Phase I/II multicenter and prospective trial of nilotinib and adriamycin as neoadjuvant treatment in liposarcomas and leiomyosarcomas of retroperitoneum. The main objective of this study is to improve relapse-free survival (RFS)and overall survival (OS) decreasing from 50% to 30% the relapse percentage at 5 years in patients with resected sarcoma of retroperitoneum. Secondary objectives include the analysis of antitumoral activity through response rate (RECIST and tissular changes), the assessment of positive correlation between biomarkers and clinical results, the study of long term overall survival, and the analysis of the safety profile of the nilotinib-adriamycin combination. The trial hypothesis is that the nilotinib-adriamycin combination is synergistic and therefore better response results are expected (from 20% as P0 to 40% as P1). The study seeks to find a positive correlation between biomarkers and clinical results in retroperitoneal liposarcoma and leiomyosarcoma treated with the mentioned combination. The study involves the participation of 20 hospitals of the Spanish Sarcoma Group (GEIS). The treatment consists of 4 neoadjuvant cycles of nilotinib-adriamycin on patients with resectable retroperitoneal sarcoma. The research comprises a robust translational study as well as histological and radiological reviews.
The nilotinib-adriamycin combination will be given in 4 cycles of 21 days. In each cycle, nilotinib will be administered at fixed dose of 400 mg/12h orally during 6 consecutive days (1-6) and endovenous adriamycin (20 minutes) on day 5 at three levels (in phase I, dosage of 60 mg/m2, 65 mg/m2, and 75 mg/m2 will be tested to determine the recommended dose for phase II). Phase I includes patients with retroperitoneal liposarcoma, retroperitoneal leiomyosarcoma and chondrosarcoma. Phase II is focused on retroperitoneal liposarcoma and leiomyosarcoma only.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
40
The nilotinib-adriamycin combination will be given in 4 cycles of 21 days. In each cycle, nilotinib will be administered at fixed dose of 400 mg/12h orally during 6 consecutive days (1-6) and endovenous adriamycin (20 minutes) on day 5 at three levels (in phase I, dosage of 60 mg/m2, 65 mg/m2, and 75 mg/m2 will be tested to determine the recommended dose for phase II).
Hospital Universitari Son Espases
Palma de Mallorca, Balearic Islands, Spain
RECRUITINGHospital Infanta Cristina
Badajoz, Spain
RECRUITINGHospital Universitari Germans Trials i Pujol
Badalona, Spain
RECRUITINGHospital de la Santa Creu i Sant Pau
Barcelona, Spain
RECRUITINGHospital Universitari Vall d'Hebron
Barcelona, Spain
RECRUITINGHospital Provincial de Castellón
Castellon, Spain
RECRUITINGComplejo Asistencial Universitario de León
León, Spain
RECRUITINGHospital Puerta de Hierro
Madrid, Spain
RECRUITINGHospital Universitario La Paz
Madrid, Spain
RECRUITINGHospital Universitario Ramón y Cajal
Madrid, Spain
RECRUITING...and 10 more locations
Relapse-free survival (RFS) at 5 years
The main goal of the study is to improve relapse-free survival (RFS) and overall survival (OS) decreasing from 50% to 30% the percentage of relapse at 5 years in patients with resected retroperitoneal sarcoma.
Time frame: 5 years
Objective response rate (ORR) (confirmed complete response [CR] and partial response [PR])
To determine the objective response rate (ORR) (confirmed complete response \[CR\] and partial response \[PR\]) using RECIST 1.1 criteria
Time frame: Baseline and at 4 months
Overall survival (OS)
Overall survival measured from treatment start date until date of death, whichever the cause, assessed up to 100 months
Time frame: 100 months
Number of adverse events
Number and type of adverse events according to CTCAE 4.0
Time frame: 4 months
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