ClinicalTrials.gg
CompletedNCT02048371Updated Nov 7, 2023Results posted

SARC024: A Blanket Protocol to Study Oral Regorafenib in Patients With Selected Sarcoma Subtypes

A Phase 2 interventional study of Regorafenib and Placebo in Liposarcoma, Osteogenic Sarcoma and Ewing/Ewing-like Sarcoma, sponsored by Sarcoma Alliance for Research through Collaboration. Completed at 18 sites in United States. Open to participants aged 5 Years and older. Per ClinicalTrials.gov, last updated 2023-11-07.

Sponsored by Sarcoma Alliance for Research through Collaboration · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
131
Allocation
Randomized
Ages
5 Years and older
Sex
All
01

Study summary

Although regorafenib was approved for use in patients who had progressive GIST despite imatinib and/or sunitinib on the basis of phase II and phase III data, it has not been examined in a systematic fashion in patients with other forms of sarcoma.

Given the activity of sorafenib, sunitinib and pazopanib in soft tissue sarcomas, and evidence of activity of sorafenib in osteogenic sarcoma and possibly Ewing/Ewing-like sarcoma, there is precedent to examine SMOKIs (small molecule oral kinase inhibitors) such as regorafenib in sarcomas other than GIST. It is also recognized that SMOKIs (small molecule oral kinase inhibitors)such as regorafenib, sorafenib, pazopanib, and sunitinib have overlapping panels of kinases that are inhibited simultaneously. While not equivalent, most of these SMOKIs (small molecule oral kinase inhibitors) block vascular endothelial growth factor and platelet derived growth factors receptors (VEGFRs and PDGFRs), speaking to a common mechanism of action of several of these agents.

Read the detailed description

Although regorafenib was approved for use in patients who had progressive GIST despite imatinib and/or sunitinib on the basis of phase II and phase III data, it has not been examined in a systematic fashion in patients with other forms of sarcoma.

Given the activity of sorafenib, sunitinib and pazopanib in soft tissue sarcomas, and evidence of activity of sorafenib in osteogenic sarcoma and possibly Ewing/Ewing-like sarcoma, there is precedent to examine SMOKIs (small molecule oral kinase inhibitors) such as regorafenib in sarcomas other than GIST. It is also recognized that SMOKIs (small molecule oral kinase inhibitors)such as regorafenib, sorafenib, pazopanib, and sunitinib have overlapping panels of kinases that are inhibited simultaneously. While not equivalent, most of these SMOKIs (small molecule oral kinase inhibitors) block vascular endothelial growth factor and platelet derived growth factors receptors (VEGFRs and PDGFRs), speaking to a common mechanism of action of several of these agents

02

Conditions studied

  • Liposarcoma
  • Osteogenic Sarcoma
  • Ewing/Ewing-like Sarcoma
  • Rhabdomyosarcoma
  • Mesenchymal Chondrosarcoma
03

In context

Liposarcoma

160 studies on the registry are indexed under Liposarcoma; 36 are open to participants now.

This study's enrollment of 131 is above the median of 52 across 136 interventional studies indexed under Liposarcoma.

Browse Liposarcoma studies →

Lead sponsor

Sarcoma Alliance for Research through Collaboration is the lead sponsor of 23 studies on the registry; 2 are open to participants now.

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

04

Who can participate

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

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Age ≥ 10 year for Liposarcoma, Osteosarcoma, Ewing sarcoma and Mesenchymal Chondrosarcoma; Age ≥ 5 years for Rhabdomyosarcoma cohorts
  • Weight ≥ 15 kg (33 lb)
  • Patients must have or cytologically confirmed advanced/ liposarcoma, osteogenic sarcoma, Ewing/Ewing-like sarcoma of soft tissue or bone, fusion-positive alveolar rhabdomyosarcoma or embryonal rhabdomyosarcoma/fusion-negative alveolar rhabdomyosarcoma , or mesenchymal chondrosarcoma
  • 0, 1 or 2. A maximum of 1/3 of patients in cohorts A \& B may be WHO performance status 2
  • At least one for the sarcoma diagnosis (, adjuvant or metastatic disease)
  • All acute toxic effects of any prior treatment have resolved to v 4.0 Grade 1 or less (except alopecia) at the time of signing the Form (ICF)
  • Subject must be able to swallow and retain oral medication
  • At least one site of on x-ray/CT/MRI scan as defined by 1.1
  • Adequate organ function within 14 days of registration
  • Written, voluntary informed consent
  • Fertile men and women of must agree to use an effective method of from Day 1 of study and for 3 months after last study drug administration in both sexes, as assessed by the investigator. Women of childbearing potential include pre-menopausal women and women within the first 2 years of the onset of menopause. Women of childbearing potential must have a negative pregnancy test less than or equal to seven days prior to Day 1 of study. The definition of adequate contraception will be based on the judgement of the investigator.
  • Evidence of progression of disease as defined by RECIST 1.1 (i.e. new disease sites or 20% growth of index lesions) within 6 months of registration
  • Patients with central nervous system disease are eligible for enrollment if they have received prior radiotherapy or surgery to sites of CNS (central nervous system) metastatic disease and are without evidence of clinical progression for at least 12 weeks after therapy

Exclusion criteria

Exclusion Criteria:

  • Patients with documentation of well differentiated liposarcoma only (of the well differentiated/dedifferentiated liposarcoma family) are specifically excluded, owing to its characteristically slow growth. If high grade areas are suspected (dedifferentiation), but not proved by pathology analysis (e.g. after primary resection of a well-differentiated liposarcoma), a must be performed to demonstrate the high-grade dedifferentiated disease
  • Prior systemic therapy with a small molecule oral kinase inhibitor, including but not limited to: pazopanib, sunitinib, sorafenib, everolimus, sirolimus, vemurafenib, dasatinib and trametinib
  • Previous assignment to treatment during this study. Subjects permanently withdrawn from study participation will not be allowed to re-enter study. Patients who progress on placebo are specifically allowed to enroll on the treatment arm of the study if they meet all other entry criteria
  • Concurrent, , active within 12 months of study enrollment
  • Patients with severe and/or uncontrolled concurrent medical disease that in the opinion of the investigator could cause unacceptable safety risks or compromise compliance with the protocol
  • Major surgery within 28 days prior to study registration or those patients who have not recovered adequately from prior surgery
  • Patients who have received wide field radiotherapy ≤ 28 days (defined as > 50% of volume of pelvis bones or equivalent) or limited field radiation for palliation \< 14 days prior to study registration or those patients who have not recovered adequately from side effects of such therapy
  • Patients who have received prior systemic therapy \< 14 days prior to study registration or have not recovered adequately from toxicities to v. 4.03 grade 1 or less; prior therapy may not have been given \< 5 half-lives of last dose of treatment, or \< 14 days, whichever is greater
  • Patients who have had prior autologous, or bone marrow transplant
  • Uncontrolled hypertension (systolic pressure >140 mm Hg or diastolic pressure > 90 mm Hg [NCI-CTCAE v 4.0] on repeated measurement) despite optimal medical management
  • Active or clinically significant cardiac disease including: Congestive heart failure- (NYHA) > class II, Active coronary artery disease, Cardiac arrhythmias requiring anti-arrhythmic therapy other than beta blockers or digoxin, Unstable angina (anginal symptoms at rest), new onset angina within 3 months before randomization, or myocardial infarction within 6 months before randomization
  • Evidence or history of bleeding diathesis
  • Any hemorrhage or bleeding event ≥ NCI CTCAE Grade 3 within 4 weeks prior to study registration
  • Subjects with thrombotic, embolic, venous, or arterial events, such as cerebrovascular accident (including ) deep vein thrombosis or pulmonary embolism within 6 months of start of study treatment
  • Known history of (HIV) infection or current chronic or active or C infection requiring treatment with antiviral therapy.
  • Ongoing infection > Grade 2 NCI-CTCAE v 4.03
  • Presence of a non-healing wound, non-healing ulcer, or benign bone fracture (patients with stress insufficiency fractures e.g. from osteoporosis or pathological fracture from tumor are eligible for study)
  • Patients with seizure disorder requiring medication
  • Proteinuria > 100 mg/dl on urine analysis
  • Interstitial lung disease with ongoing signs and symptoms at the time of
  • Pleural effusion or ascites that causes respiratory compromise (≥ NCI-CTCAE version 4.03 Grade 2 dyspnea)
  • History of organ allograft (including corneal transplant).
  • Known or suspected allergy or to regorafenib, or of the formulations given during the course of this trial
  • Any malabsorption condition.
  • Women who are pregnant or breast-feeding.
  • Any condition which, in the investigator's opinion, makes the subject unsuitable for trial participation
  • Substance abuse, medical, psychological or social conditions that may interfere with the subject's participation in the study or evaluation of the study results
  • Inability to comply with protocol required procedures
  • Use of any herbal remedy (e.g. St. John wort [Hypericum perforatum])
Terms in these criteria, in plain language(22)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Histologically or cytologically confirmed

The diagnosis was confirmed by looking at a sample under a microscope: tissue from a biopsy or surgery (histology), or cells from a fluid or needle sample (cytology).

Your pathology report is the document that shows this.

Metastases

Cancer that has spread from where it began to other parts of the body. “Metastatic” cancer is cancer that has spread this way.

ECOG performance status

A scale of how much an illness limits everyday activity. For people being assessed to join a study, scores run from 0 (fully active) to 4; lower is more active.

0
Fully active, no restrictions.
1
Limited in strenuous activity, but walking and able to do light work, such as housework or office work.
2
Walking and able to look after yourself, but unable to work; up and about more than half of waking hours.
3
Able to look after yourself only in part; in bed or a chair more than half of waking hours.
4
Unable to look after yourself at all; in bed or a chair all day.

Studies most often ask for 0–1 or 0–2. Your doctor gives the score; the WHO scale uses the same steps. The full scale also has 5, which records death.

Line of therapy

A line of therapy is one course of treatment, which may combine several drugs. First-line is the first course given; second-line follows when that stops working or is not tolerated.

“Two prior lines” means two courses that count separately under the study’s rules — not simply two drugs. Ask the study team if you are unsure how yours are counted.

Adjuvant and neoadjuvant

Neoadjuvant treatment is given before the main treatment (usually surgery), often to shrink a tumour. Adjuvant treatment is given after it, to lower the chance of the cancer coming back.

CTCAE grade

The US National Cancer Institute’s scale of how severe an adverse event is — any unwanted medical event during a study, such as a symptom, an illness or an abnormal test result, whether or not a treatment caused it. Whether it did is judged separately.

1
Mild.
2
Moderate.
3
Severe.
4
Life-threatening.
5
Death due to the event.

“Side effects of earlier treatment resolved to grade 1 or less” means they have settled to mild or gone.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Measurable disease

The amount of disease can be tracked with a defined measurement, so the study can see whether it shrinks or grows. It might be a tumour measured on a scan or, in some blood cancers such as myeloma, a marker measured in blood or urine.

The criteria or the study team say which measurement counts — having no tumour visible on a scan does not by itself rule you out.

RECIST

The standard rules for measuring tumours on CT or MRI scans, to tell whether a cancer is shrinking, stable or growing during treatment.

“Measurable disease per RECIST 1.1” usually means at least one tumour 10 mm or more at its longest on a CT scan, or a lymph node 15 mm or more across its short axis.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Biopsy and archival tissue

A biopsy takes a small piece of tissue to examine. “Archival tissue” is a sample already taken, for example at diagnosis, and kept by the hospital.

Whether a stored sample will do depends on when it was taken, how much there is and what the study needs. Ask whether the study accepts your stored sample or needs a new biopsy.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

Allogeneic and autologous transplant

Stem cell (bone marrow) transplants. Allogeneic uses cells from a donor; autologous uses your own cells, collected earlier and given back.

NYHA class (heart failure)

The New York Heart Association’s four classes of how much heart failure limits physical activity.

I
No limits: ordinary activity causes no undue tiredness or breathlessness.
II
Slight limits: comfortable at rest, ordinary activity causes symptoms.
III
Marked limits: comfortable at rest, less than ordinary activity causes symptoms.
IV
Symptoms even at rest; any activity makes them worse.

Studies set their own limit — many outside heart failure leave out class III–IV, while heart failure studies may ask for a particular class. Check the class this study names.

TIA (transient ischaemic attack)

A “mini-stroke”: temporary stroke-like symptoms caused by reduced blood flow to part of the brain, spinal cord or eye, without signs of a new stroke on a scan.

Stroke symptoms need emergency care at once, even if they go away.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

Excipients

The other ingredients in a medicine besides the active drug, such as fillers, colours or preservatives.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Crossover assignment
Masking
Triple (Participant, Care provider, Investigator)
Enrollment
131 participants (actual)

Study arms

  • Active comparator
    Cohort A: Liposarcoma

    Adults: 160 mg daily; 21 days on and 7 days off Pediatrics: 82mg/m2 (rounding to the nearest 20mg) daily; 21 days on and 7 days off Regorafenib

    Drug: Regorafenib

  • Placebo comparator
    Cohort A: Liposarcoma, Placebo

    21 days on and 7 days off Placebo

    Drug: Placebo

  • Active comparator
    Cohort B: Osteosarcoma

    Adults: 160 mg daily; 21 days on and 7 days off Pediatrics: 82mg/m2 (rounding to the nearest 20mg) daily; 21 days on and 7 days off Regorafenib

    Drug: Regorafenib

  • Placebo comparator
    Cohort B: Osteosarcoma, placebo

    21 days on and 7 days off Placebo

    Drug: Placebo

  • Active comparator
    Cohort C: Ewing sarcoma

    Adults: 160 mg daily; 21 days on and 7 days off Pediatrics: 82mg/m2 (rounding to the nearest 20mg) daily; 21 days on and 7 days off Regorafenib

    Drug: Regorafenib

  • Active comparator
    Cohort D: Rhabdomyosarcoma

    Adults: 160 mg daily; 21 days on and 7 days off Pediatrics: 82mg/m2 (rounding to the nearest 20mg) daily; 21 days on and 7 days off Regorafenib

    Drug: Regorafenib

  • Active comparator
    Cohort E: Mesenchymal Chondrosarcoma

    Adults: 160 mg daily; 21 days on and 7 days off Pediatrics: 82mg/m2 (rounding to the nearest 20mg) daily; 21 days on and 7 days off Regorafenib

    Drug: Regorafenib

Interventions

  • Adults: 160 mg daily; 21 days on and 7 days off Pediatrics: 82mg/m2 (rounding to the nearest 20mg) daily; 21 days on and 7 days off

  • DrugPlacebo

    21 days on and 7 days off

06

What researchers measure

Primary outcomes

  1. Progression-free Survival (PFS). Cohort A and Cohort B

    The progression-free survival is the length of time during and after the treatment of a disease, such as cancer, that a patient lives with the disease but it does not get worse. Cohort A (liposarcoma) and Cohort B (osteosarcoma). PFS will be evaluated according to RECIST (Response Evaluation Criteria In Solid Tumors) 1.1, where a 20% increase in the sum of the longest diameter of target lesions, or a measurable increase in a non-target lesion, or the appearance of new lesions.

    Time frame: up to 3 years

  2. Progression-free Survival (PFS). Cohort C, Cohort D, and Cohort E

    The progression-free survival is the length of time during and after the treatment of a disease, such as cancer, that a patient lives with the disease but it does not get worse. Cohort C (Ewing/Ewing-like sarcoma). PFS will be evaluated according to RECIST (Response Evaluation Criteria In Solid Tumors) 1.1.

    Time frame: up to 16 weeks

Secondary outcomes

  1. The Number of Participants With Reported CTCAE (Common Terminology Criteria for Adverse Events) Version 4.03 Adverse Events. All Cohorts.

    Common Toxicity Criteria, also referred to as the Common Terminology Criteria for Adverse Events (CTCAE), is a standardized classification of side effects used in assessing drugs for cancer therapy. Cohorts A, B, C, and D.

    Time frame: up to 3 years

  2. Overall Response Rate (ORR). All Cohorts.

    The overall response rate (ORR) is the percentage of patients whose cancer shrinks or disappears after treatment. ORR will be evaluated according to RECIST (Response Evaluation Criteria In Solid Tumors) 1.1

    Time frame: up to 3 years

  3. Progression-free Survival (PFS), Cohorts A and B, After Crossover.

    The progression-free survival is the length of time during and after the treatment of a disease, such as cancer, that a patient lives with the disease but it does not get worse.

    Time frame: up to 3 years

  4. Response Rate (RR), Cohorts A and B, After Crossover.

    The response rate (RR) is the percentage of patients whose cancer shrinks or disappears after treatment.

    Time frame: up to 3 years

  5. Time to Tumor Progression (TTP), Cohorts A and B, After Crossover.

    Time to tumor progression (TTP) is the length of time from the date of diagnosis or the start of treatment for a disease until the disease starts to get worse or spread to other parts of the body.

    Time frame: up to 3 years

  6. Overall Survival (OS). Cohorts A and B, After Crossover.

    Overall survival (OS) is the length of time from either the date of diagnosis or the start of treatment for a disease, such as cancer, that patients diagnosed with the disease are still alive.

    Time frame: up to 3 years

  7. Disease Specific Survival (DSS). Cohorts A and B, After Crossover.

    Disease-specific survival refers to the percentage of people in a study or treatment group who have not died from a specific disease in a defined period of time.

    Time frame: up to 3 years

07

Results

Posted Nov 7, 2023

Participant flow

Participant flow — Overall Study
MilestoneCohort A: LiposarcomaCohort A: Liposarcoma, PlaceboCohort A: Liposarcoma CrossoverCohort B: OsteosarcomaCohort B: Osteosarcoma, PlaceboCohort B: Osteosarcoma CrossoverCohort C: Ewing SarcomaCohort D: RhabdomyosarcomaCohort E: Mesenchymal Chondrosarcoma
Started249152291130101
Completed171911382261
Not completed7861163840

Outcome measures

PrimaryProgression-free Survival (PFS). Cohort A and Cohort B

The progression-free survival is the length of time during and after the treatment of a disease, such as cancer, that a patient lives with the disease but it does not get worse. Cohort A (liposarcoma) and Cohort B (osteosarcoma). PFS will be evaluated according to RECIST (Response Evaluation Criteria In Solid Tumors) 1.1, where a 20% increase in the sum of the longest diameter of target lesions, or a measurable increase in a non-target lesion, or the appearance of new lesions.

Time frame:
up to 3 years
Reported as:
Median · months
Progression-free Survival (PFS). Cohort A and Cohort B
monthsCohort A: LiposarcomaCohort A: Liposarcoma, PlaceboCohort B: OsteosarcomaCohort B: Osteosarcoma, Placebo
Progression-free Survival (PFS). Cohort A and Cohort B1.87 (0.92 to 3.67)2.07 (1.64 to 3.44)3.6 (2.0 to 7.6)1.7 (1.2 to 1.8)
PrimaryProgression-free Survival (PFS). Cohort C, Cohort D, and Cohort E

The progression-free survival is the length of time during and after the treatment of a disease, such as cancer, that a patient lives with the disease but it does not get worse. Cohort C (Ewing/Ewing-like sarcoma). PFS will be evaluated according to RECIST (Response Evaluation Criteria In Solid Tumors) 1.1.

Time frame:
up to 16 weeks
Reported as:
Median · months
Progression-free Survival (PFS). Cohort C, Cohort D, and Cohort E
monthsCohort C: Ewing SarcomaCohort D: RhabdomyosarcomaCohort E: Mesenchymal Chondrosarcoma
Progression-free Survival (PFS). Cohort C, Cohort D, and Cohort E3.4 (1.7 to 3.7)1.82 (1.58 to NA)NA (NA to NA)
SecondaryThe Number of Participants With Reported CTCAE (Common Terminology Criteria for Adverse Events) Version 4.03 Adverse Events. All Cohorts.

Common Toxicity Criteria, also referred to as the Common Terminology Criteria for Adverse Events (CTCAE), is a standardized classification of side effects used in assessing drugs for cancer therapy. Cohorts A, B, C, and D.

Time frame:
up to 3 years
Reported as:
Count of participants · Participants
The Number of Participants With Reported CTCAE (Common Terminology Criteria for Adverse Events) Version 4.03 Adverse Events. All Cohorts.
ParticipantsCohort A: LiposarcomaCohort A: Liposarcoma, PlaceboCohort B: OsteosarcomaCohort B: Osteosarcoma, PlaceboCohort C: Ewing SarcomaCohort D: RhabdomyosarcomaCohort E: Mesenchymal Chondrosarcoma
The Number of Participants With Reported CTCAE (Common Terminology Criteria for Adverse Events) Version 4.03 Adverse Events. All Cohorts.121569620
SecondaryOverall Response Rate (ORR). All Cohorts.

The overall response rate (ORR) is the percentage of patients whose cancer shrinks or disappears after treatment. ORR will be evaluated according to RECIST (Response Evaluation Criteria In Solid Tumors) 1.1

Time frame:
up to 3 years
Reported as:
Count of participants · Participants
Overall Response Rate (ORR). All Cohorts.
ParticipantsCohort A: LiposarcomaCohort A: Liposarcoma, PlaceboCohort B: OsteosarcomaCohort B: Osteosarcoma, PlaceboCohort C: Ewing SarcomaCohort D: RhabdomyosarcomaCohort E: Mesenchymal Chondrosarcoma
Overall Response Rate (ORR). All Cohorts.0130300
SecondaryProgression-free Survival (PFS), Cohorts A and B, After Crossover.

The progression-free survival is the length of time during and after the treatment of a disease, such as cancer, that a patient lives with the disease but it does not get worse.

Time frame:
up to 3 years
Reported as:
Median · months
Progression-free Survival (PFS), Cohorts A and B, After Crossover.
monthsCohort A: Liposarcoma CrossoverCohort B: Osteosarcoma Crossover
Progression-free Survival (PFS), Cohorts A and B, After Crossover.1.68 (0.92 to 5.59)5.78 (3.55 to NA)
SecondaryResponse Rate (RR), Cohorts A and B, After Crossover.

The response rate (RR) is the percentage of patients whose cancer shrinks or disappears after treatment.

Time frame:
up to 3 years
Reported as:
Count of participants · Participants
Response Rate (RR), Cohorts A and B, After Crossover.
ParticipantsCohort A: Liposarcoma CrossoverCohort B: Osteosarcoma Crossover
Response Rate (RR), Cohorts A and B, After Crossover.00
SecondaryTime to Tumor Progression (TTP), Cohorts A and B, After Crossover.

Time to tumor progression (TTP) is the length of time from the date of diagnosis or the start of treatment for a disease until the disease starts to get worse or spread to other parts of the body.

Time frame:
up to 3 years
Reported as:
Median · months
Time to Tumor Progression (TTP), Cohorts A and B, After Crossover.
monthsCohort A: Liposarcoma CrossoverCohort B: Osteosarcoma Crossover
Time to Tumor Progression (TTP), Cohorts A and B, After Crossover.1.76 (0.92 to NA)5.78 (3.55 to NA)
SecondaryOverall Survival (OS). Cohorts A and B, After Crossover.

Overall survival (OS) is the length of time from either the date of diagnosis or the start of treatment for a disease, such as cancer, that patients diagnosed with the disease are still alive.

Time frame:
up to 3 years
Reported as:
Median · months
Overall Survival (OS). Cohorts A and B, After Crossover.
monthsCohort A: Liposarcoma CrossoverCohort B: Osteosarcoma Crossover
Overall Survival (OS). Cohorts A and B, After Crossover.7.98 (3.98 to NA)16.11 (8.54 to NA)
SecondaryDisease Specific Survival (DSS). Cohorts A and B, After Crossover.

Disease-specific survival refers to the percentage of people in a study or treatment group who have not died from a specific disease in a defined period of time.

Time frame:
up to 3 years
Reported as:
Median · months
Disease Specific Survival (DSS). Cohorts A and B, After Crossover.
monthsCohort A: Liposarcoma CrossoverCohort B: Osteosarcoma Crossover
Disease Specific Survival (DSS). Cohorts A and B, After Crossover.7.98 (3.98 to NA)16.11 (8.54 to NA)

Adverse events

Collected over Adverse Event data is collected beginning from the time of treatment through 30 days following cessation of treatment or until serious adverse events resolve (up to 3 years).. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Cohort A: Liposarcoma25/39 (64.1%)28/39 (71.8%)26/39 (66.7%)
Cohort A: Liposarcoma, Placebo7/9 (77.8%)7/9 (77.8%)8/9 (88.9%)
Cohort B: Osteosarcoma26/33 (78.8%)24/33 (72.7%)26/33 (78.8%)
Cohort B: Osteosarcoma, Placebo8/9 (88.9%)7/9 (77.8%)6/9 (66.7%)
Cohort C: Ewing Sarcoma17/30 (56.7%)21/30 (70%)22/30 (73.3%)
Cohort D: Rhabdomyosarcoma4/6 (66.7%)4/6 (66.7%)2/6 (33.3%)
Cohort D: Pediatric2/4 (50%)2/4 (50%)1/4 (25%)
Cohort E: Mesenchymal Chondrosarcoma0/1 (0%)0/1 (0%)0/1 (0%)
Most frequent serious events
Showing 10 of 89
Most frequent serious events
EventCohort A: LiposarcomaCohort A: Liposarcoma, PlaceboCohort B: OsteosarcomaCohort B: Osteosarcoma, PlaceboCohort C: Ewing SarcomaCohort D: RhabdomyosarcomaCohort D: PediatricCohort E: Mesenchymal Chondrosarcoma
AnemiaBlood and lymphatic system disorders4/393/90/331/90/301/60/40/1
HyperfibrinolysisBlood and lymphatic system disorders0/390/90/330/90/302/60/40/1
PainGeneral disorders2/391/90/330/92/302/60/40/1
HypophosphatemiaInvestigations3/392/95/330/99/301/60/40/1
VomitingGastrointestinal disorders1/390/90/331/90/301/61/40/1
Lymphocyte Count DecreasedInvestigations2/391/91/330/90/301/61/40/1
Alanine Aminotransferase IncreasedInvestigations0/390/91/330/91/300/61/40/1
Platelet Count DecreasedInvestigations0/390/92/330/90/301/61/40/1
Neutrophil Count DecreasedInvestigations0/390/90/330/91/300/61/40/1
White Blood Cell DecreasedInvestigations0/390/90/330/91/300/61/40/1
Most frequent other events
Showing 10 of 37
Most frequent other events
EventCohort A: LiposarcomaCohort A: Liposarcoma, PlaceboCohort B: OsteosarcomaCohort B: Osteosarcoma, PlaceboCohort C: Ewing SarcomaCohort D: RhabdomyosarcomaCohort D: PediatricCohort E: Mesenchymal Chondrosarcoma
HypertensionVascular disorders6/394/95/335/95/302/60/40/1
Palmar-plantar erythrodysesthesia syndromeSkin and subcutaneous tissue disorders7/390/99/330/910/300/61/40/1
HypertensionBlood and lymphatic system disorders0/390/910/331/90/300/60/40/1
Alkaline Phosphatase ElevatedEndocrine disorders0/390/92/332/90/300/60/40/1
DiarrheaGastrointestinal disorders0/392/93/330/95/300/60/40/1
NauseaGastrointestinal disorders3/390/96/332/96/300/60/40/1
FatigueGeneral disorders3/392/93/331/93/300/60/40/1
FeverGeneral disorders0/392/93/330/91/300/60/40/1
HypoalbuminemiaMetabolism and nutrition disorders0/392/90/331/90/300/60/40/1
HeadacheNervous system disorders0/390/90/331/96/300/60/40/1

Baseline characteristics

Age, Categorical
Age, Categorical(Participants)Cohort A: LiposarcomaCohort A: Liposarcoma, PlaceboCohort B: OsteosarcomaCohort B: Osteosarcoma, PlaceboCohort C: Ewing SarcomaCohort D: RhabdomyosarcomaCohort E: Mesenchymal ChondrosarcomaTotal
<=18 years00000404
Between 18 and 65 years171221162961102
>=65 years7121410025
Sex: Female, Male
Sex: Female, Male(Participants)Cohort A: LiposarcomaCohort A: Liposarcoma, PlaceboCohort B: OsteosarcomaCohort B: Osteosarcoma, PlaceboCohort C: Ewing SarcomaCohort D: RhabdomyosarcomaCohort E: Mesenchymal ChondrosarcomaTotal
Female146166105057
Male1018614205174
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)Cohort A: LiposarcomaCohort A: Liposarcoma, PlaceboCohort B: OsteosarcomaCohort B: Osteosarcoma, PlaceboCohort C: Ewing SarcomaCohort D: RhabdomyosarcomaCohort E: Mesenchymal ChondrosarcomaTotal
Hispanic or Latino014212010
Not Hispanic or Latino232217172861114
Unknown or Not Reported11111207
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Cohort A: LiposarcomaCohort A: Liposarcoma, PlaceboCohort B: OsteosarcomaCohort B: Osteosarcoma, PlaceboCohort C: Ewing SarcomaCohort D: RhabdomyosarcomaCohort E: Mesenchymal ChondrosarcomaTotal
American Indian or Alaska Native10010002
Asian032321011
Native Hawaiian or Other Pacific Islander00100001
Black or African American515000011
White16201215278199
More than one race00000000
Unknown or Not Reported20211107
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Study locations

18 sites
  • City of Hope National Medical Center
    Duarte, California 91010, United States
  • Children's Hospital Los Angeles
    Los Angeles, California 90027, United States
  • Sarcoma Oncology Research Center
    Santa Monica, California 90403, United States
  • Stanford University
    Stanford, California 94305, United States
  • Mayo Clinic - Florida
    Jacksonville, Florida 32224, United States
  • H. Lee Moffitt
    Tampa, Florida 33612, United States
  • Northwestern University
    Chicago, Illinois 60611, United States
  • Indiana University
    Indianapolis, Indiana 46202, United States
  • Dana Farber/Partners Cancer Care
    Boston, Massachusetts 02215, United States
  • Mayo Clinic - Minnesota
    Rochester, Minnesota 55905, United States
  • Carolinas Healthcare System
    Charlotte, North Carolina 28203, United States
  • Duke University
    Durham, North Carolina 27705, United States
  • Ohio State University
    Columbus, Ohio 43202, United States
  • Oregon Health and Science University
    Portland, Oregon 97239, United States
  • Vanderbilt University
    Nashville, Tennessee 37232, United States
  • Texas Children's Hospital
    Houston, Texas 77030, United States
  • Huntsman Cancer Institute
    Salt Lake City, Utah 84112, United States
  • Seattle Cancer Care Alliance
    Seattle, Washington 98109, United States
09

References and documents

Publications

  • Riedel RF, Ballman KV, Lu Y, Attia S, Loggers ET, Ganjoo KN, Livingston MB, Chow W, Wright J, Ward JH, Rushing D, Okuno SH, Reed DR, Liebner DA, Keedy VL, Mascarenhas L, Davis LE, Ryan C, Reinke DK, Maki RG. A Randomized, Double-Blind, Placebo-Controlled, Phase II Study of Regorafenib Versus Placebo in Advanced/Metastatic, Treatment-Refractory Liposarcoma: Results from the SARC024 Study. Oncologist. 2020 Nov;25(11):e1655-e1662. doi: 10.1634/theoncologist.2020-0679. Epub 2020 Aug 20. PubMed 32701199 ↗
  • Hattinger CM, Patrizio MP, Magagnoli F, Luppi S, Serra M. An update on emerging drugs in osteosarcoma: towards tailored therapies? Expert Opin Emerg Drugs. 2019 Sep;24(3):153-171. doi: 10.1080/14728214.2019.1654455. Epub 2019 Aug 14. PubMed 31401903 ↗
  • Davis LE, Bolejack V, Ryan CW, Ganjoo KN, Loggers ET, Chawla S, Agulnik M, Livingston MB, Reed D, Keedy V, Rushing D, Okuno S, Reinke DK, Riedel RF, Attia S, Mascarenhas L, Maki RG. Randomized Double-Blind Phase II Study of Regorafenib in Patients With Metastatic Osteosarcoma. J Clin Oncol. 2019 Jun 1;37(16):1424-1431. doi: 10.1200/JCO.18.02374. Epub 2019 Apr 23. PubMed 31013172 ↗

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Nov 7, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT02048371
Lead sponsor
Sarcoma Alliance for Research through Collaboration
Responsible party
Sponsor
First posted
Jan 29, 2014
Start date
Jul 2014
Primary completion
May 2022
Completion
May 2022
Results posted
Nov 7, 2023
Last update
Nov 7, 2023

Study contacts

Robert Maki, MD, PhD
principal investigator · University of Pennsylvania

Oversight

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

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Studies of the drug tested here: Regorafenib

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