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT01204710
Enrollment
123
Registered
2010-09-17
Start date
2010-10-31
Completion date
2013-10-31
Last updated
2019-09-20

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Prostate Cancer

Keywords

Prostate Cancer

Brief summary

This is a study evaluating the safety and efficacy of the monoclonal antibody olaratumab plus mitoxantrone plus prednisone compared to mitoxantrone plus prednisone in metastatic castration-refractory prostate cancer following disease progression or intolerance on docetaxel-based chemotherapy.

Interventions

BIOLOGICALOlaratumab

15 milligrams per kilogram (mg/kg) intravenous (IV) Days 1 and 8

DRUGMitoxantrone

Mitoxantrone 12 milligrams per square meter (mg/m²) IV Day 1 Mitoxantrone is to be administered for up to 12 cycles (total cumulative dose of mitoxantrone is restricted to ≤144 mg/m²)

DRUGPrednisone

5 mg orally (PO) twice daily (BID) on each day

Sponsors

Eli Lilly and Company
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
MALE
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

* histologically-confirmed adenocarcinoma of the prostate * radiographic evidence of metastatic prostate cancer (Stage M1 or D2) * has prostate cancer unresponsive or refractory to medical or surgical castration with a serum testosterone level of \<50 nanograms per milliliter (ng/mL) * has had disease progression or intolerance on docetaxel-based therapy * prostate-specific antigen (PSA) ≥10 ng/mL * all clinically significant toxic effects of prior surgery, radiotherapy, chemotherapy or hormonal therapy have resolved to ≤Grade 1, based on National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE) version (v) 4.02 * participant has an Eastern Cooperative Oncology Group (ECOG) Performance Status 0-2 * adequate hematologic function * adequate hepatic function * adequate renal function * urinary protein is ≤1 on dipstick or routine analysis * life expectancy of more than 3 months * fertile man with partners that are women of childbearing potential must use an adequate method of contraception during the study * signed Informed Consent Document

Exclusion criteria

* concurrent active malignancy other than adequately treated nonmelanomatous skin cancer or other noninvasive or in situ neoplasms * The participant has received more than 1 prior cytotoxic chemotherapy regimen for metastatic disease * prior therapy with mitoxantrone for advanced prostate cancer * The participant has a history of symptomatic congestive heart failure or has a pre study echocardiogram or multigated acquisition scan with left ventricular ejection fraction that is ≥10% below the lower limit of normal institutional range * history of prior treatment with other agents that directly inhibit platelet-derived growth factor (PDGF) or platelet-derived growth factor receptors (PDGFR) * known allergy to any of the treatment components: olaratumab, mitoxantrone, and/or prednisone * radiotherapy within 21 days prior to first dose of olaratumab * any investigational therapy within 30 days of randomization * is receiving corticosteroids at a dose \>5 mg prednisone PO BID or equivalent * received prior strontium-89, rhenium-186, rhenium-188, or samarium-153 radionucleotide therapy and has either ongoing evidence of bone marrow dysfunction or poorly controlled bone pain * has any ongoing or active infection, symptomatic congestive heart failure, unstable angina pectoris, serious cardiac arrhythmia, psychiatric illness, active bleeding or pathological condition that carries a high risk of bleeding, or any other serious uncontrolled medical disorders * known or suspected brain or leptomeningeal metastases * known human immunodeficiency virus infection or acquired immunodeficiency syndrome-related illness

Design outcomes

Primary

MeasureTime frameDescription
Progression-Free Survival (PFS)Randomization to Measured PD or Death Due to Any Cause Up to 23 MonthsPFS is measured from randomization to the earliest date of the following events: PD according to Response Evaluation Criteria In Solid Tumors (RECIST) criteria version (v) 1.1, is a ≥20% increase in the sum of diameter of the target lesions taking as reference the smallest sum on study and an absolute increase in the sum diameter of ≥5 millimeter (mm), the appearance of 1 or more new lesions and/or unequivocal progression of existing nontarget lesions, unequivocal evidence of progression by bone scan, clinical progression or death from any cause. For participants who had no documented PD or death or had started new anti-cancer therapy or were lost to follow-up, PFS was censored at their last tumor assessment.

Secondary

MeasureTime frameDescription
Overall Survival (OS)Randomization to Death Due to Any Cause Up to 36 MonthsOS was defined as the time from the date of randomization to the date of death from any cause. If the participants were alive at the end of the follow-up period or were lost to follow-up, OS time was censored on the last date the participant was known to be alive.
Percentage of Participants Who Achieved a Best Overall Response of Complete Response (CR) or Partial Response (PR) [Objective Response Rate (ORR)]Randomization to Objective PD or Death Up to 23 MonthsBest response is categorized using the RECIST v1.1 guidelines. CR is the disappearance of all non-nodal target lesions, with the short axes of any target lymph nodes reduced to \<10 mm. PR is a ≥30% decrease in the sum of the diameters of target lesions (including the short axes of any target lymph nodes), taking as reference the pretreatment sum diameter. Percentage of participants = (number of participants who had CR or PR) / (number of participants treated) \* 100.
Percentage of Participants With a ≥50% Decrease in Prostate Specific Androgen (PSA) From Pretreatment to Any TimePretreatment to PD Up to 23 MonthsDecrease in PSA ≥50% from pretreatment required confirmation no less than 3 weeks after the initial suggestion of response and occurring prior to documentation of PD. Percentage of participants = (number of participants who had ≥50% decrease in PSA at any time) / (number of participants treated) \* 100.
Percentage of Participants With a ≥30% Decrease in PSA From Pretreatment to Week 12Pretreatment through Week 12Percentage of participants = (number of participants who had ≥30% decrease in PSA at Week 12) / (number of participants treated) \* 100.
Summary Listing of Participants Reporting Treatment-Emergent Adverse Events (TEAE)From Start of Treatment Through Study Completion Up to 36 monthsData presented are the number of participants who experienced serious adverse events (SAEs) and other nonserious adverse events (AEs). For participants in mitoxantrone group who had PD and chose optional IMC-3G3 follow-on treatment, the baseline was defined as the last assessment prior to the start of the olaratumab treatment. A summary of SAEs and other nonserious AEs, regardless of causality, is located in the Reported Adverse Events section.
PFS Based on Baseline Circulating Tumor Cells (CTC) CountsRandomization to Measured PD or Death Due to Any Cause Up to 23 MonthsHigh expression (HE) of CTC was defined as having CTC counts ≥5 cells/7.5 milliliter (mL) and low expression (LE) of CTC was defined as having CTC counts \<5 cells/7.5 mL. PFS is measured from randomization to the earliest date of the following events: PD according to RECIST criteria v. 1.1, is a ≥20% increase in the sum diameter of the target lesions taking as reference the smallest sum on study and an absolute increase in the sum diameter of ≥5 mm, the appearance of 1 or more new lesions and/or unequivocal progression of existing nontarget lesions, unequivocal evidence of progression by bone scan, clinical progression or death from any cause.
OS Based on Baseline CTC CountsRandomization to Death Due to Any Cause Up to 36 MonthsHE of CTC was defined as having CTC counts ≥5 cells/7.5 mL and LE of CTC was defined as having CTC counts \<5 cells/7.5 mL. OS was defined as the time from the date of randomization to the date of death from any cause.
Number of Participants With Negative Platelet-Derived Growth Factor Receptor Alpha (PDGFRα) Protein Expression by Immunohistochemistry (IHC)BaselinePDGFRα protein expression (pretreatment) by IHC was assessed in tumor cells, and was provided as a dichotomous variable with positive and negative expression. Positive corresponds to weak intensity membranous staining comprising greater than 30% of the tumor and/or moderate to strong intensity membranous staining comprising greater than 5% of the tumor. Negative corresponds to staining that does not meet these requirements.
Percentage of Participants With Anti-Olaratumab Antibody Assessment (Immunogenicity)From Start of Treatment up to 9 MonthsParticipants with Treatment Emergent (TE) anti-olaratumab antibodies were participants with a 4-fold increase (2 dilutions) increase over a positive baseline antibody titer or for a negative baseline titer, a participant with an increase from the baseline to a level of 1:20.
Maximum Concentration (Cmax) of Olaratumab Cycles 1, 2 and 3Day 1 of Cycles 1, 2 and 3, and Day 8 of Cycles 1 and 3 (21-day cycle)

Other

MeasureTime frame
Number of Participants Who Died During StudyFrom Start of Treatment through Study Completion up to 36 Months

Countries

Belgium, Czechia, Germany, Hungary, Italy, Poland, Spain

Participant flow

Pre-assignment details

A participant was considered to have completed the study if he or she experienced progressive disease (PD) or had died.

Participants by arm

ArmCount
Olaratumab + Mitoxantrone
15 mg/kg olaratumab was administered IV on Days 1 and 8 of each 21-day cycle, followed by 12 mg/m² mitoxantrone IV on Day 1 of each 21-day cycle with 5 mg prednisone PO BID on each day. Mitoxantrone was administered for up to 12 cycles (total cumulative dose of mitoxantrone was restricted to ≤144 mg/m²). After 12 cycles, participants continued to receive 15 mg/kg olaratumab IV on Days 1 and 8 of each 21-day cycle with 5 mg prednisone PO BID on each day until withdrawal criteria were met.
62
Mitoxantrone: Optional Olaratumab Monotherapy
12 mg/m² mitoxantrone was administered IV on Day 1 of each 21-day cycle with 5 mg prednisone PO BID on each day. Mitoxantrone was administered for up to 12 cycles (total cumulative dose of mitoxantrone is restricted to ≤144 mg/m²). Participants who experienced PD had the option to receive olaratumab monotherapy treatment. 15 mg/kg olaratumab was administered IV on Days 1 and 8 of each 21-day cycle with 5 mg prednisone PO BID on each day. Participants received treatment until withdrawal criteria were met.
59
Total121

Withdrawals & dropouts

PeriodReasonFG000FG001
Optional Olaratumab MonotherapyOlaratumab Intolerance01
Optional Olaratumab MonotherapyPhysician Decision01
Optional Olaratumab MonotherapyWithdrawal by Subject01
Randomization TreatmentAdverse Event42
Randomization TreatmentEntry criteria not met01
Randomization TreatmentLost to Follow-up10
Randomization TreatmentMoved and Followed for Survival01
Randomization TreatmentPhysician Decision32
Randomization TreatmentSponsor Decision01
Randomization TreatmentWithdrawal by Subject65
Randomization TreatmentWorsening of General condition01

Baseline characteristics

CharacteristicOlaratumab + MitoxantroneTotalMitoxantrone: Optional Olaratumab Monotherapy
Age, Categorical
<=18 years
0 Participants0 Participants0 Participants
Age, Categorical
>=65 years
42 Participants86 Participants44 Participants
Age, Categorical
Between 18 and 65 years
20 Participants35 Participants15 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
2 Participants5 Participants3 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
60 Participants116 Participants56 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants0 Participants0 Participants
Race (NIH/OMB)
Asian
0 Participants0 Participants0 Participants
Race (NIH/OMB)
Black or African American
0 Participants0 Participants0 Participants
Race (NIH/OMB)
More than one race
0 Participants1 Participants1 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants0 Participants0 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants
Race (NIH/OMB)
White
62 Participants120 Participants58 Participants
Region of Enrollment
Belgium
3 Participants5 Participants2 Participants
Region of Enrollment
Czechia
5 Participants7 Participants2 Participants
Region of Enrollment
Germany
15 Participants31 Participants16 Participants
Region of Enrollment
Hungary
6 Participants16 Participants10 Participants
Region of Enrollment
Italy
5 Participants16 Participants11 Participants
Region of Enrollment
Poland
11 Participants17 Participants6 Participants
Region of Enrollment
Spain
17 Participants29 Participants12 Participants
Sex: Female, Male
Female
0 Participants0 Participants0 Participants
Sex: Female, Male
Male
62 Participants121 Participants59 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
deaths
Total, all-cause mortality
— / —— / —— / —
other
Total, other adverse events
52 / 6251 / 5915 / 19
serious
Total, serious adverse events
26 / 6221 / 596 / 19

Outcome results

Primary

Progression-Free Survival (PFS)

PFS is measured from randomization to the earliest date of the following events: PD according to Response Evaluation Criteria In Solid Tumors (RECIST) criteria version (v) 1.1, is a ≥20% increase in the sum of diameter of the target lesions taking as reference the smallest sum on study and an absolute increase in the sum diameter of ≥5 millimeter (mm), the appearance of 1 or more new lesions and/or unequivocal progression of existing nontarget lesions, unequivocal evidence of progression by bone scan, clinical progression or death from any cause. For participants who had no documented PD or death or had started new anti-cancer therapy or were lost to follow-up, PFS was censored at their last tumor assessment.

Time frame: Randomization to Measured PD or Death Due to Any Cause Up to 23 Months

Population: All randomized participants who received ≥1 dose of study drug. The number of participants censored was 10 for olaratumab + mitoxantrone group and 5 for mitoxantrone group.

ArmMeasureValue (MEDIAN)
Olaratumab + MitoxantroneProgression-Free Survival (PFS)2.3 months
MitoxantroneProgression-Free Survival (PFS)2.4 months
p-value: 0.220195% CI: [0.87, 1.9]Log Rank
Secondary

Maximum Concentration (Cmax) of Olaratumab Cycles 1, 2 and 3

Time frame: Day 1 of Cycles 1, 2 and 3, and Day 8 of Cycles 1 and 3 (21-day cycle)

Population: Zero participants were analyzed. An insufficient amount of samples were collected to obtain this measure.

Secondary

Number of Participants With Negative Platelet-Derived Growth Factor Receptor Alpha (PDGFRα) Protein Expression by Immunohistochemistry (IHC)

PDGFRα protein expression (pretreatment) by IHC was assessed in tumor cells, and was provided as a dichotomous variable with positive and negative expression. Positive corresponds to weak intensity membranous staining comprising greater than 30% of the tumor and/or moderate to strong intensity membranous staining comprising greater than 5% of the tumor. Negative corresponds to staining that does not meet these requirements.

Time frame: Baseline

Population: All randomized participants who received at least 1 dose of study drug and provided tissue specimens from the initial diagnosis for PDGFRα protein expression analysis.

ArmMeasureValue (NUMBER)
Olaratumab + MitoxantroneNumber of Participants With Negative Platelet-Derived Growth Factor Receptor Alpha (PDGFRα) Protein Expression by Immunohistochemistry (IHC)14 participants
MitoxantroneNumber of Participants With Negative Platelet-Derived Growth Factor Receptor Alpha (PDGFRα) Protein Expression by Immunohistochemistry (IHC)9 participants
Secondary

OS Based on Baseline CTC Counts

HE of CTC was defined as having CTC counts ≥5 cells/7.5 mL and LE of CTC was defined as having CTC counts \<5 cells/7.5 mL. OS was defined as the time from the date of randomization to the date of death from any cause.

Time frame: Randomization to Death Due to Any Cause Up to 36 Months

Population: All randomized participants who had evaluable data for CTC counts at baseline. The CTC counts assessment across both arms, high and low expression, was pre-specified in the statistical analysis plan.

ArmMeasureValue (MEDIAN)
Olaratumab + MitoxantroneOS Based on Baseline CTC Counts12.85 months
MitoxantroneOS Based on Baseline CTC Counts8.10 months
Mitoxantrone: Optional Olaratumab MonotherapyOS Based on Baseline CTC Counts16.49 months
Mitoxantrone (LE)OS Based on Baseline CTC Counts23.00 months
Secondary

Overall Survival (OS)

OS was defined as the time from the date of randomization to the date of death from any cause. If the participants were alive at the end of the follow-up period or were lost to follow-up, OS time was censored on the last date the participant was known to be alive.

Time frame: Randomization to Death Due to Any Cause Up to 36 Months

Population: All randomized participants who received ≥1 dose of study drug. The number of participants censored was 12 for olaratumab + mitoxantrone group and 13 for mitoxantrone group.

ArmMeasureValue (MEDIAN)
Olaratumab + MitoxantroneOverall Survival (OS)14.2 months
MitoxantroneOverall Survival (OS)12.8 months
p-value: 0.729195% CI: [0.72, 1.61]Log Rank
Secondary

Percentage of Participants Who Achieved a Best Overall Response of Complete Response (CR) or Partial Response (PR) [Objective Response Rate (ORR)]

Best response is categorized using the RECIST v1.1 guidelines. CR is the disappearance of all non-nodal target lesions, with the short axes of any target lymph nodes reduced to \<10 mm. PR is a ≥30% decrease in the sum of the diameters of target lesions (including the short axes of any target lymph nodes), taking as reference the pretreatment sum diameter. Percentage of participants = (number of participants who had CR or PR) / (number of participants treated) \* 100.

Time frame: Randomization to Objective PD or Death Up to 23 Months

Population: All randomized participants who received at least ≥1 dose of study drug and had measurable disease.

ArmMeasureValue (NUMBER)
Olaratumab + MitoxantronePercentage of Participants Who Achieved a Best Overall Response of Complete Response (CR) or Partial Response (PR) [Objective Response Rate (ORR)]10.0 percentage of participants
MitoxantronePercentage of Participants Who Achieved a Best Overall Response of Complete Response (CR) or Partial Response (PR) [Objective Response Rate (ORR)]3.1 percentage of participants
p-value: 0.3465Fisher Exact
Secondary

Percentage of Participants With a ≥30% Decrease in PSA From Pretreatment to Week 12

Percentage of participants = (number of participants who had ≥30% decrease in PSA at Week 12) / (number of participants treated) \* 100.

Time frame: Pretreatment through Week 12

Population: All randomized participants who received ≥1 dose of study drug.

ArmMeasureValue (NUMBER)
Olaratumab + MitoxantronePercentage of Participants With a ≥30% Decrease in PSA From Pretreatment to Week 1222.6 percentage of participants
MitoxantronePercentage of Participants With a ≥30% Decrease in PSA From Pretreatment to Week 1216.9 percentage of participants
p-value: 0.4986Fisher Exact
Secondary

Percentage of Participants With a ≥50% Decrease in Prostate Specific Androgen (PSA) From Pretreatment to Any Time

Decrease in PSA ≥50% from pretreatment required confirmation no less than 3 weeks after the initial suggestion of response and occurring prior to documentation of PD. Percentage of participants = (number of participants who had ≥50% decrease in PSA at any time) / (number of participants treated) \* 100.

Time frame: Pretreatment to PD Up to 23 Months

Population: All randomized participants who received ≥1 dose of study drug.

ArmMeasureValue (NUMBER)
Olaratumab + MitoxantronePercentage of Participants With a ≥50% Decrease in Prostate Specific Androgen (PSA) From Pretreatment to Any Time22.6 percentage of participants
MitoxantronePercentage of Participants With a ≥50% Decrease in Prostate Specific Androgen (PSA) From Pretreatment to Any Time18.6 percentage of participants
p-value: 0.6571Fisher Exact
Secondary

Percentage of Participants With Anti-Olaratumab Antibody Assessment (Immunogenicity)

Participants with Treatment Emergent (TE) anti-olaratumab antibodies were participants with a 4-fold increase (2 dilutions) increase over a positive baseline antibody titer or for a negative baseline titer, a participant with an increase from the baseline to a level of 1:20.

Time frame: From Start of Treatment up to 9 Months

Population: All randomized participants who received ≥1 dose of study drug and had evaluable baseline and evaluable post-baseline antibody data. The participants analyzed under Mitoxantrone are those in control arm receiving subsequent optional olaratumab monotherapy.

ArmMeasureValue (NUMBER)
Olaratumab + MitoxantronePercentage of Participants With Anti-Olaratumab Antibody Assessment (Immunogenicity)3.8 percent of participants
MitoxantronePercentage of Participants With Anti-Olaratumab Antibody Assessment (Immunogenicity)0 percent of participants
Secondary

PFS Based on Baseline Circulating Tumor Cells (CTC) Counts

High expression (HE) of CTC was defined as having CTC counts ≥5 cells/7.5 milliliter (mL) and low expression (LE) of CTC was defined as having CTC counts \<5 cells/7.5 mL. PFS is measured from randomization to the earliest date of the following events: PD according to RECIST criteria v. 1.1, is a ≥20% increase in the sum diameter of the target lesions taking as reference the smallest sum on study and an absolute increase in the sum diameter of ≥5 mm, the appearance of 1 or more new lesions and/or unequivocal progression of existing nontarget lesions, unequivocal evidence of progression by bone scan, clinical progression or death from any cause.

Time frame: Randomization to Measured PD or Death Due to Any Cause Up to 23 Months

Population: All randomized participants who had evaluable data for CTC counts at baseline. The CTC counts assessment across both arms, high and low expression, was pre-specified in the statistical analysis plan.

ArmMeasureValue (MEDIAN)
Olaratumab + MitoxantronePFS Based on Baseline Circulating Tumor Cells (CTC) Counts2.32 months
MitoxantronePFS Based on Baseline Circulating Tumor Cells (CTC) Counts2.23 months
Mitoxantrone: Optional Olaratumab MonotherapyPFS Based on Baseline Circulating Tumor Cells (CTC) Counts2.38 months
Mitoxantrone (LE)PFS Based on Baseline Circulating Tumor Cells (CTC) Counts4.91 months
Secondary

Summary Listing of Participants Reporting Treatment-Emergent Adverse Events (TEAE)

Data presented are the number of participants who experienced serious adverse events (SAEs) and other nonserious adverse events (AEs). For participants in mitoxantrone group who had PD and chose optional IMC-3G3 follow-on treatment, the baseline was defined as the last assessment prior to the start of the olaratumab treatment. A summary of SAEs and other nonserious AEs, regardless of causality, is located in the Reported Adverse Events section.

Time frame: From Start of Treatment Through Study Completion Up to 36 months

Population: All randomized participants who received at least 1 dose of study drug.

ArmMeasureGroupValue (NUMBER)
Olaratumab + MitoxantroneSummary Listing of Participants Reporting Treatment-Emergent Adverse Events (TEAE)SAEs26 participants
Olaratumab + MitoxantroneSummary Listing of Participants Reporting Treatment-Emergent Adverse Events (TEAE)AEs52 participants
MitoxantroneSummary Listing of Participants Reporting Treatment-Emergent Adverse Events (TEAE)SAEs21 participants
MitoxantroneSummary Listing of Participants Reporting Treatment-Emergent Adverse Events (TEAE)AEs51 participants
Mitoxantrone: Optional Olaratumab MonotherapySummary Listing of Participants Reporting Treatment-Emergent Adverse Events (TEAE)SAEs6 participants
Mitoxantrone: Optional Olaratumab MonotherapySummary Listing of Participants Reporting Treatment-Emergent Adverse Events (TEAE)AEs15 participants
Other Pre-specified

Number of Participants Who Died During Study

Time frame: From Start of Treatment through Study Completion up to 36 Months

Population: All randomized participants who received at least 1 dose of study drug.

ArmMeasureGroupValue (NUMBER)
Olaratumab + MitoxantroneNumber of Participants Who Died During StudyDue to Other reasons3 participants
Olaratumab + MitoxantroneNumber of Participants Who Died During StudyDue to AEs4 participants
Olaratumab + MitoxantroneNumber of Participants Who Died During StudyDue to PD43 participants
MitoxantroneNumber of Participants Who Died During StudyDue to Other reasons2 participants
MitoxantroneNumber of Participants Who Died During StudyDue to PD27 participants
MitoxantroneNumber of Participants Who Died During StudyDue to AEs3 participants
Mitoxantrone: Optional Olaratumab MonotherapyNumber of Participants Who Died During StudyDue to AEs1 participants
Mitoxantrone: Optional Olaratumab MonotherapyNumber of Participants Who Died During StudyDue to PD12 participants
Mitoxantrone: Optional Olaratumab MonotherapyNumber of Participants Who Died During StudyDue to Other reasons1 participants

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026