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Trial · NCT03123276

Pembrolizumab and Gemcitabine Chemotherapy in Leiomyosarcoma and Undifferentiated Pleomorphic Sarcoma

NCT03123276, Phase 1, Phase 2, Completed, Royal Marsden NHS Foundation Trust; results first posted 2026-02-13

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. Pembrolizumab and Gemcitabine Chemotherapy in Leiomyosarcoma and Undifferentiated Pleomorphic Sarcoma. Trials, record NCT03123276. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT03123276

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
Pembrolizumab and Gemcitabine Chemotherapy in Leiomyosarcoma and Undifferentiated Pleomorphic Sarcoma
NCT number
NCT03123276
Status
Completed
Phases
Phase 1, Phase 2
Enrollment
25 participants, actual
Lead sponsor
Royal Marsden NHS Foundation Trust
Conditions
Sarcoma
Interventions
Pembrolizumab, Gemcitabine
First posted
2017-04-21
Last updated
2026-02-13
Results first posted
2026-02-13

Source ClinicalTrials.gov

Registered outcomes2

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryNumber of Patients With Dose Limiting Toxicities.Treatment start date until completion of 1 full cycle of treatment (21 days)
Part A dose escalation part patients were treated cohorts and assessed for safety until the maximum tolerated dose of gemcitabine that can be safely combined with pembrolizumab in the absence of dose limiting toxicities (DLT). Outcome measure here is the proportion of patients with DLT for each dose level. Protocol definition of DLT: (1) Neutropenia \<0.5 x 109/L for \>5 days. This must be confirmed with repeat blood tests at the Royal Marsden Hospital within 6 days of the diagnosis of neutropenia. (2) Febrile neutropaenia as per definition by ESMO (\>38.3°C or two consecutive readings of \>38.0°C for 2 hours and an absolute neutrophil count (ANC) of \<0.5 x 109/L or expected to fall below \<0.5 x 109/L). (3) Thrombocytopenia \<25 x 109/L. (4) Any non-haematological CTCAE Grade 3 or 4 toxicity that is, in the opinion of the investigator, clinically significant. All the above must be in the investigator's opinion, likely to be causally linked with the administration of Gemcitabine.
SecondaryPreliminary Evaluation of Response by Using RECIST v1.1. Number of Patients With Objective Response and Disease ControlTreatment initiation until 9 weeks of starting treatment
Objective response rate presented as number and proportion of patients with a response of CR or PR at 9 weeks of starting treatment according to the RECIST criteria. Similarly, for disease control rate proportion of patients with a response of CR or PR or SD at 9 weeks.

Outcomes2

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYNumber of Patients With Dose Limiting Toxicities.Treatment start date until completion of 1 full cycle of treatment (21 days)Intention to treat - Cohort of patients recruited in the individual dose levels and received at least 1 treatment dose during the Part A dose escalation phase of the study.ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYPreliminary Evaluation of Response by Using RECIST v1.1. Number of Patients With Objective Response and Disease ControlTreatment initiation until 9 weeks of starting treatmentIntention to treat analysis population: all patients consented and registered into the study and have had treatment.ParticipantsCOUNT_OF_PARTICIPANTS

Results by group11

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Number of Patients With Dose Limiting Toxicities.Cohort 1 - 800mg/m2 Gemcitabine0Participants
Number of Patients With Dose Limiting Toxicities.Cohort 2 - 1000mg/m2 of Gemcitabine1Participants
Number of Patients With Dose Limiting Toxicities.Cohort 3 - 1200mg/m2 Gemcitabine0Participants
Preliminary Evaluation of Response by Using RECIST v1.1. Number of Patients With Objective Response and Disease ControlCohort 1: 800mg/m2 GemcitabineObjective response rate (ORR)0Participants
Preliminary Evaluation of Response by Using RECIST v1.1. Number of Patients With Objective Response and Disease ControlCohort 2: 1000mg/m2 GemcitabineObjective response rate (ORR)1Participants
Preliminary Evaluation of Response by Using RECIST v1.1. Number of Patients With Objective Response and Disease ControlCohort 3: 1200mg/m2 GemcitabineObjective response rate (ORR)2Participants
Preliminary Evaluation of Response by Using RECIST v1.1. Number of Patients With Objective Response and Disease ControlPart B Dose Expansion Cohort - 1200mg/m2 GemcitabineObjective response rate (ORR)2Participants
Preliminary Evaluation of Response by Using RECIST v1.1. Number of Patients With Objective Response and Disease ControlCohort 1: 800mg/m2 GemcitabineDisease control rate (DCR)3Participants
Preliminary Evaluation of Response by Using RECIST v1.1. Number of Patients With Objective Response and Disease ControlCohort 2: 1000mg/m2 GemcitabineDisease control rate (DCR)6Participants
Preliminary Evaluation of Response by Using RECIST v1.1. Number of Patients With Objective Response and Disease ControlCohort 3: 1200mg/m2 GemcitabineDisease control rate (DCR)1Participants

Participant flow12

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDCohort 1: 800mg/m2 Cohort 1: 800mg/m23
Overall StudySTARTEDCohort 2: 1000mg/m27
Overall StudySTARTEDCohort 3: 1200mg/m23
Overall StudySTARTEDPart B Dose Expansion Cohort - 1200mg/m212
Overall StudyCOMPLETEDCohort 1: 800mg/m2 Cohort 1: 800mg/m23
Overall StudyCOMPLETEDCohort 2: 1000mg/m27
Overall StudyCOMPLETEDCohort 3: 1200mg/m23
Overall StudyCOMPLETEDPart B Dose Expansion Cohort - 1200mg/m212
Overall StudyNOT COMPLETEDCohort 1: 800mg/m2 Cohort 1: 800mg/m20
Overall StudyNOT COMPLETEDCohort 2: 1000mg/m20

Adverse events536

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherAnemiaBlood and lymphatic system disordersCohort 1 - 800mg/m2 Gemcitabine1310
otherAnemiaBlood and lymphatic system disordersCohort 2 - 1000mg/m2 Gemcitabine477
otherAnemiaBlood and lymphatic system disordersCohort 3 - 1200mg/m2 Gemcitabine131
otherAnemiaBlood and lymphatic system disordersPart B Dose Expansion Cohort - 1200mg/m2 Gemcitabine2127
otherHyperthyroidismEndocrine disordersCohort 1 - 800mg/m2 Gemcitabine131
otherHyperthyroidismEndocrine disordersCohort 2 - 1000mg/m2 Gemcitabine374
otherHyperthyroidismEndocrine disordersCohort 3 - 1200mg/m2 Gemcitabine030
otherHyperthyroidismEndocrine disordersPart B Dose Expansion Cohort - 1200mg/m2 Gemcitabine0120
otherHypothyroidismEndocrine disordersCohort 1 - 800mg/m2 Gemcitabine335
otherHypothyroidismEndocrine disordersCohort 2 - 1000mg/m2 Gemcitabine475

Adverse event totals12

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityCohort 1 - 800mg/m2 Gemcitabine33
Total, all-cause mortalityCohort 2 - 1000mg/m2 Gemcitabine57
Total, all-cause mortalityCohort 3 - 1200mg/m2 Gemcitabine23
Total, all-cause mortalityPart B Dose Expansion Cohort - 1200mg/m2 Gemcitabine512
Total, other adverse eventsCohort 1 - 800mg/m2 Gemcitabine33
Total, other adverse eventsCohort 2 - 1000mg/m2 Gemcitabine77
Total, other adverse eventsCohort 3 - 1200mg/m2 Gemcitabine33
Total, other adverse eventsPart B Dose Expansion Cohort - 1200mg/m2 Gemcitabine1212
Total, serious adverse eventsCohort 1 - 800mg/m2 Gemcitabine23
Total, serious adverse eventsCohort 2 - 1000mg/m2 Gemcitabine27

Papers0

The papers the trial lists on ClinicalTrials.gov.

None in this release.

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons0

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

None in this release.

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT03123276

GET https://conductscience.org/api/trials/v1/NCT03123276/events?page=2