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CompletedNCT01303094T-DISUpdated Mar 16, 2026

Continuing vs Intermittent Trabectedin in Patients With Advanced Soft Tissue Sarcoma

A Phase 2 interventional study of Trabectedin and Drug: holiday in Soft Tissue Sarcoma and Uterine Sarcoma, sponsored by Centre Oscar Lambret. Completed at 16 sites in France. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-03-16.

Sponsored by Centre Oscar Lambret · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
53
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

This randomization discontinuation trial will allow for concomitant evaluation of the following:

  • Side effects and benefits of immediate continuation of Trabectedin after the sixth cycle
  • Side effects and benefits of a drug holiday
Read the detailed description

Selection part (220 patients):

Trabectedin (depending on dose reductions : between 1.5 and 1 mg/m²/3 weeks; over 24 hour administration) until progression, intolerance or 6 cycles (according to the SPC of Trabectedin)

Randomized part (50 patients):

After the 6 first cycles, if there is not progression or unacceptable toxicity, the patients will be randomly assigned to continuous or "intermittent/holiday" therapy with CT-scan evaluation every 6 weeks in both arms

  • Arm A Continuation of Trabectedin (between 1.5 and 1 mg/m²/3 weeks; over 24 hour administration) until progression or intolerance
  • Arm B "Intermittent/holiday" therapy. Rechallenge of Trabectedin will be implemented in the event of progression; in this case administration of Trabectedin will occur until the second progression or intolerance
02

Conditions studied

  • Soft Tissue Sarcoma
  • Uterine Sarcoma

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03

In context

Sarcoma

1,667 studies on the registry are indexed under Sarcoma; 393 are open to participants now.

This study's enrollment of 53 is above the median of 40 across 1,283 interventional studies indexed under Sarcoma.

Browse Sarcoma studies →

Lead sponsor

Centre Oscar Lambret is the lead sponsor of 127 studies on the registry; 13 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Eligibility criteria

Inclusion Criteria (for the selection part):

  • Inoperable or metastatic soft tissue sarcoma and/or uterine sarcoma
  • Measurable lesions (RECIST 1.1)
  • Performance status ≤ 2
  • Age ≥ 18
  • Normal hematological parameters (polynuclear neutrophils ≥ 1500, hemoglobin level ≥ 9 g/dl, platelets counts ≥ 100,000)
  • Adequate biological parameters :
  • Adequate hepatic function (bilirubin ≤ ULN , SGPT/ALT and SGOT/AST ≤ 2.5 x ULN)
  • Alkaline phosphatases ≤ 2.5 x ULN, If Alkaline phosphatases ≥ 2.5 ULN, hepatic isoenzymes 5-nucleotidases or GGT tests must be performed; hepatic isoenzymes 5- nucleotidases and/or GGT must be within the normal range
  • Albumin ≥ 25 g/L
  • Adequate renal function : Serum creatinine ≤ 1.5 x ULN
  • Creatine phosphokinase ≤ 2.5 x ULN
  • Adequate central venous access
  • Pregnant or lactating women or men of reproductive potential must use effective contraceptive methods
  • Patient covered by government health insurance
  • Information sheet given to the patient (Patient information sheet 1)

Exclusion Criteria (for the selection part):

  • Patients that have received more than one regimen of chemotherapy for metastatic or inoperable soft tissue or uterine sarcoma, after the failure/intolerance of doxorubicin and ifosfamide. Maintenance treatment does not count as treatment line
  • The following histological subtypes : GIST, rhabdomyosarcoma, aggressive fibromatosis, desmoïd tumour, PNET, carcinosarcoma, and all bone sarcomas
  • Single tumour in an irradiated region
  • Other malignant tumour over the past five years (except basal cell carcinoma or cervical carcinoma in situ adequately treated)
  • Currently active bacterial or fungus infection (> grade 2 CTC [CTCAE] Version 4.02). Known HIV1, HIV2, hepatitis B or hepatitis C infections
  • Presence of known leptomeningeal or brain metastasis
  • Patients unable to receive corticotherapy
  • Any circumstance that could jeopardise compliance or proper follow-up during the trial
  • Pregnant or nursing women

Inclusion Criteria (for the randomized part):

  • Patient registered in the selection part
  • Stable tumour or objective response (CR + PR) after 6 Trabectedin (Yondelis®) cycles, according to local assessment
  • Available copies of thoraco-abdominal and pelvic scan performed prior to the first cycle and after the sixth cycle
  • Performance status ≤ 2
  • Patients receiving at least 1 mg/m²/3 weeks of Trabectedin at the time of the sixth cycle
  • Normal hematological parameters (polynuclear neutrophils ≥ 1500, hemoglobin level ≥ 9 g/dl, platelets counts ≥ 100,000)
  • Adequate biological parameters :
  • Adequate hepatic function (bilirubin ≤ ULN , SGPT/ALT and SGOT/AST ≤ 2.5 x ULN)
  • Alkaline phosphatases ≤ 2.5 x ULN, If Alkaline phosphatases ≥ 2.5 ULN, hepatic isoenzymes 5-nucleotidases or GGT tests must be performed; hepatic isoenzymes 5- nucleotidases and/or GGT must be within the normal range
  • Albumin ≥ 25 g/L
  • Adequate renal function : Serum creatinine ≤ 1.5 x ULN
  • Creatine phosphokinase (CPK) ≤ 2.5 x ULN
  • Adequate central venous access
  • Pregnant or lactating women or men of reproductive potential must use effective contraceptive methods
  • Informed consent form signed by the patient or the patient's legal representative (patient information sheet 2 and informed consent)

Exclusion Criteria (for the randomized part):

  • Tumour progression (according to RECIST 1.1) during the first six Yondelis cycles
  • Non-availability of baseline scans prior to the first cycle and following the sixth cycle
  • Currently active bacterial or fungus infection (> grade 2 CTC [CTCAE] Version 4.02). Known HIV1, HIV2, hepatitis B or hepatitis C infections
  • Presence of known leptomeningeal or brain metastasis
  • Creatinine clearance less than 30 ml/min
  • Patients unable to receive corticotherapy
  • Any circumstance that could jeopardise compliance or proper follow-up during the trial
  • Pregnant or nursing women
  • Hypersensitivity to Trabectedin or any excipient in prior cycles
05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
53 participants (actual)

Study arms

  • Other
    Continuation of Trabectedin

    patient receives 6 cycles of trabectedin, then one dose 15 days after the 6th cycle, every 3 weeks until progression/ toxicity

    Drug: Trabectedin

  • Other
    "Drug holiday" therapy

    patient receives 6 cycles of trabectedin, then one dose 15 days after the 6th cycle and he stops the drug until progression and re-challenge

    Other: Drug: holiday

Interventions

  • DrugTrabectedin

    Trabectedin will be administered without drug holiday in Arm A until unacceptable toxicity, progressive disease or patient decision. The treatment beyond disease progression and in case of intolerance will be decided according to investigator discretion. In case of progression after drug discontinuation by patient decision, a re-challenge of Trabectedin is possible.

    Also known as: Yondelis

  • OtherDrug: holiday

    A drug-holiday will start after the 6th cycle until disease progression, and then Trabectedin will be re-challenged. Trabectedin will be administered until unacceptable toxicity, second evidence of progressive disease or patient decision.

    Also known as: No drug

06

What researchers measure

Primary outcomes

  1. PFS rate 24 weeks after randomization

    In each arms among non progressive patients after the 6 first cycles of Trabectedin : occurrence of progression or death 24 weeks after the date of randomization. Intention to treat analysis. Centralised radiological review.

    Time frame: 24 weeks after randomization

Secondary outcomes

  1. Response rate

    stabilisation, complete and partial responses according to RECIST 1.1

    Time frame: 6, 12 and 18 weeks after randomization

  2. Progression free survival rates

    According to RECIST 1.1

    Time frame: 12 and 54 weeks after randomization

  3. Survival rates

    Time frame: 12 and 24 months after randomization

  4. Median progression-free and median overall survivals

    Time frame: Up to 5 years after randomization

  5. Tolerability - safety

    According to NCI-CTC V4.0 scale

    Time frame: Up to 30 days after the last study drg administration

  6. Clinical and biological predictive factors for non progression at the 6th cycle

    Collected data at baseline : age, gender, comorbidity, disease history, previous treatment, tumor description, biological parameters

    Time frame: At baseline

  7. Post-randomization cost of care

    Cost of care will be evaluated by macro-costing approach

    Time frame: For one year after randomization

  8. Self estimation of general health status

    Evaluation every 6 weeks by 100-mm-long horizontal visual analog scale (VAS) that ranged from worst imaginable health (as bad as death, 0) to perfect health

    Time frame: For 1 year after randomization

07

Study locations

16 sites
  • Saint-Jacques Hospital
    Besançon, 25 000, France
  • Institut Bergonié
    Bordeaux, 33076, France
  • Centre François Baclesse
    Caen, 14076, France
  • Centre Jean Perrin
    Clermont-Ferrand, 63011, France
  • Centre Georges François Leclerc
    Dijon, 21079, France
  • Centre Oscar Lambret
    Lille, 59020, France
  • Léon Bérard Center
    Lyon, 69 008, France
  • Centre Léon Bérard
    Lyon, 69008, France
  • Paoli Calmette Institute
    Marseille, 13 273, France
  • CHU Timone Adultes
    Marseille, 13385, France
  • Centre Antoine Lacassagne
    Nice, 06189, France
  • Institut Curie
    Paris, 75005, France
  • Centre Henri Becquerel
    Rouen, 76038, France
  • Centre René Huguenin
    Saint-Cloud, 92210, France
  • Institut Claudius Regaud
    Toulouse, 31052, France
  • Institut Gustave Roussy
    Villejuif, 94805, France
08

References and documents

Publications

  • Le Cesne A, Blay JY, Domont J, Tresch-Bruneel E, Chevreau C, Bertucci F, Delcambre C, Saada-Bouzid E, Piperno-Neumann S, Bay JO, Mir O, Ray-Coquard I, Ryckewaert T, Valentin T, Isambert N, Italiano A, Clisant S, Penel N. Interruption versus continuation of trabectedin in patients with soft-tissue sarcoma (T-DIS): a randomised phase 2 trial. Lancet Oncol. 2015 Mar;16(3):312-9. doi: 10.1016/S1470-2045(15)70031-8. Epub 2015 Feb 11. PubMed 25680558 ↗

Individual participant data

Plan to share: No

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 16, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT01303094
Lead sponsor
Centre Oscar Lambret
Collaborators
French Sarcoma Group, Study Group of Bone Tumors
Responsible party
Sponsor
First posted
Feb 24, 2011
Start date
Feb 2011
Primary completion
May 16, 2018
Completion
Aug 9, 2018
Last update
Mar 16, 2026

Study contacts

Nicolas PENEL, MD, PhD
principal investigator · Centre Oscar Lambret

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Mar 2026. You cannot join it, but the record below documents what was studied.

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