Study · A Multicenter, Randomized, …
A Multicenter, Randomized, Open-Label Phase 2b Study to Investigate the Preliminary Efficacy and Safety of INNO-206 (Doxorubicin-EMCH) Compared to Doxorubicin in Subjects With Metastatic, Locally Advanced, or Unresectable Soft Tissue Sarcoma
completed NCT01514188Aldoxorubicin (INNO-206, doxorubicin-EMCH) 350 mg/m² IV (260 mg/m² doxorubicin equivalent) vs doxorubicin 75 mg/m² IV, Day 1 every 21 days for up to 6 cycles, first-line
Phase II Soft-tissue sarcoma Sponsor CytRx Corporation (registry sponsor now ImmunityBio, Inc.) FPI 2012-01-11
Study design
- Design
- Phase 2b, multicenter, international, randomized 2:1 (aldoxorubicin:doxorubicin), open-label, parallel-group; stratified by ECOG PS (0-1 vs 2) and prior chemotherapy; primary endpoint PFS by independent central RECIST 1.1 review open-label
- Arms (2)
- Doxorubicin 75 mg/m2Aldoxorubicin (INNO-206) 350 mg/m2
- Primary endpoint
- Progression-free survival (registration to documented progression by RECIST 1.1 or death from any cause), independent central review
- Enrollment
- 126 of 105 target
- Data cutoff
- 2014-12-15
- Provenance
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Aldoxorubicin (INNO-206) vs doxorubicin, first-line advanced soft-tissue sarcoma: CytRx Phase 2b INNO-206-P2-STS-01, ClinicalTrials.gov NCT01514188 (completed; results posted 2024-05-29) and Chawla SP et al., JAMA Oncol 2015;1(9):1272-1280 (PMID 26378637). The REGISTRY RECORD AND THE PUBLICATION ARE REAL: title, design, arms, eligibility, outcomes, the 34 registry locations and every aggregate the generator is calibrated to (participant flow, baseline, posted outcome measures, serious and other adverse-event tables, deaths, per-country enrollment, LVEF eTable 4). EVERY PARTICIPANT-LEVEL ROW IS SIMULATED — subjects, dates, adverse events, dosing, labs, vitals, visits, deviations and time-to-event values are synthetic, generated by priv/demo_data/generators/aldox_p2b so that per-arm aggregates reproduce the posted results. Site PI names shown in GalenOps are placeholders, not the real investigators. Parameters: research/aldox_p2b/literature.json, measurements.json, operations.json, outcomes.json, population.json, registry.json, safety.json.
- LicenseClinicalTrials.gov public registry data (U.S. National Library of Medicine terms of use; registry records are not copyrighted); published aggregate results cited from Chawla et al. 2015. Simulated participant data: synthetic, demo use inside GalenOps only.
- UpstreamClinicalTrials.gov API v2, GET /api/v2/studies/NCT01514188 (results first posted 2024-05-29); Chawla et al. JAMA Oncol 2015 with Supplements 1 (protocol INNO-206-P2-STS-01 Amendment 2) and 2 (eTables 1-4); evidence base research/aldox_p2b/{registry,literature}.json; synopsis priv/demo_data/aldox_p2b_synopsis.md; participant-level data simulated by priv/demo_data/generators/aldox_p2b/build.py
- Extracted 2026-09-29
- Open source record
Agentic orchestration
Runs all 13 lifecycle agents below in order; each records what it did, the evidence it used, and escalates to a human only on exception.
Idle — the checklist below shows the last recorded state of every step.
Study lifecycle checklist 7 / 13
13 steps in trial order. Expand a step to see exactly what the agent did, the evidence it computed, and what it produced; steps needing a decision link to the review queue.
Decisions awaiting you 12
Every escalation the agents raised on this study, decided here exactly as on the dashboard. Open an item's details before deciding; a note goes on the audit trail.
Agent reasoning trail 13 runs
Explainable, traceable, inspection-ready — every automated action records why it did what it did and the evidence it used (FDA/EMA January 2026 AI guiding principles).
| When | Agent | Outcome | Model · duration | Reasoning |
|---|---|---|---|---|
| tmf_agent H1 | escalated Review task #431b4b64 | Claude · claude-sonnet-5 4.4 s |
This TMF self-audit against the DIA TMF Reference Model v3.2.1 at closeout stage shows completeness of 0.6, below the 0.8 threshold, triggering escalation. Of 18 auditable artifacts, 8 are fully present, 5 partial, and 5…
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| medical_writing_agent H1 | escalated Review task #d47f7fcf | Claude · claude-sonnet-5 14.4 s |
This draft CSR (per ICH E3) covers 126 randomized subjects: Doxorubicin 75 mg/m2 (n=40) and Aldoxorubicin (INNO-206) 350 mg/m2 (n=86). Overall, 106 completed (84.1%) and 20 discontinued. Adverse events occurred in 111/12…
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| biostats_agent H1 | escalated Review task #efd69b84 | Claude · claude-sonnet-5 4.5 s |
12 TLF outputs were generated per ICH E3 Section 14 for this Phase II soft-tissue sarcoma study (126 randomised, 140 screened). Safety shows a clear differential: any AE 80.0% (Doxorubicin 75 mg/m2) vs 95.2% (Aldoxorubic…
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| supply_agent partner | completed | Claude · claude-sonnet-5 3.7 s |
This study is completed, so the report is retrospective rather than a forward forecast. Across the trial, 573 IP kits (Aldoxorubicin (INNO-206) and Doxorubicin) were dispensed to 123 patients, averaging 4.7 kits per pati…
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| termination_watch_agent H2 | completed | Claude · claude-sonnet-5 4.3 s |
This completed Phase II sarcoma study (INNO-206 vs doxorubicin) accrued 126 of 105 planned (120.0% attainment) between 2012-01-11 and 2013-07-27, finishing 1.5 months ahead of the 18-month plan with last patient in on 20…
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| retention_agent H2 | completed | Claude · claude-sonnet-5 4.2 s |
This is a retrospective review of a completed study (INNO-206 vs Doxorubicin, soft-tissue sarcoma, Phase II), with 0 active patients and 0 patients scored, so no live dropout risk scoring applies. Among 126 ever-consente…
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| safety_agent H2 | escalated Review task #88a0ac27 | Claude · claude-sonnet-5 13.8 s |
Across 608 coded events in 123 treated patients, 5 new safety reports were triaged: all 5 are serious (grade 3–4), 4 with causality "suspected" and 1 "not_suspected" (Cholecystitis), and all 5 have opened review tasks wi…
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| cdm_agent H1 | escalated Review task #273e3923 | Claude · claude-sonnet-5 3.5 s |
The CDM sweep of this Phase 2b INNO-206 vs doxorubicin sarcoma study (140 subjects) ran 18 edit checks; 2 fired: AE-006 "Grade ≥4 AE not flagged serious" (16 hits, P1) and VS-001 "Visit outside protocol window" (70 hits,…
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| monitoring_agent H2 | escalated Review task #a883a6e2 | Claude · claude-sonnet-5 5.5 s |
Centralized statistical monitoring reviewed 34 sites and 140 patients across 11 KRIs (as of 2014-12-15), following the TransCelerate RBM KRI set and Barnes et al. 2021 RBQM approach. No site reached the composite thresho…
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| recruitment_agent H2 | completed | Claude · claude-sonnet-5 4.5 s |
This is a completed Phase II sarcoma trial reviewed retrospectively. The funnel shows 140 entered screening, 14 screened-only, 126 accrued, 106 completed, 20 withdrawn, with a screen-fail rate of 10.0% (14/140). Pace rat…
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| site_activation_agent H2 | completed | Claude · claude-sonnet-5 4.5 s |
This study is complete, with all 34 sites activated and contracts executed. Contract days of 55 sit between the benchmark median of 33 d and Q3 of 77 d (Martinez et al. 2016, Trials 17:106), so none breach the negotiatio…
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| protocol_agent H1 | completed | Claude · claude-sonnet-5 3.3 s |
The SPIRIT checklist review of protocol v1.0 (approved) checked 60 items, covering 22, with 38 gaps: 2 critical, 13 major, 23 minor. Amendment risk is 1.0 (formula: min(1, 0.04×minor + 0.08×major + 0.15×critical), heuris…
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| feasibility_agent H1 | completed | Claude · claude-sonnet-5 4.6 s |
This study is assessed as feasible (score 1.0): target enrollment of 105 was already reached, with 126 consented across 34 contracted sites in 7 countries (AUS, HUN, IND, ROU, RUS, UKR, USA). Demand was 0.1716 per site-m…
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Protocol versions 1
Every version stays on file. Read any version in full; edit the newest to save the next draft and re-run the protocol agent's SPIRIT lint on it.
Sites 34
Every site contracted for this study or with a participant on it — with this study's contract stage and enrollment. Open a site for its full monitoring picture.
| Site | Country | Principal investigator | Site status | Contract | Participants | Risk |
|---|---|---|---|---|---|---|
| Blokhin Cancer Research Center (Moscow, Russia) | RUS | Dr. Moreau | activated | executed 2012-05-25 | 6 enrolled · 7 on site | KRI 0.299 |
| Border Medical Oncology (Wodonga, Australia) | AUS | Dr. Kim | activated | executed 2012-09-14 | 1 enrolled · 1 on site | KRI 0.0 |
| CTRC Institute for Drug Development, University of Texas (San Antonio, TX) | USA | Dr. Muller | activated | executed 2012-05-14 | 10 enrolled · 11 on site | KRI 0.312 |
| Christian Medical College (Vellore, India) | IND | Dr. Dubois | activated | executed 2013-03-14 | 2 enrolled · 2 on site | KRI 0.0 |
| Clinical County Hospital Mures, Medical Oncology Department (Târgu Mureş, Romania) | ROU | Dr. Silva | activated | executed 2012-07-09 | 3 enrolled · 4 on site | KRI 0.313 |
| Curie Manavata Cancer Centre (Nashik, India) | IND | Dr. Nolan | activated | executed 2012-11-01 | 1 enrolled · 1 on site | KRI 0.0 |
| Delhi State Cancer Institute (Mandoli, India) | IND | Dr. Muller | activated | executed 2013-03-31 | 2 enrolled · 2 on site | KRI 0.0 |
| Delhi State Cancer Institute (Pune, India) | IND | Dr. Okafor | activated | executed | 0 enrolled · 0 on site | KRI 0.0 |
| Epworth HealthCare Clinical Trials and Research Centre (Richmond, Australia) | AUS | Dr. Dubois | activated | executed 2013-02-02 | 3 enrolled · 3 on site | KRI 0.391 |
| Hemato Oncology Clinic, Vedanta Institute of Medical Science (Ahmedabad, India) | IND | Dr. Ito | activated | executed 2012-09-17 | 3 enrolled · 4 on site | KRI 0.32 |
| Hemato Oncology Clinic, Vedanta Institute of Medical Science (Thaltej, India) | IND | Dr. Moreau | activated | executed | 0 enrolled · 0 on site | KRI 0.0 |
| Jehangir Clinical Development Centre Pvt Ltd (Pune, India) | IND | Dr. Tanaka | activated | executed 2012-11-27 | 1 enrolled · 1 on site | KRI 0.0 |
| Lviv State Oncological Regional Treatment - Diagnostics Center, Chemotherapy Department (Lviv, Ukraine) | UKR | Dr. Okafor | activated | executed 2013-02-10 | 3 enrolled · 3 on site | KRI 0.34 |
| M.S. Ramaiah Medical College and Hospitals (Bangalore, India) | IND | Dr. Reyes | activated | executed 2012-09-28 | 1 enrolled · 1 on site | KRI 0.0 |
| Medisprof SRL (Cluj-Napoca, Romania) | ROU | Dr. Kowalski | activated | executed 2013-03-28 | 1 enrolled · 1 on site | KRI 0.0 |
| Mount Medical Centre (Perth, Australia) | AUS | Dr. Jansen | activated | executed | 0 enrolled · 0 on site | KRI 0.0 |
| Municipal Institution "Dnipropetrovsk City Multi-Field Clinical Hospital #4" of Dnipropetrovsk Regional Councel (Dnipropetrovsk, Ukraine) | UKR | Dr. Reyes | activated | executed 2012-06-12 | 2 enrolled · 2 on site | KRI 0.0 |
| Municipal institution "Chernivtsi Regional Clinical Oncologic Dispensary" (Chernivtsi, Ukraine) | UKR | Dr. Ito | activated | executed 2013-02-23 | 1 enrolled · 1 on site | KRI 0.0 |
| Noble Hospital Clinical Research Department 1st Floor (Hadapsar, India) | IND | Dr. Rossi | activated | executed 2012-07-14 | 1 enrolled · 1 on site | KRI 0.0 |
| Oncological Institute "Prof. Dr. I. Chiricuta", Cluj-Napoca (Cluj-Napoca, Romania) | ROU | Dr. Novak | activated | executed 2012-08-15 | 3 enrolled · 3 on site | KRI 0.383 |
| Pennsylvania Hematology Oncology Associates (Philadelphia, PA) | USA | Dr. Tanaka | activated | executed 2012-08-28 | 2 enrolled · 2 on site | KRI 0.0 |
| Royal Hobart Hospital (Hobart, Australia) | AUS | Dr. Novak | activated | executed 2013-03-06 | 3 enrolled · 3 on site | KRI 0.409 |
| Royal North Shore (St Leonards, Australia) | AUS | Dr. Rossi | activated | executed 2012-08-08 | 2 enrolled · 2 on site | KRI 0.0 |
| Royal Perth Hospital (Perth, Australia) | AUS | Dr. Silva | activated | executed 2012-07-02 | 2 enrolled · 4 on site | KRI 0.496 |
| Sarcoma Oncology Center (Santa Monica, CA) | USA | Dr. Reyes | activated | executed 2011-12-16 | 16 enrolled · 16 on site | KRI 0.21 |
| Spitalul Judetean de Urgenta "Dr. Constantin Opris" Baia-Mare, Sectia Oncologie (Baia Mare, Romania) | ROU | Dr. Jansen | activated | executed 2012-11-25 | 2 enrolled · 2 on site | KRI 0.0 |
| Stanford University (Stanford, CA) | USA | Dr. Nolan | activated | executed 2012-05-31 | 5 enrolled · 5 on site | KRI 0.237 |
| State Health Centre Oncology Department (Budapest, Hungary) | HUN | Dr. Clarke | activated | executed 2012-04-09 | 26 enrolled · 30 on site | KRI 0.359 |
| State Healthcare Institution "Republican Clinical Oncological Center of the Ministry of Health of Republic of Tatarstan" (Kazan', Russia) | RUS | Dr. Clarke | activated | executed 2012-04-26 | 10 enrolled · 12 on site | KRI 0.248 |
| State Institution "Institute of Medical Radiology named after S.P.Grygoryev of National Academy of Medical Sciences of Ukraine" (Kharkiv, Ukraine) | UKR | Dr. Nolan | activated | executed 2012-11-23 | 3 enrolled · 3 on site | KRI 0.401 |
| Tata Memorial Hospital, Department of Medical Oncology (Mumbai, India) | IND | Dr. Kim | activated | executed 2013-03-04 | 2 enrolled · 2 on site | KRI 0.0 |
| The Crown Princess Mary Cancer Centre Westmead (Sydney, Australia) | AUS | Dr. Kowalski | activated | executed 2012-07-25 | 4 enrolled · 5 on site | KRI 0.276 |
| University of Iowa (Iowa City, IA) | USA | Dr. Okafor | activated | executed 2012-02-16 | 4 enrolled · 5 on site | KRI 0.218 |
| Vinnytsya Regional Clinical Oncologic Dispensary, Surgical Department (Vinnytsia, Ukraine) | UKR | Dr. Tanaka | activated | executed 2012-08-16 | 1 enrolled · 1 on site | KRI 0.0 |
Feasibility 1
7 countries (AUS, HUN, IND, …) score 1.0 34 sites · 105 patients · 18 mo
Feasible: target of 105 already reached (126 consented). Narrow funnel: 3 restrictive criteria (treatment-naïve / prior-therapy exclusion, ECOG / performance-status limit, organ-function laboratory thresholds) leave a screen-pass fraction of 0.125, so assumed capacity is 0.0375 enrollable patients per site-month. Termination-risk multipliers (Zhang & DuBois 2023): phase II OR 1.58 (product 1.58). ClinicalTrials.gov comparator (soft tissue sarcoma, phase 2, n=1344): 11.7% terminated, 4.3% for accrual, median enrollment 42.
Supply forecasts 0
No forecast yet
Run the supply step to size the first kit order.
Regulatory submissions 0
Nothing submitted yet
The regulatory step compiles the IND/CTA once the protocol is approved.
Study documents 14 files
Everything generated or filed for this study. Open a file to preview it as a PDF.