Status:

COMPLETED

A Prospective Randomized Trial of Pre-Operative IMRT+Surgery Versus Surgery Alone For Primary Retroperitoneal Sarcoma

Lead Sponsor:

Memorial Sloan Kettering Cancer Center

Collaborating Sponsors:

National Cancer Institute (NCI)

Conditions:

Sarcoma

Eligibility:

All Genders

18+ years

Phase:

PHASE3

Brief Summary

This is a phase III clinical trial for patients with potentially completely resectable primary retroperitoneal sarcoma. Patients who take part will be divided into two groups, a radiation therapy plus...

Detailed Description

Primary Objective: To ascertain whether patients with completely resected (R0 + R1), primary retroperitoneal sarcoma who are randomized to pre-operative IMRT and surgery have a longer recurrence-free ...

Eligibility Criteria

Inclusion

  • Patients with primary retroperitoneal/pelvic soft tissue sarcoma.
  • Gross total resection (RO or R1) must be feasible.
  • No prior chemotherapy, immunotherapy or radiotherapy is allowable.
  • Patients should be over 18 years of age and capable of providing informed consent indicating awareness of the investigational nature of this trial, in keeping with hospital policy.
  • Karnofsky performance status of \>= 70 %
  • No other concurrent chemotherapy, immunotherapy or radiotherapy is allowable.
  • Adequate organ function defined as follows: absolute granulocytes \>= 1,500/mm 3, platelets \>= 150,000/mm 3, serum bilirubin \<= 1.5 mg/dl, serum creatinine \<= 1.5 mg/dl.
  • Written informed consent (study specific) must be obtained from each patient prior to entering the study.
  • Patients should be willing to be followed at Memorial Sloan-Kettering Cancer Center during the course of treatment and follow-up.
  • Patients must be able to get IMRT radiotherapy at Memorial Sloan-Kettering Cancer Center

Exclusion

  • Patients presenting with primary non-retroperitoneal soft tissue sarcoma or recurrent retroperitoneal sarcoma.
  • Patients who are deemed unresectable by clinical/imaging criteria.
  • Patients with histologic diagnosis of gastrointestinal stromal sarcoma, desmoplastic small round cell tumor, desmoid, Ewing's sarcoma, PNET, adenosarcoma, granular cell tumor, mesothelioma or rhabdomyosarcoma are excluded from the study.
  • Patients with known metastatic disease, or those with radiologically evident metastases.
  • Patients with clinically significant heart disease (NYHA Class III/IV), history of active angina or myocardial infarction within 6 months, history of significant ventricular arrhythmia requiring medication with antiarrhythmics or a history of clinically significant conduction system abnormality. Patients with any of the above conditions who are seen by a cardiologist at MSKCC and are found to be an acceptable risk for surgery will be allowed to participate in this study.
  • Patients with any active concurrent malignancy other than non-melanoma skin cancers or carcinoma-in situ of the cervix. Patients with previous malignancies but without evidence of disease for \> 5 years will be eligible.
  • Women who are pregnant.
  • Patients currently participating in other clinical trials the requirements of which may preclude their complete involvement in this study
  • Patients with serious intercurrent infections or non-malignant uncontrolled illnesses

Key Trial Info

Start Date :

May 1 2003

Trial Type :

INTERVENTIONAL

End Date :

September 1 2005

Estimated Enrollment :

150 Patients enrolled

Trial Details

Trial ID

NCT00131898

Start Date

May 1 2003

End Date

September 1 2005

Last Update

December 23 2008

Active Locations (1)

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Memorial Sloan-Kettering Cancer Center

New York, New York, United States, 10021