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Investigate the effect of Propranolol and Celecoxib combine with Receptor activator of nuclear factor kappa-Ã?â?? ligand (RANKL) blockade therapy during the perioperative period of Osteosarcoma (Bone cancer) patients.

Phase 2
Conditions
Health Condition 1: C419- Malignant neoplasm of bone and articular cartilage, unspecified
Registration Number
CTRI/2022/10/046252
Lead Sponsor
Tata Memorial Hospital
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

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

1. Age > 12 years

2. Histologically diagnosed, treatment naive, non-metastatic osteosarcoma patients planned

for curative intent treatment.

3. Duration from biopsy to starting of chemotherapy less than or equal to one month.

4. Have consented to undergo perioperative treatment (propranolol and celecoxib with

denosumab) after adequate staging workup.

Exclusion Criteria

1. Patients with metastatic disease at presentation.

2. Any prior local or systemic treatment

3. Contraindication to use study medications.

ïâ??§ Propranolol:

a) Cardiogenic shock;

b) Sinus bradycardia and greater than first-degree block;

c) Bronchial asthma; and

d) In patients with known hypersensitivity to Propranolol hydrochloride.

ïâ??§ Celecoxib:

a) Patients with known hypersensitivity to celecoxib, aspirin, or other

NSAIDs.

b) History of IHD

c) In patients with active gastrointestinal bleeding.

ïâ??· Denosumab

a) Severe uncorrected hypocalcemia

b) prior history of osteonecrosis or osteomyelitis of the jaw, an active dental

or jaw condition requiring oral surgery, non-healed dental/oral surgery, or

any planned invasive dental procedure

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
2-year Event-free survival (EFS) rate - EFS will be measured from the date of <br/ ><br>randomization to the date of progression or death. <br/ ><br>3-year Overall Survival (OS) rate ââ?¬â?? OS will be measured from the date of <br/ ><br>randomization to the date of death.Timepoint: Event- free survival (EFS) rate - 2 year <br/ ><br>Overall Survival (OS) rate - 3 year
Secondary Outcome Measures
NameTimeMethod
ilTimepoint: Nil
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