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Metronomic Gemcitabine, Mitomycin C, and Thalidomide for Advanced Solid Tumors

  • PhasePhase 2
  • StatusRecruiting
  • Planned enrollment60 people
  • Recruiting US sites1
  • SponsorSarcoma Oncology Research Center, LLC
  • RegistryNCT07671534

Recruitment re-checked on ClinicalTrials.gov Oct 30, 2026. Public record; not medical advice.

Metronomic Gemcitabine, Mitomycin C, and Thalidomide for Advanced Solid Tumors: a one-minute explainerNCT076715341 min

Eligibility

Who can join

The film gives the main points. The full list below is copied from the registry; the study team makes the final decision.

  • Age18 Years to no maximum
  • SexAll
  • Healthy volunteersNo

You may be able to join if

  • Male or Female ≥ 18 years of age
  • Pathologically confirmed diagnosis of locally advanced or metastatic solid tumor
  • Previously treated participants
  • Measurable disease by RECIST v1.1
  • ECOG performance status ≤ 1
  • Life expectancy of at least 3 months
  • Acceptable liver function: Bilirubin ≤ 1.5 times upper limit of normal (ULN; except subjects with Gilbert Syndrome who must have a total bilirubin level < 3.0 ULN); AST (SGOT), ALT (SGPT) and alkaline phosphatase ≤ 3 x ULN (< 5 x ULN if liver metastases); Acceptable renal function: Creatinine < 1.5 times ULN
  • Acceptable hematologic status (without hematologic support e.g. growth factors or transfusion within 21 days of first dose of study agents): ANC ≥ 1500 cells/μL; Platelet count ≥ 100,000/μL; Hemoglobin ≥ 9.0 g/dL; Normal PT, PTT, INR
  • All women of childbearing potential must have a negative pregnancy test and all subjects must agree to use highly effective means of contraception (surgical sterilization or the use of barrier contraception with either a condom or diaphragm in conjunction with spermicidal gel or an IUD) with their partner from entry into the study through 5 months for women and 7 months for men after the last dose.
  • Females of reproductive potential must have 2 negative pregnancy tests before initiating THALOMID. The first test should be performed within 10-14 days, and the second test within 24 hours prior to prescribing THALOMID. Once treatment has started and during dose interruptions, pregnancy testing for females of reproductive potential should occur weekly during the first 4 weeks of use, then pregnancy testing should be repeated every 4 weeks in females with regular menstrual cycles. If menstrual cycles are irregular, the pregnancy testing should occur every 2 weeks. Pregnancy testing and counseling should be performed if a patient misses her period or if there is any abnormality in her menstrual bleeding. THALOMIDE treatment must be discontinued during this evaluation.
  • Ability to understand the purposes and risks of the study and has signed and dated a written informed consent form approved by the principal investigator's IRB/Ethics Committee
  • Willingness to comply with all study procedures and availability for the duration of the study.

You cannot join if

  • Subjects with untreated CNS metastases. Subjects are eligible if CNS metastases have been adequately treated and have neurologically returned to baseline (except for residual signs or symptoms related to the CNS treatment) for at least 2 weeks prior to treatment initiation. In addition, subjects must be either off corticosteroids, or on a stable or decreasing dose of <10 mg daily prednisone (or equivalent) for at least 2 weeks prior to treatment initiation.
  • Subjects with carcinomatous meningitis
  • Subjects who participated in an investigational drug or device study within 14 days prior to study entry
  • Subjects who had chemotherapy within 14 days prior to study entry
  • Females who are pregnant or breast-feeding
  • Unwillingness or inability to comply with the study protocol for any reason
  • Evidence of severe or uncontrolled systemic disease or any other concurrent condition, including psychiatric, which in the principal investigator's opinion makes it undesirable for the participant to participate in the trial or which would jeopardize compliance with the trial
  • Any positive test for hepatitis B virus or hepatitis C virus indicating acute or chronic infection
  • Known history of testing positive for human immunodeficiency virus (HIV) or known acquired immunodeficiency syndrome (AIDS).

The treatment

How it is intended to work

This is how the treatment is meant to work. Whether it helps, and how safe it is, is what this trial is testing.

Cisplatin/Gemcitabine Regimen. A regimen consisting of cisplatin and gemcitabine that can be used in the treatment of biliary tract, bladder, cervical, kidney, occult primary, pancreatic, ovarian, fallopian tube, primary peritoneal, and vulvar cancers, peritoneal and pleural mesothelioma, non-small cell lung cancer (NSCLC), gestational trophoblastic neoplasia (GTN), cancer of the nasopharynx, and ampullary adenocarcinoma. NCI Drug Dictionary

mitomycin. A methylazirinopyrroloindoledione antineoplastic antibiotic isolated from the bacterium Streptomyces caespitosus and other Streptomyces bacterial species. Bioreduced mitomycin generates oxygen radicals, alkylates DNA, and produces interstrand DNA cross-links, thereby inhibiting DNA synthesis. Preferentially toxic to hypoxic cells, mitomycin also inhibits RNA and protein synthesis at high concentrations. NCI Drug Dictionary

Thalidomide. A synthetic derivative of glutamic acid (alpha-phthalimido-glutarimide) with teratogenic, immunomodulatory, anti-inflammatory and anti-angiogenic properties. Thalidomide acts primarily by inhibiting both the production of tumor necrosis factor alpha (TNF-alpha) in stimulated peripheral monocytes and the activities of interleukins and interferons. This agent also inhibits polymorphonuclear chemotaxis and monocyte phagocytosis. In addition, thalidomide inhibits pro-angiogenic factors such as vascular endothelial growth factor (VEGF) and basic fibroblast growth factor (bFGF), thereby inhibiting angiogenesis. NCI Drug Dictionary

Treatments listed in the registry

  • Gemcitabine (Drug): 600 mg/m2 (Max: 1000 mg) i.v. on D1, D8, D15
  • Mitomycin C (Drug): Mitomycin C 14 mg i.v. every 6 weeks
  • Thalidomide (Drug): Thalidomide 100 mg daily x 15 days

The study

Treatment groups

Na · Single Group · masking: None

Single Arm (Experimental)

Gemcitabine 600 mg/m2 (Max: 1000 mg) i.v. on D1, D8, D15; Mitomycin C 14 mg i.v. every 6 weeks; Thalidomide 100 mg p.o. daily x 15 days

What it involves

Procedures

As the registry describes them. Requirements to join, such as a tissue sample, are in the eligibility list above even when on-study procedures are optional. Ask the study team which steps apply to you.

  • CT scans: Part of the study plan
  • MRI: Part of the study plan

Goals

What the study measures

Main goals

  • Progression Free Survival (PFS) (12 months)

Other goals

  • Objective Response Rate (ORR)
  • Progression Free Survival at 6 and 12 months
  • Overall Survival at 6, 12, 24 months
  • Adverse Events

Planned enrollment: 60 (estimated).

Where

Recruiting US sites

  • Sarcoma Oncology Research Center / Cancer Center of Southern California, Santa Monica, California

Site status as of Oct 30, 2026. Check the live record before contacting a site.

Background research

Papers linked by the registry

These papers are listed in the registry record. Unless a paper is marked as about this trial, it is background research on the treatment or disease, not results from this study.

Sources

Where this comes from

Registry record reviewed as fetched Oct 30, 2026, last updated by the sponsor Jun 25, 2026. Public record; not medical advice.

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