RecruitingPhase 2NCT06022159

A Study to Evaluate Pre-operative HYPOfractionated Radiation Therapy in Aged (≥ 70 Years Old) or "Fragile" (≥ 65 Years) Patients With Limb or Trunk Soft Tissue SARComa.

Phase II Study Evaluating Pre-operative HYPOfractionated Radiation Therapy in Aged (≥ 70 Years) or "Fragile" (≥ 65 Years) Patients With Limb or Trunk Soft Tissue SARComa.


Sponsor

Institut Claudius Regaud

Enrollment

48 participants

Start Date

Nov 28, 2023

Study Type

INTERVENTIONAL

Conditions

Summary

This is a phase II, multicenter, non-randomized study. The main objective is to evaluate the treatment with hypofractionated radiation therapy in neo-adjuvant situations on wound healing in a population of aged patients (≥ 70 years old) or ≥ 65 years of age defined as "fragile" and treated for soft tissue sarcoma. A maximum of 48 evaluable patients will be included in this study. The patients will receive an hypofractionated radiation therapy prior to conservative surgery. Each patient will be followed for up to 3 years after the end of complete treatment (radiotherapy + surgery).


Eligibility

Min Age: 65 Years

Plain Language Summary

Simplified for easier understanding

This study tests a shorter, more concentrated radiation schedule (hypofractionated radiation) given before surgery in older or frail patients with soft tissue sarcoma of the limbs or trunk, to see if it is as safe and effective as conventional longer radiation courses. **You may be eligible if...** - You have been confirmed to have soft tissue sarcoma of the limbs or trunk - You need radiation therapy before surgery (neoadjuvant) - You are 70 or older, OR you are 65–70 and considered "fragile" by your doctor (ECOG 2) - You are affiliated with French social health insurance **You may NOT be eligible if...** - Your sarcoma is in the abdomen (retroperitoneal), head/neck, or internal organs - You have had previous radiation in the same area - You have metastatic (spread) disease - You need amputation - You have another cancer currently being treated - You are enrolled in another treatment trial - You cannot undergo MRI Talk to your doctor to see if this trial is right for you.

This summary was AI-generated to explain the trial in plain language. It is not medical advice. Always discuss eligibility with your doctor before enrolling in a clinical trial.

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Interventions

RADIATIONHypofractionated Radiation Therapy

The Hypofractionated Intensity-Modulated Radiation Therapy will be delivered in 5 fractions of 6 Gy each on the Planning Target Volume (PTV). The total dose of 30 Gy will be administered in approximately 1 week.

PROCEDUREConservative treatment

A wide en bloc resection is required (amputation is excluded) while ensuring the best functional preservation. The surgical procedure will take place about 1,5 to 2 months after the end of the radiation therapy.


Locations(11)

Institut Bergonie

Bordeaux, France

Centre Oscar Lambret

Lille, France

Chu de Limoges

Limoges, France

Centre Leon Berard

Lyon, France

Institut Regional Du Cancer de Montpellier

Montpellier, France

Institut Curie

Paris, France

Chu de Poitiers

Poitiers, France

Institut de Cancerologie de L'Ouest

Saint-Herblain, France

Chu de Toulouse

Toulouse, France

IUCT-O

Toulouse, France

Institut Gustave Roussy

Villejuif, France

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NCT06022159


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