Doxorubicin Plus External-Beam Radiation Therapy in Treating Patients With Soft Tissue Sarcoma

NCT ID: NCT00004109

Last Updated: 2012-08-02

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE1

Total Enrollment

30 participants

Study Classification

INTERVENTIONAL

Study Start Date

1998-03-31

Study Completion Date

2011-04-30

Brief Summary

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RATIONALE: Drugs used in chemotherapy use different ways to stop tumor cells from dividing so they stop growing or die. Radiation therapy uses high-energy x-rays to damage tumor cells. Combining chemotherapy with radiation therapy may kill more tumor cells.

PURPOSE: Phase I trial to study the effectiveness of doxorubicin plus external-beam radiation therapy in treating patients who have soft tissue sarcoma.

Detailed Description

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OBJECTIVES: I. Determine the toxicity and maximum tolerated dose of doxorubicin when combined with external beam radiotherapy in patients with high risk soft tissue sarcomas of the extremity or trunk. II. Assess the radiographic and pathologic response rates to this preoperative regimen in the subset of these patients with measurable disease.

OUTLINE: This is a dose escalation study of doxorubicin. Patients receive doxorubicin intravenous (IV) bolus followed immediately by doxorubicin IV over 4 days every week for 5 weeks in the absence of unacceptable toxicity. Patients with measurable disease receive external beam radiotherapy 5 days a week for 5 weeks concurrently with doxorubicin treatment. Patients with measurable disease undergo surgical resection of the residual mass 4-7 weeks following completion of chemoradiation. Patients who have no measurable disease and have undergone prereferral excision undergo surgical resection of the prior surgical scar and tumor bed followed by external beam radiotherapy 5 days a week for 5 weeks. Cohorts of 3 patients receive escalating doses of doxorubicin until the maximum tolerated dose (MTD) is determined. Patients are followed every 3 months for 3 years, every 4 months for 2 years, and then annually for 5 years.

PROJECTED ACCRUAL: A maximum of 30 patients will be accrued for this study at a rate of 5-6 patients per month.

Conditions

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Sarcoma

Keywords

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stage III adult soft tissue sarcoma recurrent adult soft tissue sarcoma Doxorubicin External-Beam RT XRT cancer PREOPERATIVE CONCURRENT CHEMORADIATION EXTREMITY SOFT TISSUE SARCOMAS TRUNK SOFT TISSUE SARCOMAS Concurrent Chemoradiation Surgical Resection Localized Extremity Soft Tissue Sarcomas Body Wall Soft Tissue Sarcomas

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Doxorubicin + External-Beam RT

Group Type EXPERIMENTAL

Doxorubicin Hydrochloride

Intervention Type DRUG

Doxorubicin dose will not exceed 20 mg/m2 per week IV over 4 days every week for 5 weeks

Radiation Therapy (RT)

Intervention Type RADIATION

External-beam radiotherapy at a dose of 50 Gy (2.0 x 25 fractions, weeks 1-5).

Interventions

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Doxorubicin Hydrochloride

Doxorubicin dose will not exceed 20 mg/m2 per week IV over 4 days every week for 5 weeks

Intervention Type DRUG

Radiation Therapy (RT)

External-beam radiotherapy at a dose of 50 Gy (2.0 x 25 fractions, weeks 1-5).

Intervention Type RADIATION

Other Intervention Names

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doxorubicin RT Radialtherapy

Eligibility Criteria

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Inclusion Criteria

1. Patients must have cytologic or histologic proof of large (\>5 mc), Grade III, resectable soft tissue sarcoma of the extremity or trunk (AJCC Stage IIIB). Patients with The American Joint Committee on Cancer (AJCC) Stage IIB tumors (Grade II) greater than 8 cms will also be eligible.
2. Patients may have measurable or non-measurable disease (C/P pre-referral excision).
3. Patients may have had prior doxorubicin (up to a total doxorubicin dose of 450 mg/m2).
4. Patients may have a prior history of malignancy (at the discretion of the Principal Investigator).
5. Patients must have Karnofsky Point Scale (P.S.)\> of \>70 or Xubrod P.S. of 0 or 1.
6. Patients must have: Absolute neutrophil count (ANC) \> 1,500 cells/mm; platelet count \> 100,000 platelets/ml; serum creatinine \<1.8 mg/dl, aspartate aminotransferase (AST or SGOT) and alanine aminotransferase (ALT or SGPT) \< 3 times normal, total bilirubin \< 1.5mg/dl; for patients with cumulative Adriamycin 450 mg/M2, EF \>50%.
7. Women of childbearing potential must not be pregnant or breast feeding and must practice adequate contraception.

Exclusion Criteria

1. Patients must not have had prior radiation therapy (XRT) in the area of the primary tumor, and the anticipated XRT field must not include the perineum, scrotum, or vaginal introitus.
2. Patients with uncontrolled coexisting medical conditions are excluded.
3. Patient must not be pregnant or brest feeding.
Minimum Eligible Age

16 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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National Cancer Institute (NCI)

NIH

Sponsor Role collaborator

M.D. Anderson Cancer Center

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Peter W. Pisters, MD

Role: STUDY_CHAIR

M.D. Anderson Cancer Center

Locations

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University of Texas - MD Anderson Cancer Center

Houston, Texas, United States

Site Status

Countries

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United States

Related Links

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http://www.mdanderson.org

UT MD Anderson Cancer Center Website

Other Identifiers

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P30CA016672

Identifier Type: NIH

Identifier Source: secondary_id

View Link

MDA-ID-97335

Identifier Type: OTHER

Identifier Source: secondary_id

NCI-G99-1598

Identifier Type: -

Identifier Source: secondary_id

CDR0000067332

Identifier Type: REGISTRY

Identifier Source: secondary_id

ID97-335

Identifier Type: -

Identifier Source: org_study_id