In this study, patients with soft tissue sarcoma (STS) will receive ADI-PEG 20 and ifosfamide in combination with radiation as neoadjuvant therapy. In phase I of the study, up to 5 dose levels will be tested to find the recommended phase II dose (RP2D), after which patients enrolling to phase II will be treated at that dose level to assess efficacy.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
6
ADI-PEG 20 will be given on an outpatient basis at a dose of 36 mg/m\^2 via intramuscular injection into either the deltoid or gluteal muscle.
Ifosfamide will be administered intravenously per package insert and institutional practice on Days 1 through 5 of all 3 cycles.
Radiotherapy will begin on C2D1 and will continue as per institutional practice.
Washington University School of Medicine
St Louis, Missouri, United States
Treatment-related serious adverse event (SAE) rate
An adverse event is considered serious if, in the view of the investigator, it results in any of the following: * Death * A life threatening adverse event * Inpatient hospitalization or prolongation of existing hospitalization * A persistent or significant incapacity or substantial disruption of the ability to conduct normal life functions * A congenital anomaly/birth defect * Any other important medical event that does not fit the criteria above but, based upon appropriate medical judgment, may jeopardize the subject and may require medical or surgical intervention to prevent one of the outcomes listed above
Time frame: From start of study treatment through 30 days from end of neoadjuvant treatment (estimated to be 14 weeks)
Recommended Phase II dose (Phase I only)
The MTD is defined as the highest dose level at which no more than 1 out of 6 patients experienced DLT at the end of Cycle 2. Dose escalations will proceed until the MTD has been reached or until Dose Level 3, and this dose level will then be defined as the Recommended Phase 2 Dose (RP2D).
Time frame: From start of study treatment through 2 cycles of treatment (estimated to be 7 weeks)
Percent necrosis in final surgical specimen
Defined as the proportion of patients with a necrosis in the final surgical specimen.
Time frame: At time of surgical resection (estimated to be 16 weeks)
Pathologic complete response (pCR) in final surgical specimen
Defined as the proportion of patients with a pCR confirmed in the final surgical specimen.
Time frame: At time of surgical resection (estimated to be 16 weeks)
Percent local failure (%LF)
Defined as the proportion of patients with a local failure, which is either local tumor recurrence or local tumor progression.
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.
Mesna will be administered for supportive care either intravenously or by mouth per package insert and institutional practice on Days 1 through 5 of all 3 cycles.
Time frame: At 2 years from surgical resection (estimated to be 120 weeks)
Disease free survival (DFS)
Defined as the time from start of treatment to time of recurrence or death, whichever occurs first.
Time frame: At 2 years from surgical resection (estimated to be 120 weeks)
Overall survival (OS)
Defined as the time from start of treatment to death from any cause.
Time frame: At 2 years from surgical resection (estimated to be 120 weeks)
Response rate per RECIST 1.1
Time frame: After completion of treatment but prior to surgery (estimated to be 10 weeks)