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A Study of Pazopanib and Durvalumab for Metastatic Soft Tissue Sarcoma

Primary Purpose

Sarcoma

Status
Completed
Phase
Phase 2
Locations
Korea, Republic of
Study Type
Interventional
Intervention
Durvalumab, pazopanib
Sponsored by
Yonsei University
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Sarcoma

Eligibility Criteria

19 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  1. Histologically confirmed STS progression to 1 or 2 prior chemotherapy
  2. Age > 18 years at time of study entry.
  3. Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1
  4. Measurable disease by Response Evaluation Criteria in Solid Tumors Version 1.1
  5. Body weight >30kg
  6. Adequate laboratory findings
  7. Evidence of post-menopausal status or negative urinary or serum pregnancy test for female pre-menopausal patients.
  8. Patient is willing and able to comply with the protocol for the duration of the study
  9. Must have a life expectancy of at least 12 weeks
  10. Capable of giving signed informed consent which includes compliance with the requirements and restrictions listed in the informed consent form (ICF) and in this protocol.
  11. Patients with evidence of portal hypertension (including splenomegaly detected radiographically) or any prior history of variceal bleeding must have had endoscopic evaluation within the 3 months immediately prior to enrollment, and the findings do not represent a high bleeding risk.

Exclusion Criteria:

  1. More than 4 prior cytotoxic regimens
  2. Participation in another clinical study with an investigational product during the last 2 weeks
  3. Receipt of the last dose of anticancer therapy 14 days prior to the first dose of study drug
  4. Any previous treatment with a PD1 or PD-L1 inhibitor (including durvalumab) and/or pazopanib
  5. Mean QT interval corrected for heart rate (QTc) >480 ms calculated from 3 electrocardiograms (ECGs) using Fridericia's Correction
  6. Any unresolved toxicity NCI CTCAE Grade ≥2 from previous anticancer therapy with the exception of alopecia, vitiligo, and the laboratory values defined in the inclusion criteria
  7. Any concurrent chemotherapy, biologic, or hormonal therapy for cancer treatment within 2 weeks prior to entering the study. Concurrent use of hormonal therapy for non-cancer-related conditions (e.g., hormone replacement therapy) is acceptable
  8. Radiotherapy treatment to more than 30% of the bone marrow or with a wide field of radiation within 4 weeks of the first dose of study drug
  9. Major surgical procedure (as defined by the Investigator) within 28 days prior to the first dose of IP.
  10. History of allogenic organ transplantation.
  11. Active or prior documented autoimmune or inflammatory disorders
  12. Uncontrolled intercurrent illness
  13. History of active infection
  14. History of another primary malignancy
  15. History of leptomeningeal carcinomatosis who are neurologically unstable or have required active treatment
  16. Receipt of live attenuated vaccine within 30 days prior to the first dose of investigational product(IP).
  17. Female patients who are pregnant or breastfeeding or male or female patients of reproductive potential who are not willing to employ effective birth control from screening to 90 days after the last dose.
  18. Known allergy or hypersensitivity to any of the study drugs or any of the study drug excipients.
  19. No history of any of the following in the past 6 months: cardiac angioplasty or stenting, myocardial infarction, unstable angina, coronary artery bypass graft surgery, symptomatic peripheral vascular disease class III or IV congestive heart failure, as defined by the New York Heart Association), thromboembolic events

Sites / Locations

  • Severance Hospital, Yonsei University Health System

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

durvalumab+pazopanib

Arm Description

Durvalumab 1500mg IV 1hr q3weeks Pazopanib 800mg QD PO q3wwks

Outcomes

Primary Outcome Measures

Objective Response Rate
antitumor efficacy of durvalumab and pazopanib

Secondary Outcome Measures

Full Information

First Posted
January 7, 2019
Last Updated
June 8, 2023
Sponsor
Yonsei University
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1. Study Identification

Unique Protocol Identification Number
NCT03798106
Brief Title
A Study of Pazopanib and Durvalumab for Metastatic Soft Tissue Sarcoma
Official Title
A Phase II Trial of Pazopanib and Durvalumab for Metastatic Soft Tissue Sarcoma
Study Type
Interventional

2. Study Status

Record Verification Date
June 2023
Overall Recruitment Status
Completed
Study Start Date
April 10, 2019 (Actual)
Primary Completion Date
August 10, 2022 (Actual)
Study Completion Date
August 10, 2022 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Yonsei University

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No

5. Study Description

Brief Summary
Pazopanib is an angiogenesis inhibitor targeting VEGFR-1, -2, and -3; PDGFR-α and -β; and the receptor c-Kit, and is indicated for the treatment of subjects with advanced renal cell carcinoma (RCC) and advanced STS. For this orphan tumor, STS, PD-L1 targeting may be a promising strategy and favorable toxicity may warrant further combination.
Detailed Description
Pazopanib is an angiogenesis inhibitor targeting VEGFR-1, -2, and -3; PDGFR-α and -β; and the receptor c-Kit, and is indicated for the treatment of subjects with advanced renal cell carcinoma (RCC) and advanced STS. Pro-angiogenic factors suppress various immune functions whereas antiangiogenic agents have potential to modulate the tumor microenvironment and improve immunotherapy. An analysis of patients with RCC treated with pazopanib demonstrated that elevated expression of PD-L1 correlates with shorter PFS. Investigator also identified 43% of PD-L1 expression in STS and PD-L1 expression had worse overall survival (5-year survival rate: 48% in PD-L1 positive vs. 68% in PD-L1 negative, p=0.015). In detail, PD-L1 expression was reported 52.6% in synovial sarcoma, 37.6% in rhabdomyosarcoma, and 100% in epithelioid sarcoma. For this orphan tumor, STS, PD-L1 targeting may be a promising strategy and favorable toxicity may warrant further combination.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Sarcoma

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
46 (Actual)

8. Arms, Groups, and Interventions

Arm Title
durvalumab+pazopanib
Arm Type
Experimental
Arm Description
Durvalumab 1500mg IV 1hr q3weeks Pazopanib 800mg QD PO q3wwks
Intervention Type
Drug
Intervention Name(s)
Durvalumab, pazopanib
Intervention Description
Durvalumab 1500mg IV 1hr q3weeks Pazopanib 800mg QD PO q3wwks
Primary Outcome Measure Information:
Title
Objective Response Rate
Description
antitumor efficacy of durvalumab and pazopanib
Time Frame
12 weeks

10. Eligibility

Sex
All
Minimum Age & Unit of Time
19 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Histologically confirmed STS progression to 1 or 2 prior chemotherapy Age > 18 years at time of study entry. Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1 Measurable disease by Response Evaluation Criteria in Solid Tumors Version 1.1 Body weight >30kg Adequate laboratory findings Evidence of post-menopausal status or negative urinary or serum pregnancy test for female pre-menopausal patients. Patient is willing and able to comply with the protocol for the duration of the study Must have a life expectancy of at least 12 weeks Capable of giving signed informed consent which includes compliance with the requirements and restrictions listed in the informed consent form (ICF) and in this protocol. Patients with evidence of portal hypertension (including splenomegaly detected radiographically) or any prior history of variceal bleeding must have had endoscopic evaluation within the 3 months immediately prior to enrollment, and the findings do not represent a high bleeding risk. Exclusion Criteria: More than 4 prior cytotoxic regimens Participation in another clinical study with an investigational product during the last 2 weeks Receipt of the last dose of anticancer therapy 14 days prior to the first dose of study drug Any previous treatment with a PD1 or PD-L1 inhibitor (including durvalumab) and/or pazopanib Mean QT interval corrected for heart rate (QTc) >480 ms calculated from 3 electrocardiograms (ECGs) using Fridericia's Correction Any unresolved toxicity NCI CTCAE Grade ≥2 from previous anticancer therapy with the exception of alopecia, vitiligo, and the laboratory values defined in the inclusion criteria Any concurrent chemotherapy, biologic, or hormonal therapy for cancer treatment within 2 weeks prior to entering the study. Concurrent use of hormonal therapy for non-cancer-related conditions (e.g., hormone replacement therapy) is acceptable Radiotherapy treatment to more than 30% of the bone marrow or with a wide field of radiation within 4 weeks of the first dose of study drug Major surgical procedure (as defined by the Investigator) within 28 days prior to the first dose of IP. History of allogenic organ transplantation. Active or prior documented autoimmune or inflammatory disorders Uncontrolled intercurrent illness History of active infection History of another primary malignancy History of leptomeningeal carcinomatosis who are neurologically unstable or have required active treatment Receipt of live attenuated vaccine within 30 days prior to the first dose of investigational product(IP). Female patients who are pregnant or breastfeeding or male or female patients of reproductive potential who are not willing to employ effective birth control from screening to 90 days after the last dose. Known allergy or hypersensitivity to any of the study drugs or any of the study drug excipients. No history of any of the following in the past 6 months: cardiac angioplasty or stenting, myocardial infarction, unstable angina, coronary artery bypass graft surgery, symptomatic peripheral vascular disease class III or IV congestive heart failure, as defined by the New York Heart Association), thromboembolic events
Facility Information:
Facility Name
Severance Hospital, Yonsei University Health System
City
Seoul
ZIP/Postal Code
03722
Country
Korea, Republic of

12. IPD Sharing Statement

Plan to Share IPD
No

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A Study of Pazopanib and Durvalumab for Metastatic Soft Tissue Sarcoma

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