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Olaratumab

Phase 3

Soft Tissue Sarcoma | Small molecule | Oncology |Eli Lilly and Company|Last Updated: Jul 15, 2025

Success Probability
Approval Probability 71%
TA Base Rate26%
Adjusted LOA41%
ML RiskLOW_RISK
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Market & Valuation
rNPV $3.2B
Market Size $9.4B
Revenue Basis $1.6B
Competitors 6
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Trial Design
RandomizedDouble-BlindCONTROLLEDDMCBiomarker
Total Trials5
Total Enrollment935
FDA Designations
No designations recorded
Clinical Trials (5)
NCT IDTitlePhaseStatusEnrollmentVelocityDesignStartCompletionLast UpdatedSitesCountries
NCT02451943A Study of Doxorubicin Plus Olaratumab (LY3012207) in Participants With Advanced or Metastatic Soft Tissue SarcomaPHASE3 COMPLETED 509Sep 14, 2015Jun 27, 2024Jul 15, 2025114 United States, Argentina +23
NCT03283696A Study of Olaratumab (LY3012207), Doxorubicin, and Ifosfamide in Participants With Advanced or Metastatic Soft Tissue SarcomaPHASE1 COMPLETED 24Oct 18, 2017Aug 25, 2019Sep 10, 20206 United States, Germany +1
NCT03126591A Study of Olaratumab (LY3012207) Plus Pembrolizumab in Participants With Advanced or Metastatic Soft Tissue SarcomaPHASE1 COMPLETED 41Jul 3, 2017Feb 21, 2023Oct 23, 20246 United States, Belgium +2
NCT02783599A Study of Olaratumab (LY3012207) in Participants With Soft Tissue SarcomaPHASE1 COMPLETED 51Oct 11, 2016Jul 5, 2018Aug 12, 201914 United States, France +3
NCT02659020A Study of Olaratumab (LY3012207) in Participants With Advanced Soft Tissue SarcomaPHASE1 COMPLETED 310Mar 1, 2016Apr 27, 2021May 9, 202248 United States, Australia +8
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Study Endpoints
Primary Endpoints
Overall Survival (OS)
Randomization to Date of Death Due to Any Cause (Up to 35.8 Months)

Overall survival was defined as the time from the date of randomization to the date of death due to any cause. For each participant, prior to data analysis, a reasonable effort was made to obtain the most up-to-date status (date of death or last date known to be alive). For any participant not known to have died as of the data cutoff date, OS was censored at the date the participant was last known to be alive. For any participant who withdrew consent for survival follow-up, OS was censored at the last date for which the participant provided consent for follow-up contact. The Kaplan-Meier method was used to estimate median parameters.

Overall Survival (OS) Leiomyosarcoma (LMS)
Randomization to Date of Death Due to Any Cause (Up to 35.8 Months)

Overall survival was defined as the time from the date of randomization to the date of death due to any cause. For each participant, prior to data analysis, a reasonable effort was made to obtain the most up-to-date status (date of death or last date known to be alive). For any participant not known to have died as of the data cutoff date, OS was censored at the date the participant was last known to be alive. For any participant who withdrew consent for survival follow-up, OS was censored at the last date for which the participant provided consent for follow-up contact. The Kaplan-Meier method was used to estimate median parameters.

Number of Participants With Olaratumab Dose Limiting Toxicities (DLTs)
Cycle 1 (Up To 24 days)

A Dose Limiting Toxicity is defined as an Adverse Event (AE) that is likely related to the study medication or combination, and fulfills any one of the following criteria, graded according to the NCI-CTCAE Version 4.0: 1. Grade 3 or 4 febrile neutropenia, or sepsis., or 2. Grade 4 neutropenia lasting 7 days or longer. 3. Grade 4 thrombocytopenia, or Grade 3 thrombocytopenia complicated by hemorrhage. 4. Nonhematologic Grade ≥3 toxicity, except for toxicities (such as nausea, vomiting, transient electrolyte abnormalities, or diarrhoea) that can be controlled with optimal medical management within 48 hours or clinically non-significant laboratory abnormalities.

Percent Change From Baseline in Enumeration of Circulating Tumor Cells (CTCs) in Whole Blood
Baseline, End of Cycle 1 (21 days)

Enumeration of CTCs pre- and post- treatment with olaratumab may be a useful biomarker given the predilection for sarcomas to spread hematogenously.

Percent Change From Baseline in Gene Expression of Platelet-Derived Growth Factor Receptor Alpha (PGDFRα) and PGDFR Beta (β) in Tumor Tissue
Baseline, End of Cycle 1 (21 days)

Over-activity of PDGF signaling is associated with the development of certain malignant diseases. Olaratumab is an IgG1 antagonist of PDGFRα.

Percent Change From Baseline in Gene Expression of PDGF A, PDGF B, PDGF C, and PDGF-D Canonical Ligands in Tumor Tissue
Baseline, End of Cycle 1 (21 days)

PDGF A, PDGF B, PDGF C, and PDGF D are platelet-derived growth factor canonical ligands associated with activation of PDGFR α and β.

Phase 1b: Number of Participants With Dose Limiting Toxicity (DLT)
Cycle 1 (Up To 21 Days)

A Dose Limiting Toxicity is defined as an Adverse Event (AE) that is likely related to the study medication or combination, and fulfils any one of the following criteria, graded according to the NCI-CTCAE Version 4.0: 1. Febrile neutropenia with documented Grade ≥3 infection or sepsis 2. Grade 4 neutropenia lasting 7 days or longer. 3. Grade 4 thrombocytopenia, or Grade 3 thrombocytopenia complicated by hemorrhage. 4. Nonhematologic Grade ≥3 toxicity, except for toxicities such as nausea, vomiting, transient electrolyte abnormalities, or diarrhoea that can be controlled with optimal medical management within 48 hours.

Phase 2: Overall Survival (OS) (Olaratumab-Naive)
Baseline to Date of Death Due to Any Cause (Up To 38 Months)

OS was defined as the time from the date of randomization to the date of death from any cause. For each participant who is not known to have died as of the data-inclusion cut-off date for a particular analysis, overall survival duration was censored for that analysis at the date of last prior contact.

Secondary Endpoints
Progression Free Survival (PFS)
Randomization to Objective Progression or Death Due to Any Cause (Up to 35.8 Months)
Percentage of Participants Achieving Complete Response (CR) or Partial Response (PR): Objective Response Rate (ORR)
Randomization to Objective Disease Progression or Death Due to Any Cause (Up to 35.8 Months)
Percentage of Participants With a Best Overall Response of CR, PR, or Stable Disease (SD): Disease Control Rate (DCR)
Randomization to Objective Disease Progression or Death Due to Any Cause (Up to 35.5 Months)
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Study Design & Arms
AllocationRANDOMIZED
MaskingDOUBLE
ModelPARALLEL
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Doxorubicin + OlaratumabEXPERIMENTAL75 milligrams per meter squared (mg/m\^2) doxorubicin administered intravenously (IV) on day 1 of each 21-day cycle for 8 cycles plus 20 milligrams per kilogram (mg/kg) dose of olaratumab administered IV on day 1 and day 8 of cycle 1 and 15 mg/kg olaratumab administered IV on day 1 and day 8 of cycles 2-8. Beginning with cycle 9, 15 mg/kg olaratumab administered IV on day 1 and day 8 of each subsequent 21-day cycle until documented progressive disease (PD) or discontinuation for any other reason.
Doxorubicin + PlaceboPLACEBO_COMPARATOR75 mg/m\^2 doxorubicin administered IV on day 1 of each 21-day cycle for 8 cycles plus placebo (equivalent volume) administered IV on day 1 and day 8 for 8 cycles. Beginning with cycle 9, placebo (equivalent volume) administered on days 1 and 8 of each subsequent 21-day cycle until PD or discontinuation for any other reason.
Olaratumab + Doxorubicin + Ifosfamide + MesnaEXPERIMENTALOlaratumab 15 milligrams per kilogram (mg/kg) on Days 1 and 8 of a 21-day cycle, in combination with doxorubicin and ifosfamide was administered. When the safety of the 15-mg/kg dose of olaratumab was established, a 20-mg/kg loading dose cycle of olaratumab on Days 1 and 8 of a 21-day cycle in Cycle 1 only, followed by 15 mg/kg on Days 1 and 8 of subsequent cycles in combination with doxorubicin and ifosfamide plus mesna, was administered.
15 milligrams per kilogram (mg/kg) Olaratumab + 200 milligrams (mg) Pembrolizumab - Dose EscalationEXPERIMENTALParticipants received15 mg/kg Olaratumab administered IV on Day 1 and Day 8 in addition to 200 mg Pembrolizumab administered IV on Day 1 of a 21-day cycle.
20 mg/kg Olaratumab + 200 mg Pembrolizumab - Dose EscalationEXPERIMENTALParticipants received 20 mg/kg Olaratumab administered IV on Day 1 and Day 8 in addition to 200 mg Pembrolizumab administered IV on Day 1 of a 21-day cycle.
20 mg/kg Olaratumab + 200 mg Pembrolizumab - Dose ExpansionEXPERIMENTALParticipants received 20 mg/kg Olaratumab administered IV on Day 1 and Day 8 in addition to 200 mg Pembrolizumab administered IV on Day 1 of a 21-day cycle.
Olaratumab + DoxorubicinEXPERIMENTALCycle 1: Olaratumab 20 milligram per kilogram (mg/kg) given intravenously (IV) on Day 1 and Day 8 (21 day cycle). Cycle 2: Olaratumab 20 mg/kg given IV on Day 1 and Day 8 plus doxorubicin 75 mg/m2 given IV on Day 1 (21 day cycle). Cycle 3 through Cycle 7: Olaratumab 15 mg/kg given IV on Day 1 and Day 8 plus doxorubicin 75 mg/m2 given IV on Day 1 (21 day cycles).
Olaratumab + Radiotherapy AddendumEXPERIMENTALOlaratumab given IV on Day 1 and Day 8 (21 day cycle) concurrently with radiotherapy. Radiotherapy addendum was not implemented.
Phase 1b: Cohort 1 - 15 mg/kg Olaratumab + Gemcitabine + DocetaxelEXPERIMENTALParticipants received intravenous infusions of olaratumab 15 milligrams per kilogram (mg/kg) on days 1, 8 plus gemcitabine 900 milligrams per meter square (mg/m\^2) on days 1, 8 plus docetaxel 75 mg/m\^2 on day 8 of a 21-day cycle until disease progression, unacceptable toxicity, death, or other discontinuation criteria were met.
Phase 1b: Cohort 2 overall - 20 mg/kg Olaratumab + Gemcitabine + DocetaxelEXPERIMENTALParticipants received intravenous infusions of olaratumab 20 mg/kg on days 1, 8 in combination with gemcitabine 900 mg/m\^2 on days 1, 8 and docetaxel 75 mg/m\^2 on day 8 of a 21-day cycle until disease progression, unacceptable toxicity, death, or other discontinuation criteria were met (cohort 2). Following a protocol amendment, additional participants were enrolled into this group to confirm the safety of the 20 mg/kg dose level prior to opening the Phase 2 (cohort 2 expansion).
Phase 2: Olaratumab + Gemcitabine + DocetaxelEXPERIMENTALParticipants received intravenous infusions of olaratumab loading dose 20 mg/kg on days 1, 8 of cycle 1 followed by 15 mg/kg on days 1, 8 of all subsequent cycles in combination with gemcitabine 900 mg/m\^2 on days 1, 8 and docetaxel 75 mg/m\^2 on day 8 of a 21-day cycle until disease progression, unacceptable toxicity, death, or other discontinuation criteria were met. This cohort is a combination of participants who never received olaratumab (olaratumab-naive) and who received commercially available olaratumab (olaratumab pre-treated) prior to enrollment.
Phase 2: Placebo + Gemcitabine + DocetaxelPLACEBO_COMPARATORParticipants received intravenous infusions of placebo on days 1, 8 in combination with gemcitabine 900 mg/m\^2 on days 1, 8 and docetaxel 75 mg/m\^2 on day 8 of a 21-day cycle until disease progression, unacceptable toxicity, death, or other discontinuation criteria were met. This cohort is a combination of participants who never received olaratumab (olaratumab-naive) and who received commercially available olaratumab (olaratumab pre-treated) prior to enrollment.
Interventions
NameTypeDescription
OlaratumabDRUGAdministered IV
DoxorubicinDRUGAdministered IV
PlaceboDRUGAdministered IV
IfosfamideDRUGAdministered IV
MesnaDRUGAdministered per standard of care
Pembrolizumab (KEYTRUDA®)DRUGAdministered IV
External Beam RadiotherapyRADIATION -
GemcitabineDRUGAdministered IV
DocetaxelDRUGAdministered IV
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Eligibility Criteria
Age Range18 Years — N/A
SexALL
Healthy VolunteersNo
Study Sites114

Inclusion Criteria: * Histologically confirmed diagnosis of advanced unresectable or metastatic soft tissue sarcoma not amenable to curative treatment with surgery or radiotherapy. Participants with Kaposi's sarcoma and gastrointestinal stromal tumors (GIST) will be excluded. Note: Evidence of dise...

Countries:United StatesArgentinaAustraliaAustriaBelgiumBrazilCanadaDenmarkFinlandFranceGermanyHungaryIsraelItalyJapanMexicoNetherlandsPolandRussiaSouth KoreaSpainSwedenSwitzerlandTaiwanUnited Kingdom
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