A Study to Learn About the Study Medicine (Called Ontorpacept or TTI-621) Given Alone and in Combination With Doxorubicin in People With Leiomyosarcoma
TerminatedPhase 2Results postedLast updated 11 December 2024
What this trial tests
Phase 2 trial testing Ontorpacept (TTI-621) in Leiomyosarcoma in 76 participants. Terminated before completion.
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 IPrimary· 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
Group
Value
95% CI
Phase I: Ontorpacept 0.2 mg/kg + Doxorubicin
3
Phase I: Ontorpacept 0.7 mg/kg + Doxorubicin
3
Phase I: Ontorpacept 2.0 mg/kg + Doxorubicin
3
Participants with Serious TEAEs
Group
Value
95% CI
Phase I: Ontorpacept 0.2 mg/kg + Doxorubicin
0
Phase I: Ontorpacept 0.7 mg/kg + Doxorubicin
1
Phase I: Ontorpacept 2.0 mg/kg + Doxorubicin
1
Mean Change From Baseline in Blood Pressure at 30 Minutes Post Dose on Cycle 1 Day 1 (C1D1): Phase IPrimary· 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
Group
Value
95% 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 + Doxorubicin
1.0
± 8.72
SBP
Group
Value
95% CI
Phase I: Ontorpacept 0.2 mg/kg + Doxorubicin
1.7
± 8.02
Phase I: Ontorpacept 0.7 mg/kg + Doxorubicin
2.0
± 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 IPrimary· 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
Group
Value
95% CI
Phase I: Ontorpacept 0.2 mg/kg + Doxorubicin
2.3
± 2.08
Phase I: Ontorpacept 0.7 mg/kg + Doxorubicin
0.7
± 3.21
Phase I: Ontorpacept 2.0 mg/kg + Doxorubicin
1.7
± 9.29
SBP
Group
Value
95% CI
Phase I: Ontorpacept 0.2 mg/kg + Doxorubicin
3.0
± 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 IPrimary· 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
Group
Value
95% CI
Phase I: Ontorpacept 0.2 mg/kg + Doxorubicin
1.3
± 10.02
Phase I: Ontorpacept 0.7 mg/kg + Doxorubicin
2.7
± 5.03
Phase I: Ontorpacept 2.0 mg/kg + Doxorubicin
0.3
± 2.89
SBP
Group
Value
95% CI
Phase I: Ontorpacept 0.2 mg/kg + Doxorubicin
7.0
± 11.36
Phase I: Ontorpacept 0.7 mg/kg + Doxorubicin
5.0
± 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 IPrimary· 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
Group
Value
95% CI
Phase I: Ontorpacept 0.2 mg/kg + Doxorubicin
0.3
± 9.81
Phase I : Ontorpacept 0.7 mg/kg + Doxorubicin
-4.0
± 7.94
Phase I: Ontorpacept 2.0 mg/kg + Doxorubicin
0.7
± 6.51
SBP
Group
Value
95% CI
Phase I: Ontorpacept 0.2 mg/kg + Doxorubicin
3.3
± 9.07
Phase I : Ontorpacept 0.7 mg/kg + Doxorubicin
2.3
± 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 IPrimary· 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
Group
Value
95% CI
Phase I: Ontorpacept 0.2 mg/kg + Doxorubicin
3.0
± 3.46
Phase I: Ontorpacept 0.7 mg/kg + Doxorubicin
-2.0
± 6.24
Phase I: Ontorpacept 2.0 mg/kg + Doxorubicin
6.5
± 3.54
SBP
Group
Value
95% CI
Phase I: Ontorpacept 0.2 mg/kg + Doxorubicin
4.0
± 5.29
Phase I: Ontorpacept 0.7 mg/kg + Doxorubicin
-5.7
± 6.51
Phase I: Ontorpacept 2.0 mg/kg + Doxorubicin
3.5
± 16.26
Mean Change From Baseline in Blood Pressure at 60 Minutes Post Dose on C2D1: Phase IPrimary· 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
Group
Value
95% CI
Phase I: Ontorpacept 0.2 mg/kg + Doxorubicin
3.0
± 5.20
Phase I: Ontorpacept 0.7 mg/kg + Doxorubicin
-3.7
± 8.02
Phase I: Ontorpacept 2.0 mg/kg + Doxorubicin
11.0
± 1.41
SBP
Group
Value
95% CI
Phase I: Ontorpacept 0.2 mg/kg + Doxorubicin
5.0
± 5.57
Phase I: Ontorpacept 0.7 mg/kg + Doxorubicin
-2.0
± 14.73
Phase I: Ontorpacept 2.0 mg/kg + Doxorubicin
10.5
± 24.75
Mean Change From Baseline in Blood Pressure at 30 Minutes Post Dose on Cycle 3 Day 1 (C3D1): Phase IPrimary· 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
Group
Value
95% 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 + Doxorubicin
2.0
± NA
SBP
Group
Value
95% 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 IPrimary· 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
Group
Value
95% CI
Phase I: Ontorpacept 0.2 mg/kg + Doxorubicin
0.5
± 6.36
Phase I: Ontorpacept 0.7 mg/kg + Doxorubicin
-2.0
± 2.83
Phase I: Ontorpacept 2.0 mg/kg + Doxorubicin
6.0
± NA
SBP
Group
Value
95% 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 IPrimary· 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
Group
Value
95% CI
Phase I: Ontorpacept 0.2 mg/kg + Doxorubicin
7.0
± 2.83
Phase I: Ontorpacept 0.7 mg/kg + Doxorubicin
-10.3
± 2.89
Phase I: Ontorpacept 2.0 mg/kg + Doxorubicin
3.0
± 13.08
SBP
Group
Value
95% CI
Phase I: Ontorpacept 0.2 mg/kg + Doxorubicin
13.5
± 14.85
Phase I: Ontorpacept 0.7 mg/kg + Doxorubicin
-15.7
± 10.07
Phase I: Ontorpacept 2.0 mg/kg + Doxorubicin
8.7
± 12.66
Mean Change From Baseline in Body Weight at C3D1: Phase IPrimary· 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).
Group
Value
95% CI
Phase I: Ontorpacept 0.2 mg/kg + Doxorubicin
0.68
± 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 IPrimary· 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).
Group
Value
95% 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)
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):
NCT07169344 — Hypofractionated, 3-week, Preoperative Proton or X-ray Radiotherapy for Patients With Localized Soft Tissue Sarcoma
· Phase 2
· recruiting
NCT06528769 — Study of All-Trans Retinoic Acid (ATRA) and Cemiplimab in Patients With Advanced Leiomyosarcoma
· Phase 2
· recruiting
NCT06975293 — STC-15 as a Part of Combination Therapy With Toripalimab in Selected Advanced Cancers and as Monotherapy in Participants
· Phase 1, PHASE2
· recruiting
NCT06849986 — IO Combined With AI as First-line Treatment for Patients With Soft Tissue Sarcoma(TAIS)
· Phase 2
· recruiting
NCT06308419 — A Phase I Trial of Combination Gemcitabine and Nab-Sirolimus in Advanced Leiomyosarcomas or Advanced Soft-Tissue Sarcoma
· Phase 1
· recruiting
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Publications: Europe PMC API search by NCT ID, retrieved 9 June 2026
Drug + disease cross-links: matched in real time against Drug Landscape's normalised drug + company + condition tables
Sponsor: as reported to ClinicalTrials.gov by Pfizer
Last refreshed: 11 December 2024
Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT04996004.