Hypofractionated Radiotherapy Followed by Surgical Resection in the Treatment of Soft Tissue Sarcomas

NCT ID: NCT04506008

Last Updated: 2025-03-28

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

RECRUITING

Clinical Phase

PHASE2

Total Enrollment

40 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-03-02

Study Completion Date

2027-06-30

Brief Summary

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The trial will use neoadjuvant hypofractionated radiotherapy followed by surgical resection in the treatment for soft tissue sarcoma. It will allow patients to be treated over a shorter course (5 or 15 days of radiation) compared to the traditional 5 week regimen. It is proposed that this will be possible without increasing the risk of wound complication or local recurrence compared with a traditional 5 week course of pre-operative radiation.

Detailed Description

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Study Objectives:

Primary:

* To investigate the efficacy of neoadjuvant hypo-fractionated radiotherapy (HRT) followed by surgical resection in the treatment of soft tissue sarcoma (STS) as measured by local control
* Examine the side effect profile using Radiation Therapy Oncology Group (RTOG) and Common Terminology Criteria for Adverse Events (CTCAE) acute and late side effects criteria and major and minor post-operative complication rates.

OUTLINE: Patients are assigned to 1 of 2 groups by the radiation oncologist.

GROUP I (ULTRA-HYPOFRACTIONATION \[UH\]): Patients undergo HRT daily for a total of 5 fractions followed by surgery.

GROUP II (MODERATE HYPOFRACTIONATION \[MH\]): Patients undergo HRT daily for a total of 15 fractions followed by surgery.

After completion of study treatment, patients are followed up within 3 months, then every 3-6 months for a minimum of 2 years.

Conditions

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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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Group I (UH HRT)

Patients undergo HRT daily for a total of 5 fractions followed by surgery.

Group Type EXPERIMENTAL

Ultra-Hypo-fractionation Radiotherapy

Intervention Type RADIATION

Five fractions of pre-operative radiation

Resection

Intervention Type PROCEDURE

Surgery

Questionnaire Administration

Intervention Type OTHER

Ancillary studies

Group II (MH HRT)

Patients undergo HRT daily for a total of 15 fractions followed by surgery.

Group Type EXPERIMENTAL

Resection

Intervention Type PROCEDURE

Surgery

Questionnaire Administration

Intervention Type OTHER

Ancillary studies

Moderately-Hypo-fractionation Radiotherapy

Intervention Type RADIATION

15 fractions of pre-operative radiation

Interventions

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Ultra-Hypo-fractionation Radiotherapy

Five fractions of pre-operative radiation

Intervention Type RADIATION

Resection

Surgery

Intervention Type PROCEDURE

Questionnaire Administration

Ancillary studies

Intervention Type OTHER

Moderately-Hypo-fractionation Radiotherapy

15 fractions of pre-operative radiation

Intervention Type RADIATION

Eligibility Criteria

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Inclusion Criteria

* Histologic diagnosis of a soft tissue sarcoma of extremity, pelvis, chest wall or trunk/abdominal wall (non-retroperitoneal location)
* ECOG performance status 0-2
* Patient must be deemed able to comply with radiation treatment and surgery

Exclusion Criteria

* History of prior radiation to the same area to be irradiated
* Pregnancy
* Active collagen vascular disease or patients genetically predisposed to increased radiation related side effects
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Vanderbilt-Ingram Cancer Center

OTHER

Sponsor Role lead

Responsible Party

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Eric Shinohara

Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Eric Shinohara, MD

Role: PRINCIPAL_INVESTIGATOR

Vanderbilt Medical Center

Locations

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Vanderbilt-Ingram Cancer Center

Nashville, Tennessee, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Vanderbilt-Ingram Service for Timely Access

Role: CONTACT

800-811-8480

Facility Contacts

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Vanderbilt-Ingram Service for Timely Access

Role: primary

800-811-8480

Provided Documents

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Document Type: Informed Consent Form

View Document

Other Identifiers

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VICC SAR 2062

Identifier Type: -

Identifier Source: org_study_id

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