A Phase Ib/II Study to Evaluate Safety and Efficacy of Bexmarilimab in Combination With Doxorubicin in Metastatic Soft-tissue Sarcoma.

Trial statusRecruiting
Trial phasePhase 1, Phase 2
Trial typeInterventional
Biological sexAll
Age18+
SponsorMedSIR

About this trial

This trial will Study a type of sarcoma defined metastatic soft-tissue sarcoma (STS). Participants will be treated with bexmarilimab, a CLEVER-1 antibody plus doxorubicin, a chemotherapy. The main purpose of the Study is to analyze the safety (to find out how safe or toxic a treatment is to appropriately manage the risks) and efficacy (to find out how effective a treatment is) of bexmarilimab combined with doxorubicin in participants who have STS.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Participant, or legal representative (if applicable), must be capable to understand the purpose of the Study and have signed written informed consent form (ICF) prior to beginning specific protocol procedures.

Female or male participants ≥ 18 years of age at the time of signing ICF.

Histologically documented metastatic STS with no more than 3 lines of treatment.

Participant has not received doxorubicin, but doxorubicin could be indicated for metastatic disease as per institutional guidelines.

Disqualifiers

Participation in another clinical trial, interventional or observational, until the Study's safety visit. Note: participation in retrospective studies or data analysis is allowed.

Treatment with approved or investigational cancer therapy within 14 days prior to initiation of Study drug.

Prior treatment with anthracyclines for localized or advanced disease.

Prior treatment with immunocheckpoint inhibitors for localized or advanced disease.

Trial design

Design model

Parallel

Treatments tested in this trial

  • bexmarilimab

    Drug

    RP2D of bexmarilimab administered as IV infusion on D1 of 21-day cycle for 6 cycles.

  • Doxorubicin

    Drug

    75 mg/m2 doxorubicin administered as IV infusion on D1 of 21-day cycle for 6 cycles.

Treatment groups

278 Participants
are divided into 4 treatment groups
Group A: Phase II: bexmarilimab + doxorubicinExperimental treatment 2 interventions
Group B: Phase II: doxorubicinActive comparator 1 intervention
Group C: Phase Ib: bexmarilimab dose escalationExperimental treatment 2 interventions
Group D: Phase Ib: bexmarilimab dose expansionExperimental treatment 2 interventions

Trial outcomes

Primary outcomes

1

Phase Ib: MTD and RP2D

The MTD and RP2D of bexmarilimab when used in combination with doxorubicin will be reported based upon evaluation of dose-limiting toxicities (DLTs) and adverse events (AEs) and other available data from secondary endpoints.

Time frame
Up to 14 months
2

Phase II: PFS

PFS, defined as the period from treatment randomization to the first occurrence of disease progression or death from any cause, whichever occurs first, as determined locally by the Investigator using RECIST v1.1.

Time frame
Up to 36 months

Secondary outcomes

1

Phase Ib: 6-months PFS

PFS rate at 6 months (6-month PFS), defined as the rate of participants with absence of disease progression or death from any cause after the treatment initiation, as determined locally by the investigator using RECIST v.1.1.

Time frame
6 months
2

ORR

ORR, defined as the rate of participants with complete response (CR) or partial response (PR), as determined locally by the investigator using RECIST v.1.1.

Time frame
Up to 36 months
3

CBR

CBR, defined as the rate of participants with objective response (CR or PR), or stable disease for at least 24 weeks, as determined locally by the investigator using RECIST v.1.1.

Time frame
Up to 36 months
4

TTR

TTR, defined as the period from treatment randomization to the first objective tumor response (tumor shrinkage of ≥ 30%) observed for participants who achieved a CR or PR, as determined locally by the investigator using RECIST v.1.1.

Time frame
Up to 36 months

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

MedSIR

Lead sponsor

Faron Pharmaceuticals Ltd

Collaborator