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Brief Title: NBTXR3 Crystalline Nanoparticles and Radiation Therapy in Treating Randomized Patients in Two Arms With Soft Tissue Sarcoma of the Extremity and Trunk Wall
Official Title: A Multicenter Randomized, Open-Label Phase II/III Study, To Compare The Efficacy Of NBTXR3, Implanted As Intratumor Injection And Activated By Radiotherapy, Versus Radiotherapy Alone In Patients With Locally Advanced Soft Tissue Sarcoma Of The Extremity And Trunk Wall
Study ID: NCT02379845
Brief Summary: RATIONALE: Radiation therapy given before surgery of soft tissue sarcoma decreases the size of the tumor mass and the presence of malignant cells in its peripheral region. NBTXR3 and radiation therapy may kill more cancer cells and increase the tumor shrinkage rendering surgery more feasible or easier and achieve better local control of the tumor. PURPOSE: This phase II/III is a prospective randomized, multi-center, open-label and active controlled two arms study in patients with locally advanced soft tissue sarcoma (STS) of the extremity and trunk wall. Patients will be randomized to receive either NBTXR3 as intratumor injection, activated by external beam radiation therapy or external beam radiation therapy alone, as preoperative treatment. Once the radiotherapy treatment is completed, tumor surgery will be performed in all patients.
Detailed Description: Patients who will be allocated in arm A, will receive a single intratumor injection of NBTXR3 and will receive external beam radiotherapy starting 24hrs after the injection up to completion of 5 weeks, 5 days a week of treatment (50Gy, 2Gy/fraction). Then, all patients will undergo surgical resection of the tumor 5 weeks later and will be followed for wound healing and toxicity assessment. A visit of end of treatment will take place approximately 3-4 weeks after surgery. Patients will be followed for evaluation of their disease status and adverse event until the end of study.
Minimum Age: 18 Years
Eligible Ages: ADULT, OLDER_ADULT
Sex: ALL
Healthy Volunteers: No
Capital Region Cancer Service, Canberra Hospital, Canberra, , Australia
Chris O'Brien Lifehouse, Sydney, , Australia
Jules Bordet Institute, Bruxelles, , Belgium
Ghent University Hospital, Ghent, , Belgium
Centre Rene Gauducheau, Nantes, Saint Herblain, France
Institut Bergonie, Bordeaux, , France
Centre Leon Berard, Lyon, , France
Institut Paoli Calmettes, Marseille, , France
Centre Regional de Lutte Contre Le Cancer Paul Lamarque, Montpellier, , France
Centre Antoine Lacassagne, Nice, , France
Institut Curie, Paris, , France
Institut Claudius Regaud - Oncopole, Toulouse, , France
Institut Gustave Roussy, Villejuif, , France
Klinikum Mannheim, Mannheim, , Germany
Klinikum Nürnberg, Nürnberg, , Germany
Princes of Wales Hospital, Shatin, , Hong Kong
Medical Centre, Hungarian Defence Forces, Budapest, , Hungary
National Institute of Oncology, Budapest, , Hungary
University Pècs, Pecs, , Hungary
Fondazione IRCCS Istituto Nazionale dei Tumori, Milan, , Italy
Institute of Oncology Veneto IOV, Padova, , Italy
Instituto Nazionale Tumori Regina Elena, Rome, , Italy
Oslo University Hospital, Oslo, , Norway
Perpetual Succour Hospital Cebu, Cebu City, , Philippines
University of Santo Thomas, Manila, , Philippines
The Medical City, Pasig City, , Philippines
St. Luke's Medical Center, Quezon City, , Philippines
Cancer Center Institute, Warsaw, , Poland
Institutul Oncologic Bucuresti, Bucharest, , Romania
Spitalului Universitar de Urgenta Militar Central, Bucharest, , Romania
Amethyst-Cluj, Floresti, , Romania
County Hospital 'Dr Gavril Curteanu', Oradea, , Romania
County Hospital, Targu Mures, Targu Mures, , Romania
Municipal Emergency Hospital, Timisoara, , Romania
Iatros International, Bloemfontein, , South Africa
The Oncology Centre, Durban, , South Africa
Gvi Outeniqua Oncology Unit, George, , South Africa
Wilgers Oncology Centre, Pretoria, , South Africa
Hospital Universitari Vall D'Hebron, Barcelona, , Spain
Hospital Clinico Universitario San Carlos, Madrid, , Spain
START MADRID, Hospital Fundacion Jimenez Diaz, Madrid, , Spain
START MADRID, Hospital Universitario Madrid Norte Sanchinarro, Madrid, , Spain