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临床试验/EUCTR2010-023484-17-PL
EUCTR2010-023484-17-PL进行中(未招募)1 期

OCALIZED HIGH-RISK SOFT TISSUE SARCOMAS OF THE EXTREMITIES AND TRUNK WALL IN ADULTS: AN INTEGRATING APPROACH COMPRISING STANDARD VS HISTOTYPE-TAILORED NEOADJUVANT CHEMOTHERAPY (ISG-STS 10-01)

Italian Sarcoma Group0 个研究点目标入组 450 人开始时间: 2012年8月29日最近更新:
相关药物

试验速览

阶段
1 期
状态
进行中(未招募)
入组人数
450

研究概览

简要总结

暂无简介。

研究设计

研究类型
Interventional clinical trial of medicinal product

入排标准

性别
All

入选标准

  • Soft tissue sarcoma of adults, primary or locally recurrent, with spindle-cell or pleomorphic histology, belonging to one of the following for the randomization (Group1):
  • ?Myxoid-Round Cell liposarcoma (cellular component >5 %)
  • ?Leiomyosarcoma
  • ?Synovial sarcoma
  • ?Malignant Peripheral Nerve Sheat Tumor
  • ?Undifferentiated pleomorphic sarcoma (ex Malignant fibrous histiocytoma)
  • Or belonging to one of the following for the registration (Group 2):
  • ?Myxofibrosarcoma
  • ?Unclassified Spindle Cell
  • ?Pleomorphic Liposarcoma
  • ?Pleomorphic Rabdomiosarcoma
  • Or belonging to either group but not being evaluable for response (re-excision after previous inadequate resection or primary definitive surgery) (Group3).
  • The histological diagnosis must be made according to the WHO criteria (19) and will have to be centrally reviewed before randomization.
  • 2)High malignancy grade: grade 3 of 3, according to Coindre (20), or grade 2 at biopsy with a radiological evidence of more than 50% of necrosis in the tumor mass.
  • 3)Deep seated extremities, girdles and/or superficial trunk (thoracic or abdominal wall) lesion.
  • 4)Size of primary tumor (visible or previously inadequately resected) >5 cm at instrumental staging (CT, MRI), or locally recurrent of any size.
  • 5)Age > 18 years.
  • 6)ECOG performance status <1 (21).
  • 7)Adequate bone marrow function:
  • WBC >3.500/mm3
  • neutrophil >1.500/mm3
  • platelets >150.000/mm3
  • hemoglobin >11 g%.
  • 8) Adequate renal (creatinine <1.3 mg%), and hepatic function (bilirubin <1.5 mg% and transaminases <2 x n.v. If ALP > 2.5 x ULN, ALP LF and/or GGT = ULN).
  • 9)Adequate cardiac function (FE >50%).
  • 10)Signed informed consent.
  • 11)Complete compliance of the participating center with the protocol requirements.
  • Are the trial subjects under 18? no
  • Number of subjects for this age range:
  • F.1.2 Adults (18-64 years) yes
  • F.1.2.1 Number of subjects for this age range 450
  • F.1.3 Elderly (>=65 years) no
  • F.1.3.1 Number of subjects for this age range 0

排除标准

  • 1)Pregnancy or lactation.
  • 2)Distant metastasis.
  • 3)Other malignancies within past 5 years, with the exception of carcinoma in situ of cervix and basocellular skin cancers treated with eradicating intent.
  • 4)Sarcoma histotypes other than those mentioned in the inclusion criteria.
  • 5) Prior CT and/or RT.
  • 6)Serious psychiatric disease that precludes informed consent or limits compliance.
  • 7)Medical disease limiting survival to less than two years, limiting compliance or which in the physician’s opinion might interfere significantly with the toxicity of the treatments.
  • 8)Cardiovascular diseases resulting in a New York Heart Association Functional Status >2 (22).
  • 9) Uncontrolled bacterial, viral or fungal infection.
  • 10)Impossibility of ensuring adequate follow-up.
  • 11)Failure to comply with the requirements of the present protocol leading to exclusion of the participating center.

研究者

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