About this trial
This is a multicenter, open-label, Phase 1/2 study evaluating the safety, tolerability, pharmacokinetics, pharmacodynamics, and antitumor activity of domatinostat in combination with sirolimus in adolescents and adults with relapsed or refractory sarcoma and osteosarcoma.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Age ≥12 and ≤40 years.
Histologically confirmed relapsed or refractory sarcoma (Phase 1) or osteosarcoma (Phase 2).
At least one prior standard systemic therapy regimen.
Not candidates for available therapies known to provide survival benefit.
Disqualifiers
Receiving another investigational agent.
Receiving concurrent anticancer therapy.
Known hypersensitivity to domatinostat or sirolimus.
Bone marrow-only disease.
Trial design
Sequential
Treatments tested in this trial
Domatinostat
DrugTablet
Sirolimus
DrugTablet
Treatment groups
Trial outcomes
Primary outcomes
Phase 1: Maximum Tolerated Dose (MTD)
For the phase 1 portion, a standard 3+3 design will be used to determine the MTD and/or RP2D for the Phase 2 portion of this study.
Phase 2: Arm A Event Free Surival
Event free survival (EFS) is defined as the duration of time from start of treatment to time of disease progression, secondary malignancy, or death, whichever occurs first.
Phase 2: Arm B Event Free Surival
Event free survival (EFS) is defined as the duration of time from start of treatment to time of disease progression, secondary malignancy, or death, whichever occurs first.
Secondary outcomes
Phase 2: Overall Survival
Overall Survival (OS) of phase 2 participants.
Sponsors and contacts
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H. Lee Moffitt Cancer Center and Research Institute
Lead sponsor
National Pediatric Cancer Foundation
Collaborator
Healx USA, Inc
Collaborator