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OncoMatch/Clinical Trials/NCT05597917

tTF-NGR Randomized Study - STS

Is NCT05597917 recruiting? Yes, currently enrolling (May 2026). This Phase 3 trial studies multiple treatments including tTF-NGR and Trabectedin for soft tissue sarcoma.

Phase 3RecruitingUniversität MünsterNCT05597917Data as of May 2026

Treatment: Trabectedin · tTF-NGRIn this phase III open label, controlled clinical trial patients with unresectable or metastatic soft-tissue sarcoma after failure of anthracycline-containing first line therapy or with contraindications to these drugs and CD13 positivity in central histology (grade \>/= 1+) are treated to evaluate whether tTF-NGR in combination with standard trabectedin chemotherapy prolongs progression-free survival (according to iRECIST), as compared with trabectedin alone. Further objectives are to evaluate the efficacy of tTF-NGR in combination with standard trabectedin chemotherapy with respect to the response rate and overall survival as well as to assess the safety profile of tTF-NGR combined with trabectedin. Before the randomized phase III part of the study, there was a safety run-in part. The final dose of tTF-NGR established as safe in this safety run-in part is 0.5 mg/m2 per day for 2 consecutive days following each trabectedin infusion and is used for the randomized (parallel 1:1; Arm 1: standard trabectedin, Arm 2: standard trabectedin plus tTF-NGR) phase III part of this trail. . Further dose modification for tTF-NGR is possible.

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Extracted eligibility criteria

Cancer type

Sarcoma

Biomarker criteria

Required: ANPEP positivity with a score of ≥ 1 (20) by central pathology (score ≥ 1 (20))

CD13 positivity with a score of ≥ 1 (20) by central pathology (GDI Münster)

Disease stage

Metastatic disease required

Grade: 23 (FNCLCC)

high-grade advanced unresectable or metastatic soft tissue sarcoma (grade 2 - 3) according to the FNCLCC grading system

Performance status

ECOG 0–2(Ambulatory, capable of self-care)

Prior therapy

Min 1 prior line

Must have received: anthracycline — first line or adjuvant within 12 months

after failure of anthracycline-containing first line therapy (or anthracycline-containing adjuvant therapy within 12 months before entry on study) or with contraindications to these drugs

Lab requirements

Blood counts

ANC ≥ 1.0 x 10^9/L, platelets ≥ 50 x 10^9/L (for trabectedin ≥ 100 x 10^9/L, investigator discretion), Hb ≥ 8.0 g/dl

Kidney function

creatinine < 2.0 x ULN; no chronically impaired renal function

Liver function

ALT, AST, ALP or total bilirubin < 2.5 x ULN unless due to liver metastasis (decision by the investigator)

no adequate bone marrow function, absolute neutrophil count (ANC) < 1.0 x 10^9/L, platelets < 50 x 10^9/L (for trabectedin actually < 100 x 10^9/L - to be decided by the investigator on an individual patient basis) and haemoglobin (Hb) < 8.0 g/dl. chronically impaired renal function or creatinine ≥ 2.0 x upper limit of normal (ULN). inadequate liver function (alanine aminotranserase (ALT), aspartate aminotranserase (AST), alkaline phosphatase (ALP) or total bilirubin ≥ 2.5 x ULN) unless due to liver metastasis (decision by the investigator)

Structured fields extracted by AI. May contain errors — verify against the official protocol.

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