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Evaluating the Efficacy of Pioglitazone in combination with Neoadjuvant Chemotherapy in Patients with Extremity Skeletal High-Grade Osteosarcoma Treated with Curative Intent: A Multi-centre, Randomized Phase II Clinical Trial

Phase 2
Conditions
Health Condition 1: C408- Malignant neoplasm of overlappingsites of bone and articular cartilage of limb
Registration Number
CTRI/2021/09/037015
Lead Sponsor
Cancer Institute WIA
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
ot Yet Recruiting
Sex
Not specified
Target Recruitment
0
Inclusion Criteria

Patients with newly diagnosed extremity high-grade osteosarcoma with 4 or less lung metastases detected radiologically (up to 4 lung lesions unilateral or 2 on each side if bilateral â?? should be resectable)

ECOG performance status 0-2

No active infection(s) at the time of randomization

Patients must have normal cardiac function

Patients must have normal organ and marrow function as defined below:

Leukocytes more than 3000/mcl

absolute neutrophil count more than 1500/mcl

platelets more than 100000/mcl

total bilirubin <1.5 X institutional upper

limit of normal

AST(SGOT)/ALT(SGPT) <2.5 X institutional upper limit of normal

Creatinine within normal institutional limits OR

Creatinine clearance >60 ml/min/1.73 m2 for patients with levels above institutional normal Participants capable of childbearing should use adequate contraception (except oral contraceptive pills)

Exclusion Criteria

Patients with high-grade extremity osteosarcoma with non-pulmonary metastatic disease or more lung lesions than permitted in the inclusion criteria

Patients with severe/ uncontrolled comorbidity precluding use of multi-agent chemotherapy

Hepatitis B positive

Hepatitis C positive

HIV positive

Active tuberculosis on anti-tuberculous treatment

Psychiatric illness/social situation that would limit compliance with study requirements

History of epilepsy on anti-epileptic drugs

Positive pregnancy test in women of childbearing potential

Pregnant and lactating women

Past history of ischemic heart disease or cardiac failure

Symptomatic congestive heart failure, unstable angina pectoris, cardiac arrhythmia

Known case of diabetes mellitus

History of previous malignancy

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Secondary Outcome Measures
NameTimeMethod
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