A Study of Mirdametinib and Palbociclib for Liposarcoma

This study is looking into whether combining two drugs, mirdametinib and palbociclib, is a safe and effective treatment for people with liposarcoma that has spread, come back, or cannot be removed by surgery. Mirdametinib works by blocking certain proteins (MEK1 and MEK2) that help cancer cells grow. Palbociclib is a drug already approved for some breast cancers. The study will test different doses of mirdametinib with a set dose of palbociclib to find the safest and most effective combination. To join, you must be at least 18 years old and have certain types of liposarcoma that can be measured. The study aims to find the highest safe dose and see how long people live without their cancer growing.

Study design
This is an interventional study with a planned enrollment of 54 participants. It will test different doses of mirdametinib in combination with palbociclib.
What's involved
Not specified in the trial record.
Compensation
Not stated in the trial record.
Follow-up
The study will measure how long participants live without their cancer growing for at least 18 weeks. The maximum tolerated dose will be measured for up to 1 year.

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NCT06843967

A Study of Mirdametinib in Combination With Palbociclib in People With Liposarcoma

Recruiting
PHASE1Ages 18+InterventionalTreatment
Memorial Sloan Kettering Cancer Center
~54 participants
Updated 2026-05-22 on ClinicalTrials.gov
What's tested:MirdametinibPalbociclib

At a glance

Recruiting sites
7 of 7 listed sites are recruiting right now
RecruitingSuspended, closed, or not yet open
What they're measuring
Maximum tolerated dose (Phase I)
Measured over Up to 1 year
+1 more outcome measured
Well Differentiated Liposarcoma
Dedifferentiated Liposarcoma
Liposarcoma
Myxoid Liposarcoma
Round Cell Liposarcoma
Myxoid Pleomorphic Liposarcoma
Pleomorphic Liposarcoma
Unresectable Liposarcoma
Unresectable Dedifferentiated Liposarcoma
7 sites across 2 states
New York4
New Jersey3
  • Olayode Babatunde, MD · PRINCIPAL_INVESTIGATOR · Memorial Sloan Kettering Cancer Center

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Eligibility criteria

Inclusion

A diagnosis of unresectable, recurrent, or metastatic DDLPS
Measurable disease as defined by RECIST 1.1
A diagnosis of unresectable, recurrent (e.g. recurrent retroperitoneal) or metastatic DDLPS
Any number of prior lines of therapy
Measurable disease and evidence of progression of disease as defined by RECIST 1.1 (including newly diagnosed disease, new disease sites in a patient who was previously NED, or a 20% growth of existing lesions within 6 months of registration)
Age ≥ 18 years
ECOG performance status ≤ 2
Adequate organ and marrow function as defined below (ULN indicates institutional upper limit of normal):
Absolute neutrophil count ≥ 1.5 x 109/L
Hemoglobin ≥ 9.0 g/dL
Platelets ≥ 100 x 109/L
Total bilirubin ≤ 1.5 X ULN OR Direct bilirubin ≤ ULN for subjects with total bilirubin levels \> 1.5 ULN, except patients with Gilbert's disease (≤3x ULN)
AST (SGOT) /ALT (SGPT) ≤ 1.5 x institutional ULN
Creatinine Clearance ≥ 60 mL/min (calculated by Cockcroft-Gault method)
Adequate coagulation function, as determined by:
International Normalized Ratio (INR) ≤ 1.5 × ULN (Grade ≤ 1). If the participant receives anticoagulant therapy, the INR \> 1.5 × ULN is permitted but the dose must be stable for at least 2 weeks before the start of the study treatments.
PTT ≤ 1.5 × ULN.
Adequate cardiac function, as determined by:
Systolic blood pressure \< 160 mmHg and diastolic blood pressure \< 100 mmHg (Grade ≤ 2).
LVEF ≥ 50% by MUGA or ECHO.
No clinically significant ECG waveform abnormalities assessments at screening.
Adequate glycemic control, as determined by:
Fasting blood glucose level \< 125 mg/dL, or
Random blood glucose level \< 200 mg/dL.
Have normal serum calcium and phosphate levels (calcium level may be corrected for albumin level).
Have intraocular pressure ≤ 21 mmHg in both eyes
Women of child-bearing potential must agree to use highly effective contraceptive methods (hormonal or barrier method of birth control or abstinence) during the trial period through at least six months after the last dose. Male patients or their partners must be surgically sterile or agree to use adequate contraception while receiving trial treatment and for three months thereafter. Acceptable methods of contraceptive use by men or women are detailed in Section 15.3.
Ability to understand and the willingness to sign a written informed consent document.
Ability to swallow tablets or capsules
Patients with brain metastasis that have been treated with definitive surgery or radiation, and have been clinically stable for 3 months are eligible.

Exclusion

Patients who have not recovered from clinically significant adverse events of prior therapy to ≤ NCI CTCAE v5 Grade 1, except alopecia and stable neuropathy, which must have resolved to ≤ Grade 2 or baseline.
Patients receiving any other investigational agents.
Phase II only: Receipt of prior treatment with a selective CDK4 inhibitor or MEK inhibitor
Uncontrolled intercurrent illness including, but not limited to, known ongoing or active infection, including uncontrolled HIV, active hepatitis B or C, symptomatic congestive heart failure, unstable angina pectoris, uncontrolled cardiac arrhythmias, psychiatric illness/social situations that would limit compliance with study requirements, clinically significant interstitial lung disease or active noninfectious pneumonitis, or active infection requiring systemic therapy.
Patients with a CD4+ count of \> 300 and an undetectable viral load who are currently on HAART are eligible for inclusion.
Patients with NYHA class III or IV congestive heart failure within 6 months of study treatment will be excluded.
Patients with history of clinically significant cardiac disease (New York Heart Association Class III or IV), myocardial infarction, severe/unstable angina, coronary/peripheral artery bypass graft, symptomatic congestive heart failure, cerebrovascular accident, clinically significant transient ischemic attack, symptomatic pulmonary embolism, unexplained syncope, or long QT syndrome within 6 months before the start of study treatment will be excluded.
Pregnant women and women who are breast-feeding.
Prolonged QTcF \> 470ms at Screening, irrespective of sex.
Current Chronic Kidney Disease stage \> 3 or Creatinine Clearance \< 60 mL/min (calculated by Cockcroft-Gault method)
Current or history of Interstitial Lung Disease
History or current evidence of glaucoma or clinically significant abnormalities on the ophthalmological exam, including but not limited to cataract limiting the ability to examine the retina or any ophthalmological finding that could be a significant risk factor for RVO, retinopathy or neovascular macular degeneration.
Concurrent neuromuscular disorder that is associated with the potential of elevated CPK (e.g., inflammatory myopathies, muscular dystrophy, amyotrophic lateral sclerosis, spinal muscular atrophy).
Radiation therapy within 2 weeks prior to study Day 1
Major surgery, other than diagnostic surgery, within 2 weeks prior to Cycle 1 Day 1, without complete recovery.
Patient is receiving systemic (oral or IV/SC) or ocular glucocorticoid therapy (with the exception of participants with endocrine deficiencies who are allowed to receive physiologic or stress doses of steroids, if necessary) within 14 days prior to first dose of study treatment
Known prior severe hypersensitivity to investigational product or any component in its formulation.
History of significant toxicity related to prior CDK4/6, MEK, or ERK inhibitor requiring discontinuation of treatments with these agents.
Concurrent, clinically significant, active malignancies within 12 months of study enrollment
Current evidence of a disorder that could reduce the ability to swallow oral dosage forms or alter absorption of orally administered drugs.
Patients who require concomitant use of medications that strongly induce or inhibit CYP3A or UDP-glucuronosyltransferase (UGT)
Non-tolerable Grade 2 or ≥ Grade 3 neuropathy or evidence of unstable neurological symptoms within 4 weeks of Cycle 1 Day 1. Non-tolerable Grade 2 toxicities are defined as those with moderate symptoms that the subject is not able to endure for the conduct of instrumental activities of daily life or that persists ≥ 7 days.
  • Maximum tolerated dose (Phase I)Up to 1 year

    To determine the recommended phase 2 dose (RP2D) of mirdametinib plus palbociclib in patients with DDLPS

  • Progression free survival rate18 weeks

    Phase II: To determine the progression-free survival rate at 18 weeks by RECIST 1.1