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Soft Tissue SarcomaPhase 2SSGXXNCT00790244

A Scandinavian Sarcoma Group Protocol for Patients With High-risk Soft Tissue Sarcoma of the Extremities and Trunk Wall

A Phase 2 study testing doxorubicin , ifosfamide and doxorubicin, ifosfamide in people with Soft Tissue Sarcoma and Non Metastatic Disease, run by Oslo University Hospital at 2 sites in Sweden.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

SSG XX is a phase II trial for high-risk soft tissue sarcomas (STS) of the extremities and trunk wall. Prognostic factors (histopathological markers) are used to identify high-risk tumors. SSG XX will evaluate chemo- and radiotherapy given adjuvantly to these patients. Read more about this study

Who is it for?
Ages 18 to 75 yearsHealthy volunteers can take part
Conditions the study is for
Soft Tissue Sarcoma, Non Metastatic Disease
What is being tested?
doxorubicin , ifosfamide and doxorubicin, ifosfamide
Could I receive a placebo?
No, everyone receives an active treatment
How many people
188 participants
Where
2 sitesSweden
Study dates
Oct 2007to Oct 2022
Phase
Phase 2
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 75 years
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • Group A: Histological high-grade malignancy soft tissue sarcomas of the extremity and trunk wall.
  • Patients fulfilling the high-risk criteria defined above (see detailed description) Group B: Patients with histological high-grade malignancy soft tissue sarcomas of the extremity and trunk wall for whom surgery carries an obvious risk of intralesional margin
  • Other inclusion criteria for therapy group A and group B
  • Age ≥ 18 y and ≤ 75 y
  • WHO grade 0-1
  • Adequate cardiac function (LVEF ≥ 50%)
Show all 9Show fewer
  • Normal GFR (clearance)
  • Adequate haematologic and liver function
  • All histotypes except those listed below

Who cannot join

  • The following histological types:
  • Extraskeletal osteosarcoma and - chondrosarcoma, Ewing/PNET, rhabdomyosarcoma, Kaposi´s sarcoma, malignant mesenchymoma, clear cell sarcoma, alveolar soft part sarcoma, epithelioid sarcoma
  • Radiation induced sarcoma
  • No previous anthracycline treatment
  • Less than 5 years free of another primary malignancy
  • More than 12 weeks have elapsed since primary surgery (Group A)
  • More than 4 weeks from diagnostic biopsy to start of chemotherapy (Group B)

Trial locations and contacts

2 sites in 1 country.

Kirsten Sundby Hall, MD, PhD contact

+4722934000

k.s.hall@klinmed.uio.no

Mikael Eriksson, MD,PhD contact

+4646177507

mikael.eriksson@onk.lu.se

Sweden2 sites, 2 recruiting
  • Scandinavian Sarcoma Group centers

    Lund, Lund, 221 85

    Kirsten Sundby Hall, MD, PhD, +4722934000, k.s.hall@klinmed.uio.no

    Mikael Eriksson, MD,PhD, +4646177507, mikael.eriksson@onk.lu.se

    Recruiting
  • Scandinavian Sarcoma Group Secretariat

    Lund University Hospital, Lund, SE-221 85

    Kirsten Sundby Hall, MD,PhD, +4722934000, k.s.hall@klinmed.uio.no

    Mikael Eriksson, MD,PhD, +4646 177507, mikael.eriksson@onk.lu.se

    Recruiting

Other trials in Sweden

About this study

Official title: A Scandinavian Sarcoma Group Treatment Protocol for Adult Patients With Non-metastatic High-risk Soft Tissue Sarcoma of the Extremities and Trunk Wall

SSG XX is a phase II trial for high-risk soft tissue sarcomas (STS) of the extremities and trunk wall. Prognostic factors (histopathological markers) are used to identify high-risk tumors. SSG XX will evaluate chemo- and radiotherapy given adjuvantly to these patients. In a specified group of patients also preoperatively given therapy will be studied.

Read the detailed description

SSG XX, the third adjuvant STS protocol by SSG, is a phase II non-randomized trial in patients with high risk to develop metastases. SSG XX is based on a previous SSG trial (SSG XIII) regarding use of prognostic markers to identify high-risk tumors and include very similar chemo- and radiotherapy treatment schedules compared to SSG XIII, but the new protocol also includes a treatment arm with preoperative chemo- and radiotherapy for patients with an obvious risk for intralesional surgery initially.

Patients: In this new adjuvant protocol SSG adopts an inclusion decision algorithm based on the following criteria: 1.vascular invasion or 2. presence of at least two of the risk factors: tumor size =>8 cm, necrosis or infiltrative growth(all defined microscopically by the pathologist. The system was developed retrospectively by evaluation of 434 primary histologically high grade (III-IV) STS from the SSG registry, and was later validated in a series of 175 patients in which patients with a high risk for metastases (>40 %) and low risk (<15 %) were separated (Engellau J et al.Eur J Ca 2007 43: 1927-34). Inclusion criteria: age ≥ 18 y and <75 y. Primary end point is metastasis-free survival. Local recurrence and toxicity will also be studied.

Treatment: Six cycles of doxorubicin 60mg/m2 and ifosfamide 6g/m2 will be given adjuvantly (to patients ≥ 70y: 50mg/m2 and 5g/m2 ). Dependent on surgical resection margins, 36Gy or 45Gy (1,8Gy per fraction, two fractions daily) will be given interpolated with chemotherapy.

Conclusion: SSG XX will evaluate chemo-and radiotherapy given adjuvantly to patients with STS and high risk for metastases (arm A). In a specified group of patients also preoperatively given therapy will be studied(arm B). Other sarcoma centers are invited to participate in the study.

Being tested
doxorubicin , ifosfamide, doxorubicin, ifosfamide
Keywords
Soft-tissue sarcomas, prognostic factors, adjuvant, chemotherapy, radiotherapy, metastases-free survival, toxicity, High malignancy grade, High-risk for metastases, Adult
Medical subject headings
Sarcoma

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • doxorubicin , ifosfamideDrug

    Also called Doxorubicin, Holoxan

    doxorubicin 60mg/m2+ifosfamide 6g/m2 every third week

  • doxorubicin, ifosfamideDrug

    Also called Doxorubicin, Holoxan

    Doxorubicin and Ifosfamide given every three weeks, totally 6 courses.

  • doxorubicin, ifosfamideDrug

    Also called Doxorubicin, Holoxan

    <70y: 6 cycles with doxorubicin 60mg/m2+ifosfamide 6g/m2 of each 21day cycle and radiotherapy 36Gy (1.8Gy per fraction, two fractions daily) will be given between cycle 3 and four.

    (>=70y: doxorubicin 50mg/m2+ifosfamide 5g/m2)

  • doxorubicin, ifosfamideDrug

    Also called Doxorubicin, Holoxan

    <70y: 6 cycles with doxorubicin 60mg/m2+ifosfamide 6g/m2 of each 21day cycle and radiotherapy 36Gy (1.8Gy per fraction, two fractions daily) will be given between cycle 2 and 3.

    (>=70y: doxorubicin 50mg/m2+ifosfamide 5g/m2)

Study groups in NCT00790244
Study groupRoleWhat they receive
Arm 2Experimental<70y: 6 cycles with doxorubicin 60mg/m2+ifosfamide 6g/m2 of each 21day cycle and radiotherapy 36Gy (1.8Gy per fraction, two fractions daily) will be given between cycle 3 and 4. (>=70y: doxorubicin 50mg/m2+ifosfamide 5g/m2)
Receives: Drug: doxorubicin , ifosfamide; Drug: doxorubicin, ifosfamide
Arm 3Experimental<70y: 6 cycles with doxorubicin 60mg/m2+ifosfamide 6g/m2 of each 21day cycle and radiotherapy 45Gy (1.8Gy per fraction, two fractions daily) will be given between cycle 3 and 4. (>=70y: doxorubicin 50mg/m2+ifosfamide 5g/m2)
Receives: Drug: doxorubicin , ifosfamide
Group BExperimental<70y: 6 cycles with doxorubicin 60mg/m2+ifosfamide 6g/m2 of each 21day cycle and radiotherapy 36Gy (1.8Gy per fraction, two fractions daily) will be given between cycle 2 and 3. (>=70y: doxorubicin 50mg/m2+ifosfamide 5g/m2)
Receives: Drug: doxorubicin , ifosfamide; Drug: doxorubicin, ifosfamide
Arm 1Experimental<70y: 6 cycles with doxorubicin 60mg/m2+ifosfamide 6g/m2 of each 21day cycle (>=70y: doxorubicin 50mg/m2+ifosfamide 5g/m2)
Receives: Drug: doxorubicin , ifosfamide; Drug: doxorubicin, ifosfamide

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Metastases-free survival

    Measured: time frame from start of treatment until the events metastases or death of any cause

Secondary outcomes (1)
  1. cumulative incidence of local recurrence,overall survival,acute and late toxicity,secondary malignancies

    Measured: for ten years from start of treatment

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted13 Nov 2008 (estimated)
  2. Study startOct 2007
  3. Primary completionOct 2012 (estimated)
  4. Study completionOct 2022 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 2
Primary purpose
Treatment
Allocation
Non-randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
188 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00790244
Sponsor's protocol ID
EudraCT number 2007-001152-39
Acronym
SSGXX
Status last verified
Nov 2008
First submitted
12 Nov 2008
Last updated
6 Jul 2011
Results posted
No
Data monitoring committee
Yes

Publications

  • Engellau J, Samuelsson V, Anderson H, Bjerkehagen B, Rissler P, Sundby-Hall K, Rydholm A. Identification of low-risk tumours in histological high-grade soft tissue sarcomas. Eur J Cancer. 2007 Sep;43(13):1927-34. doi: 10.1016/j.ejca.2007.05.018. Epub 2007 Jul 12.

    PubMed 17627813
  • Engellau J, Bendahl PO, Persson A, Domanski HA, Akerman M, Gustafson P, Alvegard TA, Nilbert M, Rydholm A. Improved prognostication in soft tissue sarcoma: independent information from vascular invasion, necrosis, growth pattern, and immunostaining using whole-tumor sections and tissue microarrays. Hum Pathol. 2005 Sep;36(9):994-1002. doi: 10.1016/j.humpath.2005.07.008.

    PubMed 16153463
  • Hall KS, Bruland OS, Bjerkehagen B, Lidbrink E, Jebsen N, Hagberg H, Papworth K, Hagberg O, Trovik C, Bauer H, Eriksson M. Preoperative accelerated radiotherapy combined with chemotherapy in a defined cohort of patients with high risk soft tissue sarcoma: a Scandinavian Sarcoma Group study. Clin Sarcoma Res. 2020 Nov 17;10(1):22. doi: 10.1186/s13569-020-00145-5.

    PubMed 33292545
  • Sundby Hall K, Bruland OS, Bjerkehagen B, Zaikova O, Engellau J, Hagberg O, Hansson L, Hagberg H, Ahlstrom M, Knobel H, Papworth K, Zemmler M, Goplen D, Bauer HCF, Eriksson M. Adjuvant chemotherapy and postoperative radiotherapy in high-risk soft tissue sarcoma patients defined by biological risk factors-A Scandinavian Sarcoma Group study (SSG XX). Eur J Cancer. 2018 Aug;99:78-85. doi: 10.1016/j.ejca.2018.05.011. Epub 2018 Jun 19.

    PubMed 29929092

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing doxorubicin , ifosfamide and doxorubicin, ifosfamide in people with Soft Tissue Sarcoma and Non Metastatic Disease, run by Oslo University Hospital at 2 sites in Sweden.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 9 inclusion and 7 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: status not confirmed, as of the sponsor's last update on 6 Jul 2011. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 2 sites in Sweden. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

Contact Kirsten Sundby Hall, MD, PhD (+4722934000, k.s.hall@klinmed.uio.no), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Metastases-free survival (time frame: time frame from start of treatment until the events metastases or death of any cause). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT00790244, which also lists 4 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 6 Jul 2011; AzTrials last refreshed its copy on 26 Oct 2026.

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