Experimental combo for rare sarcoma shows early promise but trial halted
NCT ID NCT04204941
First seen Jun 24, 2026 · Last updated Jun 27, 2026 · Updated 2 times
Summary
This study tested a new drug called tazemetostat combined with standard chemotherapy (doxorubicin) in people with advanced epithelioid sarcoma, a rare soft-tissue cancer. The trial aimed to find a safe dose and see if the combination could help patients live longer without their cancer worsening. However, the study was stopped early after enrolling only 25 participants, so we have very limited information on how well it works.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- tazemetostat (a targeted cancer drug) combined with doxorubicin (chemotherapy)
- What this could lead to
- If successful, this combination could offer a new frontline treatment option for advanced epithelioid sarcoma, potentially slowing disease progression.
- What could go wrong
- The trial was terminated early with only 25 participants, so results are very limited. It is too early to know if the combination is effective or safe for broader use.
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 1
The first testing in people. Mainly checks safety and dose, usually in a small group.
- Participants
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25 people
The number who actually took part.
- Started
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Dec 2019
- Finished
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Jun 2024
- 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 years and older
- 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 Participants must meet ALL the following inclusion criteria to be eligible to enroll in this study: 1. Have voluntarily agreed to provide written informed consent and demonstrated willingness and ability to comply with all aspects of the protocol. Study related activities will not start until written consent is obtained. 2. Life expectancy ≥ 3 months before enrollment 3. Phase 1b: 18-65 years old histologically confirmed Soft Tissue Sarcoma 4. Phase 3: ≥18 years old with unresectable locally advanced or metastatic Epithelioid Sarcoma and tumor tissue available 5. Have measurable disease 6. Eastern Cooperative Oncology Group Performance Status (ECOG) performance status of 0, 1, or 2 7. Have adequate hematologic (bone marrow (BM) and coagulation factors), renal and hepatic function as required per protocol 8. Females must not be lactating or pregnant at Screening or Baseline 9. Females must not be pregnant or breast feeding and agree to use highly effective contraception during the clinical trial and for 6 months following the final dose of study 10. Male participants of child-bearing potential must have had either a successful vasectomy or practice highly effective contraception 11. Participants diagnosed with human immunodeficiency virus (HIV) are eligible to participate in the study if their infection is well controlled on anti-retroviral therapy. Exclusion Criteria Participants meeting any of the following exclusion criteria are NOT eligible to enroll in this study: 1. Prior exposure to tazemetostat or other inhibitor(s) of enhancer of zeste homologue-2 (EZH2). 2. Prior systemic anticancer therapy. 3. Contraindications noted in the doxorubicin label 4. Have any prior history of myeloid malignancies, including myelodysplastic syndrome (MDS) or acute myeloid leukemia (AML). 5. Have prior history of T-cell lymphoblastic lymphoma (T- LBL/)/T-cell acute lymphoblastic leukemia (T-ALL). 6. Have participated in another interventional clinical study and received investigational drug within 30 days or 5 half-lives, whichever is longer, prior to the planned first dose of study treatment. 7. Have known active central nervous system (CNS) or any leptomeningeal metastasis of primary extracranial tumor. 8. Participants taking medications that are known potent cytochrome P450 3A4 (CYP3A4) inducers/inhibitors (including St. John's Wort) 9. Are unwilling to exclude Seville oranges, grapefruit juice, AND grapefruit from the diet and all foods that contain those fruits from time of enrollment to through the duration of study participation. 10. Major surgery within 4 weeks before the first dose of study treatment. Participants must have recovered from surgery prior to enrollment to this study. 11. Are unable to take oral medication OR have malabsorption syndrome or any other uncontrolled gastrointestinal condition (eg, nausea, diarrhea, vomiting) that might impair the bioavailability of study treatment. 12. Have an active infection requiring systemic therapy. 13. Are immunocompromised (ie, has a congenital immunodeficiency). 14. Have known hypersensitivity to any component of tazemetostat or doxorubicin. 15. Cardiovascular impairment as stated in the protocol 16. Have a known active infection with hepatitis B virus (HBV, as measured by positive hepatitis B surface antigen), hepatitis C virus (HCV, as measured by positive hepatitis C antibody). 17. Any other major illness that, in the Investigator's judgment, will substantially increase the risk associated with the participant's participation in this study OR interfere with their ability to receive study treatment or complete the study. 18. Female participants who are pregnant or breastfeeding. 19. Participants who have undergone a solid organ transplant. 20. Participants with malignancies other than STS (phase 1b) or ES (Phase 3 only). 21. Participants housed in an institution by order of the authorities or courts.
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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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City of Hope Comprehensive Cancer Center
Duarte, California, 91010, United States
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Columbia University Irving Medical Center
New York, New York, 10032, United States
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Dana Farber Cancer Insititute
Boston, Massachusetts, 02215, United States
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Dana Farber Cancer Institute
Boston, Massachusetts, 02215, United States
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Duke University Medical Center
Durham, North Carolina, 27710, United States
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Fred Hutchinson Research Center
Seattle, Washington, 98109, United States
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Massachusetts General Hospital
Boston, Massachusetts, 02214, United States
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Mayo Clinic-Jacksonville
Jacksonville, Florida, 32224, United States
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McGill University Faculty of Medicine - Royal Victoria Hospital
Montreal, Quebec, H4A 3J1, Canada
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National Taiwan University Hospital
Taipei, 100, Taiwan
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Oregon Health and Science University
Portland, Oregon, 97239, United States
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Royal Marsden Foundation Trust
London, SW3 6JJ, United Kingdom
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Sarah Cannon Research Institute at HealthONE
Denver, Colorado, 80218, United States
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Sarah Cannon and HCA Research Institute
Nashville, Tennessee, 37203, United States
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Sarcoma Oncology Research Center
Santa Monica, California, 90403, United States
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The Ohio State University Comprehensive Cancer Center
Columbus, Ohio, 43210, United States
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Thomas Jefferson University Hospital
Philadelphia, Pennsylvania, 19107, United States
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University of Colorado Hospital - Anschutz Cancer Pavilion
Aurora, Colorado, 80045, United States
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University of Michigan Medical Center
Ann Arbor, Michigan, 48109, United States
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University of Pittsburgh Medical Center - Hillman Cancer Center
Pittsburgh, Pennsylvania, 15232, United States
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Washington University
St Louis, Missouri, 63110, United States
More trials for these conditions
Other studies related to the condition(s) this trial covers.
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- Can an immune-boosting drug make chemotherapy more effective against sarcoma?
- Immunotherapy boosts chemo against rare sarcomas?
- New mRNA shot targets Hard-to-Treat cancers in early human test
- Experimental combo targets Hard-to-Treat sarcomas
- New drug cocktail shows promise in slowing rare sarcoma