Clinical Study

Trabectedin Followed by Irinotecan Can Stabilize Disease in Advanced Translocation-Positive Sarcomas with Acceptable Toxicity

Table 1

Patient characteristics.

PatientDiagnosis
(fusion protein/cytogenetic finding)
AgeAge at FDSexNumber of prior chemoregimensPrior radiation therapyTotal number of cycles receivedMaximum toxicitiesBest response

(1)Ewing sarcoma (second malignancy, initially fibrosarcoma)214m7Yes1Leukopenia G3SD, DOD
(2)Alveolar rhabdomyosarcoma
(PAX3-FKHR/t(2;13)(q35;q14))
1713m3Yes2Leukopenia G4, thrombocytopenia G4, hepatic G4, pancreatitis G3, infection G3PD, DOD
(3)Synovial sarcoma
(SYT-SSX2/t(X;18))
188m2No7Pancytopenia G4, hepatic G4, infection G3PR, DOD
(4)Ewing sarcoma
(EWS-FLI1/t(11;22)(q24;q12))
1813f2Yes2Hepatic G3PD, DOD
(5)Ewing sarcoma
(EWS-FLI1/t(11;22)(q24;q12))
4311m3Yes11Hepatic G3SD, DOOC
(6)Ewing sarcoma
(EWS-FLI1/t(11;22)(q24;q12))
2822m2Yes3+Diarrhea G4, pancytopenia G4, infection G4SD
(7)Ewing sarcoma
(EWSR1-FLI1/t(11;22)(q24;q12);
type II (EWSR1-Exon7/FLI1-Exon5))
3516m6Yes2Leukopenia G4, mucositis G3, hepatic G3PD, DOD
(8)Ewing sarcoma
(EWSR1-FLI1/t(11;22)(q24;q12))
6057f5Yes3Pancytopenia G4, FUO in Neutropenia G4SD, DOD
(9)Ewing sarcoma
(EWSR1-FLI1/t(11;22)(q24;q12))
2420f6Yes3FUO in neutropenia G4, mucositis G3, diarrhea G3SD, DOD
(10)Ewing sarcoma
(EWSR1-FLI1/t(11;22)(q24;q1); EWSR1-Exon 7/FLI1-Exon 6; type I))
2414m6Yes2No toxicityPD, DOD
(11)Desmoplastic small round cell tumor
(EWSR1-WT1/t(11;22)(p13;q12))
126m3Yes6Pancytopenia G4, hepatic G4PD, DOD
(12)Alveolar rhabdomyosarcoma
(PAX3-FKHR/t(2;13)(q35;q14))
1715f2Yes5Pancytopenia G4, hepatic G3PD, DOD

(a) FD: first diagnosis; (b) while histological diagnosis of the patient’s second malignancy was Ewing sarcoma, the EWSR1-FLI1 translocation could neither be confirmed nor ruled out conclusively; (c) SD: stable disease; (d) DOD: death of disease; (e) PD: progressive disease; (f) PR: partial remission (continued therapy until PD and DOD); (g) DOOC: death of other causes; (h) prior exposure to irinotecan. (+) indicates that the patient is still on therapy; Pt. no. 6 continued with trabectedin as a single agent.