Experimental drug combo for rare sarcoma shows promise, but trial halted early
NCT ID NCT05712694
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This phase 3 trial tested whether adding ADI-PEG 20 to standard chemotherapy (gemcitabine and docetaxel) could help people with advanced leiomyosarcoma, a rare soft tissue cancer. The study planned to enroll 218 participants whose cancer had progressed after prior treatment. Unfortunately, the trial was terminated early, so it is not yet known if the combination improves outcomes. The results may still provide clues for future research.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- ADI-PEG 20 (pegargiminase) plus gemcitabine and docetaxel
- What this could lead to
- If successful, this combination could offer a new treatment option for people with advanced leiomyosarcoma that has stopped responding to standard therapy.
- What could go wrong
- The trial was terminated early, so results are limited. It is unclear if ADI-PEG 20 adds benefit over chemotherapy alone, and side effects from the drug combination may be significant.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
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218 people
The number who actually took part.
- Started
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Nov 2023
- Finished
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May 2026
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 to 99 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * A subject will be eligible for study participation if he/she meets the following criteria: 1. Histologically or cytologically confirmed, grade 2 or 3, LMS STS that would be standardly treated with Gem or GemDoc. 2. Determination of LMS subtype: uterine or non-uterine. 3. Measurable disease per RECIST 1.1 (Appendix A), defined as lesions that can be accurately measured in at least one dimension (longest diameter to be recorded) as ≥ 10 mm with CT scan, as ≥ 20 mm by chest x-ray, or ≥ 10 mm with calipers by clinical exam. 4. Previous treatment with up to 2 systemic regimens, including at least 1 systemic regimen containing doxorubicin. 5. Treatment \> one year ago in the adjuvant/neoadjuvant setting with Gem or Doc is allowed. 6. Age \>18 years. 7. Eastern Cooperative Oncology Group (ECOG) performance status of \< 1 at enrollment (Appendix B). 8. Leukocytes ≥ 3,000/mcL. 9. Absolute neutrophil count ≥ 1,500/mcL. 10. Platelets ≥ 100,000/mcL. 11. Hemoglobin ≥ 8.0 g/dL 12. Total bilirubin ≤ 2 x ULN. (≤ 3 x ULN for potential subjects with Gilbert's Disease) 13. AST(SGOT)/ALT(SGPT) ≤ 3 x ULN (or ≤ 5 x ULN if liver metastases are present) 14. Creatinine clearance ≥ 60 mL/min (by Cockcroft-Gault equation). 15. Serum uric acid ≤ 8 mg/dL (with or without medication control). 16. QTc interval range from 350 to 450 ms for adult men and from 360 to 460 ms for adult women. 17. Subjects and their partners must be asked to use appropriate contraception. They must agree to use 2 forms of contraception or agree to refrain from intercourse for the duration of the study and for 35 days after the last dose of ADI-PEG 20 or for at least 3 months (male subjects) or 6 months (female subjects) after treatment with gemcitabine, whichever is the longer duration. 18. Ability to understand and willingness to sign the informed consent form. 19. No concurrent investigational drug studies are allowed. Exclusion Criteria: * A subject will not be eligible for study participation if he/she meets any of the exclusion criteria: 1. Subjects with history of another primary cancer, including co-existent second malignancy, with the exception of: a) curatively resected non-melanoma skin cancer; b) curatively treated cervical carcinoma in situ; or c) other primary solid tumor with no known active disease present in the opinion of the Investigator will not affect subject outcome in the setting of current diagnosis. 2. Currently receiving chemotherapy, immunotherapy, interferon, radiation therapy or other investigational agents. Note: Chemotherapy agent washout period is 5 half-lives prior to randomization. Radiation washout period is 7 days prior to randomization. 3. Prior treatment with ADI-PEG 20, Gem or Doc. Patients treated \> one year ago in the adjuvant/neoadjuvant setting with Gem or Doc are allowed to be enrolled. 4. Prior pelvic radiation. 5. Known brain metastases. Such patients must be excluded from this trial because of their poor prognosis and because they often develop progressive neurologic dysfunction that would confound the evaluation of neurologic and other adverse events. 6. History of allergic reactions attributed to compounds of similar chemical or biologic composition to ADI-PEG 20, Gem, Doc, polysorbate 80, pegylated compounds, or other agents used in this study. 7. Uncontrolled intercurrent illness including, but not limited to, ongoing or active infection, symptomatic congestive heart failure, unstable angina pectoris, cardiac arrhythmia, or psychiatric illness/social situations that would limit compliance with study requirements. 8. History of seizure disorder not related to underlying cancer. 9. Grade 2 or higher neuropathy. 10. Pregnant and/or breastfeeding. Women of childbearing potential must have a negative pregnancy test within 14 days of study entry. 11. Known HIV-positivity. Because of the potential for pharmacokinetic interactions of antiretroviral therapy with the study treatment. In addition, these patients are at increased risk of lethal infections when treated with marrow-suppressive therapy. Appropriate studies will be undertaken in patients receiving combination antiretroviral therapy when indicated. 12. Currently receiving other immunosuppressive agents. 13. Subjects under guardianship, curatorship, under legal protection or deprived of liberty by an administrative or judicial decision
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Chang Gung Medical Foundation Kaohsiung
Kaohsiung City, Niaosong District, 83301, Taiwan
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Duke Cancer Institute
Durham, North Carolina, 27710, United States
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Indiana University
Indianapolis, Indiana, 46202, United States
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Mass General Brigham Cancer Center
Boston, Massachusetts, 02114, United States
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Mayo Clinic Arizona
Phoenix, Arizona, 85054, United States
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Mayo Clinic Florida
Jacksonville, Florida, 32224, United States
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Mayo Clinic Rochester
Rochester, Minnesota, 55905, United States
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McGill University Health Centre (Quebec)
Montreal, Quebec, H4A 311, Canada
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Medical College of Wisconsin/ Froedtert Hospital
Milwaukee, Wisconsin, 53226, United States
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Memorial Sloan Kettering Cancer Center
New York, New York, 10065, United States
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Moffitt Cancer Center
Tampa, Florida, 33612, United States
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NYU Langone Health
New York, New York, 10016, United States
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National Taiwan University Hospital
Taipei, Taipei, 10002, Taiwan
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Northwestern
Chicago, Illinois, 60611, United States
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Ohio State University Wexner Medical Center/ The James Cancer Hospital and Solove Research Institute
Columbus, Ohio, 43210, United States
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Stanford University Medical Centre
Palo Alto, California, 94304, United States
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Taipei Veterans General Hospital
Taipei, Taipei, 11217, Taiwan
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UCLA
Santa Monica, California, 90404, United States
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UCSF
San Francisco, California, 94158, United States
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UHN - Princess Margaret Cancer Center (Ontario)
Toronto, Ontario, M5G 2M9, Canada
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UPMC Hillman Cancer Center
Pittsburgh, Pennsylvania, 15232, United States
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UPenn (Abramson Cancer Center, Pennsylvania Hospital)
Philadelphia, Pennsylvania, 19106, United States
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USC Norris comprehensive cancer center
Los Angeles, California, 90033, United States
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University Hospitals Cleveland Medical Center
Cleveland, Ohio, 44106, United States
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University of Colorado Cancer Center/ CU Anschutz Medical Campus
Aurora, Colorado, 80045, United States
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University of Iowa
Iowa City, Iowa, 52242, United States
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University of Miami/ Sylvester Comprehensive Cancer Center
Miami, Florida, 33136, United States
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University of Michigan
Ann Arbor, Michigan, 48109, United States
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University of Texas MD Anderson Cancer Center
Houston, Texas, 77030, United States
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Washington University School of Medicine - Siteman Cancer Center
St Louis, Missouri, 63110, United States
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Can a dual immune antibody plus radiation shrink metastatic sarcoma?
- Can a Marine-Derived drug slow advanced soft tissue sarcoma?
- Can a One-Two punch of immunotherapy and radiation tame sarcoma before surgery?
- Can a radioactive antibody light up hidden tumors?
- A simple blood test may reveal hidden infertility risk in young cancer survivors
- Could a massive tissue bank unlock sarcoma's secrets?