Nab-Paclitaxel and Gemcitabine for Recurrent/Refractory Sarcoma



Status:Recruiting
Conditions:Cancer, Cancer, Cancer
Therapuetic Areas:Oncology
Healthy:No
Age Range:12 - 30
Updated:4/5/2019
Start Date:October 21, 2016
End Date:March 2021
Contact:Tiffany Smith
Email:tiffany.smith@moffitt.org
Phone:813-745-6250

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Phase II Study of Nab-Paclitaxel in Combination With Gemcitabine for Treatment of Recurrent/Refractory Sarcoma in Teenagers and Young Adults

The purpose of this study is to see if nab-paclitaxel combined with gemcitabine prevents the
formation or growth of tumors in participants with relapsed or refractory osteosarcoma, Ewing
sarcoma, rhabdomyosarcoma and other soft tissue sarcoma and to measure the length of time
during and after treatment that their disease does not get worse. Researchers also want to
find out if nab-paclitaxel combined with gemcitabine is safe and tolerable.


Inclusion Criteria:

- Participants must be age ≥ 12 and ≤ 30 years, and have had a histologic diagnosis of
osteosarcoma, Ewing sarcoma, or rhabdomyosarcoma or non-rhabdomyosarcoma soft tissue
sarcoma either at diagnosis or relapse. Must have experienced relapse after front-line
therapy, or have had documented disease progression during front-line therapy.

- Must have measurable disease that can be assessed using Response Evaluation in Solid
Tumors (RECIST) 1.1, defined as the presence of at least one lesion on MRI or CT scan
that can be accurately measured with the longest diameter of 10 mm in at least one
dimension. For this phase II trial, patients with disease limited to bone or marrow
metastases are NOT eligible, as disease at these sites cannot be assessed by RECIST
1.1 criteria.

- Must have relapsed or refractory cancers for which there is no known curative option.

- Prior Therapy: There is no limit to the number of prior therapies provided all
eligibility criteria are met. However, participants must have recovered from the acute
toxic effects of all prior treatment. (A) Must not have received prior therapy with
either gemcitabine or nab-paclitaxel. (B) Myelosuppressive chemotherapy: Must not have
received myelosuppressive chemotherapy within 3 weeks of protocol therapy on this
study. (C) Hematopoietic growth factors: 7 days must have elapsed from the start of
protocol therapy since the completion of therapy with filgrastim, and 14 days must
have elapsed from the start of protocol therapy after receiving pegfilgrastim. (D)
Biologic (anti-neoplastic agent): 7 day must have elapsed from the start of protocol
therapy since the completion of therapy with a biologic agent. (E) Monoclonal
antibodies: 3 half-lives must have elapsed from the start of protocol therapy since
prior therapy that included a monoclonal antibody. (F) Radiotherapy: 2 weeks must have
elapsed from the start of protocol therapy since local palliative radiotherapy (small
port); 3 months must have elapsed if 50% radiation of pelvis; 6 weeks must have
elapsed if other substantial bone marrow irradiation was given. (G) Stem Cell
Transplant or Rescue: No evidence of active graft vs. host disease and 2 months must
have elapsed from the start of protocol therapy since transplant.

- Karnofsky performance score must be ≥ 60

- Must have organ and marrow function

- Neuropathy: Must have ≤ grade 1 neuropathy at enrollment

- Central nervous system (CNS) Metastases: Potential participants with known CNS
metastases are excluded unless treated surgically or with radiotherapy and stable with
no recurrent lesions for at least 3 months from the start of protocol therapy.

- Contraception: Women of child-bearing potential and men must agree to use adequate
contraception prior to study entry and for the duration of study participation. Men
treated or enrolled on this protocol must also agree to use adequate contraception 4
months after completion of gemcitabine and nab-paclitaxel administration.

- Consent: Participants must have the ability to understand and the willingness to sign
a written informed consent or assent document.

Exclusion Criteria:

- Potential participants who are receiving any other investigational agents

- Must not be receiving any additional medicines being given for the specific purpose of
treating cancer

- A history of allergic reactions attributed to docetaxel or paclitaxel

- Concomitant Medications: The metabolism of paclitaxel is catalyzed by CYP2C8 and
CYP3A4. The following medicines should be avoided on this study because of their
ability to inhibit or induce with CYP2C8 or CYP3A4: A) Inhibitors: ketoconazole and
other imidazole antifungals, erythromycin, fluoxetine, gemfibrozil, cimetidine,
ritonavir, saquinavir, indinavir, and nelfinavir. B) Inducers: Rifampicin,
carbamazepine, phenytoin, efavirenz, and nevirapine. C) Potential participants
receiving any of the above medications are ineligible.

- Potential participants are ineligible if they have uncontrolled intercurrent illness
including, but not limited to: ongoing or active infection; symptomatic congestive
heart failure; unstable angina pectoris; cardiac arrhythmia; psychiatric
illness/social situations that would limit compliance with study requirements.

- Pregnant or breastfeeding

- HIV Infection: HIV-positive patients on combination antiretroviral therapy are
ineligible because of the potential for pharmacokinetic interactions with the study
medications.

- Anyone who in the opinion of the investigator may not be able to comply with the
safety monitoring requirements of the study.
We found this trial at
14
sites
Saint Petersburg, Florida 33701
Principal Investigator: Damon Reed, M.D.
Phone: 727-767-4784
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Baltimore, Maryland 21231
410-955-6190
Principal Investigator: David Loeb, M.D.
Phone: 410-502-7247
Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins The name Johns Hopkins has become synonymous...
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3550 Jerome Avenue
Bronx, New York 10467
(718) 920-4321
Principal Investigator: Daniel A. Weiser, M.D.
Phone: 718-741-1356
Montefiore Medical Center As the academic medical center and University Hospital for Albert Einstein College...
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Bronx, NY
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Chapel Hill, North Carolina 27599
(919) 962-2211
Principal Investigator: Patrick Thompson, M.D.
Phone: 919-843-7025
University of North Carolina at Chapel Hill Carolina’s vibrant people and programs attest to the...
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700 Childrens Drive
Columbus, Ohio 43205
(616) 722-2000
Principal Investigator: Bhuvana Setty, M.D.
Phone: 614-722-6570
Nationwide Children's Hospital At Nationwide Children’s, we are creating the future of pediatric health care....
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Columbus, OH
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282 Washington St
Hartford, Connecticut 06106
(860) 545-9000
Principal Investigator: Michael Isakoff, M.D.
Phone: 860-545-9614
Connecticut Children's Medical Center Connecticut Children’s Medical Center is a nationally recognized, 187-bed not-for-profit children’s...
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Hartford, CT
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807 Childrens Way
Jacksonville, Florida 32207
(904) 697-3600
Principal Investigator: Eric Sandler, M.D.
Phone: 904-697-3206
Nemours Children's Clinic At Nemours Children’s Clinic, Jacksonville, we've treated every child as we would...
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Jacksonville, FL
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4650 Sunset Blvd
Los Angeles, California 90027
 (323) 660-2450
Principal Investigator: Leo Mascarenhas, M.D.
Phone: 323-361-3031
Childrens Hospital Los Angeles Children's Hospital Los Angeles is a 501(c)(3) nonprofit hospital for pediatric...
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Charlotte, North Carolina 28204
Principal Investigator: Javier E. Oesterheld, M.D.
Phone: 704-381-9900
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Charlotte, NC
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1600 Southwest Archer Road
Gainesville, Florida 32608
Principal Investigator: Joanne Lagmay, M.D.
Phone: 352-265-0111
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Lexington, Kentucky
859) 257-9000
Principal Investigator: Lars Wagner, M.D.
Phone: 859-323-6975
University of Kentucky The University of Kentucky is a public, land grant university dedicated to...
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1611 Northwest 12th Avenue
Miami, Florida 33124
Principal Investigator: Matteo Trucco, M.D.
Phone: 305-585-5635
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12902 USF Magnolia Drive
Tampa, Florida 33612
Principal Investigator: Damon Reed, M.D.
Phone: 813-745-6250
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1600 Rockland Road
Wilmington, Delaware 19603
Principal Investigator: Emi H. Caywood, M.D.
Phone: 302-651-5528
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Wilmington, DE
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