Cohort A and B (Phase I, PM14 monotherapy, advanced STS): 20-25 patients approximately per
cohort.
Cohort E (Phase II, PM14 monotherapy, advanced L-sarcomas): 28 patients; (Simon's two-stage
Minimax design), errors: α= 0.05; β=0.80, option related to efficacy = 35% (6-month PFSR)
(Sample size 15+13), success in 6-month PFSR of ≤ 15% will be considered as unacceptable
(H0), and would not warrant further investigation (null hypothesis). Success in 6-month PFSR
of ≥ 35% will be considered as an acceptable result warranting further investigation of the
investigational drug (H1, alternative hypothesis). A total of 15 eligible and treated
patients will be included in the first stage of the study. If ≤ 2 successes are observed, the
trial will be stopped in this cohort with the conclusion that the experimental treatment
should not be further investigated. Else (≥ 3 successes), patients will continue to be
accrued until 28 eligible patients enter the study. If 8 or more successes are observed in
those 28 patients, it will be concluded that the results of this trial warrant further
investigation.
Cohort F (Phase II, PM14 monotherapy, other advanced sarcomas): 29 patients; (Simon's
two-stage Optimal design), errors: α= 0.05; β=0.80. option related to efficacy = 30% (6-month
PFSR) (Sample size 10+19), success in 6-month PFSR of ≤ 10% will be considered as
unacceptable (H0), and would not warrant further investigation (null hypothesis). Success in
6-month PFSR of ≥ 30% will be considered as an acceptable result warranting further
investigation of the investigational drug (H1, alternative hypothesis). A total of 10
eligible and treated patients will be included in the first stage of the study. If ≤ 1
successes are observed, the trial will be stopped in this cohort with the conclusion that the
experimental treatment should not be further investigated. Else (≥ 2 successes), patients
will continue to be accrued until 29 eligible patients enter the study. If 6 or more
successes are observed in those 29 patients, it will be concluded that the results of this
trial warrant further investigation.
Cohort C (Best scheme of PM14 plus RTP in advanced sarcoma, head & neck, other solid tumors)
Phase I (advanced): pulmonary and/or abdominal cohort (2 dose levels), head and neck cohort
(2dose levels). 25 patients approximately.
Phase II (advanced STS): errors: α=0.05; β=0.80, option related to efficacy = 50% (ORR in
irradiated nodules) (Sample size 9+15), success in ORR of ≤ 25 % will be considered as
unacceptable (H0), and would not warrant further investigation (null hypothesis). Success in
ORR of ≥ 50% will be considered as an acceptable result warranting further investigation of
the investigational drug (H1, alternative hypothesis). A total of 9 eligible and treated
patients will be included in the first stage of the study. If ≤ 2 successes are observed, the
trial will be stopped in this cohort with the conclusion that the investigational combination
should not be further investigated. Else (≥ 3 successes), patients will continue to be
accrued until 24 eligible patients enter the study. If 10 or more successes are observed in
those 24 patients, it will be concluded that the results of this trial warrant further
investigation.
Cohort D (Best scheme of PM14 plus RTP in localized intermediate sarcoma)
Phase I (localized sarcoma): 2 dose levels, 10 patients approximate ly. Phase II (localized
"intermediate risk" STS): errors: α=0.05; β=0.80, option related to efficacy = 30% (ORR in
irradiated nodules) (Sample size 10+19), success in ORR of ≤ 10% will be considered as
unacceptable (H0), and would not warrant further investigation (null hypothesis). Success in
ORR of ≥ 30% will be considered as an acceptable result warranting further investigation of
the investigational drug (H1, alternative hypothesis). A total of 10 eligible and treated
patients will be included in the first stage of the study. If ≤ 1 successes are observed, the
trial will be stopped in this cohort with the conclusion that the investigational combination
should not be further investigated. Else (≥ 2 successes), patients will continue to be
accrued until 29 eligible patients enter the study. If 6 or more successes are observed in
those 29 patients, it will be concluded that the results of this trial warrant further
investigation.