ClinicalTrials.gg
WithdrawnNCT03397186Updated Sep 10, 2019

Immune Changes Following Trabectedin in Patients With Metastatic or Unresectable Sarcoma

A Phase 2 interventional study of Biopsy and Laboratory Biomarker Analysis in Myxoid Liposarcoma, Round Cell Liposarcoma and Stage III Soft Tissue Sarcoma AJCC v7, sponsored by Fred Hutchinson Cancer Center. Withdrawn at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2019-09-10.

Sponsored by Fred Hutchinson Cancer Center · Phase 2, Interventional, and Basic science

Why this study was withdrawn
Administrative
Phase
Phase 2
Study type
Interventional
Enrollment
0
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 29 studies in Liposarcoma, Myxoid with a site in United States — 8 open to participants now, 14 under way, none of them phase 3. Liposarcoma, Myxoid · United States.

Enrollment
27th of 28
0 · median 26
Started
2018
with 3 others
Phase 2
9 of 29
none open now
Registered
11th of 29
by date
Lead sponsor
4 of 29
Fred Hutchinson Cancer Center

Among the 29 studies in Liposarcoma, Myxoid with a site in United States, this one is the 27th largest by enrollment of the 28 interventional ones, is one of 4 that started in 2018, is one of 9 in phase 2, and was the 11th registered.

By phase

29 studies; the count open now beside each. This study's row is marked.

Phase 115 · 4 open
Phase 2this study9 · 0 open
Phase 1/24 · 3 open
Other kind1 · 1 open

By the year they started

First in 2007; this study’s year is marked. 4 started in 2018.

Size and results

Median enrollment 26 across the 28 interventional studies. Of the 11 that completed or were terminated, 8 (73%) have results posted.

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Watch this landscapeDownload CSVWith an account: a weekly mail of what changed among 29 studies in Liposarcoma, Myxoid with a site in United States, or all of them as a file.
02

Study summary

This research trial studies the immune changes following trabectedin in patients with sarcoma that has spread to other places in the body (metastatic) or cannot be removed by surgery (unresectable). Analyzing tumor tissue may help to understand the changes in immune cells in or around the tumor or if there is an increase in immune cells in the tumor after receiving trabectedin.

Read the detailed description

PRIMARY OBJECTIVES:

I. Percentage of tumor tissue in pre- and post-treatment biopsies comprised of T-cells, as determined by flow cytometry.

SECONDARY OBJECTIVES:

I. To explore additional potential biomarkers including: numbers of tumor associated macrophage (TAM) in tumor II. To explore additional potential biomarkers including: phenotype (classically activated macrophages [M1] versus [vs] alternatively activated macrophages [M2]) as characterized by CD163, CD115, CD206 on infiltrating TAM.

III. To explore additional potential biomarkers including: phenotype of T cells infiltrating tumor (CD4, CD8, markers of CD4 phenotype including FoxP3 and memory).

IV. To explore additional potential biomarkers including: expression T cell inhibitory markers (PD-1, CTLA-4, TIM3).

V. To explore additional potential biomarkers including: recognition of autologous tumor by expanded tumor infiltrating lymphocyte lines.

VI. To explore additional potential biomarkers including: in tumor infiltrating lymphocyte (TIL) expanded from myxoid/round cell liposarcomas, recognition of cancer testis antigens.

OUTLINE:

Patients undergo a biopsy at baseline and then receive trabectedin for up to 4 cycles. Beginning 1 week after completion of cycle 2 and prior to cycle 3, patients undergo a second biopsy. Patients who achieve clinical benefit (complete response [CR], partial response [PR], stable disease [SD]) after the first post-treatment scan and who continue trabectedin for 4 cycles undergo a third biopsy after cycle 4.

After completion of study, patients are followed up for 30 days.

03

Conditions studied

  • Myxoid Liposarcoma
  • Round Cell Liposarcoma
  • Stage III Soft Tissue Sarcoma AJCC v7
  • Stage IV Soft Tissue Sarcoma AJCC v7
  • Metastatic Soft Tissue Sarcoma
  • Unresectable Soft Tissue Sarcoma
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

  • Subjects must have a diagnosis of advanced (unresectable or ) sarcoma, for which trabectedin treatment is indicated
  • Subjects must have received prior anthracycline treatment; subjects who failed to tolerate it or for whom it is not clinically appropriate in the opinion of their treating physician may be included
  • All ongoing toxicities related to prior therapy must be resolved to grade 1 or better (except alopecia)
  • Total level =\< (ULN) mg/dL
  • (AST) =\< 2.5 x ULN
  • Alanine aminotransferase (ALT) =\< 2.5 x ULN
  • Alkaline phosphatase \< 2.5 x ULN
  • Serum creatinine =\< 1.5 x ULN
  • Calculated >= 30 mL/min using the Cockcroft-Gault formula may be included
  • Creatine phosphokinase (CPK) =\< 2.5 x ULN
  • (ANC) >= 1.5 x 10\^9/L
  • count >= 100 x 10\^9/L
  • >= 9 g/dL
  • Baseline (LVEF) 45% or greater (by echocardiogram or multigated acquisition scan [MUGA] study) and no evidence of class ll to IV heart failure
  • Subjects with lesions safely accessible for , in the opinion of the treating physician and/or interventional radiology
  • Male or non-pregnant and non-breast feeding female:

    • Females of must agree to use highly effective without interruption from initiation of therapy and while on study medication and have a negative serum pregnancy test (beta-human chorionic gonadotropin [hCG]) result at screening and agree to ongoing pregnancy testing during the course of the study, and at the end of study treatment; a highly effective method of contraception is defined as one that results in a low failure rate (that is, \< 1% per year), when used consistently and correctly, such as implants, injectables, combined oral contraceptives, some intrauterine contraceptive devices, sexual abstinence, or a vasectomized partner
    • Male subjects must practice abstinence or agree to use a condom during sexual contact with a pregnant female or a female of childbearing potential while participating in the study
  • (ECOG) performance status =\< 2
  • Ability to understand and sign
  • Willingness and ability to comply with scheduled visits, laboratory tests, and other study procedures

Exclusion criteria

Exclusion Criteria:

  • Subjects for whom treatment with trabectedin is not indicated
  • All subjects with , except those meeting the following criteria:

    • Brain metastases that have been treated locally and are clinically stable for at least 2 weeks prior to enrollment
    • No ongoing neurological symptoms that are related to the brain localization of the disease (sequelae that are a consequence of the treatment of the brain metastases are acceptable)
    • Subjects must be either off or on a stable or decreasing dose of =\< 10 mg daily prednisone (or equivalent), excluding dexamethasone given as pre-treatment for trabectedin
  • Prior organ transplantation, including stem cell transplantation
  • Subjects with abnormal (PT)/international normalized ratio (INR)/partial thromboplastin time (PTT) or bleeding diathesis
  • Prior treatment with trabectedin
  • Prior chemotherapy within 2 weeks; prior immunotherapy or biologic therapy within 4 weeks; prior radiation therapy within 3 weeks
  • Significant acute or chronic infections as these may affect the immune response including:

    • Known history of testing positive test for (HIV) or known acquired immunodeficiency syndrome (AIDS)
    • Positive test for virus (HBV) surface antigen and / or confirmatory virus (HCV) ribonucleic acid (RNA) (if anti-HCV antibody tested positive)
  • Subjects on chronic therapy with any systemic (not counting inhaled steroids or steroid creams) for any reason, including disease
  • Known alcohol or drug abuse
  • Subjects who are breast feeding
  • Subjects with known including anaphylaxis to trabectedin
  • Myocardial infarction (infarct) within 6 months before enrollment, (NYHA) class II or greater heart failure, uncontrolled angina, severe uncontrolled ventricular arrhythmias, pericardial disease, or electrocardiographic evidence of acute ischemia or active conduction system abnormalities
Terms in these criteria, in plain language(26)

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.

Metastases

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

Bilirubin

A yellow substance made when red blood cells are broken down, which the liver clears. A high level can mean a problem with the liver or the bile ducts.

Criteria often allow more for people with Gilbert’s syndrome, a harmless inherited condition that raises bilirubin.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

Creatinine clearance (CrCl)

How quickly the kidneys clear creatinine, a waste product, from the blood. A study may estimate it from a blood test with age, weight and sex (often by the Cockcroft–Gault formula), or measure it using blood and urine collected over a set time. Given in mL/min; higher is better.

Absolute neutrophil count (ANC)

The number of neutrophils, white blood cells that help fight infection, in a given amount of blood. Too few raises the risk of infection.

It is a count, not a percentage of the white cells. Limits are written in units that mean the same: ≥ 1.5 × 10⁹/L is ≥ 1,500 per mm³ (µL). Each lab has its own reference range.

Platelets

Blood cells that help blood clot. Too few raises the risk of bleeding and bruising. A usual adult range is about 150–400 × 10⁹/L (150,000–400,000 per µL); each lab has its own reference range.

Hemoglobin (Hb)

The protein in red blood cells that carries oxygen. A low level is anaemia, which can cause tiredness and breathlessness. Measured in g/dL or g/L (9 g/dL is 90 g/L).

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.

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.

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.

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.

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.

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.

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.

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.

INR, PT and aPTT (clotting tests)

Blood tests of how long blood takes to clot. The INR is the prothrombin time (PT) put on a common scale; about 1 is usual for someone not taking a blood thinner.

Criteria often make an exception for people on a blood thinner such as warfarin, whose INR is raised on purpose.

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.

Hepatitis C tests

Hepatitis C is a virus that infects the liver. An HCV antibody test can stay positive after an infection has cleared (and is occasionally positive without one); an HCV RNA test shows whether the virus is there now.

After treatment, hepatitis C counts as cured when HCV RNA is still undetectable 12 weeks or more after the treatment ended. Studies often accept people cured this way.

Immunosuppression

A weakened immune system. It can come from an illness, such as HIV or some blood cancers, or from medicines that turn the immune system down, for example after an organ transplant or for an autoimmune disease; steroids at higher doses count.

Read whether the line is about a condition or about medicines, and which medicines and doses it means.

Autoimmune disease

A condition in which the immune system attacks the body’s own tissues, such as rheumatoid arthritis, lupus, psoriasis, type 1 diabetes or inflammatory bowel disease.

Immunotherapy studies often leave out active autoimmune disease, and some name exceptions, such as thyroid disease on replacement hormone. Check the exceptions this study lists.

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.

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.

05

Study design

Phase
Phase 2
Primary purpose
Basic science
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
0 participants (actual)

Study arms

  • Other
    Basic science (trabectedin, biopsy)

    Patients undergo a biopsy at baseline and then receive trabectedin for up to 4 cycles. Beginning 1 week after completion of cycle 2 and prior to cycle 3, patients undergo a second biopsy. Patients who achieve clinical benefit (CR, PR, SD) after the first post-treatment scan and who continue trabectedin for 4 cycles undergo a third biopsy after cycle 4.

    Procedure: Biopsy · Other: Laboratory Biomarker Analysis · Drug: Trabectedin

Interventions

  • ProcedureBiopsy

    Undergo biopsy

    Also known as: Bx

  • OtherLaboratory Biomarker Analysis

    Correlative studies

  • Given as standard of care

    Also known as: Ecteinascidin, ecteinascidin 743, ET-743, Yondelis

06

What researchers measure

Primary outcomes

  1. Percentage change of T cells (CD3+) by flow cytometry

    Analysis will be performed using a Wilcoxon matched-pairs assigned rank test as these will be paired samples where parametric distribution cannot be assumed. T cell receptor (TCR) sequencing, immunohistochemistry and gene expression analysis will all be used in order to confirm the primary endpoint.

    Time frame: Baseline up to 4 weeks

Secondary outcomes

  1. Expression of inhibitory ligands including PD-1, CTLA-4, LAG-3 on infiltrating T cells

    Gene expression will be analyzed using differential cluster analysis in order to look for patterns and gene groups that are differentially expressed in the post-treatment samples and such gene groups will be represented by heatmaps in order to illustrate this quantitative information. TCR fraction, clonality, and maximum (max) frequency will be compared between pre and post treatment samples.

    Time frame: Up to 4 weeks

  2. CD8+ or CD4+ phenotype of infiltrating T cells

    Gene expression will be analyzed using differential cluster analysis in order to look for patterns and gene groups that are differentially expressed in the post-treatment samples and such gene groups will be represented by heatmaps in order to illustrate this quantitative information. TCR fraction, clonality, and max frequency will be compared between pre and post treatment samples.

    Time frame: Up to 4 weeks

  3. Type 1 helper cell (Th1) versus (vs.) type 2 helper cell (Th2) phenotype of infiltrating T cells based on expression of CCR5 and CXCR3

    Gene expression will be analyzed using differential cluster analysis in order to look for patterns and gene groups that are differentially expressed in the post-treatment samples and such gene groups will be represented by heatmaps in order to illustrate this quantitative information. TCR fraction, clonality, and max frequency will be compared between pre and post treatment samples.

    Time frame: Up to 4 weeks

  4. Infiltrating tumor associated macrophage number

    Time frame: Up to 4 weeks

07

Study locations

1 site
  • Fred Hutch/University of Washington Cancer Consortium
    Seattle, Washington 98109, United States
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Started Jun 2018 (actual). Primary completion is estimated for Jan 2021, 30 months after the start.

How these figures are worked out, and which studies are left out of them.

Registered
Jan 5, 2018
First posted
Jan 11, 2018
StartActual
Jun 19, 2018
Primary completionEst.
Jan 1, 2021
CompletionEst.
May 1, 2021
Last update
Sep 10, 2019
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Sep 10, 2019, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03397186
Responsible party
Sponsor
First posted
Jan 11, 2018
Start date
Jun 19, 2018
Primary completion
Jan 1, 2021 (estimated)
Completion
May 1, 2021 (estimated)
Last update
Sep 10, 2019

Study contacts

Seth Pollack
principal investigator · Fred Hutch/University of Washington Cancer Consortium

Oversight

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

Not currently enrolling

This study is withdrawn, as verified in Sep 2019. You cannot join it, but the record below documents what was studied.

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Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

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Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Studies of the drug tested here: Trabectedin

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