ClinicalTrials.gg
CompletedNCT03283696Updated Sep 10, 2020Results posted

A Study of Olaratumab (LY3012207), Doxorubicin, and Ifosfamide in Participants With Advanced or Metastatic Soft Tissue Sarcoma

A Phase 1 interventional study of Olaratumab and Doxorubicin in Soft Tissue Sarcoma, sponsored by Eli Lilly and Company. Completed at 6 sites in 3 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2020-09-10.

Sponsored by Eli Lilly and Company · Phase 1, Interventional, and Treatment

Phase
Phase 1
Study type
Interventional
Enrollment
24
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

The purpose of this study is to evaluate the safety of ifosfamide when added to the combination regimen of olaratumab and doxorubicin in participants with advanced or metastatic soft tissue sarcoma (STS).

02

Conditions studied

  • Soft Tissue Sarcoma

Browse trials for

03

In context

Sarcoma

1,607 studies on the registry are indexed under Sarcoma; 366 are open to participants now.

This study's enrollment of 24 is below the median of 40 across 1,255 interventional studies indexed under Sarcoma.

Browse Sarcoma studies →

Lead sponsor

Eli Lilly and Company is the lead sponsor of 2,106 studies on the registry; 152 are open to participants now.

Of its 536 completed or terminated interventional studies of FDA-regulated products, 357 (67%) have results posted.

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

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

  • Have a histological diagnosis of advanced STS (by local pathology review), for which treatment with doxorubicin, ifosfamide and mesna is deemed appropriate by the investigator.
  • Have measurable or nonmeasurable but evaluable disease as defined by the (RECIST 1.1).
  • Have adequate hematologic, organ and coagulation function within 2 weeks (14 days) prior to enrollment.
  • Have a performance status of 0 to 1 on the scale.
  • Have received no and are suitable to receive doxorubicin, ifosfamide and mesna. All previous anticancer treatments must have completed ≥3 weeks (21 days) prior to the first dose of study treatment.
  • Have (LVEF) ≥50% assessed within 28 days prior to enrollment.
  • Have resolution of Adverse Events (AEs), with the exception of alopecia, and of all toxic effects of prior locoregional therapy, surgery or radiotherapy to ≤Grade 1, by National Cancer Institute- (NCI-CTCAE) Version 4.0.
  • Have sufficient available material from archived formalin-fixed paraffin-embedded tumor tissue for biomarker-related studies. If such tissue is not available, a newly obtained core or excisional of a tumor lesion must be performed.
  • If male, must be sterile or agree to use an effective method of or a highly effective method of contraception during the study and for at least 12 weeks following the last dose of study treatment.
  • If female and of , must:

    1. have a negative serum pregnancy test at the time of enrollment,
    2. have a negative urine pregnancy test within 24 hours prior to the first dose of study treatment, and
    3. agree to use a highly effective method of contraception during the study and for 3 months following the last dose of study treatment.
  • Have a of at least 3 months, in the opinion of the investigator.

Exclusion criteria

Exclusion Criteria:

  • Are currently enrolled in a clinical trial involving an product or any other type of medical research judged not to be scientifically or medically compatible with this study.
  • Have participated within the past 30 days in a clinical trial involving an investigational product. If the previous investigational product has a long half-life, 3 months or 5 half-lives (whichever is longer) should have passed.
  • Have previously completed or withdrawn from any study investigating olaratumab.
  • Have received prior treatment with olaratumab, doxorubicin, or ifosfamide, or have participated in other trials investigating olaratumab.
  • Have received prior radiotherapy of the mediastinal/pericardial area or whole pelvis radiation.
  • Have known urinary outflow obstruction, or inflammation of the urinary bladder (cystitis).
  • Are diagnosed with gastrointestinal stromal tumor or Kaposi sarcoma.
  • Have active central nervous system (CNS) or () at the time of enrollment. Participants with a history of CNS metastasis (previously treated with curative intent [for example, stereotactic radiation or surgery]) that has not progressed on follow-up imaging, have been asymptomatic for at least 60 days, and are not receiving systemic and/or anticonvulsants are eligible. Participants with signs or symptoms of neurological compromise should have appropriate radiographic imaging performed before enrollment to rule out brain metastasis.
  • Have a history of another primary , with the exception of:

    1. curatively treated non-melanomatous skin cancer
    2. curatively treated cervical carcinoma in situ
  • Have an active fungal, bacterial and/or known viral infection including or viral (A, B, or C) hepatitis (screening is not required).
  • Have Grade 3 or 4 peripheral neuropathy per Version 4.0.
  • Have a serious cardiac condition.
  • Have a resting heart rate of >100 beats per minute (bpm).
  • Have a Fridericia's corrected interval (QTcF) interval of >450 milliseconds (msec) for males and >470 msec for females on screening (ECG) utilizing Fridericia's correction.
  • Have uncontrolled intercurrent illness including, but not limited to, an ongoing/active infection requiring parenteral antibiotics.
  • Have a psychiatric illness/social situation that would limit compliance with study requirements.
  • Have electively planned or will require major surgery during the course of the study.
  • Are females who are pregnant or breastfeeding.
Terms in these criteria, in plain language(18)

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.

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.

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.

LVEF (left ventricular ejection fraction)

The share of blood the heart’s main pumping chamber (the left ventricle) pushes out with each beat, measured by an echocardiogram (heart ultrasound) or a MUGA scan. About 50–70% is normal.

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.

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.

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.

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.

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.

Life expectancy

The study doctor’s estimate of how long someone is likely to live. Criteria use it so that people can stay in the study long enough for it to answer its question.

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.

Leptomeningeal disease

Cancer that has spread to the leptomeninges, the thin layers covering the brain and spinal cord, and the fluid between them. It is not the same as brain metastases.

Criteria often treat it separately, and many studies leave it out even where treated brain metastases are allowed.

Brain metastases

Cancer deposits in the brain from a cancer that started elsewhere in the body (CNS metastases include the spinal cord).

Studies differ: some leave out any brain metastases, some accept ones treated and stable for some weeks. Check what this study allows.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

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.

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.

QT and QTc

On an ECG, the QT interval is the time the heart’s lower chambers take to activate electrically and recover in each beat. QTc is that time adjusted for heart rate (QTcF by Fridericia’s formula, QTcB by Bazett’s). Some medicines lengthen it, and a long QTc can raise the risk of a dangerous heart rhythm.

The study may name a correction formula and a limit in milliseconds, often around 450–480.

ECG (electrocardiogram)

A recording of the heart’s electrical activity, taken with stickers on the chest, arms and legs. It takes a few minutes and does not hurt.

05

Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
24 participants (actual)

Study arms

  • Experimental
    Olaratumab + Doxorubicin + Ifosfamide + Mesna

    Olaratumab 15 milligrams per kilogram (mg/kg) on Days 1 and 8 of a 21-day cycle, in combination with doxorubicin and ifosfamide was administered. When the safety of the 15-mg/kg dose of olaratumab was established, a 20-mg/kg loading dose cycle of olaratumab on Days 1 and 8 of a 21-day cycle in Cycle 1 only, followed by 15 mg/kg on Days 1 and 8 of subsequent cycles in combination with doxorubicin and ifosfamide plus mesna, was administered.

    Drug: Olaratumab · Drug: Doxorubicin · Drug: Ifosfamide · Drug: Mesna

Interventions

06

What researchers measure

Primary outcomes

  1. Number of Participants With Olaratumab Dose Limiting Toxicities (DLTs)

    A Dose Limiting Toxicity is defined as an Adverse Event (AE) that is likely related to the study medication or combination, and fulfills any one of the following criteria, graded according to the NCI-CTCAE Version 4.0: 1. Grade 3 or 4 febrile neutropenia, or sepsis., or 2. Grade 4 neutropenia lasting 7 days or longer. 3. Grade 4 thrombocytopenia, or Grade 3 thrombocytopenia complicated by hemorrhage. 4. Nonhematologic Grade ≥3 toxicity, except for toxicities (such as nausea, vomiting, transient electrolyte abnormalities, or diarrhoea) that can be controlled with optimal medical management within 48 hours or clinically non-significant laboratory abnormalities.

    Time frame: Cycle 1 (Up To 24 days)

Secondary outcomes

  1. Pharmacokinetics (PK): Maximum Serum Concentration (Cmax) of Olaratumab

    PK: Cmax of olaratumab.

    Time frame: Cycle 1 - Day 1 (predose, end of infusion, 2 hours post olaratumab (olara), 6 hours post olara, 24 hours post olara, 72 hours post olara), Day 8 (predose, end of infusion, 2 hours post-olara, 6 hours post olara, 48 hours post olara, 168 hours post olara)

  2. PK: Maximum Serum Concentration (Cmax,ss) of Olaratumab at Steady-state

    PK: Cmax of olaratumab at steady-state.

    Time frame: Cycle 3 - Day 1 (predose, end of infusion, 2 hours post olara, 5 hours post olara, 24 hours post olara, 72 hours post olara), Day 8 (predose, end of infusion, 2 hours post-olara, 5 hours post olara, 48 hours post olara, 168 hours post olara)

  3. PK: Trough Serum Concentration (Cmin)

    PK: Cmin of olaratumab.

    Time frame: Cycle 1 - Day 1 (predose, end of infusion, 2 hours post olaratumab (olara), 6 hours post olara, 24 hours post olara, 72 hours post olara), Day 8 (predose, end of infusion, 2 hours post-olara, 6 hours post olara, 48 hours post olara, 168 hours post olara)

  4. PK: Trough Serum Concentration (Cmin,ss) of Olaratumab at Steady-state

    PK: Cmin of olaratumab at steady-state.

    Time frame: Cycle 3 - Day 1 (predose, end of infusion, 2 hours post olara, 5 hours post olara, 24 hours post olara, 72 hours post olara), Day 8 (predose, end of infusion, 2 hours post-olara, 5 hours post olara, 48 hours post olara, 168 hours post olara)

  5. Number of Participants With Anti-Olaratumab Antibodies

    Participants with treatment-emergent anti-drug antibody (TE ADA) positive were 1) a participant with a 4-fold (2 dilutions) increase over a positive baseline antibody titer; or 2) for a negative baseline titer, a participant with an increase from the baseline to a level of 1:20.

    Time frame: Baseline through Follow-up (Up To 21 Months)

  6. Objective Response Rate (ORR): Number of Participants Who Achieve Best Overall Tumor Response of Complete Response (CR) or Partial Response (PR)

    Objective response rate is the best overall tumor response of complete response (CR) or partial response (PR) as classified by the independent central review according to the Response Evaluation Criteria In Solid Tumors (RECIST v1.1). CR is a disappearance of all target and non-target lesions and normalization of tumor marker level. PR is an at least 30% decrease in the sum of the diameters of target lesions (taking as reference the baseline sum diameter) without progression of non-target lesions or appearance of new lesions.

    Time frame: Baseline up to Short-Term Follow-Up Period (Up To 21 Months)

  7. Progression Free Survival (PFS)

    Progression-free survival time was measured from randomization until the date of objective progression as defined by Response Evaluation Criteria in Solid Tumors v1.1 (RECIST v1.1), or death from any cause. PD is defined as at least a 20% increase in the sum of the diameters of target lesions, with reference being the smallest sum on study and an absolute increase of at least 5 mm, or unequivocal progression of non-target lesions, or 1 or more new lesions. Participants who have neither progressed nor died were censored at the day of their last radiographic tumor assessment, if available, or date of randomization if no post-baseline radiographic assessment is available.

    Time frame: Baseline to Objective Disease Progression or Death Due to Any Cause (Up To 21 Months)

  8. Duration of Response (DoR)

    Duration of response is defined as the time from the date measurement criteria for CR or PR (whichever is first recorded) are first met until the first date that disease is recurrent or objective progression is observed, per RECIST 1.1, or the date of death from any cause in the absence of objectively determined disease progression or recurrence. Participants known to be alive and without disease progression will be censored at the time of the last adequate tumor assessment.

    Time frame: Date of Complete Response (CR) or Partial Response (PR) to Objective Disease Progression or Death Due to Any Cause (Up To 21 Months)

  9. Disease Control Rate (DCR): Percentage of Participants With a Best Overall Response of CR, PR, or Stable Disease (SD)

    Disease control rate (DCR) is the percentage of participants with a best overall response of CR, PR or SD as defined by RECIST v1.1. CR is defined as the disappearance of all target and non-target lesions and no appearance of new lesions. PR is defined as at least a 30% decrease in the sum of the longest diameter (LD) of target lesions (taking as reference the baseline sum LD), no progression of non-target lesions, and no appearance of new lesions. SD is neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for progressive disease (PD) for target lesions, no progression of non-target lesions, and no appearance of new lesions. PD is defined as at least a 20% increase in the sum of the diameters of target lesions, with reference being the smallest sum on study and an absolute increase of at least 5 mm, or unequivocal progression of non-target lesions, or 1 or more new lesions.

    Time frame: Baseline until Disease Progression or Death Due to Any Cause (Up To 21 Months)

  10. Overall Survival (OS)

    Overall survival is defined as the time from the date of randomization to the date of death from any cause. For each participant who is not known to have died as of the data-inclusion cut-off date for a particular analysis, overall survival duration was censored for that analysis at the date of last prior contact.

    Time frame: Baseline to Date of Death Due to Any Cause (Up To 21 Months)

07

Results

Posted Sep 10, 2020

Participant flow

Participant flow — Overall Study
MilestoneOlaratumab 15 mg/kg + Doxorubicin + IfosfamideOlaratumab 20 mg/kg + Doxorubicin + Ifosfamide
Started168
Received at least 1 dose of study drug168
Completed92
Not completed76
Withdrew: Physician decision56
Withdrew: Withdrawal by subject20

Outcome measures

PrimaryNumber of Participants With Olaratumab Dose Limiting Toxicities (DLTs)

A Dose Limiting Toxicity is defined as an Adverse Event (AE) that is likely related to the study medication or combination, and fulfills any one of the following criteria, graded according to the NCI-CTCAE Version 4.0: 1. Grade 3 or 4 febrile neutropenia, or sepsis., or 2. Grade 4 neutropenia lasting 7 days or longer. 3. Grade 4 thrombocytopenia, or Grade 3 thrombocytopenia complicated by hemorrhage. 4. Nonhematologic Grade ≥3 toxicity, except for toxicities (such as nausea, vomiting, transient electrolyte abnormalities, or diarrhoea) that can be controlled with optimal medical management within 48 hours or clinically non-significant laboratory abnormalities.

Time frame:
Cycle 1 (Up To 24 days)
Reported as:
Count of participants · Participants
Number of Participants With Olaratumab Dose Limiting Toxicities (DLTs)
ParticipantsOlaratumab 15 mg/kg + Doxorubicin + IfosfamideOlaratumab 20 mg/kg + Doxorubicin + Ifosfamide
Number of Participants With Olaratumab Dose Limiting Toxicities (DLTs)44
SecondaryPharmacokinetics (PK): Maximum Serum Concentration (Cmax) of Olaratumab

PK: Cmax of olaratumab.

Time frame:
Cycle 1 - Day 1 (predose, end of infusion, 2 hours post olaratumab (olara), 6 hours post olara, 24 hours post olara, 72 hours post olara), Day 8 (predose, end of infusion, 2 hours post-olara, 6 hours post olara, 48 hours post olara, 168 hours post olara)
Reported as:
Geometric mean · micrograms per milliliter (μg/mL)
Pharmacokinetics (PK): Maximum Serum Concentration (Cmax) of Olaratumab
micrograms per milliliter (μg/mL)Olaratumab 15 mg/kg + Doxorubicin + IfosfamideOlaratumab 20 mg/kg + Doxorubicin + Ifosfamide
Cycle 1 Day 1408 ± 25508 ± 27
Cycle 1 Day 8452 ± 28671 ± 24
SecondaryPK: Maximum Serum Concentration (Cmax,ss) of Olaratumab at Steady-state

PK: Cmax of olaratumab at steady-state.

Time frame:
Cycle 3 - Day 1 (predose, end of infusion, 2 hours post olara, 5 hours post olara, 24 hours post olara, 72 hours post olara), Day 8 (predose, end of infusion, 2 hours post-olara, 5 hours post olara, 48 hours post olara, 168 hours post olara)
Reported as:
Geometric mean · micrograms per milliliter (μg/mL)
PK: Maximum Serum Concentration (Cmax,ss) of Olaratumab at Steady-state
micrograms per milliliter (μg/mL)Olaratumab 15 mg/kg + Doxorubicin + IfosfamideOlaratumab 20 mg/kg + Doxorubicin + Ifosfamide
Cycle 3 Day 1533 ± 22494 ± 9
Cycle 3 Day 8523 ± 18545 ± 13
SecondaryPK: Trough Serum Concentration (Cmin)

PK: Cmin of olaratumab.

Time frame:
Cycle 1 - Day 1 (predose, end of infusion, 2 hours post olaratumab (olara), 6 hours post olara, 24 hours post olara, 72 hours post olara), Day 8 (predose, end of infusion, 2 hours post-olara, 6 hours post olara, 48 hours post olara, 168 hours post olara)
Reported as:
Geometric mean · micrograms per milliliter (μg/mL)
PK: Trough Serum Concentration (Cmin)
micrograms per milliliter (μg/mL)Olaratumab 15 mg/kg + Doxorubicin + IfosfamideOlaratumab 20 mg/kg + Doxorubicin + Ifosfamide
Cycle 1 Day 187.3 ± 40140 ± 45
Cycle 1 Day 846.7 ± 10553.3 ± 143
SecondaryPK: Trough Serum Concentration (Cmin,ss) of Olaratumab at Steady-state

PK: Cmin of olaratumab at steady-state.

Time frame:
Cycle 3 - Day 1 (predose, end of infusion, 2 hours post olara, 5 hours post olara, 24 hours post olara, 72 hours post olara), Day 8 (predose, end of infusion, 2 hours post-olara, 5 hours post olara, 48 hours post olara, 168 hours post olara)
Reported as:
Geometric mean · micrograms per milliliter (μg/mL)
PK: Trough Serum Concentration (Cmin,ss) of Olaratumab at Steady-state
micrograms per milliliter (μg/mL)Olaratumab 15 mg/kg + Doxorubicin + IfosfamideOlaratumab 20 mg/kg + Doxorubicin + Ifosfamide
Cycle 3 Day 1154 ± 26177 ± 17
Cycle 3 Day 8126 ± 35115 ± 32
SecondaryNumber of Participants With Anti-Olaratumab Antibodies

Participants with treatment-emergent anti-drug antibody (TE ADA) positive were 1) a participant with a 4-fold (2 dilutions) increase over a positive baseline antibody titer; or 2) for a negative baseline titer, a participant with an increase from the baseline to a level of 1:20.

Time frame:
Baseline through Follow-up (Up To 21 Months)
Reported as:
Count of participants · Participants
Number of Participants With Anti-Olaratumab Antibodies
ParticipantsOlaratumab 15 mg/kg + Doxorubicin + IfosfamideOlaratumab 20 mg/kg + Doxorubicin + Ifosfamide
Number of Participants With Anti-Olaratumab Antibodies01
SecondaryObjective Response Rate (ORR): Number of Participants Who Achieve Best Overall Tumor Response of Complete Response (CR) or Partial Response (PR)

Objective response rate is the best overall tumor response of complete response (CR) or partial response (PR) as classified by the independent central review according to the Response Evaluation Criteria In Solid Tumors (RECIST v1.1). CR is a disappearance of all target and non-target lesions and normalization of tumor marker level. PR is an at least 30% decrease in the sum of the diameters of target lesions (taking as reference the baseline sum diameter) without progression of non-target lesions or appearance of new lesions.

Time frame:
Baseline up to Short-Term Follow-Up Period (Up To 21 Months)
Reported as:
Count of participants · Participants
Objective Response Rate (ORR): Number of Participants Who Achieve Best Overall Tumor Response of Complete Response (CR) or Partial Response (PR)
ParticipantsOlaratumab 15 mg/kg + Doxorubicin + IfosfamideOlaratumab 20 mg/kg + Doxorubicin + Ifosfamide
Objective Response Rate (ORR): Number of Participants Who Achieve Best Overall Tumor Response of Complete Response (CR) or Partial Response (PR)61
SecondaryProgression Free Survival (PFS)

Progression-free survival time was measured from randomization until the date of objective progression as defined by Response Evaluation Criteria in Solid Tumors v1.1 (RECIST v1.1), or death from any cause. PD is defined as at least a 20% increase in the sum of the diameters of target lesions, with reference being the smallest sum on study and an absolute increase of at least 5 mm, or unequivocal progression of non-target lesions, or 1 or more new lesions. Participants who have neither progressed nor died were censored at the day of their last radiographic tumor assessment, if available, or date of randomization if no post-baseline radiographic assessment is available.

Time frame:
Baseline to Objective Disease Progression or Death Due to Any Cause (Up To 21 Months)
Reported as:
Median · Months
Progression Free Survival (PFS)
MonthsOlaratumab 15 mg/kg + Doxorubicin + IfosfamideOlaratumab 20 mg/kg + Doxorubicin + Ifosfamide
Progression Free Survival (PFS)9.53 (4.07 to 14.29)6.93 (1.28 to 6.93)
SecondaryDuration of Response (DoR)

Duration of response is defined as the time from the date measurement criteria for CR or PR (whichever is first recorded) are first met until the first date that disease is recurrent or objective progression is observed, per RECIST 1.1, or the date of death from any cause in the absence of objectively determined disease progression or recurrence. Participants known to be alive and without disease progression will be censored at the time of the last adequate tumor assessment.

Time frame:
Date of Complete Response (CR) or Partial Response (PR) to Objective Disease Progression or Death Due to Any Cause (Up To 21 Months)
Reported as:
Median · Months
Duration of Response (DoR)
MonthsOlaratumab 15 mg/kg + Doxorubicin + IfosfamideOlaratumab 20 mg/kg + Doxorubicin + Ifosfamide
Duration of Response (DoR)8.25 (8.15 to 8.34)NA (NA to NA)
SecondaryDisease Control Rate (DCR): Percentage of Participants With a Best Overall Response of CR, PR, or Stable Disease (SD)

Disease control rate (DCR) is the percentage of participants with a best overall response of CR, PR or SD as defined by RECIST v1.1. CR is defined as the disappearance of all target and non-target lesions and no appearance of new lesions. PR is defined as at least a 30% decrease in the sum of the longest diameter (LD) of target lesions (taking as reference the baseline sum LD), no progression of non-target lesions, and no appearance of new lesions. SD is neither sufficient shrinkage to qualify for PR nor sufficient increase to qualify for progressive disease (PD) for target lesions, no progression of non-target lesions, and no appearance of new lesions. PD is defined as at least a 20% increase in the sum of the diameters of target lesions, with reference being the smallest sum on study and an absolute increase of at least 5 mm, or unequivocal progression of non-target lesions, or 1 or more new lesions.

Time frame:
Baseline until Disease Progression or Death Due to Any Cause (Up To 21 Months)
Reported as:
Number · Percentage of participants
Disease Control Rate (DCR): Percentage of Participants With a Best Overall Response of CR, PR, or Stable Disease (SD)
Percentage of participantsOlaratumab 15 mg/kg + Doxorubicin + IfosfamideOlaratumab 20 mg/kg + Doxorubicin + Ifosfamide
Disease Control Rate (DCR): Percentage of Participants With a Best Overall Response of CR, PR, or Stable Disease (SD)81.387.5
SecondaryOverall Survival (OS)

Overall survival is defined as the time from the date of randomization to the date of death from any cause. For each participant who is not known to have died as of the data-inclusion cut-off date for a particular analysis, overall survival duration was censored for that analysis at the date of last prior contact.

Time frame:
Baseline to Date of Death Due to Any Cause (Up To 21 Months)
Reported as:
Median · Months
Overall Survival (OS)
MonthsOlaratumab 15 mg/kg + Doxorubicin + IfosfamideOlaratumab 20 mg/kg + Doxorubicin + Ifosfamide
Overall Survival (OS)16.72 (8.38 to NA)NA (1.28 to NA)

Adverse events

Collected over Up To 2 years. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Olaratumab 15 mg/kg + Doxorubicin + Ifosfamide7/16 (43.8%)9/16 (56.3%)16/16 (100%)
Olaratumab 20 mg/kg + Doxorubicin + Ifosfamide2/8 (25%)7/8 (87.5%)8/8 (100%)
Most frequent serious events
Showing 10 of 26
Most frequent serious events
EventOlaratumab 15 mg/kg + Doxorubicin + IfosfamideOlaratumab 20 mg/kg + Doxorubicin + Ifosfamide
Febrile neutropeniaBlood and lymphatic system disorders6/164/8
PneumoniaInfections and infestations0/162/8
Platelet count decreasedInvestigations2/162/8
AnaemiaBlood and lymphatic system disorders2/161/8
Atrial fibrillationCardiac disorders0/161/8
FatigueGeneral disorders2/160/8
FractureInjury, poisoning and procedural complications0/161/8
Blood creatinine increasedInvestigations0/161/8
White blood cell count decreasedInvestigations0/161/8
Device dislocationProduct Issues0/161/8
Most frequent other events
Showing 10 of 149
Most frequent other events
EventOlaratumab 15 mg/kg + Doxorubicin + IfosfamideOlaratumab 20 mg/kg + Doxorubicin + Ifosfamide
AnaemiaBlood and lymphatic system disorders11/168/8
NauseaGastrointestinal disorders14/166/8
FatigueGeneral disorders12/166/8
ConstipationGastrointestinal disorders11/163/8
NeutropeniaBlood and lymphatic system disorders9/164/8
HyperglycaemiaMetabolism and nutrition disorders0/164/8
LeukopeniaBlood and lymphatic system disorders4/163/8
ThrombocytopeniaBlood and lymphatic system disorders5/163/8
VomitingGastrointestinal disorders6/163/8
Alanine aminotransferase increasedInvestigations5/163/8

Baseline characteristics

All participants who received at least one dose of study drug.

Age, Continuous
Age, Continuous(years)Olaratumab 15 mg/kg + Doxorubicin + IfosfamideOlaratumab 20 mg/kg + Doxorubicin + IfosfamideTotal
Mean42.6 ± 11.149.8 ± 11.145.0 ± 11.4
Sex: Female, Male
Sex: Female, Male(Participants)Olaratumab 15 mg/kg + Doxorubicin + IfosfamideOlaratumab 20 mg/kg + Doxorubicin + IfosfamideTotal
Female9514
Male7310
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)Olaratumab 15 mg/kg + Doxorubicin + IfosfamideOlaratumab 20 mg/kg + Doxorubicin + IfosfamideTotal
Hispanic or Latino336
Not Hispanic or Latino6410
Unknown or Not Reported718
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Olaratumab 15 mg/kg + Doxorubicin + IfosfamideOlaratumab 20 mg/kg + Doxorubicin + IfosfamideTotal
American Indian or Alaska Native000
Asian101
Native Hawaiian or Other Pacific Islander000
Black or African American000
White15823
More than one race000
Unknown or Not Reported000
Region of Enrollment
Region of Enrollment(participants)Olaratumab 15 mg/kg + Doxorubicin + IfosfamideOlaratumab 20 mg/kg + Doxorubicin + IfosfamideTotal
United States6511
Italy303
Germany7310
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Study locations

6 sites
  • University of Miami School of Medicine
    Miami, Florida 33136, United States
  • University of Texas MD Anderson Cancer Center
    Houston, Texas 77030, United States
  • Universitätsklinikum Essen
    Essen, Nordrhein-Westfalen 45122, Germany
  • HELIOS Klinikum Berlin-Buch
    Berlin, 13125, Germany
  • Istituto Nazionale dei Tumori
    Milano, Lombardie 20133, Italy
  • Università degli Studi di Catania - Azienda Policlinico
    Catania, 95123, Italy
09

References and documents

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: No

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 10, 2020, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT03283696
Responsible party
Sponsor
First posted
Sep 14, 2017
Start date
Oct 18, 2017
Primary completion
Apr 29, 2019
Completion
Aug 25, 2019
Results posted
Sep 10, 2020
Last update
Sep 10, 2020

Study contacts

Call 1-877-CTLILLY (1-877-285-4559) or 1-317-615-4559 Mon - Fri 9 AM - 5 PM Eastern time (UTC/GMT - 5 hours, EST)
study director · Eli Lilly and Company

Oversight

Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Apr 2020. You cannot join it, but the record below documents what was studied.

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Discussion

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Studies of the drugs tested here: Olaratumab · Doxorubicin · Ifosfamide

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