Domatinostat With Sirolimus for Relapsed, Refractory Sarcoma and Osteosarcoma
Recruiting
Phase 1Phase 2Interventional Study
SarcomaOsteosarcoma
No Placebo Group
Every participant receives an active treatment — no one gets a placebo.
Prior Safety Data
This treatment has already been tested in at least one earlier human trial.
Ready to participate?
Review the details below, then apply to join this clinical trial.
At a Glance
Age
12 – 40
Sex
Any
Trial phase
Phase 1/2
Study type
Interventional
Purpose
Treatment
Participants needed
74 (estimated)
Sponsor
H. Lee Moffitt Cancer Center and Research Institute · Other
Who this trial is looking for
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This is a multicenter, open-label, Phase 1/2 study evaluating the safety, tolerability, pharmacokinetics, pharmacodynamics, and antitumor activity of domatinostat in combination with sirolimus in adolescents and adults with relapsed or refractory sarcoma and osteosarcoma.
Trial Locations
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Eligibility Criteria
Inclusion Criteria:
* Age ≥12 and ≤40 years.
* Histologically confirmed relapsed or refractory sarcoma (Phase 1) or osteosarcoma (Phase 2).
* At least one prior standard systemic therapy regimen.
* Not candidates for available therapies known to provide survival benefit.
* Karnofsky/Lansky performa…
Inclusion Criteria:
* Age ≥12 and ≤40 years.
* Histologically confirmed relapsed or refractory sarcoma (Phase 1) or osteosarcoma (Phase 2).
* At least one prior standard systemic therapy regimen.
* Not candidates for available therapies known to provide survival benefit.
* Karnofsky/Lansky performance score ≥60.
* Life expectancy ≥16 weeks.
* Adequate organ function: ANC ≥1,000/mcL, Platelets ≥100,000/uL, Hemoglobin ≥8 g/dL, Adequate hepatic and renal function.
* Ability to swallow tablets.
* Negative pregnancy test for females of childbearing potential.
* Agreement to use effective contraception.
* Ability to provide informed consent/assent.
Exclusion Criteria:
* Receiving another investigational agent.
* Receiving concurrent anticancer therapy.
* Known hypersensitivity to domatinostat or sirolimus.
* Bone marrow-only disease.
* CNS metastatic disease.
* Major surgery within 2 weeks prior to treatment.
* Active malignancy within the previous 3 years (with protocol-specified exceptions).
* History of solid organ transplantation.
* Significant recent cardiac disease.
* Concurrent prohibited CYP3A4/P-gp interacting medications.
* Uncontrolled infection or other serious uncontrolled illness.
* Pregnancy or breastfeeding.
* HIV infection on antiretroviral therapy.
* Weight \<40 kg.
* Inability to comply with study requirements.
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