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OncoMatch/Clinical Trials/NCT06308419

A Phase I Trial of Combination Gemcitabine and Nab-Sirolimus in Advanced Leiomyosarcomas or Advanced Soft-Tissue Sarcomas With TSC2 or TSC1 Loss-of-function Mutations or Deletions

Is NCT06308419 recruiting? Yes, currently enrolling (Jun 2026). This Phase 1 trial studies multiple treatments including Gemcitabine and Nab-Sirolimus for leiomyosarcoma.

Phase 1RecruitingM.D. Anderson Cancer CenterNCT06308419Data as of Jun 2026

Treatment: Gemcitabine · Nab-SirolimusTo find a recommended dose of gemcitabine and nab-sirolimus that can be given in combination to participants with advanced leiomyosarcomas or soft-tissue sarcomas.

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Extracted eligibility criteria

Treatments studied

Chemotherapy

Gemcitabine

Other

Nab-Sirolimus

Cancer type

Sarcoma

Biomarker criteria

Required: TSC1 deletion

Required: TSC1 loss-of-function mutation

Required: TSC2 deletion

Required: TSC2 loss-of-function mutation

Performance status

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

Prior therapy

Min 1 prior line

Must have received: systemic therapy — leiomyosarcoma only

One prior standard systemic therapy is required for leiomyosarcoma (LMS) Patients.

Cannot have received: mTOR inhibitor

Prior treatment of sarcoma with mTOR inhibitors.

Lab requirements

Blood counts

absolute neutrophil count 1,500/mcL; platelets 100,000/mcL; hemoglobin 9 gm/dL

Kidney function

eGFR (CKD-EPI)  60 mL/min

Liver function

total bilirubin  2 x institutional ULN (except Gilbert's syndrome: < 3.0 mg/dL); AST(SGOT)/ALT(SGPT) 2 d7 institutional ULN

Cardiac function

NYHA Functional Class 2B or better

Patients must have adequate organ and marrow function as defined below: i. absolute neutrophil count 1,500/mcL ii. platelets 100,000/mcL iii. hemoglobin 9 gm/dL iv. total bilirubin  2 x institutional upper limit of normal (ULN) (except patients with Gilbert's syndrome, who must have total bilirubin < 3.0 mg/dL) v. AST(SGOT)/ALT(SGPT) 2 d7 institutional ULN vi. eGFR (calculated by CKD-EPI)  60 mL/min vii. Serum triglyceride <300 mg/dL viii. Serum cholesterol <350 mg/dL ... cardiac disease ... NYHA Functional Class 2B or better

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

US trial sites

  • MD Anderson Cancer Center · Houston, Texas

Showing up to 5 US sites.

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Frequently asked questions

Is NCT06308419 currently recruiting?

Yes, this trial is currently recruiting patients.

Are there prior therapy exclusions?

Yes. Prior mTOR inhibitor disqualifies patients from enrollment.

Does this trial require TSC1?

Yes, TSC1 deletion is a required biomarker for enrollment.

Does this trial require TSC1?

Yes, TSC1 loss-of-function mutation is a required biomarker for enrollment.

Does this trial require TSC2?

Yes, TSC2 deletion is a required biomarker for enrollment.

Could you qualify for this trial?

Enter your biomarker results to see how this trial's eligibility criteria match your specific cancer profile.

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Related pages

Sarcoma trials