MedPath

A Safety and Efficacy Study of Patients With Metastatic or Locally Advanced (Unresectable) Chondrosarcoma

Phase 2
Completed
Conditions
Conventional Chondrosarcoma
Interventions
Drug: Placebo Arm
Registration Number
NCT01310816
Lead Sponsor
Infinity Pharmaceuticals, Inc.
Brief Summary

IPI-926 is an inhibitor of the hedgehog pathway. IPI-926 may improve therapeutic outcomes in patients with Chondrosarcoma.

Detailed Description

Study IPI-926-04 is a Phase 2, double-blind, placebo-controlled, multicenter, trial evaluating the safety and efficacy of IPI-926 in patients with metastatic or locally advanced (unresectable) chondrosarcoma. The study includes an optional cross-over to open-label IPI-926 for patients randomly assigned to placebo who experience documented disease progression.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
105
Inclusion Criteria
  • At least 18 years of age at the time of signing informed consent.
  • Pathologically diagnosed conventional chondrosarcoma. Patients must have tumor sample(s) available or provide tumor samples from a new biopsy
  • Metastasis to at least 1 location or locally advanced disease that is deemed unresectable by a surgeon
  • At least 1 radiologically measurable target lesion per RECIST 1.1.
  • Patients must have documented radiographic progression of disease within the 6-month period prior to screening. (MRI or CT Scan)
  • Eastern Cooperative Oncology Group (ECOG) performance status: 0 or 1.
  • Life expectancy of at least 3 months
  • All women of child-bearing potential (WCBP), all sexually active male patients, and all partners of patients must agree to use adequate methods of birth control throughout the study and for 30 days after the last dose of study drug.
  • Ability to adhere to the study visit schedule and all protocol requirements.
  • Voluntarily signed an informed consent form.
Exclusion Criteria
  • Other invasive malignancies diagnosed within the last 5 years, except non-melanoma skin cancer and localized cured prostate and cervical cancer.
  • Systemic anti-cancer therapy within 21 days prior to the first dose of study drug, or radiotherapy within 14 days prior to the first dose of study drug.
  • Prior treatment with a Hedgehog pathway inhibitor
  • Medically significant surgical procedures or significant traumatic injury within 28 days before Day 1.
  • Inadequate hematologic function defined by:
  • Hemoglobin <8.0 g/dL (80 g/L) (may be increased to this level with transfusion as long as there is no evidence of active bleeding).
  • Inadequate hepatic function defined by:
  • Aspartate aminotransferase (AST) and/or alanine aminotransferase (ALT) >2.5 x upper limit of normal (ULN).
  • Total bilirubin >1.5 x ULN (with the exception of patients with Gilbert's disease).
  • Cirrhotic liver disease, ongoing alcohol abuse, or known chronic active or acute hepatitis.
  • Inadequate renal function defined by serum creatinine >1.5 x ULN
  • Patients with a history of stroke, unstable angina, myocardial infarction, or ventricular arrhythmia requiring medication or mechanical control within the last 6 months.
  • Presence of active infection or systemic use of antibiotics within 72 hours of treatment.
  • Significant co-morbid condition or disease, which in the judgment of the Investigator, would place the patient at undue risk or interfere with the study. Examples include, but are not limited to sepsis and recent significant traumatic injury.
  • Known human immunodeficiency virus (HIV) positivity.
  • Known hypersensitivity to IPI-926, or any of the excipients in IPI-926 or placebo capsules.
  • Pregnant or lactating women.
  • Current administration of the medications or foods which are known to be moderate or strong inhibitors of CYP3A4 activity

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
IPI-926IPI-926IPI-926
Sugar PillPlacebo ArmPlacebo Arm, sugar pill
Primary Outcome Measures
NameTimeMethod
Progression Free Survival (PFS)estimated 6 months

* To compare progression-free survival (PFS) in patients with metastatic or locally advanced (unresectable) chondrosarcoma administered IPI-926 or placebo.

* Number of Incidence of reported adverse events and abnormal laboratory test results. To evaluate the safety of IPI-926 or placebo in patients with metastatic or locally advanced (unresectable) chondrosarcoma

Secondary Outcome Measures
NameTimeMethod
Comparison of Time To Progression (TTP)estimated 6 months

\*To compare, Time To Progression (TTP) with metastatic or locally advanced (unresectable) chondrosarcoma patients administered IPI-926 or placebo

Comparison of Overall Survival (OS)estimated 6 months

To compare Overall Survival (OS) with metastatic or locally advanced (unresectable) chondrosarcoma patients administered IPI-926 or placebo

Overall Response Rate (ORR)estimated 6 months

To compare Overall Response Rate (ORR) with metastatic or locally advanced (unresectable) chondrosarcoma patients administered IPI-926 or placebo

Trial Locations

Locations (36)

Sarcoma Oncology Center

🇺🇸

Santa Monica, California, United States

University of Miami - Sylvester Comprehensive Cancer Center

🇺🇸

Miami, Florida, United States

University of Michigan

🇺🇸

Ann Arbor, Michigan, United States

Medical University of South Carolina

🇺🇸

Charleston, South Carolina, United States

Mount Sinai Hospital

🇨🇦

Toronto, Ontario, Canada

Institut de Cancérologie Gustave Roussy

🇫🇷

Villejuif, Ile-de-france, France

Leids Unversitair Medisch Centrum

🇳🇱

Leiden, Zuid-Holland, Netherlands

Centre Léon Bérard, Service d'Oncologie Médicale

🇫🇷

Lyon, Rhone-alpes, France

Monash Medical Centre

🇦🇺

East Bentleigh, Victoria, Australia

Radiumhospitalet

🇳🇴

Oslo, Norway

Centrum Onkologii Instytut im. Marii Sklodowskiej-Curie w Warszawie

🇵🇱

Warszawa, Mazowieckie, Poland

Dana-Farber Cancer Institute

🇺🇸

Boston, Massachusetts, United States

MD Anderson Cancer Center

🇺🇸

Houston, Texas, United States

Mayo Clinic

🇺🇸

Rochester, Minnesota, United States

University of Colorado Cancer Center

🇺🇸

Aurora, Colorado, United States

OHSU Knight Cancer Institute

🇺🇸

Portland, Oregon, United States

Columbia University Medical Center

🇺🇸

New York, New York, United States

Washington University in St. Louis

🇺🇸

St. Louis, Missouri, United States

Sydney Cancer Centre

🇦🇺

Camperdown, New South Wales, Australia

(TGen) Translational Genomics Research Institute

🇺🇸

Scottsdale, Arizona, United States

Pennsylvania Oncology Hematology Associates

🇺🇸

Philadelphia, Pennsylvania, United States

Centre René Gauducheau

🇫🇷

Saint Herblain cedex, Pays de La Loire, France

Universitätsklinikum Essen

🇩🇪

Essen, Nordrhein-westfalen, Germany

Fondazione IRCCS Istituto Nazionale dei Tumori

🇮🇹

Milano, Italy

University of Washington - Seattle Cancer Care Alliance

🇺🇸

Seattle, Washington, United States

Universitätsmedizin Mannheim

🇩🇪

Mannheim, Baden-wuerttemberg, Germany

Medizinische Universität Wien

🇦🇹

Wien, Vienna, Austria

Helios Klinikum Bad Saarow

🇩🇪

Bad Saarow, Brandenburg, Germany

IRCCS Istituto Ortopedico Rizzoli

🇮🇹

Bologna, Italy

Newcastle General Hospital

🇬🇧

Newcastle Upon Tyne, England, United Kingdom

SI Russian Oncological Research Center

🇷🇺

Moscow, Russian Federation

Royal Orthopaedic Hospital

🇬🇧

Birmingham, England, United Kingdom

Moscow n.a. P.A Herzen Oncology Research Institute of Rosmedtechnologies

🇷🇺

Moscow, Russian Federation

Skånes Universitetssjukhus

🇸🇪

Lund, Skane, Sweden

Fox Chase Cancer Center

🇺🇸

Philadelphia, Pennsylvania, United States

University College Hospital

🇬🇧

London, England, United Kingdom

© Copyright 2025. All Rights Reserved by MedPath