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Trial details imported from ClinicalTrials.gov

For full trial details, please see the original record at https://clinicaltrials.gov/show/NCT00642941




Registration number
NCT00642941
Ethics application status
Date submitted
19/03/2008
Date registered
25/03/2008
Date last updated
4/04/2017

Titles & IDs
Public title
A Study of R1507 in Participants With Recurrent or Refractory Sarcoma
Scientific title
A Phase II Trial of R1507, a Recombinant Human Monoclonal Antibody to the Insulin-Like Growth Factor-1 Receptor for the Treatment of Participants With Recurrent or Refractory Ewing's Sarcoma, Osteosarcoma, Synovial Sarcoma, Rhabdomyosarcoma and Other Sarcomas.
Secondary ID [1] 0 0
SARC011
Secondary ID [2] 0 0
NO21157
Universal Trial Number (UTN)
Trial acronym
Linked study record

Health condition
Health condition(s) or problem(s) studied:
Sarcoma 0 0
Condition category
Condition code
Cancer 0 0 0 0
Sarcoma (also see 'Bone') - soft tissue
Cancer 0 0 0 0
Bone

Intervention/exposure
Study type
Interventional
Description of intervention(s) / exposure
Treatment: Drugs - RG1507

Experimental: Cohort 1: Ewing's Sarcoma Primary Cohort - Participants 2 years of age and older with recurrent or refractory sarcoma receive R1507 as 9 mg/kg via IV infusion once weekly until disease progression, intercurrent illness, unacceptable toxicity, prolonged (2-week) time off treatment, withdrawal, loss to follow-up, investigator decision, or death. Cohort 1 includes individuals with Ewing's sarcoma who have relapsed within 24 weeks after diagnosis and have received two or more prior chemotherapy regimens.

Experimental: Cohort 2: Ewing's Sarcoma Secondary Cohort - Participants 2 years of age and older with recurrent or refractory sarcoma receive R1507 as 9 mg/kg via IV infusion once weekly until disease progression, intercurrent illness, unacceptable toxicity, prolonged (2-week) time off treatment, withdrawal, loss to follow-up, investigator decision, or death. Cohort 2 includes individuals with Ewing's sarcoma who have relapsed more than 24 weeks after diagnosis and have only received one prior chemotherapy regimen.

Experimental: Cohort 3: Ewing's Sarcoma Expanded Cohort - Participants 2 to 21 years of age with recurrent or refractory sarcoma receive R1507 as 27 mg/kg via IV infusion every 3 weeks until disease progression, intercurrent illness, unacceptable toxicity, prolonged (2-week) time off treatment, withdrawal, loss to follow-up, investigator decision, or death. Cohort 3 includes individuals with Ewing's sarcoma who were enrolled and treated following safety evaluation in other cohorts.

Experimental: Cohort 4: Osteosarcoma - Participants 2 years of age and older with recurrent or refractory sarcoma receive R1507 as 9 mg/kg via IV infusion once weekly until disease progression, intercurrent illness, unacceptable toxicity, prolonged (2-week) time off treatment, withdrawal, loss to follow-up, investigator decision, or death. Cohort 4 includes individuals with osteosarcoma.

Experimental: Cohort 5: Synovial Sarcoma - Participants 2 years of age and older with recurrent or refractory sarcoma receive R1507 as 9 mg/kg via IV infusion once weekly until disease progression, intercurrent illness, unacceptable toxicity, prolonged (2-week) time off treatment, withdrawal, loss to follow-up, investigator decision, or death. Cohort 5 includes individuals with synovial sarcoma.

Experimental: Cohort 6: Rhabdomyosarcoma - Participants 2 years of age and older with recurrent or refractory sarcoma receive R1507 as 9 mg/kg via IV infusion once weekly until disease progression, intercurrent illness, unacceptable toxicity, prolonged (2-week) time off treatment, withdrawal, loss to follow-up, investigator decision, or death. Cohort 6 includes individuals with rhabdomyosarcoma.

Experimental: Cohort 7a: Alveolar Soft Part Sarcoma - Participants 2 years of age and older with recurrent or refractory sarcoma receive R1507 as 9 mg/kg via IV infusion once weekly until disease progression, intercurrent illness, unacceptable toxicity, prolonged (2-week) time off treatment, withdrawal, loss to follow-up, investigator decision, or death. Cohort 7a includes individuals with alveolar soft part sarcoma.

Experimental: Cohort 7b: Desmoplastic Small Round Cell Tumors. - Participants 2 years of age and older with recurrent or refractory sarcoma receive R1507 as 9 mg/kg via IV infusion once weekly until disease progression, intercurrent illness, unacceptable toxicity, prolonged (2-week) time off treatment, withdrawal, loss to follow-up, investigator decision, or death. Cohort 7b includes individuals with desmoplastic small round cell tumors.

Experimental: Cohort 7c: Extraskeletal Myxoid Chondrosarcoma - Participants 2 years of age and older with recurrent or refractory sarcoma receive R1507 as 9 mg/kg via IV infusion once weekly until disease progression, intercurrent illness, unacceptable toxicity, prolonged (2-week) time off treatment, withdrawal, loss to follow-up, investigator decision, or death. Cohort 7c includes individuals with extraskeletal myxoid chondrosarcoma.

Experimental: Cohort 7d: Clear Cell Sarcoma - Participants 2 years of age and older with recurrent or refractory sarcoma receive R1507 as 9 mg/kg via IV infusion once weekly until disease progression, intercurrent illness, unacceptable toxicity, prolonged (2-week) time off treatment, withdrawal, loss to follow-up, investigator decision, or death. Cohort 7d includes individuals with clear cell sarcoma.

Experimental: Cohort 7e: Myxoid Liposarcoma - Participants 2 years of age and older with recurrent or refractory sarcoma receive R1507 as 9 mg/kg via IV infusion once weekly until disease progression, intercurrent illness, unacceptable toxicity, prolonged (2-week) time off treatment, withdrawal, loss to follow-up, investigator decision, or death. Cohort 7e includes individuals with myxoid liposarcoma.

Experimental: Cohort 8: Diagnosis Not Specified - Participants 2 years of age and older with recurrent or refractory sarcoma receive R1507 as 9 mg/kg via IV infusion once weekly until disease progression, intercurrent illness, unacceptable toxicity, prolonged (2-week) time off treatment, withdrawal, loss to follow-up, investigator decision, or death. Cohort 8 includes individuals with subtypes of sarcoma not specified in the protocol.


Treatment: Drugs: RG1507
Participants will receive R1507 IV infusion as 9 mg/kg once weekly or 27 mg/kg every 3 weeks, depending upon the cohort in which the participants are enrolled.

Intervention code [1] 0 0
Treatment: Drugs
Comparator / control treatment
Control group

Outcomes
Primary outcome [1] 0 0
Percentage of Participants with Complete or Partial Response, According to World Health Organization (WHO) Criteria in Cohorts 2 to 8
Timepoint [1] 0 0
Baseline up to 6 years (assessed at baseline, every 6 weeks for 24 weeks, then every 12 weeks until disease progression)
Primary outcome [2] 0 0
Progression-Free Survival (PFS) According to WHO Response Criteria at 18 weeks from Start of R2607 Treatment in Cohort 1
Timepoint [2] 0 0
Baseline up to 18 weeks (assessed at baseline, every 6 weeks until disease progression)
Primary outcome [3] 0 0
Percentage of Participants with Adverse Events (AEs) in Cohort 1 and 2
Timepoint [3] 0 0
Baseline up to 6 years
Secondary outcome [1] 0 0
Duration of Response (DOR) According to WHO Response Criteria in Cohorts 2 to 8
Timepoint [1] 0 0
Baseline, every 6 weeks for 24 weeks, then every 12 weeks until disease progression (up to 6 years)
Secondary outcome [2] 0 0
Time to Progression (TTP) According to WHO Response Criteria in Cohorts 2 to 8
Timepoint [2] 0 0
Baseline, every 6 weeks for 24 weeks, then every 12 weeks until disease progression (up to 6 years)
Secondary outcome [3] 0 0
Failure-Free Survival (FFS) According to WHO Response Criteria in Cohorts 2 to 8
Timepoint [3] 0 0
Baseline, every 6 weeks for 24 weeks, then every 12 weeks until disease progression (up to 6 years)
Secondary outcome [4] 0 0
Overall Survival (OS) in Cohorts 2 to 8
Timepoint [4] 0 0
Baseline until death (up to 6 years)
Secondary outcome [5] 0 0
PFS According to WHO Response Criteria at 18 Weeks from Start of R1507 Treatment in Cohorts 2 to 8
Timepoint [5] 0 0
Baseline, every 6 weeks until disease progression (up to 18 weeks)
Secondary outcome [6] 0 0
PFS According to WHO Response Criteria in Cohorts 2 to 8
Timepoint [6] 0 0
Baseline, every 6 weeks for 24 weeks, then every 12 weeks until disease progression (up to 6 years)
Secondary outcome [7] 0 0
Percentage of Participants with Complete or Partial Response According to WHO Response Criteria in Cohort 1
Timepoint [7] 0 0
Baseline, every 6 weeks for 24 weeks, then every 12 weeks until disease progression (up to 6 years)
Secondary outcome [8] 0 0
TTP According to WHO Response Criteria in Cohort 1
Timepoint [8] 0 0
Baseline, every 6 weeks for 24 weeks, then every 12 weeks until disease progression (up to 6 years)
Secondary outcome [9] 0 0
FFS According to WHO Response Criteria in Cohort 1
Timepoint [9] 0 0
Baseline, every 6 weeks for 24 weeks, then every 12 weeks until disease progression (up to 6 years)
Secondary outcome [10] 0 0
DOR According to WHO Response Criteria in Cohort 1
Timepoint [10] 0 0
Baseline, every 6 weeks for 24 weeks, then every 12 weeks until disease progression (up to 6 years)
Secondary outcome [11] 0 0
PFS According to WHO Response Criteria in Cohort 1
Timepoint [11] 0 0
Baseline, every 6 weeks for 24 weeks, then every 12 weeks until disease progression (up to 6 years)
Secondary outcome [12] 0 0
OS in Cohort 1
Timepoint [12] 0 0
Baseline until death (up to 6 years)
Secondary outcome [13] 0 0
Percentage of participants with AEs in all Cohorts
Timepoint [13] 0 0
Baseline up to 6 years
Secondary outcome [14] 0 0
Pharmacokinetics: Area Under the Concentration-Time Curve (AUC) of R1507
Timepoint [14] 0 0
Predose (0 hours [h]), end of 60-90 minutes infusion (EOI), postdose (2, 24, 72-96 h) in Week 1; predose (0 h) and EOI in Weeks 2, 4, 6, 9; predose (0 h), EOI, postdose (48 h) in Week 12; predose (0 h) in Week 13, at final visit (up to 6 years)
Secondary outcome [15] 0 0
Pharmacokinetics: Clearance (CL) of R1507
Timepoint [15] 0 0
Predose (0 h), EOI (infusion over 60-90 minutes), postdose (2, 24, 72-96 h) in Week 1; predose (0 h) and EOI in Weeks 2, 4, 6, 9; predose (0 h), EOI, postdose (48 h) in Week 12; predose (0 h) in Week 13, at final visit (up to 6 years)

Eligibility
Key inclusion criteria
- progressive, recurrent or refractory Ewing's sarcoma, or recurrent or refractory
osteosarcoma, synovial sarcoma, rhabdomyosarcoma, or other sarcomas of the following
sub-types: alveolar soft part sarcoma, desmoplastic small round cell tumor,
extraskeletal myxoid chondrosarcoma, clear cell sarcoma and myxoid liposarcoma;

- Cohort 3 only: age must be >= 2 and <= 21 years
Minimum age
2 Years
Maximum age
No limit
Gender
Both males and females
Can healthy volunteers participate?
No
Key exclusion criteria
- clinically significant unrelated systemic illness which would compromise the
participant's ability to tolerate the investigational agent, or interfere with the
study procedures or results;

- known hypersensitivity to any of the components of R1507 or prior hypersensitivity
reactions to monoclonal antibodies;

- treatment (within the past 2 weeks) with pharmacologic doses of corticosteroids or
other immunosuppressive agents;

- current or prior therapy with insulin-like growth factor (IGF) inhibitor (monoclonal
or specific kinase inhibitor);

- history of solid organ transplant;

- other malignant disease diagnosed within the previous 5 years, excluding
intra-epithelial cervical neoplasia or non-melanoma skin cancer;

- active central nervous system disease

Study design
Purpose of the study
Treatment
Allocation to intervention
Non-randomised trial
Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Masking / blinding
Open (masking not used)
Who is / are masked / blinded?



Intervention assignment
Parallel
Other design features
Phase
Phase 2
Type of endpoint(s)
Statistical methods / analysis

Recruitment
Recruitment status
Completed
Data analysis
Reason for early stopping/withdrawal
Other reasons
Date of first participant enrolment
Anticipated
Actual
Date of last participant enrolment
Anticipated
Actual
Date of last data collection
Anticipated
Actual
Sample size
Target
Accrual to date
Final
Recruitment in Australia
Recruitment state(s)
VIC
Recruitment hospital [1] 0 0
Peter Maccallum Cancer Institute; Medical Oncology - Melbourne
Recruitment postcode(s) [1] 0 0
3000 - Melbourne
Recruitment outside Australia
Country [1] 0 0
United States of America
State/province [1] 0 0
California
Country [2] 0 0
United States of America
State/province [2] 0 0
District of Columbia
Country [3] 0 0
United States of America
State/province [3] 0 0
Idaho
Country [4] 0 0
United States of America
State/province [4] 0 0
Maryland
Country [5] 0 0
United States of America
State/province [5] 0 0
Massachusetts
Country [6] 0 0
United States of America
State/province [6] 0 0
Michigan
Country [7] 0 0
United States of America
State/province [7] 0 0
Nebraska
Country [8] 0 0
United States of America
State/province [8] 0 0
New York
Country [9] 0 0
United States of America
State/province [9] 0 0
North Carolina
Country [10] 0 0
United States of America
State/province [10] 0 0
Oregon
Country [11] 0 0
United States of America
State/province [11] 0 0
Pennsylvania
Country [12] 0 0
United States of America
State/province [12] 0 0
Texas
Country [13] 0 0
United States of America
State/province [13] 0 0
Utah
Country [14] 0 0
Canada
State/province [14] 0 0
British Columbia
Country [15] 0 0
France
State/province [15] 0 0
Bordeaux
Country [16] 0 0
France
State/province [16] 0 0
Lille
Country [17] 0 0
France
State/province [17] 0 0
Lyon
Country [18] 0 0
France
State/province [18] 0 0
Paris
Country [19] 0 0
France
State/province [19] 0 0
Villejuif
Country [20] 0 0
Germany
State/province [20] 0 0
Bad Saarow
Country [21] 0 0
Germany
State/province [21] 0 0
Mannheim
Country [22] 0 0
Germany
State/province [22] 0 0
Münster
Country [23] 0 0
Germany
State/province [23] 0 0
Tübingen
Country [24] 0 0
Italy
State/province [24] 0 0
Emilia-Romagna
Country [25] 0 0
Italy
State/province [25] 0 0
Lombardia
Country [26] 0 0
Netherlands
State/province [26] 0 0
Rotterdam
Country [27] 0 0
Norway
State/province [27] 0 0
Oslo
Country [28] 0 0
Spain
State/province [28] 0 0
Barcelona
Country [29] 0 0
Sweden
State/province [29] 0 0
Lund
Country [30] 0 0
United Kingdom
State/province [30] 0 0
London
Country [31] 0 0
United Kingdom
State/province [31] 0 0
Manchester

Funding & Sponsors
Primary sponsor type
Commercial sector/Industry
Name
Hoffmann-La Roche
Address
Country
Other collaborator category [1] 0 0
Other
Name [1] 0 0
Sarcoma Alliance for Research through Collaboration
Address [1] 0 0
Country [1] 0 0

Ethics approval
Ethics application status

Summary
Brief summary
This study will evaluate the efficacy and safety of R1507 in participants with recurrent or
refractory sarcoma. Eight cohorts of sarcoma participants will be studied in parallel. Cohort
1: Ewing's sarcoma primary cohort defined as participants who have relapsed less than or
equal to (<=) 24 months from diagnosis, received at least two prior chemotherapy programs and
are unresectable. Cohort 2: Ewing's sarcoma non-primary (secondary) cohort defined as
participants who have relapsed greater than or equal to (>=) 24 months from diagnosis or have
only received one prior chemotherapy program. Cohort 3: Expanded Ewing's sarcoma defined as
participants with recurrent or relapse regardless of prior number of salvage regimens and
regardless of time of relapse. Cohort 4: participants with osteosarcoma. Cohort 5:
Participants with synovial sarcoma. Cohort 6: Participants with rhabdomyosarcoma Cohort 7:
Participants with alveolar soft part sarcoma (7a), desmoplastic small round cell tumors (7b),
extraskeletal myxoid chondrosarcoma (7c), clear cell sarcoma (7d), myxoid liposarcoma (7e).
Cohort 8: Participants with unspecified sarcoma diagnosis. Participants in the expanded
Ewing's sarcoma Cohort 3 will receive 27 milligrams (mg)/kilogram (kg) every 3 weeks
intravenously (IV). All other participants will receive R1507 9 mg/kg IV weekly. The
anticipated time on study treatment is until disease progression or unacceptable adverse
events, withdrawal or death.
Trial website
https://clinicaltrials.gov/show/NCT00642941
Trial related presentations / publications
Public notes

Contacts
Principal investigator
Name 0 0
Clinical Trials
Address 0 0
Hoffmann-La Roche
Country 0 0
Phone 0 0
Fax 0 0
Email 0 0
Contact person for public queries
Name 0 0
Address 0 0
Country 0 0
Phone 0 0
Fax 0 0
Email 0 0
Contact person for scientific queries

Summary results
Other publications