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Phase 2 N=310 Randomized Double-blind Treatment

A Study of Olaratumab (LY3012207) in Participants With Advanced Soft Tissue Sarcoma

Soft Tissue Sarcoma

Enrolled (actual)
310
Serious AEs
48.5%
Results posted
Oct 2021
Primary outcome: Primary: Phase 1b: Number of Participants With Dose Limiting Toxicity (DLT) — 1; 4; 3 Participants

Study Design & Population

Study type
Interventional
Phase
Phase 2
Interventions
Olaratumab (Drug); Gemcitabine (Drug); Docetaxel (Drug); Placebo (Drug)
Age
Pediatric, Adult, Older Adult · 16+ yrs
Sex
All
Sponsor
Eli Lilly and Company
Primary completion
Jul 2020

Outcome Measures

OutcomeResultp-value
PRIMARY
Phase 1b: Number of Participants With Dose Limiting Toxicity (DLT)
1; 4; 3
PRIMARY
Phase 2: Overall Survival (OS) (Olaratumab-Naive)
16.76; 18.04 0.775
SECONDARY
Phase 1b: Pharmacokinetics (PK): Maximum Serum Concentration (Cmax) of Olaratumab
432; 572; 460; 697; 523; 644
SECONDARY
Phase 1b: PK: Minimum Serum Concentration (Cmin) of Olaratumab
95.9; 142; 64.3; 93.3; 137; 252
SECONDARY
Phase 1b: PK: Elimination Half-Life (T1/2) of Olaratumab
4.60; 4.29; 6.25; 6.62; 5.17; 6.36
SECONDARY
Phase 1b/2: PK: Cmax of Gemcitabine
2.79; 3.49; 3.01; 2.35
SECONDARY
Phase 1b/2: PK: Area Under the Concentration-Time Curve From Time Zero to Infinity (AUC[0-∞]) of Gemcitabine
SECONDARY
Phase 1b/2: PK: Cmax of Docetaxel
903; 1110; 1030; 827
SECONDARY
Phase 1b/2: PK: Area Under the Concentration Versus Time Curve From Time Zero to Infinity (AUC [0-∞]) of Docetaxel
4440; 2990
SECONDARY
Phase 1b/2: Population PK: Clearance of Olaratumab
0.0186
SECONDARY
Phase 1b/2: Population PK: Volume of Distribution at Steady State (Vss) of Olaratumab
5.14
SECONDARY
Phase 2: Overall Survival (Olaratumab Pre-Treated)
19.84; 17.31 0.148
SECONDARY
Phase 2: Progression Free Survival (PFS)
7.62; 4.37; 5.45; 4.17 0.055
SECONDARY
Phase 2: Percentage of Participants With a Complete or Partial Response (Objective Response Rate [ORR])
32.1; 23.3; 30.4; 14 0.1891
SECONDARY
Phase 2: Disease Control Rate (DCR): Percentage of Participants With a Best Overall Response of Complete Response (CR), Partial Response (PR), and Stable Disease (SD)
74.1; 72.1; 67.4; 62.8 0.7724
SECONDARY
Phase 2: Time to First Worsening of the Brief Pain Inventory Short Form Modified (mBPI-sf) "Worst Pain Score"
3.61; 2.27; 3.15; 2.20 0.073
SECONDARY
Phase 2: Time to First Worsening of Symptom Burden on the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire-Core 30 (EORTC QLQ-C30) - Symptom Scales.
0.95; 0.95; 0.85; 0.76; 3.78; 2.46 0.332
SECONDARY
Phase 2: Health Status on the EuroQol 5-Dimension 5 Level (EQ-5D-5L)
0.80; 0.81; 0.83; 0.83; 73.5; 72.7
SECONDARY
Phase 2: Number of Participants With Treatment Emergent Anti-Olaratumab Antibodies
0; 0

Summary

The main purpose of this study is to evaluate the safety and efficacy of two anti-cancer drugs (gemcitabine and docetaxel) with and without the study drug known as olaratumab in participants with advanced soft tissue sarcoma (STS) or STS that has spread to another part(s) of the body.

Eligibility Criteria

Inclusion Criteria

  • The participant may have no more than 2 prior lines of systemic therapies (neoadjuvant and adjuvant therapies will not be considered as a prior line of therapy) for advanced or metastatic disease and is suitable to receive gemcitabine and docetaxel therapy. All previous therapies must have completed ≥ 3 weeks (21 days) prior to first dose of study drug.
  • In the Phase 2 part, prior olaratumab/doxorubicin combination therapy in 1 prior treatment line is allowed.
  • Prior olaratumab therapy must have been received with doxorubicin as indicated on the olaratumab label.
  • Prior olaratumab therapy must have included at least 2 full cycles of olaratumab/doxorubicin (that is, a minimum of 4 doses of olaratumab).
  • Participants, who completed at least 2 cycles of combination olaratumab/doxorubicin therapy then discontinued doxorubicin due to toxicity or maximum dosing and proceeded to olaratumab monotherapy, are eligible.
  • The most recent dose of olaratumab must have been received within 180 days of randomization in this study.
  • Availability of tumor tissue is mandatory for study eligibility. The participant must have consented to provide archived formalin-fixed paraffin-embedded tumor tissue or be subject to a pre-treatment re-biopsy of primary or metastatic tumor tissue for future central pathology review and translational research (if archived tissue is unavailable).
  • The participant has adequate hematologic, organ, and coagulation function within 2 weeks (14 days) prior to enrollment (Phase 1b) or randomization (Phase 2).

Exclusion Criteria

  • The participant is diagnosed with gastrointestinal stromal tumor (GIST) or Kaposi sarcoma.
  • The participant has active central nervous system (CNS) or leptomeningeal metastasis (brain metastasis) at the time of enrollment (Phase 1b) or randomization (Phase 2). Participants with a history of a CNS metastasis previously treated with curative intent (for example, stereotactic radiation or surgery) that have not progressed on follow-up imaging, have been asymptomatic for at least 60 days, and are not receiving systemic corticosteroids and or/anticonvulsants, are eligible. Participants with signs or symptoms of neurological compromise should have appropriate radiographic imaging performed before enrollment (Phase 1b) /randomization (Phase 2) to rule out brain metastasis.
  • The participant has received prior treatment with gemcitabine or docetaxel. Note: Participants previously enrolled in the I5B-MC-JGDJ (NCT02451943) or any other blinded study with olaratumab are not eligible to participate in this trial.
  • The participant has electively planned or will require major surgery during the course of the study.
  • Females who are pregnant or breastfeeding.
  • The participant has an active fungal, bacterial, and/or known viral infection including human immunodeficiency virus (HIV) or viral (A, B, or C) hepatitis (screening is not required).
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT02659020). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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