HYPOSARC: A Study to Evaluate Pre- or Post-operative HYPOfractionated Radiation Therapy in Aged (≥ 70 Years Old) or "Fragile" (≥ 65 Years) Patients With Limb or Trunk Soft Tissue SARComa.
Study Details
Study Description
Brief 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 and 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 70 patients will be included in this study, divided in 2 groups (35 patients per arms): a neo-adjuvant cohort and an adjuvant cohort.
In the neo-adjuvant cohort, patients will receive an hypofractionated radiation therapy prior to surgery.
In the adjuvant cohort, patients will undergo a surgery before receive the hypofractionated radiation therapy.
Each patient will be followed for up to 3 years after the end of complete treatment (radiotherapy + surgery or surgery + radiotherapy).
Condition or Disease | Intervention/Treatment | Phase |
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Phase 2 |
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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Experimental: Neo-adjuvant Cohort
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Procedure: Patients will receive the hypofractionated radiation therapy (30 Gy in 5 fractions) prior to surgery.
Early post-radiotherapy toxicity will then be assessed 1 month after the end of radiotherapy.
Post-operative follow-up: post-operative complications will be followed at 3 and 6 weeks post-surgery.
A visit at 6 months post-surgery will also be carried out to evaluate post-operative complications and late adverse effects of radiotherapy.
Long-term follow-up would also be performed every 6 months from the 6-month post-surgery visit up to 3 years post-surgery (M12, M18, M24, M30 and M36).
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Experimental: Adjuvant Cohort
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Procedure: Patient will undergo surgery before receive the adjuvant hypofractionated radiation therapy (40 Gy in 15 fractions).
Post-operative follow-up: postoperative complications will be followed at 3 and 6 weeks post-surgery (before the start of irradiation). Early post-radiotherapy toxicity will then be assessed 1 month after the end of radiotherapy.
A 6-month post-surgery check-up will also be carried out to assess post-operative complications and acute side effects of radiotherapy.
Long-term follow-up would also be performed every 6 months from the 6-month post-surgery visit up to 3 years post-surgery (M12, M18, M24, M30 and M36).
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Outcome Measures
Primary Outcome Measures
- The rate of patients free of major surgical complications as defined by O'Sullivan within 6 months of surgery. [6 month for each patient]
Secondary Outcome Measures
- Patients' disease-free survival defined as the time between the inclusion date and the occurrence of a carcinological event (local recurrence, distant metastasis) or death from any cause. [3 years for each patient]
- Surgical complications evaluated according to NCI CTC AE V5 criteria. [3 years for each patient]
- Wound disorders, such as partial necrosis and scar disunion, classified into four categories: severe, moderate, minor, absent. [3 years for each patient]
- Healing time defined as the time between the date of surgery and the date of complete healing. [3 years for each patient]
- Patients' quality of life evaluated using the EORTC questionnaire (QLQ-C30). [3 years for each patient]
- Patients' quality of life evaluated using the EORTC questionnaire (QLQ-ELD14). [3 years for each patient]
- Patient autonomy evaluated using the IADL (Instrumental Activities of Daily Living) questionnaire. [3 years for each patient]
- Geriatric parameters evaluated using the G8 (Geriatric 8) questionnaire. [3 years for each patient]
- Geriatric parameters evaluated using the G-CODE questionnaire. [3 years for each patient]
- Toxicities of the radiation therapy evaluated according to NCI CTC AE V5 criteria and Radiation Therapy Oncology Group (RTOG) classification. [3 years for each patient]
Eligibility Criteria
Criteria
Inclusion Criteria:
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Patient with histologically confirmed soft tissue sarcoma of the limbs or trunk.
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Indication for neo-adjuvant or adjuvant radiotherapy.
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Patient aged ≥ 70 years with a performance status ECOG ≤ 2 and/or aged 65 to 70 years with an ECOG of 2 and identified by the investigator as "fragile".
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Patient affiliated to a Social Health Insurance in France.
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Patient able to participate and willing to give informed consent prior performance of any study-related procedures.
Exclusion Criteria:
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Retroperitoneal, ORL and visceral sarcomas.
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Previous radiotherapy in the area.
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Metastatic disease.
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Concomitant or sequential chemotherapy.
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Patient requiring total surgery (amputation).
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Other cancer under treatment.
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Any condition or pathology contraindicating MRI.
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Any psychological, familial, geographic or social situation, potentially preventing the provision of informed consent or compliance to study procedure.
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Patients included in another therapeutic interventional trial.
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Patient who has forfeited his/her freedom by administrative or legal award or who is under legal protection (curatorship and guardianship, protection of justice).
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
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1 | Institut Bergonie | Bordeaux | France | ||
2 | Centre Oscar Lambret | Lille | France | ||
3 | Chu de Limoges | Limoges | France | ||
4 | Centre Leon Berard | Lyon | France | ||
5 | Institut Regional Du Cancer de Montpellier | Montpellier | France | ||
6 | Institut Curie | Paris | France | ||
7 | Chu de Poitiers | Poitiers | France | ||
8 | Institut de Cancerologie de L'Ouest | Saint-Herblain | France | ||
9 | Chu de Toulouse | Toulouse | France | ||
10 | IUCT-O | Toulouse | France | ||
11 | Institut Gustave Roussy | Villejuif | France |
Sponsors and Collaborators
- Institut Claudius Regaud
Investigators
None specified.Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- 23 SARC 01