Short Course of Radiotherapy Prior to Surgery of Soft Tissue Sarcomas
NCT07071727 · Status: RECRUITING · Phase: NA · Type: INTERVENTIONAL · Enrollment: 150
Last updated 2026-02-19
Summary
Based upon the preliminary data derived from first SCOPES clinical trial and the results of patients treated during the recent COVID-19 pandemic, patients with soft tissue sarcomas (STS) can be preoperatively irradiated in a modestly hypofractionated schedule of 14 x 3 Gy. From a toxicity and efficacy point of view, this regimen equals the outcomes after a conventionally fractionated regimen of 25 x 2 Gy in five weeks. Moreover, the rationale for investigating (modest) hypofractionation in the clinic comes both from a logistic point of view (patient convenience and a lower pressure on radiotherapy equipment), form prior phase II clinical evidence and from (cellular) radiobiological observations. There is phase II trial evidence suggesting that even more (ultra-) hypofractionation to 5 x 6 Gy is also safe and effective. Within this study, patients will be randomized to receive either the modestly hypofractionated conventional schedule of 14 x 3 Gy or an even shorter preoperative regimen of 5 x 6 Gy, in the hypothesis that both the postoperative wound complication rate until 120 days after surgery, as well as the local control probability at two years are comparable in both arms.
Conditions
- Sarcoma of Soft Tissue
- Sarcoma
- Sarcoma, Soft Tissue
Interventions
- RADIATION
-
Preoperative radiotherapy
preoperative radiotherapy
Sponsors & Collaborators
-
Radboud University Medical Center
collaborator OTHER -
University Medical Center Groningen
collaborator OTHER -
Leiden University Medical Center
collaborator OTHER -
Amsterdam UMC
collaborator OTHER -
Maastro Clinic, The Netherlands
collaborator OTHER -
The Netherlands Cancer Institute
lead OTHER
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2025-12-11
- Primary Completion
- 2028-11-01
- Completion
- 2033-11-01
Countries
- Netherlands
Study Locations
More Related Trials
-
Pre-operative RadiothErapy for Soft Tissue SarcOmas
NCT04617327 ·Status: ACTIVE_NOT_RECRUITING ·Phase: NA
-
5-Day Preoperative Radiation for Soft Tissue Sarcoma
NCT06087861 ·Status: RECRUITING ·Phase: PHASE2
-
Feasibility Trial of Preoperative 5-Day Hypofractionated Radiotherapy for Primary Soft Tissue Sarcoma
NCT05776667 ·Status: ACTIVE_NOT_RECRUITING ·Phase: NA
-
Hypofractionated vs Conventional Fractionated RT in Soft Tissue Sarcomas
NCT05109494 ·Status: RECRUITING ·Phase: PHASE2
-
Surgery With or Without Radiation Therapy in Untreated Nonmetastatic Retroperitoneal Sarcoma
NCT01344018 ·Status: COMPLETED ·Phase: NA
-
Radiation Therapy Before Surgery for Localized, Resectable Soft Tissue Sarcoma of the Extremity and Superficial Trunk
NCT04562480 ·Status: ACTIVE_NOT_RECRUITING ·Phase: PHASE2
-
Surgical Timing After Preoperative Hypofractionated Radiotherapy for Localized Extremity and Trunk Soft Tissue Sarcoma
NCT07265661 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Evaluation of Adaptive Radiation Therapy in Pre-operative or Exclusive Radiation Therapy for Limb Soft Tissues Sarcomas
NCT03680430 ·Status: UNKNOWN ·Phase: NA
-
Intensity-Modulated Radiation Therapy in Treating Patients Undergoing Surgery for Stage IB, Stage II, or Stage III Soft Tissue Sarcoma
NCT00740597 ·Status: TERMINATED ·Phase: PHASE2
-
Hypofractionated Radiotherapy With Hyperthermia in Unresectable or Marginally Resectable Soft Tissue Sarcomas
NCT03989596 ·Status: UNKNOWN ·Phase: PHASE2
-
Trabectedin Plus Radiotherapy in Soft Tissue Sarcoma Patients
NCT02275286 ·Status: RECRUITING ·Phase: PHASE1/PHASE2
-
Surgery With or Without Radiation Therapy in Treating Patients With Primary Soft Tissue Sarcoma of the Retroperitoneum or Pelvis
NCT00091351 ·Status: COMPLETED ·Phase: PHASE3
-
High-Dose Proton/Photon RT + Surgery of Sarcomas of the Thoracic, Lumbar Spine/Sacrum
NCT00592345 ·Status: COMPLETED ·Phase: PHASE1/PHASE2
-
Spatially Fractionated Radiotherapy Versus Conventional Radiotherapy in the Treatment of Soft Tissue Sarcoma
NCT06980259 ·Status: RECRUITING ·Phase: NA
-
Stereotactic Radiosurgery for Soft Tissue Sarcoma
NCT02706171 ·Status: WITHDRAWN ·Phase: NA
-
Combined Treatment of Patients With Soft Tissue Sarcoma Including Preoperative Stereotactic Radiation Therapy and Postoperative Conformal Radiation Therapy
NCT04330456 ·Status: RECRUITING ·Phase: NA
-
Short Course Radiation Treatment for Patients With Primary or Locally Recurrent Retroperitoneal Sarcoma Prior to Surgery
NCT06812052 ·Status: RECRUITING ·Phase: PHASE1
-
Stereotaxic Body Irradiation of Oligometastase in Sarcoma (Stereosarc)
NCT03548428 ·Status: RECRUITING ·Phase: PHASE2
-
Shorter Course, Hypofractionated Pre-Surgery Radiation Therapy in Treating Patients With Localized, Resectable Soft Tissue Sarcoma of the Extremity of Superficial Trunk
NCT03819985 ·Status: ACTIVE_NOT_RECRUITING ·Phase: PHASE2
-
Observation Versus Post-surgery Radiotherapy After Complete Exeresis in Soft Tissues Members Sarcoma
NCT00870701 ·Status: TERMINATED ·Phase: PHASE3
-
High Precision RT For Soft-Tissue Sarcoma
NCT01389050 ·Status: COMPLETED ·Phase: PHASE2
-
GRID Therapy for Extremity Soft Tissue Sarcoma
NCT06073067 ·Status: RECRUITING ·Phase: NA
-
Predicting Radiotherapy Response and Toxicities in Soft Tissue Sarcoma of the Extremities - Cohort B
NCT05978024 ·Status: RECRUITING
-
Multiparametric Quantitative MRI and Response to Neoadjuvant Radiotherapy for Soft-tissue Sarcoma
NCT05684874 ·Status: RECRUITING ·Phase: NA
-
Image-Guided Radiation Therapy in Treating Patients With Primary Soft Tissue Sarcoma of the Shoulder, Arm, Hip, or Leg
NCT00589121 ·Status: COMPLETED ·Phase: PHASE2