Cabozantinib with Ifosfamide for Relapsed/Refractory Sarcomas

This study is looking at how safe and effective a combination of two drugs, cabozantinib and high-dose ifosfamide, is for children and adults (ages 5 to 40) with sarcomas that have come back or are not responding to other treatments (relapsed/refractory sarcomas). Cabozantinib is a targeted therapy that works by blocking certain proteins called tyrosine kinases, including MET and VEGFR2, which can help tumors grow. The study aims to find the highest safe dose of cabozantinib when given with ifosfamide. You could be eligible if you have a confirmed diagnosis of any sarcoma. The study is currently recruiting about 30 participants.

Study design
This study is an interventional trial, meaning participants will receive a specific treatment. It plans to enroll about 30 participants.
What's involved
Participants will receive cabozantinib with high-dose ifosfamide for 5 cycles. If still on study, they will continue with cabozantinib alone for up to 12 total cycles.
Compensation
Not stated in the trial record.
Follow-up
The primary endpoint, maximum tolerated dose, is measured approximately 1 year after the phase 1 cohort is complete.

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NCT06156410

Cabozantinib With Ifosfamide in Relapsed/Refractory Sarcomas

Recruiting
PHASE1Ages 5–40InterventionalTreatment
Children's Hospital of Philadelphia
~30 participants
Updated 2025-11-14 on ClinicalTrials.gov
What's tested:Cabozantinib

At a glance

Recruiting sites
4 of 4 listed sites are recruiting right now
RecruitingSuspended, closed, or not yet open
What they're measuring
Maximum tolerated dose/recommended phase II dose (MTD/RP2D) of cabozantinib
Measured over Upon completion of accrual to phase 1 cohort, approximately 1 year
Ewing Sarcoma
Osteosarcoma
Sarcomas
4 sites across 3 states
Pennsylvania2
California1
Colorado1
  • Theodore Laetsch, MD · PRINCIPAL_INVESTIGATOR · Children's Hospital of Philadelphia

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  • Maximum tolerated dose/recommended phase II dose (MTD/RP2D) of cabozantinibUpon completion of accrual to phase 1 cohort, approximately 1 year

    Toxicity will be graded according to the National Cancer Institute Common Terminology Criteria for Adverse Events (CTCAE) version 5.0 (v5.0).