Evaluating the Impact of Limited Compared With Intense Post-Operative Surveillance on Patient-Reported Outcomes in Patients With Stage II-III Soft Tissue Sarcoma of the Trunk and Extremities

NCT ID: NCT04751409

Last Updated: 2025-09-16

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

227 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-12-28

Study Completion Date

2027-12-31

Brief Summary

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This phase II trial studies how anxiety is affected by 2 types of follow-up after surgery, limited follow-up and intense follow-up, in patients with stage II-III soft tissue sarcoma of the trunk and extremities. In cancer survivors, the fear of cancer coming back (recurring) is common and may persist long after the end of treatment. It may also be exacerbated by return visits for imaging (surveillance). The purpose of this study is to determine how patients' anxiety and other cancer-related outcomes are affected by how often surveillance is done.

Detailed Description

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PRIMARY OBJECTIVE:

I. To evaluate whether a risk-based limited follow-up surveillance is associated with reduced patient anxiety compared to risk-based intense surveillance.

SECONDARY OBJECTIVE:

I. To evaluate the impact of reduced surveillance in low-risk patients on overall survival, time to local or distant recurrence, anxiety at early and late time-points, out of pocket costs, and number of missed or extra clinic visits, compared to the risk-based intense follow-up in both low-risk and high-risk patients.

OUTLINE: Patients are assigned to 1 of 2 groups based on risk status.

GROUP 1 (LOW RISK): Patients are randomized to 1 of 2 arms.

ARM I: Patients undergo intense follow-up every 3 months for 2 years consisting of restaging with computed tomography (CT)-chest and imaging of the primary site.

ARM II: Patients undergo limited follow-up every 6 months for 2 years consisting of restaging with either CT-chest or chest x-ray (CXR) and imaging of the primary site.

GROUP 2 (HIGH RISK): Patients undergo intense follow-up every 3 months for 2 years as in Group 1, Arm I.

Conditions

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Stage II Soft Tissue Sarcoma of the Trunk and Extremities AJCC v8 Stage III Soft Tissue Sarcoma of the Trunk and Extremities AJCC v8 Stage IIIA Soft Tissue Sarcoma of the Trunk and Extremities AJCC v8 Stage IIIB Soft Tissue Sarcoma of the Trunk and Extremities AJCC v8

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

NONE

Study Groups

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Group 1, Arm I (intense follow up)

Patients undergo intense follow-up every 3 months for 2 years consisting of restaging with CT-chest and imaging of the primary site.

Group Type EXPERIMENTAL

Computed Tomography

Intervention Type PROCEDURE

Undergo CT-chest

Follow-Up

Intervention Type PROCEDURE

Undergo intense follow-up

Imaging Technique

Intervention Type PROCEDURE

Undergo imaging

Questionnaire Administration

Intervention Type OTHER

Ancillary studies

Group 1, Arm II (limited follow-up)

Patients undergo limited follow-up every 6 months for 2 years consisting of restaging with either CT-chest or CXR and imaging of the primary site.

Group Type EXPERIMENTAL

Chest Radiography

Intervention Type PROCEDURE

Undergo CXR

Computed Tomography

Intervention Type PROCEDURE

Undergo CT-chest

Follow-Up

Intervention Type PROCEDURE

Undergo limited follow-up

Imaging Technique

Intervention Type PROCEDURE

Undergo imaging

Questionnaire Administration

Intervention Type OTHER

Ancillary studies

Group 2 (intense follow up)

Patients undergo intense follow-up every 3 months for 2 years as in Group 1, Arm I.

Group Type EXPERIMENTAL

Computed Tomography

Intervention Type PROCEDURE

Undergo CT-chest

Follow-Up

Intervention Type PROCEDURE

Undergo intense follow-up

Imaging Technique

Intervention Type PROCEDURE

Undergo imaging

Questionnaire Administration

Intervention Type OTHER

Ancillary studies

Interventions

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Chest Radiography

Undergo CXR

Intervention Type PROCEDURE

Computed Tomography

Undergo CT-chest

Intervention Type PROCEDURE

Follow-Up

Undergo intense follow-up

Intervention Type PROCEDURE

Follow-Up

Undergo limited follow-up

Intervention Type PROCEDURE

Imaging Technique

Undergo imaging

Intervention Type PROCEDURE

Questionnaire Administration

Ancillary studies

Intervention Type OTHER

Other Intervention Names

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Chest X-ray CAT CAT Scan Computerized Axial Tomography Computerized Tomography CT CT Scan tomography Active Follow-up Clinical Signs Follow-up CLSFUP Follow Up follow_up Followed Followup Active Follow-up Clinical Signs Follow-up CLSFUP Follow Up follow_up Followed Followup Diagnostic Imaging Technique Imaging imaging procedure Imaging Procedures Imaging, Not Otherwise Specified Medical Imaging

Eligibility Criteria

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Inclusion Criteria

* ≥18 years old
* Completion of sarcoma therapy (chemotherapy, radiation therapy and/or surgery) within 8-14 weeks of study enrollment
* Willingness to complete surveys x 2 years

Exclusion Criteria

* Documented metastatic disease at the time of enrollment
* Non-English-speaking patients

Pregnant women will be included in this clinical trial.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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M.D. Anderson Cancer Center

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Christina L Roland, MD

Role: PRINCIPAL_INVESTIGATOR

M.D. Anderson Cancer Center

Locations

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M D Anderson Cancer Center

Houston, Texas, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Christina L Roland, MD

Role: CONTACT

713-792-6940

Facility Contacts

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Christina L. Roland

Role: primary

713-792-6940

Related Links

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http://www.mdanderson.org

M.D. Anderson Cancer Center

Other Identifiers

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NCI-2021-00436

Identifier Type: REGISTRY

Identifier Source: secondary_id

2020-0854

Identifier Type: OTHER

Identifier Source: secondary_id

2020-0854

Identifier Type: -

Identifier Source: org_study_id

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