About this trial
This is an open label phase 2 study for advanced sarcoma using metronomic doses of gemcitabine, doxorubicin and docetaxel, and nivolumab immunotherapy given intravenously.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Pathologically confirmed diagnosis of locally advanced, unresectable or metastatic sarcoma
Ability to understand the purposes and risks of the study and has signed and dated a written informed consent form approved by the Investigator's IRB/Ethics Committee
Willingness to comply with all study procedures and availability for the duration of the study.
Previously treated patient with measurable disease by RECIST v1.1
Disqualifiers
History or evidence of active autoimmune disease that requires systemic treatment (ie, with use of disease modifying agents, corticosteroids or immunosuppressive drugs). Replacement therapy (eg, thyroxine, insulin, or physiologic corticosteroid replacement therapy for adrenal or pituitary insufficiency, etc.) is not considered a form of systemic treatment.
Currently receiving treatment with another investigational device or drug study, or <14 days since ending treatment with another investigational device or drug study(s).
Subject has known sensitivity to gemcitabine, doxorubicin, docetaxel or nivolumab.
Female subject is pregnant or breast-feeding or planning to become pregnant during study treatment and through 3 months after the last dose of gemcitabine, doxorubicin, docetaxel or nivolumab.
Trial design
Single group
Treatments tested in this trial
Gemcitabine
Drug600 mg/m2 (Maximum Dose: 1000 mg) i.v. on Day 1 and Day 8 of Cycle 1+
Doxorubicin
Drug18 mg/m2 (Maximum Dose: 32 mg) i.v. on Day 1 and Day 8 of Cycle 1+
Docetaxel
Drug25 mg/m2 (Maximum Dose: 42 mg) i.v. on Day 1 and Day 8 of Cycle 1+
Nivolumab
Drug240 mg i.v. on Day 1 beginnning Cycle 2+
Treatment groups
Trial outcomes
Primary outcomes
Progression free survival
Progression free survival from start of treatment to disease progression or death from any cause
Secondary outcomes
Overall response
Overall response by RECIST v1.1 via CT scan or MRI during the treatment period
Adverse Events
Incidence of treatment related adverse events
Sponsors and contacts
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