Chemo-immunotherapy in Patients Under 18 Years of Age With Bone and Soft Tissue Sarcomas

Trial statusRecruiting
Trial phasePhase 3
Trial typeInterventional
Biological sexAll
AgeUp to 18
SponsorN.N. Petrov National Medical Research Center of Oncology

About this trial

Data from 40 patients are planned to be included in the study to randomize approximately 10 patients.

This study involves patients with advanced/metastatic GD2-positive rhabdomyosarcoma after progression on 1st line of chemotherapy, advanced/metastatic GD2-positive Ewing sarcoma after progression on 1st line of chemotherapy and advanced/metastatic GD2-positive osteosarcoma after progression on 1st line of chemotherapy.

All patients will receive therapy until disease progression (a total of 6 courses of immunotherapy).

The primary objective of the study is to determine the efficacy and safety of dinutuximab beta with investigator's choice of chemotherapy.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Signed written informed consent form;

Age under 18 years of age;

Histologically confirmed GD2-positive osteogenic sarcoma, Ewing's sarcoma, soft tissue and undifferentiated sarcomas;

Prior to study enrollment, patients must have been treated with one or more lines of adequate chemotherapy and must have relapsed on this therapy or have refractoriness to it;

Disqualifiers

Withdrawal of consent by the patient or his/her parent/guardian.

Exclusion of the patient by the investigator for safety or ethical reasons.

Trial design

Design model

Parallel

Treatments tested in this trial

  • dinutuximab beta

    Drug

    Chemotherapy + Immunotherapy (dinutuximab beta)

Treatment groups

40 Participants
are divided into 3 treatment groups
Group A: Generalized / metastatic GD2-positive rhabdomyosarcomaExperimental treatment 1 intervention
Group B: Generalized / metastatic GD2-positive Ewing sarcomaExperimental treatment 1 intervention
Group C: Generalized / metastatic GD2-positive osteosarcomaExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Progression-free survival (PFS)

PFS will be assessed from the date of the first induction dose of dinutuximab beta to the date of first documented disease progression or death from any cause.

Time frame
6 months

Secondary outcomes

1

Overall survival (OS)

OS will be assessed from the date of administration of the first induction dose of dinutuximab beta to the date of death.

Time frame
6 months
2

Overall response rate (ORR)

ORR will be assessed by tumor response CR or PR.

Time frame
6 months
3

Tumor control rate (TCR)

TCR will be assessed by tumor response according CR + PR + stabilization.

Time frame
6 months
4

Duration of response (DR)

DR will be assessed from initial response to disease progression.

Time frame
6 months

Other outcomes

Sponsors and contacts

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