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Brief Title: Fluorescent Aided Resection and Evaluation of Soft Tissue Sarcomas (FLARES)
Official Title: Fluorescent Aided Resection and Evaluation of Soft Tissue Sarcomas (FLARES)
Study ID: NCT06252727
Brief Summary: This will be a prospective pilot study that will evaluate 20 patients who were diagnosed with FNCLCC Grade 2 or 3 soft tissue sarcomas and will undergo surgical resection. Based upon the FDA label, successful protocols used for intraoperative fluorescence-guided visualization for glioma resections, and on drug company current dosing recommendation for this study, patients will be administered 20 mg/kg body weight of 5-ALA orally at 3-4 hours prior to surgery. The use of 5-ALA fluorescence will be relevant for evaluating the resected tumor per gross margins and identifying further areas of fluorescing tissues beyond the gross tumor margins.
Detailed Description: PRIMARY OBJECTIVE: I. Demonstrate the feasibility of 5-ALA-aided fluorescent visualization of STS versus surrounding tissues. SECONDARY OBJECTIVE: I. Demonstrate the efficacy of tumor and surgical margin resections by a gross and histological analysis of fluorescing and non-fluorescing samples immediately after removal. II. Assess the safety profile of fluorescence-guided surgery (FGS) for STS utilizing 5-ALA. OUTLINE: Patients will be administered 20 mg/kg body weight of 5-ALA orally at 3-4 hours prior to surgical resection. Intraoperative fluorescence-guided visualization will be used for evaluating the resected tumor per gross margins and identifying further areas of fluorescing tissues beyond the gross tumor margins.
Minimum Age: 18 Years
Eligible Ages: ADULT, OLDER_ADULT
Sex: ALL
Healthy Volunteers: No
University of California Davis Comprehensive Cancer Center, Sacramento, California, United States
Name: Steven W Thorpe, MD
Affiliation: University of California, Davis
Role: PRINCIPAL_INVESTIGATOR