Safety and Efficacy of Preoperative Stereotactic Body Radiotherapy (SBRT) and Radical Surgery for Soft Tissue Sarcoma of Extremities
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Soft Tissue Sarcoma
- Sponsor
- Second Affiliated Hospital, School of Medicine, Zhejiang University
- Enrollment
- 20
- Locations
- 1
- Primary Endpoint
- Safety and tolerability of radiotherapy followed by radical surgery
- Status
- Recruiting
- Last Updated
- last year
Overview
Brief Summary
Currently, the effectiveness and safety of preoperative hypo-fractionated radiotherapy in treating extremity soft tissue sarcomas remain inconclusive, warranting further investigation. Optimizing the neoadjuvant radiotherapy approach, including fractionation schedules and the interval between radiotherapy and surgery, is crucial to enhancing clinical efficacy while ensuring safety. This study proposes a multicenter, prospective, single-arm clinical trial utilizing preoperative SBRT for patients with high-grade extremity STS, tumors larger than 5 cm, or cases where achieving safe surgical margins is challenging due to involvement of surrounding blood vessels or nerves. The trial aims to preliminarily assess the impact of preoperative SBRT followed by radical surgery on surgical safety, quality of life, and tumor control in these patients.
Detailed Description
The effectiveness and safety of preoperative hypo-fractionated radiotherapy in treating extremity soft tissue sarcomas remain inconclusive, warranting further investigation. Optimizing the neoadjuvant radiotherapy approach, including fractionation schedules and the interval between radiotherapy and surgery, is crucial to enhancing clinical efficacy while ensuring safety. This study proposes a multicenter, prospective, single-arm clinical trial utilizing preoperative SBRT for patients with high-grade extremity STS, tumors larger than 5 cm, or cases where achieving safe surgical margins is challenging due to involvement of surrounding blood vessels or nerves. The trial aims to preliminarily assess the impact of preoperative SBRT followed by radical surgery on surgical safety, quality of life, and tumor control in these patients.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Aged ≥18 years;
- •Confirmed diagnosis of soft tissue sarcomas;
- •Highly malignant soft tissue sarcomas;
- •Not received surgery, chemotherapy or other antitumor therapy;
- •ECOG (Eastern Cooperative Oncology Group) performance status 0 or 1;
- •Signed informed consent;
- •Willing to provide tissue from an excisional biopsy of a tumor lesion，willing to provide blood sample before and after treatment;
Exclusion Criteria
- •Patients with soft tissue sarcoma of extremities with shallow tumor location, small size, low grade pathology and operable surgical resection;
- •Distant metastasis;
- •Received surgery or chemotherapy or other antitumor therapy;
- •Previously participated in other clinical trials;
- •History of severe allergies, patients with allergic conditions, such as contrast agent allergy;
- •Known additional malignancy that is progressing or requires active treatment. Exceptions include basal cell carcinoma of the skin or squamous cell carcinoma of the skin that has undergone potentially curative therapy, or in situ cervical cancer.
- •Diagnosis of immunodeficiency or is receiving systemic steroid therapy or any other form of immunosuppressive therapy;
- •Active infection requiring systemic therapy;
- •Known psychiatric or substance abuse disorders ;
- •Pregnant or breastfeeding;
Outcomes
Primary Outcomes
Safety and tolerability of radiotherapy followed by radical surgery
Time Frame: 120 days after radical surgery
Incidence of Treatment-Emergent Adverse events (CTCAE v5.0)
Secondary Outcomes
- Recurrence free survival(1-,2-,3-year after radical surgery)
- Progression free survival(1-,2-,3-year after radical surgery)
- Extremity function and Quality of life by EORTC QLQ-C30(Assessed up to 12 months)
- Overall survival(1-,2-,3-year after radical surgery)