Table 6 Similarities and differences among the three major Phase 1 trial experiences with advanced sarcoma patients on Phase 1 trials.

From: Evaluation of Novel Targeted Therapies in Aggressive Biology Sarcoma Patients after progression from US FDA approved Therapies

 

MDACC Phase 1 unit

Royal Marsden Hospital Phase 1 unit36

European Phase 1 database37

Number of patients

100

133

178

Median no. of systemic therapies

2 (0–10)

3 (0–6)

2 (0–9)

Age range

48 (14–80)

48.0 (12.5–81.9)

51 (19–79)

Male/Female ratio

46/54

71/62

96/82

Best Responses

4 PR

1 CR, 2PR.

6 PR

PFS

median PFS 3.5 months (95% CI: 2.4–4.7) 3 month and 6 month PFS, 57% and 36%

Median PFS 2.1 months (95% CI, 1.7–2.5)

3-month and 6-month PFS rates were 33.5% and 16.9%

Median OS

9.6 months (95% CI: 8.1–14.2)

7.6 months (95% CI, 4.8–10.4).

9.8 months (39.4 weeks) (95% CI 27.4–51.4)

Major tumor types

Spindle cell Sarcoma 12 (12%), Leiomyosarcoma 10 (10%)

Leiomyosarcoma 16 (12%), GIST 15 (11.3%), Liposarcoma 15 (11.3%)

Leiomyosarcoma 34 (27.2%), Liposarcoma 16 (12.8%)

Major drug types

anti-VEGF–based (n = 45), mTOR inhibitor–based (n = 15), and anti-VEGF + mTOR inhibitor–based (n = 17)

Antiangiogenic 43 (32.3%), IGF1-R/PI3K/mTOR/AKT pathway 30 (22.6%)

Cytotoxic 43 (19.8%), Targeted or cytotoxic+ targeted 174 (80.2%)