Phase Ib / Regorafenib With Conventional Chemotherapy/Newly Diagnosed Patients/ Multimetastatic Ewing Sarcoma
Condition(s) studied
Investigational drug(s) / intervention(s)
regorafenib tablet: Regorafenib will be escalated/de-escalated, starting at DL0: * DL1: 82 mg/m\^2 once daily for 21 days/28 days (max 160mg) (100% of the RP2D) * DL0 (starting dose): 66 mg/m\^2 once daily for 21 days/28 days (max 120mg) (80% of the RP2D) * DL-1: 50 mg/m\^2 once daily for 21 days/28 days (max 80mg) (60% of the RP2D)
Study summary
New drug efficacy in ES has been disappointing in the last decades and no new drugs have been successfully introduced up to now in front line treatment. Among the tested drugs, early clinical data suggest that strategies using multi-targeted tyrosine kinase inhibitors (TKI) with anti-angiogenic activities are among the most efficient and may be beneficial in the treatment of patients with ES.
Several TKI have been and are currently being tested as single-agent in patients with relapsed/refractory ES with encouraging results in phase II trials. Regorafenib has shown promising activity in Ewing sarcoma relapse setting, Nevertheless, regorafenib has never been combined with the intensive chemotherapy VDC/IE schedule and therefore this combination needs to be evaluated in order to avoid dose reduction of the current standard treatment and hence its efficacy.
The current clinical trial has been therefore designed to test the feasibility of regorafenib with ES conventional chemotherapy. It consists of a phase Ib that will only recruit patients with multi-metastatic (other than lungs/pleura only) ES, that present the highest unmet medical need (2 year EFS: 33%, similar to patients with relapse/refractory ES).
Eligibility
Primary outcome measure(s)
- Occurrence of Dose-Limiting Toxicities (DLT) — 28 days after the start of treatment
The dose-finding escalation will be driven by the occurrence of Dose-Limiting Toxicities (DLT), assessed over the first 28-day cycle (cycle 1), and defined as any of the following haematological and non-haematological events that occur during the DLT period (4 weeks after the start of treatment = cycle 1) and are at least possibly related (possibly, probably, or definitely) attributable to VDC/IE + regorafenib: * Any cardiac toxicity grade ≥ 3 * Any grade 3 or 4 (hematological or non-hematological) toxicity leading to delay of start of next course by \> 7 days (i.e: starting \> day 21). * Any dose interruption or reduction due to toxicity which results in administration of less than 80% of the planned dosage of regorafenib or 75% of the planned dosage of chemotherapy. * Any grade 3 or 4 toxicity resulting in discontinuation of the new combination * Any grade 5 toxicity related to study treatment (death)
Trial sites (13)
| Facility | City | Region | Status |
|---|---|---|---|
| Queensland Children's Hospital | Brisbane | Australia | |
| Monash Children's Hospital | Clayton | Australia | |
| Royal Children's Hospital | Parkville | Australia | |
| Perth Children's Hospital | Perth | Australia | |
| Rigshospitalet | Copenhagen | Denmark | |
| CHU Bordeaux | Bordeaux | France | |
| Centre Oscar Lambret | Lille | France | |
| centre Léon Bérard | Lyon | France | |
| Institut Curie | Paris | France | |
| Gustave Roussy | Villejuif | Île-de-France Region | |
| Istituto Nazionale dei Tumori | Milan | Italy | |
| Princess Máxima Center | Utrecht | Netherlands | |
| Vall d'Hebron University Hospital | Barcelona | Spain |
More Gustave Roussy, Cancer Campus, Grand Paris trials in France
Other trials for the same condition
This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.
View NCT05830084 on ClinicalTrials.gov ↗ ← All trials in France