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5 clinical trials in this condition
Germany
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Currently, there are 5 ongoing clinical trials investigating new treatments for myxoid liposarcoma, a rare type of cancer that develops in fat tissue. These studies are testing innovative therapies including genetically modified cell treatments and combination chemotherapy approaches across multiple European countries.
This study focuses on the long-term safety monitoring of patients who have already received an innovative cell therapy called letetresgene autoleucel. The treatment involves genetically modified immune cells designed to help the body fight cancer more effectively.
Who can join: Patients who have already received at least one infusion of letetresgene autoleucel through a previous study or managed access program are eligible. Participants must be able to provide informed consent and understand the study requirements. Both men and women can participate, though they must agree to use contraception for at least 12 months after treatment or until the modified cells are no longer detectable in their blood, whichever is longer.
Who cannot join: The exclusion criteria are primarily focused on patients who have not received the specific cell therapy being studied.
Study focus: The main goal is to monitor participants over the long term for any delayed side effects that might occur after receiving the genetically modified cell therapy. These could include new cancers, neurological problems, autoimmune disorders, blood disorders, or infections. Blood samples will be collected regularly to check for specific markers and to track how long the modified cells remain in the body. The study will continue until 2032, providing valuable information about the safety of this innovative treatment approach.
Treatment: The study involves the adoptive cell therapy known as GSK3377794 or letetresgene autoleucel, which contains genetically modified T cells that have been engineered to target cancer cells more effectively.
This trial investigates a personalized cell therapy approach for patients with advanced disease. The treatment involves collecting a patient's own immune cells, modifying them in the laboratory, and then infusing them back into the patient to fight cancer.
Who can join: Participants must be at least 10 years old and have a confirmed diagnosis of myxoid/round cell liposarcoma that has spread or cannot be surgically removed. The cancer must show specific genetic changes involving chromosomes 12, 16, and 22. Patients must have already received at least one standard treatment including drugs like doxorubicin. The tumor must test positive for a protein called NY-ESO-1 in at least 30% of cells, and patients must have specific genetic markers called HLA-A*02:01, HLA-A*02:05, or HLA-A*02:06. Adequate heart, liver, kidney, and blood cell function is required, and patients must have a life expectancy of at least 24 weeks.
Who cannot join: Patients whose tumors do not express the NY-ESO-1 protein or who lack the required HLA genetic markers cannot participate.
Study focus: The trial aims to evaluate how effective and safe the genetically modified T cell therapy is for treating these specific types of cancer. The treatment process begins with leukapheresis, a procedure to collect white blood cells. These cells are then genetically engineered to recognize and attack cancer cells expressing the NY-ESO-1 protein. After modification, the cells are infused back into the patient's bloodstream. Researchers will monitor how the cancer responds to treatment and track any side effects. Some participants may also receive other anti-cancer medications alongside the cell therapy.
Treatment: The investigational drug is GSK3377794, consisting of NY-ESO-1-specific T cells that have been genetically modified to target cancer cells. Some patients may also receive additional anti-cancer agents to enhance the effectiveness of the treatment.
This study compares two treatment approaches for soft tissue sarcoma: using trabectedin alone or combining it with an experimental drug called tTF-NGR. The goal is to determine whether adding tTF-NGR helps keep the cancer under control for longer.
Who can join: Patients aged 18 to 75 with advanced or metastatic soft tissue sarcoma are eligible if their cancer has not responded to previous treatment with anthracycline medications or if they cannot take these drugs for medical reasons. The cancer must be high-grade and include specific types such as myxoid liposarcoma. Patients must have at least one measurable tumor that has not been treated with radiation, and their tumor must test positive for a protein marker called CD13. A life expectancy of at least 3 months is required, along with adequate physical ability to carry out daily activities. Women who can become pregnant must use effective birth control during the study and for 3 months afterward, while men must use contraception for 5 months after treatment.
Who cannot join: People younger than 18 or older than 75, those without confirmed soft tissue sarcoma, patients with negative CD13 test results, pregnant or breastfeeding women, those with severe heart, liver, or kidney problems, active infections, or other active cancers requiring treatment cannot participate.
Study focus: The trial aims to determine whether combining tTF-NGR with standard trabectedin chemotherapy improves outcomes compared to trabectedin alone. The experimental drug tTF-NGR is designed to help trap the chemotherapy medication inside the tumor, potentially making it more effective. Participants will be randomly assigned to receive either trabectedin alone or the combination therapy. Treatment can continue for up to 360 days, with regular monitoring through imaging tests and medical examinations to assess how the cancer responds and to check for side effects.
Treatment: Trabectedin is a chemotherapy medication that interferes with cancer cell growth. The experimental drug tTF-NGR is a protein that targets blood vessels in tumors and is intended to concentrate the chemotherapy inside the tumor. Both medications are given through intravenous infusion.
This trial tests a new treatment approach where chemotherapy drugs are injected directly into tumors. The study compares this method with standard care treatments to see if it helps patients live longer.
Who can join: Participants must be at least 18 years old with a confirmed diagnosis of specific types of soft tissue sarcomas including liposarcoma, leiomyosarcoma, or undifferentiated pleomorphic sarcoma. The cancer must be unresectable (cannot be removed by surgery), locally advanced, or metastatic (spread to other parts of the body). Patients must have received at least one previous treatment for advanced disease and experienced disease progression, but should not have had more than two previous treatments. At least one tumor must be accessible for injection and measure at least 2 cm. Adequate organ function confirmed through blood tests is required. Women must not be pregnant or breastfeeding and must agree to use effective contraception during the study and for 7 months afterward. Men must use contraception and refrain from donating sperm for 6 months after the study ends.
Who cannot join: Patients with other cancer types not specified in the study, those who have had recent major surgery, people with severe heart problems, uncontrolled infections, severe liver or kidney disease, or a history of drug or alcohol abuse cannot participate. Pregnant or breastfeeding women and those unable to follow study procedures are also excluded.
Study focus: The trial evaluates whether INT230-6, a combination of vinblastine sulfate and cisplatin injected directly into tumors, can improve overall survival compared to standard treatments such as eribulin, trabectedin, or pazopanib. Participants will be randomly assigned to receive either the new treatment or standard care. Regular monitoring through imaging tests and blood work will assess how the tumors respond and check for any side effects. The study is expected to continue until December 2027.
Treatment: INT230-6 is a combination therapy injected directly into tumors, containing vinblastine and cisplatin along with a proprietary formulation called SHAO. Standard care options include eribulin (given by intravenous injection), trabectedin (intravenous infusion), or pazopanib (oral tablets).
This trial investigates a personalized immunotherapy approach using genetically modified T cells to treat advanced forms of these rare cancers.
Who can join: Patients aged 16 to 75 with confirmed advanced myxoid liposarcoma that has spread or cannot be surgically removed are eligible. Participants must have previously received treatment containing anthracycline or ifosfamide, or at least one other treatment if they cannot tolerate these drugs. The cancer must be measurable according to specific criteria, and patients must test positive for HLA-A*02 genetic markers. The tumor must show expression of a protein called MAGE-A4 in at least 30% of cells. Good heart function (left ventricular ejection fraction of 50% or higher) is required, and patients must be suitable for a blood cell collection procedure called leukapheresis. Adequate organ function confirmed through laboratory tests is necessary. Women who can become pregnant must have a negative pregnancy test and agree to use effective birth control for at least 12 months or 4 months after the modified cells are no longer detectable, whichever is longer. Men must be surgically sterile or agree to use contraception and abstain from sex with women who can become pregnant for 4 months after treatment.
Who cannot join: Patients who are not HLA-A*02 positive or whose cancer does not express MAGE-A4 cannot participate.
Study focus: The trial evaluates the effectiveness of afamitresgene autoleucel, a therapy using genetically modified T cells. The process begins with leukapheresis to collect white blood cells, which are then sent to a laboratory for genetic modification. These modified cells, called ADP-A2M4 SPEAR T cells, are designed to recognize and attack cancer cells expressing the MAGE-A4 protein. Before receiving the modified cells, patients undergo a short course of chemotherapy called lymphodepletion to reduce existing immune cells and help the modified T cells work more effectively. The genetically modified cells are then infused back into the patient through an intravenous route. Participants are closely monitored for side effects and treatment effectiveness through regular follow-up visits and health assessments.
Treatment: Afamitresgene autoleucel consists of ADP-A2M4 SPEAR T cells, which are the patient's own T cells genetically modified to target cancer cells expressing the MAGE-A4 protein. The treatment also involves lymphodepletion chemotherapy given before the cell infusion.
The five ongoing clinical trials for myxoid liposarcoma reflect a strong focus on innovative immunotherapy approaches, with three trials testing genetically modified T cell therapies. These personalized treatments involve collecting a patient's own immune cells, modifying them to better recognize cancer cells, and infusing them back into the patient. Spain and Italy are the most active countries in terms of trial availability, with four and three trials respectively, while France and the Netherlands each host multiple studies. Germany and Poland have fewer but still important ongoing research efforts.
Most trials specifically target patients with advanced or metastatic disease who have already received at least one previous treatment. A common requirement across several studies is the presence of specific genetic markers (such as HLA-A*02 alleles) and protein expressions (like NY-ESO-1 or MAGE-A4), highlighting the personalized nature of these treatments. The trials also explore combination approaches, such as adding tTF-NGR to standard chemotherapy or injecting drugs directly into tumors, representing diverse strategies to improve outcomes for this challenging cancer.
The studies emphasize long-term monitoring, with one follow-up trial extending until 2032, reflecting the importance of understanding the lasting effects of these new therapies. Patients interested in participating should discuss eligibility requirements with their oncology team, as most trials require specific genetic and molecular characteristics of the tumor.
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