32 Participants Needed

DCC-3014 + Avelumab for Sarcoma

Sandra P. D'Angelo, MD - MSK Sarcoma ...
William D. Tap, MD - MSK Sarcoma ...
Overseen ByWilliam Tap, MD
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)
Breakthrough TherapyThis drug has been fast-tracked for approval by the FDA given its high promise

Trial Summary

What is the purpose of this trial?

This trial is testing the safest dose of a new drug, DCC-3014, combined with an existing drug, avelumab, for patients with advanced or spreading sarcomas. The goal is to find a dose that fights cancer without causing serious side effects. Avelumab has been effective in treating various types of cancer.

Do I need to stop my current medications to join the trial?

The trial protocol does not specify whether you need to stop taking your current medications. However, if you are using immunosuppressive medications or have recently received certain treatments like chemotherapy or monoclonal antibodies, you may need to stop or adjust them before joining the trial. It's best to discuss your specific medications with the trial team.

What data supports the effectiveness of the drug Avelumab, MSB0010718C, Bavencio, DCC-3014 for treating sarcoma?

Research on similar drugs, like pembrolizumab and nivolumab, which target the same PD-1 pathway as Avelumab, shows some effectiveness in treating advanced sarcomas, with certain subtypes responding better. This suggests that Avelumab might also have potential benefits for sarcoma patients.12345

What safety data exists for Avelumab (Bavencio) in humans?

Avelumab, also known as Bavencio, has been approved for treating certain types of cancer, like metastatic Merkel cell carcinoma, and has been studied for safety in various cancer types. It is generally considered safe for human use, but like many cancer treatments, it can have side effects, which should be discussed with a healthcare provider.12467

How is the drug DCC-3014 + Avelumab unique for treating sarcoma?

DCC-3014 + Avelumab is unique because it combines a novel macrophage-targeting agent (DCC-3014) with an immune checkpoint inhibitor (Avelumab) that helps the immune system recognize and attack cancer cells, offering a different approach compared to traditional chemotherapy or other immune therapies like pembrolizumab or nivolumab.23458

Research Team

Sandra P. D'Angelo, MD - MSK Sarcoma ...

Sandra D'Angelo, MD

Principal Investigator

Memorial Sloan Kettering Cancer Center

Eligibility Criteria

Adults (18+) with advanced or metastatic sarcomas, specifically undifferentiated pleomorphic, myxofibrosarcoma, leiomyosarcoma, or dedifferentiated liposarcoma. Participants must have had at least one prior systemic therapy and show measurable disease progression. They should be in good health otherwise and willing to use effective contraception.

Inclusion Criteria

Age >/= 18 years at the time of informed consent
Be capable, willing, and able to provide written informed consent/assent
Be willing to comply with clinical trial instructions and requirement, including mandatory biopsies
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Exclusion Criteria

History of unstable or deteriorating cardiovascular disease within the previous 6 months prior to screening including but not limited to the following: Unstable angina or myocardial infarction, CVA/stroke, Congestive heart failure (New York Heart Association [NYHA] Class III or IV), Uncontrolled clinically significant arrhythmias
Evidence or clinically significant interstitial lung disease or active, noninfectious pneumonitis related to prior immunotherapy treatment
Has known active central nervous system (CNS) metastases and/or carcinomatous meningitis. Patients with previously treated brain metastases or carcinomatous meningitis may participate provided they are stable (without evidence of progression by imaging for at least four weeks prior to the first dose of trial treatment and any neurologic symptoms have returned to baseline), have no evidence of new or enlarging brain metastases, and are not using steroids for at least 7 day prior to trial treatment
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Timeline

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Dose Escalation

Participants receive escalating doses of DCC-3014 in combination with avelumab to determine the maximum tolerated dose

48 weeks

Dose Expansion

Participants receive the determined dose of DCC-3014 and avelumab to evaluate the overall response rate

48 weeks

Follow-up

Participants are monitored for safety and effectiveness after treatment

4 weeks

Treatment Details

Interventions

  • Avelumab
  • DCC-3014
Trial OverviewThe trial is testing the combination of DCC-3014 with Avelumab to determine the safest dose for treating advanced sarcomas without causing severe side effects. The study involves participants who meet specific criteria related to their cancer type and previous treatments.
Participant Groups
1Treatment groups
Experimental Treatment
Group I: Advanced High-grade SarcomaExperimental Treatment2 Interventions
Dose Escalation: Up to 18 pts with locally advanced or metastatic high-grade sarcomas Dose Expansion: 10 pts per each diagnosis - undifferentiated pleomorphic sarcoma or myxofibrosarcoma, Leiomyosarcoma, Dedifferentiated liposarcoma

Avelumab is already approved in European Union, United States, Japan for the following indications:

🇪🇺
Approved in European Union as Bavencio for:
  • Merkel cell carcinoma
  • Renal cell carcinoma
  • Urothelial carcinoma
🇺🇸
Approved in United States as Bavencio for:
  • Merkel cell carcinoma
  • Renal cell carcinoma
  • Urothelial carcinoma
🇯🇵
Approved in Japan as Bavencio for:
  • Merkel cell carcinoma
  • Renal cell carcinoma
  • Urothelial carcinoma

Find a Clinic Near You

Who Is Running the Clinical Trial?

Memorial Sloan Kettering Cancer Center

Lead Sponsor

Trials
1,998
Recruited
602,000+

ENABLE MEDICINE

Collaborator

Trials
1
Recruited
30+

Findings from Research

In a phase 2 trial involving 62 patients with advanced or metastatic sarcoma, the combination of durvalumab and tremelimumab showed a promising progression-free survival rate of 49% at 12 weeks, indicating its potential efficacy as a treatment option.
While the treatment was generally active, it was associated with some serious adverse events, including one case of grade 5 pneumonitis and colitis, highlighting the need for careful monitoring of patients during therapy.
Durvalumab plus tremelimumab in advanced or metastatic soft tissue and bone sarcomas: a single-centre phase 2 trial.Somaiah, N., Conley, AP., Parra, ER., et al.[2023]
In a phase 2 study involving 86 patients with advanced soft-tissue or bone sarcoma, pembrolizumab demonstrated some efficacy, particularly in undifferentiated pleomorphic sarcoma (40% response rate) and dedifferentiated liposarcoma (20% response rate), although the overall response rate did not meet the primary endpoint.
The treatment was associated with some serious adverse events, including immune-related conditions like adrenal insufficiency and pneumonitis, highlighting the need for careful monitoring during therapy.
Pembrolizumab in advanced soft-tissue sarcoma and bone sarcoma (SARC028): a multicentre, two-cohort, single-arm, open-label, phase 2 trial.Tawbi, HA., Burgess, M., Bolejack, V., et al.[2022]
In a phase II study of pembrolizumab for advanced sarcoma, a 17.5% response rate was observed, particularly in undifferentiated pleomorphic sarcoma and dedifferentiated liposarcoma, indicating its potential efficacy in these subtypes.
Higher densities of activated T cells and tumor-associated macrophages expressing PD-L1 in pre-treatment biopsies were associated with better responses to pembrolizumab, suggesting that specific immune features may predict treatment outcomes and progression-free survival.
Correlative Analyses of the SARC028 Trial Reveal an Association Between Sarcoma-Associated Immune Infiltrate and Response to Pembrolizumab.Keung, EZ., Burgess, M., Salazar, R., et al.[2021]

References

Durvalumab plus tremelimumab in advanced or metastatic soft tissue and bone sarcomas: a single-centre phase 2 trial. [2023]
Pembrolizumab in advanced soft-tissue sarcoma and bone sarcoma (SARC028): a multicentre, two-cohort, single-arm, open-label, phase 2 trial. [2022]
Correlative Analyses of the SARC028 Trial Reveal an Association Between Sarcoma-Associated Immune Infiltrate and Response to Pembrolizumab. [2021]
Nivolumab with or without ipilimumab treatment for metastatic sarcoma (Alliance A091401): two open-label, non-comparative, randomised, phase 2 trials. [2021]
Anti-PD-1 therapy in advanced sarcomas: is cutaneous primary site a stronger predictor of response than histologic subtype? [2023]
Avelumab: First Global Approval. [2022]
Avelumab Versus Platinum-Based Doublet Chemotherapy as First-Line Treatment for Patients With High-Expression Programmed Death-Ligand 1-Positive Metastatic NSCLC: Primary Analysis From the Phase 3 JAVELIN Lung 100 Trial. [2023]
Functional genomics of human clear cell sarcoma: genomic, transcriptomic and chemical biology landscape for clear cell sarcoma. [2023]