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NCT04996004: TTI-621-03

A Study to Learn About the Study Medicine (Called Ontorpacept or TTI-621) Given Alone and in Combination With Doxorubicin in People With Leiomyosarcoma

Terminated Phase 2 Results posted Last updated 11 December 2024
What this trial tests

Phase 2 trial testing Ontorpacept (TTI-621) in Leiomyosarcoma in 76 participants. Terminated before completion.

Timeline
22 June 2021
Primary endpoint
7 December 2023
7 December 2023

Quick facts

Lead sponsorPfizer
PhasePhase 2
StatusTerminated
Study typeINTERVENTIONAL
Allocationnon randomized
Designsequential
Maskingnone
Primary purposetreatment
Enrollment76
Start date22 June 2021
Primary completion7 December 2023
Estimated completion7 December 2023
Sites23 locations across United States

Drugs / interventions tested

Conditions studied

Sponsor

Pfizer — full company profile →

Who can join

18 and older, any sex, with Leiomyosarcoma. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Number of Participants With Treatment Emergent Adverse Events (TEAEs) and Serious TEAEs: Phase I Primary · From first dose of study treatment (Day 1) up to 30 Days post last dose of study treatment or start of new anti-cancer therapy whichever occurred soonest (maximum treatment exposure for Phase I was 74.1 weeks; maximum follow up to approx. 78.1 weeks)

An adverse event (AE) was any untoward medical occurrence or worsening of a pre-existing medical condition following or during exposure to pharmaceutical product, whether or not considered causally related to product. A serious adverse event (SAE) was an adverse event occurred during any study at any dose of the investigational products that fulfils one or more of following criteria: resulted in death; was life-threatening; required inpatient hospitalization or prolongation of hospitalization; resulted in persistent or significant disability/incapacity; resulted in congenital anomaly/birth def

Participants with TEAEs
GroupValue95% CI
Phase I: Ontorpacept 0.2 mg/kg + Doxorubicin3
Phase I: Ontorpacept 0.7 mg/kg + Doxorubicin3
Phase I: Ontorpacept 2.0 mg/kg + Doxorubicin3
Participants with Serious TEAEs
GroupValue95% CI
Phase I: Ontorpacept 0.2 mg/kg + Doxorubicin0
Phase I: Ontorpacept 0.7 mg/kg + Doxorubicin1
Phase I: Ontorpacept 2.0 mg/kg + Doxorubicin1
Mean Change From Baseline in Blood Pressure at 30 Minutes Post Dose on Cycle 1 Day 1 (C1D1): Phase I Primary · Baseline, 30 minutes post dose on Day 1 of Cycle 1

Blood pressure included diastolic blood pressure (DBP) and systolic blood pressure (SBP). Mean change from baseline to 30 minutes post-dose on C1D1 were reported in this outcome measure. Baseline was defined as the last measurement taken prior to the first infusion of study medication (Day 1 of Cycle 1).

DBP
GroupValue95% CI
Phase I: Ontorpacept 0.2 mg/kg + Doxorubicin-0.7± 5.86
Phase I: Ontorpacept 0.7 mg/kg + Doxorubicin-0.7± 3.51
Phase I: Ontorpacept 2.0 mg/kg + Doxorubicin1.0± 8.72
SBP
GroupValue95% CI
Phase I: Ontorpacept 0.2 mg/kg + Doxorubicin1.7± 8.02
Phase I: Ontorpacept 0.7 mg/kg + Doxorubicin2.0± 3.61
Phase I: Ontorpacept 2.0 mg/kg + Doxorubicin-8.7± 4.73
Mean Change From Baseline in Blood Pressure at 60 Minutes Post Dose on C1D1: Phase I Primary · Baseline, 60 minutes post dose on Day 1 of Cycle 1

Blood pressure included DBP and SBP. Mean change from baseline to 60 minutes post-dose on C1D1 were reported in this outcome measure. Baseline was defined as the last measurement taken prior to the first infusion of study medication (Day 1 of Cycle 1).

DBP
GroupValue95% CI
Phase I: Ontorpacept 0.2 mg/kg + Doxorubicin2.3± 2.08
Phase I: Ontorpacept 0.7 mg/kg + Doxorubicin0.7± 3.21
Phase I: Ontorpacept 2.0 mg/kg + Doxorubicin1.7± 9.29
SBP
GroupValue95% CI
Phase I: Ontorpacept 0.2 mg/kg + Doxorubicin3.0± 5.00
Phase I: Ontorpacept 0.7 mg/kg + Doxorubicin-0.7± 2.89
Phase I: Ontorpacept 2.0 mg/kg + Doxorubicin-8.3± 10.12
Mean Change From Baseline in Blood Pressure at 30 Minutes Post Dose on Cycle 1 Day 8 (C1D8): Phase I Primary · Baseline, 30 minutes post dose on Day 8 of Cycle 1

Blood pressure included DBP and SBP. Mean change from baseline to 30 minutes post-dose on C1D8 were reported in this outcome measure. Baseline was defined as the last measurement taken prior to the first infusion of study medication (Day 1 of Cycle 1).

DBP
GroupValue95% CI
Phase I: Ontorpacept 0.2 mg/kg + Doxorubicin1.3± 10.02
Phase I: Ontorpacept 0.7 mg/kg + Doxorubicin2.7± 5.03
Phase I: Ontorpacept 2.0 mg/kg + Doxorubicin0.3± 2.89
SBP
GroupValue95% CI
Phase I: Ontorpacept 0.2 mg/kg + Doxorubicin7.0± 11.36
Phase I: Ontorpacept 0.7 mg/kg + Doxorubicin5.0± 6.93
Phase I: Ontorpacept 2.0 mg/kg + Doxorubicin-7.3± 7.51
Mean Change From Baseline in Blood Pressure at 60 Minutes Post Dose on C1D8: Phase I Primary · Baseline, 60 minutes post dose on Day 8 of Cycle 1

Blood pressure included DBP and SBP. Mean change from baseline to 60 minutes post-dose on C1D8 were reported in this outcome measure. Baseline was defined as the last measurement taken prior to the first infusion of study medication (Day 1 of Cycle 1).

DBP
GroupValue95% CI
Phase I: Ontorpacept 0.2 mg/kg + Doxorubicin0.3± 9.81
Phase I : Ontorpacept 0.7 mg/kg + Doxorubicin-4.0± 7.94
Phase I: Ontorpacept 2.0 mg/kg + Doxorubicin0.7± 6.51
SBP
GroupValue95% CI
Phase I: Ontorpacept 0.2 mg/kg + Doxorubicin3.3± 9.07
Phase I : Ontorpacept 0.7 mg/kg + Doxorubicin2.3± 9.29
Phase I: Ontorpacept 2.0 mg/kg + Doxorubicin-1.0± 11.53
Mean Change From Baseline in Blood Pressure at 30 Minutes Post Dose on Cycle 2 Day 1 (C2D1): Phase I Primary · Baseline, 30 minutes post dose on Day 1 of Cycle 2

Blood pressure included DBP and SBP. Mean change from baseline to 30 minutes post-dose on C2D1 were reported in this outcome measure. Baseline was defined as the last measurement taken prior to the first infusion of study medication (Day 1 of Cycle 1).

DBP
GroupValue95% CI
Phase I: Ontorpacept 0.2 mg/kg + Doxorubicin3.0± 3.46
Phase I: Ontorpacept 0.7 mg/kg + Doxorubicin-2.0± 6.24
Phase I: Ontorpacept 2.0 mg/kg + Doxorubicin6.5± 3.54
SBP
GroupValue95% CI
Phase I: Ontorpacept 0.2 mg/kg + Doxorubicin4.0± 5.29
Phase I: Ontorpacept 0.7 mg/kg + Doxorubicin-5.7± 6.51
Phase I: Ontorpacept 2.0 mg/kg + Doxorubicin3.5± 16.26
Mean Change From Baseline in Blood Pressure at 60 Minutes Post Dose on C2D1: Phase I Primary · Baseline, 60 minutes post dose on Day 1 of Cycle 2

Blood pressure included DBP and SBP. Mean change from baseline to 60 minutes post-dose on C2D1 were reported in this outcome measure. Baseline was defined as the last measurement taken prior to the first infusion of study medication (Day 1 of Cycle 1).

DBP
GroupValue95% CI
Phase I: Ontorpacept 0.2 mg/kg + Doxorubicin3.0± 5.20
Phase I: Ontorpacept 0.7 mg/kg + Doxorubicin-3.7± 8.02
Phase I: Ontorpacept 2.0 mg/kg + Doxorubicin11.0± 1.41
SBP
GroupValue95% CI
Phase I: Ontorpacept 0.2 mg/kg + Doxorubicin5.0± 5.57
Phase I: Ontorpacept 0.7 mg/kg + Doxorubicin-2.0± 14.73
Phase I: Ontorpacept 2.0 mg/kg + Doxorubicin10.5± 24.75
Mean Change From Baseline in Blood Pressure at 30 Minutes Post Dose on Cycle 3 Day 1 (C3D1): Phase I Primary · Baseline, 30 minutes post dose on Day 1 of Cycle 3

Blood pressure included DBP and SBP. Mean change from baseline to 30 minutes post-dose on C3D1 were reported in this outcome measure. Baseline was defined as the last measurement taken prior to the first infusion of study medication (Day 1 of Cycle 1).

DBP
GroupValue95% CI
Phase I: Ontorpacept 0.2 mg/kg + Doxorubicin-3.5± 6.36
Phase I: Ontorpacept 0.7 mg/kg + Doxorubicin-5.5± 4.95
Phase I: Ontorpacept 2.0 mg/kg + Doxorubicin2.0± NA
SBP
GroupValue95% CI
Phase I: Ontorpacept 0.2 mg/kg + Doxorubicin-6.5± 17.68
Phase I: Ontorpacept 0.7 mg/kg + Doxorubicin-14.0± 0.00
Phase I: Ontorpacept 2.0 mg/kg + Doxorubicin-8.0± NA
Mean Change From Baseline in Blood Pressure at 60 Minutes Post Dose on C3D1: Phase I Primary · Baseline, 60 minutes post dose on Day 1 of Cycle 3

Blood pressure included DBP and SBP. Mean change from baseline to 60 minutes post-dose on C3D1 were reported in this outcome measure. Baseline was defined as the last measurement taken prior to the first infusion of study medication (Day 1 of Cycle 1).

DBP
GroupValue95% CI
Phase I: Ontorpacept 0.2 mg/kg + Doxorubicin0.5± 6.36
Phase I: Ontorpacept 0.7 mg/kg + Doxorubicin-2.0± 2.83
Phase I: Ontorpacept 2.0 mg/kg + Doxorubicin6.0± NA
SBP
GroupValue95% CI
Phase I: Ontorpacept 0.2 mg/kg + Doxorubicin-1.0± 7.07
Phase I: Ontorpacept 0.7 mg/kg + Doxorubicin-12.0± 4.24
Phase I: Ontorpacept 2.0 mg/kg + Doxorubicin-11.0± NA
Mean Change From Baseline in Blood Pressure at Safety Follow up: Phase I Primary · Baseline, Safety follow up (up to 30 Days post last dose of study treatment or start of new anti-cancer therapy whichever occurred soonest (maximum treatment exposure for Phase I was 74.1 weeks; maximum follow up to approx. 78.1 weeks)

Blood pressure included DBP and SBP. Mean change from baseline to safety follow up visit were reported in this outcome measure. Baseline was considered as the last measurement taken prior to the first infusion of study medication (Day 1 of Cycle 1).

DBP
GroupValue95% CI
Phase I: Ontorpacept 0.2 mg/kg + Doxorubicin7.0± 2.83
Phase I: Ontorpacept 0.7 mg/kg + Doxorubicin-10.3± 2.89
Phase I: Ontorpacept 2.0 mg/kg + Doxorubicin3.0± 13.08
SBP
GroupValue95% CI
Phase I: Ontorpacept 0.2 mg/kg + Doxorubicin13.5± 14.85
Phase I: Ontorpacept 0.7 mg/kg + Doxorubicin-15.7± 10.07
Phase I: Ontorpacept 2.0 mg/kg + Doxorubicin8.7± 12.66
Mean Change From Baseline in Body Weight at C3D1: Phase I Primary · Baseline, Day 1 of Cycle 3

Body weight was measured in kilograms (kg). Baseline was considered as the last measurement taken prior to the first infusion of study medication (Day 1 of Cycle 1).

GroupValue95% CI
Phase I: Ontorpacept 0.2 mg/kg + Doxorubicin0.68± 0.962
Phase I: Ontorpacept 0.7 mg/kg + Doxorubicin-3.86± 2.885
Phase I: Ontorpacept 2.0 mg/kg + Doxorubicin-1.71± 0.148
Mean Change From Baseline in Body Weight at Cycle 5 Day 1 (C5D1): Phase I Primary · Baseline, Day 1 of Cycle 5

Body weight was measured in kilograms. Baseline was considered as the last measurement taken prior to the first infusion of study medication (Day 1 of Cycle 1).

GroupValue95% CI
Phase I: Ontorpacept 0.2 mg/kg + Doxorubicin-0.91± 0.000
Phase I: Ontorpacept 0.7 mg/kg + Doxorubicin-2.50± 5.452
Phase I: Ontorpacept 2.0 mg/kg + Doxorubicin-2.09± 1.534

Adverse events — posted to ClinicalTrials.gov

Time frame: From first dose of study treatment (Day 1up to 30 Days post last dose of study treatment or start of new anti-cancer therapy whichever occurs soonest (maximum exposure up to 74.1 and 88 weeks; maximum follow up to approx. 78.1 and 92 weeks for Phase I and II respectively). Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Phase I: Ontorpacept 0.2 mg/kg + Doxorubicin
Serious: 0/3 (0%)
Deaths: 1/3
Phase I: Ontorpacept 0.7 mg/kg + Doxorubicin
Serious: 1/3 (33%)
Deaths: 2/3
Phase I: Ontorpacept 2.0 mg/kg + Doxorubicin
Serious: 1/3 (33%)
Deaths: 1/3
Phase II: Ontorpacept 0.2 mg/kg + Doxorubicin (Cohort A)
Serious: 9/32 (28%)
Deaths: 12/32
Phase II: Ontorpacept 1.0 mg/kg + Doxorubicin (Cohort C)
Serious: 8/13 (62%)
Deaths: 2/13
Phase II: Ontorpacept 2.0 mg/kg + Doxorubicin (Cohort B)
Serious: 15/22 (68%)
Deaths: 9/22

Serious adverse events (46 terms)

ReactionSystemPhase I: Ontorpacept 0.2 m…Phase I: Ontorpacept 0.7 m…Phase I: Ontorpacept 2.0 m…Phase II: Ontorpacept 0.2 …Phase II: Ontorpacept 1.0 …Phase II: Ontorpacept 2.0 …
Febrile neutropeniaBlood and lymphatic system disorders
SepsisInfections and infestations
EndocarditisInfections and infestations
AnaemiaBlood and lymphatic system disorders
ThrombocytopeniaBlood and lymphatic system disorders
NeutropeniaBlood and lymphatic system disorders
COVID-19Infections and infestations
Pelvic abscessInfections and infestations
Staphylococcal bacteraemiaInfections and infestations
Staphylococcal sepsisInfections and infestations
Wound infectionInfections and infestations
Small intestinal obstructionGastrointestinal disorders
Abdominal painGastrointestinal disorders
ColitisGastrointestinal disorders
EnterocolitisGastrointestinal disorders
Haemorrhoidal haemorrhageGastrointestinal disorders
Lower gastrointestinal haemorrhageGastrointestinal disorders
PancreatitisGastrointestinal disorders
Cerebrovascular accidentNervous system disorders
AphasiaNervous system disorders
HypoaesthesiaNervous system disorders
Spinal cord compressionNervous system disorders
SyncopeNervous system disorders
Cardiac arrestCardiac disorders
Cardiac hypertrophyCardiac disorders
Other adverse events (65 terms — click to expand)

ReactionSystemPhase I: Ontorpacept 0.2 m…Phase I: Ontorpacept 0.7 m…Phase I: Ontorpacept 2.0 m…Phase II: Ontorpacept 0.2 …Phase II: Ontorpacept 1.0 …Phase II: Ontorpacept 2.0 …
FatigueGeneral disorders
NauseaGastrointestinal disorders
Platelet count decreasedInvestigations
AnaemiaBlood and lymphatic system disorders
Neutrophil count decreasedInvestigations
Infusion related reactionInjury, poisoning and procedural complications
HeadacheNervous system disorders
AlopeciaSkin and subcutaneous tissue disorders
StomatitisGastrointestinal disorders
ConstipationGastrointestinal disorders
CoughRespiratory, thoracic and mediastinal disorders
White blood cell count decreasedInvestigations
Decreased appetiteMetabolism and nutrition disorders
NeutropeniaBlood and lymphatic system disorders
COVID-19Infections and infestations
VomitingGastrointestinal disorders
DizzinessNervous system disorders
Urinary tract infectionInfections and infestations
DiarrhoeaGastrointestinal disorders
Lymphocyte count decreasedInvestigations
Pain in extremityMusculoskeletal and connective tissue disorders
Abdominal painGastrointestinal disorders
PyrexiaGeneral disorders
DyspnoeaRespiratory, thoracic and mediastinal disorders
Back painMusculoskeletal and connective tissue disorders
Gastrooesophageal reflux diseaseGastrointestinal disorders
Dry mouthGastrointestinal disorders
Abdominal distensionGastrointestinal disorders
ChillsGeneral disorders
Non-cardiac chest painGeneral disorders
Blood alkaline phosphatase increasedInvestigations
DysgeusiaNervous system disorders
Muscle spasmsMusculoskeletal and connective tissue disorders
PruritusSkin and subcutaneous tissue disorders
DysuriaRenal and urinary disorders
InsomniaPsychiatric disorders
DyspepsiaGastrointestinal disorders
Oedema peripheralGeneral disorders
ThrombocytopeniaBlood and lymphatic system disorders
Blood bilirubin increasedInvestigations

Most-reported serious reactions: Febrile neutropenia, Sepsis, Endocarditis, Anaemia, Thrombocytopenia, Neutropenia, COVID-19, Pelvic abscess.

Data from ClinicalTrials.gov NCT04996004 adverse events section.

Sponsor's own description

The purpose of this study is to learn about the safety and effects of the study medicine (called Ontorpacept or TTI-621) when given alone and when given in combination with doxorubicin for people with leiomyosarcoma. Leiomyosarcoma is a tumor of the smooth muscles. This study is seeking participants who have: * leiomyosarcoma that is advanced or has spread to other parts of the body (metastatic) * not received prior treatment with anthracyclines (a drug commonly used in patients with some kinds of cancer, including leiomyosarcoma) * not received more than one prior treatment for their leiomyosarcoma During the first 18 weeks of this study, participants will receive doxorubicin by IV infusion (given directly into a vein) at the study clinic every 3 weeks for a total of 6 doses. Participants will also receive Ontorpacept (TTI-621) by IV infusion at the study clinic on the same day as doxorubicin and again one week later for the first 18 weeks. After the first 18 weeks, participants will stop receiving doxorubicin but will continue receiving Ontorpacept (TTI-621) as IV infusion every 14 days at the study clinic. They will keep receiving Ontorpacept (TTI-621) until their cancer is no longer responding to treatment. We will examine the experiences of participants receiving Ontorpacept (TTI-621) in combination with doxorubicin in the first 18 weeks and then Ontorpacept (TTI-621) by itself after the doxorubicin is stopped. This will help us determine if the study medicine Ontorpacept (TTI-621) given with doxorubicin and then by itself is safe and effective. Participants will be involved in the study for approximately one year, depending on how their cancer responds to the study treatment. They will have study visits about 12 times in the first 18 weeks (when the study medicine Ontorpacept is given with doxorubicin) and then every two weeks after the doxorubicin is stopped and the study medicine Ontorpacept (TTI-621) is given by itself.

Publications & conference data

8 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Targeting CD47 for cancer immunotherapy.
    Jiang Z, Sun H, Yu J, Tian W, et al · · 2021 · cited 254× · PMID 34717705 · DOI 10.1186/s13045-021-01197-w
  2. Emerging phagocytosis checkpoints in cancer immunotherapy.
    Liu Y, Liu Y, Wang Y, Yang Y, et al · · 2023 · cited 186× · PMID 36882399 · DOI 10.1038/s41392-023-01365-z
  3. Regulation and signaling pathways in cancer stem cells: implications for targeted therapy for cancer.
    Zeng Z, Fu M, Hu Y, Wei Y, et al · · 2023 · cited 93× · PMID 37853437 · DOI 10.1186/s12943-023-01877-w
  4. Dual roles and therapeutic targeting of tumor-associated macrophages in tumor microenvironments.
    Xu J, Ding L, Mei J, Hu Y, et al · · 2025 · cited 89× · PMID 40850976 · DOI 10.1038/s41392-025-02325-5
  5. CD47-SIRPα blocking-based immunotherapy: Current and prospective therapeutic strategies.
    Bouwstra R, van Meerten T, Bremer E. · · 2022 · cited 82× · PMID 35908284 · DOI 10.1002/ctm2.943
  6. Targeting of TAMs: can we be more clever than cancer cells?
    Kzhyshkowska J, Shen J, Larionova I. · · 2024 · cited 79× · PMID 39516356 · DOI 10.1038/s41423-024-01232-z
  7. Nano-Drug Delivery Systems Entrapping Natural Bioactive Compounds for Cancer: Recent Progress and Future Challenges.
    Chavda VP, Patel AB, Mistry KJ, Suthar SF, et al · · 2022 · cited 75× · PMID 35425710 · DOI 10.3389/fonc.2022.867655
  8. Targeting CD47/SIRPα as a therapeutic strategy, where we are and where we are headed.
    Qu T, Li B, Wang Y. · · 2022 · cited 66× · PMID 35418166 · DOI 10.1186/s40364-022-00373-5

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