Evidence map›Paper›PMID 40358615›Full record

Trial reportClinical cancer research : an official journal of the American Association for Cancer Research2025

A Phase II Multicenter Trial of Trabectedin in Combination with Olaparib in Patients with Advanced Unresectable or Metastatic Sarcoma.

Brittany L Siontis, John D Rice, Scott M Schuetze, Douglas Rottmann, Christina V Angeles, Amanda K Fox, Laurie E Zyczynski, Salim Hayek, Steven I Robinson, Scott H Okuno and 2 more

Abstract readClinical Trial, Phase IIMulticenter Study
In one paragraph

Trial report in Clinical cancer research : an official journal of the American Association for Cancer Research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Therapeutic advances in leiomyosarcoma.Frontiers in oncology · 2023
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Brittany L SiontisDivision of Medical Oncology, Mayo Clinic, Rochester, Minnesota.ORCID 0000-0002-9471-6792
John D RiceDepartment of Biostatistics, University of Michigan, Ann Arbor, Michigan.ORCID 0000-0003-4338-481X
Scott M SchuetzeDivision of Hematology/Oncology, Department of Internal Medicine, University of Michigan, Ann Arbor, Michigan.ORCID 0000-0002-7167-4163
Douglas RottmannDepartment of Pathology, University of Michigan, Ann Arbor, Michigan.ORCID 0000-0003-4966-8215
Christina V AngelesDepartment of Surgery, University of Michigan, Ann Arbor, Michigan.ORCID 0000-0002-6500-9589
Amanda K FoxDivision of Hematology/Oncology, Department of Internal Medicine, University of Michigan, Ann Arbor, Michigan.ORCID 0009-0000-4762-6180
Laurie E ZyczynskiDivision of Hematology/Oncology, Department of Internal Medicine, University of Michigan, Ann Arbor, Michigan.ORCID 0000-0002-1573-407X
Salim HayekDivision of Cardiology, Department of Internal Medicine, University of Michigan, Ann Arbor, Michigan.ORCID 0000-0003-0180-349X
Steven I RobinsonDivision of Medical Oncology, Mayo Clinic, Rochester, Minnesota.ORCID 0000-0002-1648-1908
Scott H OkunoDivision of Medical Oncology, Mayo Clinic, Rochester, Minnesota.ORCID 0000-0002-1297-6946
Thanh P HoDivision of Medical Oncology, Mayo Clinic, Rochester, Minnesota.ORCID 0000-0001-7659-5766
Rashmi ChughDivision of Hematology/Oncology, Department of Internal Medicine, University of Michigan, Ann Arbor, Michigan.ORCID 0000-0002-4633-6971

Funding

XenograftP30CA046592 · NCI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Alexey I Nesvizhskii · 1988 to 2026
$178.2M
PROJECT 3: Applying Liquid Biopsy Technologies to Detect Clinical Response and Mechanisms of Resistance in the Treatment of LMSP50CA272170 · NCI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI JUDY E. GARBER · 2022 to 2026
$13.3M
Bernard J. Danan Family Foundation for Sarcoma CureMayo Clinic (The Mayo Clinic)National Cancer Institute (NCI) P50CA272170NCI NIH HHS P30 CA046592NCI NIH HHS P50 CA272170Rogel Cancer Center, University of Michigan (Rogel Cancer Center)
6 · The paper itself

Abstract

purposeSoft-tissue sarcomas are rare malignancies with poor prognosis and limited systemic treatment options. We conducted a phase II study to assess the efficacy and safety of trabectedin and olaparib in patients with advanced disease. PATIENTS AND

methodsPatients with soft-tissue sarcoma who received ≥1 prior therapy were recruited into two cohorts. Cohort 1 included leiomyosarcoma and liposarcoma; cohort 2 included other histologies. All patients received trabectedin (1.1 mg/m2 24-hour infusion every 21 days) and olaparib (150 mg twice daily continuously). The study was conducted using a Simon minimax two-stage design with a primary endpoint of objective response (OR) rate per RECIST 1.1.

resultsTwenty-nine (cohort 1, 16; cohort 2, 13) patients enrolled; one patient in cohort 2 was not evaluable. There were no confirmed ORs in cohort 1; the best response was stable disease in 12 (75%) patients and progressive disease in four (25%). Two partial responses were observed in cohort 2 (n = 12). The most common adverse events were fatigue (75%), neutropenia (75%), anemia (68%), and thrombocytopenia (68%). The median progression-free survival and overall survival for all patients were 3.5 (95% confidence interval, 3.3-8.2) and 13.2 months (95% confidence interval, 10.3-20.9), respectively. Next-generation sequencing of 17 tumors revealed multiple abnormalities, most commonly in TP53, RB1, and ATRX.

conclusionsTrabectedin plus olaparib conferred high rates of toxicity and failed to demonstrate ORs in leiomyosarcoma and liposarcoma. Preliminary evidence of clinical benefit in two patients in cohort 2 suggests potential value of either or both drugs in other sarcomas.

Indexed as

Antineoplastic Combined Chemotherapy ProtocolsSarcomaAdultAgedAged, 80 and overFemaleHumansMaleMiddle AgedNeoplasm MetastasisPhthalazinesPiperazinesTrabectedinTreatment OutcomeolaparibPhthalazinesPiperazinesTrabectedin

Identifiers

PMID40358615
PMCPMC12365955

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.