Thymoma Malignant RecurrentRADIO-RYTHMICNCT04731610
Randomized, Multicenter, Phase III Trial to Assess Conformal Post-operative Radiotherapy vs. Surveillance After Complete Resection of Stage II/III Thymoma (RADIO-RYTHMIC-01)
A study testing Radiotherapy and Surveillance after resection in people with Thymoma Malignant Recurrent, run by Institut Curie at 21 sites in France.
Trial summary
The primary objective of the study : to compare the Recurrence-Free survival (RFS) between arms. RFS is defined as time from randomisation to the first recurrence (either local-regional or distant) or death of any cause. Read more about this study
- Who is it for?
- Ages 18 to 75 years
- Conditions the study is for
- Thymoma Malignant Recurrent
- What is being tested?
- Radiotherapy and Surveillance after resection
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 314 participants
- Where
- 21 sitesFrance
- Study dates
- 28 Dec 2021to 28 Dec 2032
- Phase
- Interventional
- Are there results?
- Not yet: the study is under way
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
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- 18 < Age < 75 years old
- ECOG performance status ≤1
- Preoperative chemotherapy is allowed. Maximum of 4 cycles are authorized. Surgery should be realized ≤ 2 months after the last chemotherapy injection.
- Histologically diagnosed thymoma at pathological examination of surgical specimen after pathological review; for note, centralized, real-time, systematic pathological review is standard through the RYTHMIC network in France
- Complete resection at pathological examination of the surgical specimen after surgery conducted through standard, recommended approach ensuring accurate assessment of resection status
- Stage IIb or III disease according to the Masaoka-Koga staging system; this corresponds to stage pT1a with capsule invasion, until stage pT3 N0 M0 in the 8th TNM staging system TNM UICC/AJCC
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- Availability of thoracic Computed-Tomography (CT) scan with IV contrast (in the absence of contra-indications) or PET scan performed before surgery
- Availability of a thoracic Computed-Tomography (CT) scan with IV contrast (in the absence of contra-indications) showing absence of residual disease after surgical resection of the tumor
- Pulmonary function tests after surgery with FEV1 ≥ 1L or ≥ 35% of the theoretical value and DLCO ≥ 40%
- Signature of informed consent form
Who cannot join
- 1. Age > 75 years old 2. Histology of thymic carcinoma 3. Delivery of post-operative chemotherapy, concurrent chemotherapy to radiotherapy 4. Presence of microscopic or macroscopic residual tumor after surgery or metastases (R1 or R2 resection) 5. Uncontrolled, clinically significant pleural or pericardial effusion 6. Patients with prior radiation therapy to the thorax. Patients treated with conformal radiotherapy for prior breast or head and neck neoplasms should be discussed with PI 7. Evidence of severe or uncontrolled systemic disease as judged by the investigator 8. Recent (< 6 months) severe cardiac disease (uncontrolled arrhythmia, congestive heart failure, infarction, pace-maker) or pulmonary disease. Controlled and non clinically symptomatic arrhythmia is allowed.
- 9. Current or past history of neoplasm diagnosed within the last 3 years, except: basal cell carcinoma of the skin, in situ carcinoma of the cervix, and bladder in situ. A patient diagnosed for another neoplasm 3 years ago or more, treated and considered as cured may be included in the study if all the other criteria are respected 10. Pregnancy or breast feeding or inadequate contraceptive measures for women of childbearing potential during PORT 11. Patients who, for family, social, geographic or psychological reasons, cannot be adequately followed up and/or are incapable of undergoing regular controls, 12. Patients deprived of freedom or under guardianship
Trial locations and contacts
21 sites in 1 country. Contact the study team or a site near you to ask about taking part.
21 sites in 1 country
France21 sites, 20 recruiting
- Recruiting
CHU Caen
Caen, 14000
Simon DESHAYES, MD
Simon DESHAYES, MD
- Recruiting
CLCC François BACLESSE
Caen, 14000
Delphine LEROUGE, MD
Delphine LEROUGE, MD
- Recruiting
CLCC Georges François Leclerc
Dijon, 21079
Etienne MARTIN, MD
Etienne MARTIN, MD
- Recruiting
Centre Oscar Lambret
Lille, 59000
Florence LE TINIER, MD
Florence LE TINIER, MD
- Recruiting
CHU Lyon
Lyon, 69002
Thomas PIERRET, MD
Thomas PIERRET, MD
- Recruiting
AP-HM Hôpital Nord
Marseille, 13005
Pascal THOMAS, Pr
Pascal THOMAS, Pr
- Not yet recruiting
Institut du Cancer de Montpellier
Montpellier, 34090
Xavier QUANTIN, Pr
Xavier QUANTIN, Pr
- Not yet recruiting
Antoine LACASSAGNE
Nice, 06189
Jérôme DOYEN, MD
Jérôme DOYEN, MD
- Recruiting
Institut Curie
Paris, 75005
Nicolas GIRARD, PR, nicolas.girard2@curie.fr
Nicolas GIRARD, PR
- Not yet recruiting
Hôpital Européen Georges Pompidou
Paris, 75015
Aurélia ALATI, MD
Aurélia ALATI, MD
- Recruiting
Hôpital Bichat AP-HP
Paris, 75018
Valérie GOUNANT, Pr
Valérie GOUNANT, Pr
- Not yet recruiting
CHU Haut Lévêque
Pessac, 33604 Cedex
POUYPOUDAT, MD
Claudia POUYPOUDAT, MD
- Recruiting
CHU Rennes Hôpital Sud
Rennes, 35056
Charles RICORDEL, MD
Charles RICORDEL, MD
- Withdrawn
CHU Rouen
Rouen
- Not yet recruiting
CLCC Henri Becquerel
Rouen
Sébastien THUREAU, MD
Sébastien THUREAU, MD
- Recruiting
Institut de Cancérologie de l'Ouest
Saint-Herblain, 44805
François THILLAYS, MD
François THILLAYS, Pr
- Not yet recruiting
CHU Strasbourg
Strasbourg, 67098
Pierre-Emmanuel FALCOZ, Pr
Pierre-Emmanuel FALCOZ, Pr
- Recruiting
Institut Claudius Regaud
Toulouse, 31300
Jonathan KHALIFA, MD
Jonathan KHALIFA, MD
- Recruiting
CHRU Tours
Tours, 37044
Eric PICHON, MD
Eric PICHON, MD
- Recruiting
Institut de Cancérologie de Lorraine Nancy
Vandœuvre-lès-Nancy, 54519
Mathilde CUENIN, MD
Mathilde CUENIN, MD
- Recruiting
Gustave Roussy
Villejuif, 94800
Angela BOTTICELLA, MD
Angela BOTTICELLA, MD
About this study
Official title: Randomized, Multicenter, Phase III Trial to Assess Conformal Post-operative Radiotherapy vs. Surveillance After Complete Resection of Stage II/III Thymoma
The primary objective of the study : to compare the Recurrence-Free survival (RFS) between arms. RFS is defined as time from randomisation to the first recurrence (either local-regional or distant) or death of any cause.
- Conditions
- Thymoma Malignant Recurrent
- Being tested
- Radiotherapy, Surveillance after resection
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
RadiotherapyOther
postoperative radiotherapy after complete resection of thymoma
Surveillance after resectionOther
Surveillance after tumour resection
| Study group | Role | What they receive |
|---|---|---|
| Post-operative radiotherapy | Other | Tumour resection followed by radiotherapy. Receives: Other: Radiotherapy |
| Surveillance after tumour resection | Other | Tumour resection Receives: Other: Surveillance after resection |
What is being measured
The primary outcome is the main question the study is designed to answer.
Recurrence-Free survival (RFS)
to compare the Recurrence-Free survival (RFS) between arms. RFS is defined as time from randomisation to the first recurrence (either local-regional or distant) or death of any cause.
Measured: 3 years
Secondary outcomes (1)
Local-regional (pleural or pericardial) recurrence
Local-regional (pleural or pericardial) recurrence; location of recurrence /removed
Measured: 3 years
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted1 Feb 2021
- Study start28 Dec 2021
- Primary completion28 Dec 2031 (estimated)
- Study completion28 Dec 2032 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Thymoma Malignant RecurrentStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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 N/A
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 314 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Institut Curie
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT04731610
- Sponsor's protocol ID
- IC 2020-09
- Acronym
- RADIO-RYTHMIC
- Status last verified
- Apr 2026
- First submitted
- 26 Jan 2021
- Last updated
- 20 Apr 2026
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- Yes: Sponsor will share de-identified data sets . Documents generated under the project will be disseminated in accordance with Institut Curie policies.
Study at a glance
From the registry record, last updated by the sponsor on 20 Apr 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Randomized, Multicenter, Phase III Trial to Assess Conformal Post-operative Radiotherapy vs. Surveillance After Complete Resection of Stage II/III Thymoma
- ClinicalTrials.gov ID
- NCT04731610
- Acronym / sponsor ID
- RADIO-RYTHMIC / IC 2020-09
- Conditions
- Thymoma Malignant Recurrent
- Study type
- Interventional
- Recruitment status
- Recruiting
- Enrolment
- 314 participants (estimated)
- Lead sponsor
- Institut CurieUniversity, hospital or other
- Study start
- 28 Dec 2021 (actual)
- Primary completion
- 28 Dec 2031 (estimated)
- Study completion
- 28 Dec 2032 (estimated)
- First posted
- 1 Feb 2021 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The primary objective of the study : to compare the Recurrence-Free survival (RFS) between arms. RFS is defined as time from randomisation to the first recurrence (either local-regional or distant) or death of any cause.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Post-operative radiotherapy | Other | Other: RadiotherapyTumour resection followed by radiotherapy. |
| Surveillance after tumour resection | Other | Other: Surveillance after resectionTumour resection |
Who may qualify
- Ages
- 18 to 75 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (10 listed)
- 18 < Age < 75 years old
- ECOG performance status ≤1
- Preoperative chemotherapy is allowed. Maximum of 4 cycles are authorized. Surgery should be realized ≤ 2 months after the last chemotherapy injection.
- Histologically diagnosed thymoma at pathological examination of surgical specimen after pathological review; for note, centralized, real-time, systematic pathological review is standard through the RYTHMIC network in France
- Complete resection at pathological examination of the surgical specimen after surgery conducted through standard, recommended approach ensuring accurate assessment of resection status
Key exclusion criteria (2 listed)
- 1. Age > 75 years old 2. Histology of thymic carcinoma 3. Delivery of post-operative chemotherapy, concurrent chemotherapy to radiotherapy 4. Presence of microscopic or macroscopic residual tumor after surgery or metastases (R1 or R2 resection) 5. Uncontrolled, clinically significant pleural or pericardial effusion 6. Patients with prior radiation therapy to the thorax. Patients treated with conformal radiotherapy for prior breast or head and neck neoplasms should be discussed with PI 7. Evidence of severe or uncontrolled systemic disease as judged by the investigator 8. Recent (< 6 months) severe cardiac disease (uncontrolled arrhythmia, congestive heart failure, infarction, pace-maker) or pulmonary disease. Controlled and non clinically symptomatic arrhythmia is allowed.
- 9. Current or past history of neoplasm diagnosed within the last 3 years, except: basal cell carcinoma of the skin, in situ carcinoma of the cervix, and bladder in situ. A patient diagnosed for another neoplasm 3 years ago or more, treated and considered as cured may be included in the study if all the other criteria are respected 10. Pregnancy or breast feeding or inadequate contraceptive measures for women of childbearing potential during PORT 11. Patients who, for family, social, geographic or psychological reasons, cannot be adequately followed up and/or are incapable of undergoing regular controls, 12. Patients deprived of freedom or under guardianship
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Radiotherapypostoperative radiotherapy after complete resection of thymoma | Other | Post-operative radiotherapy |
| Surveillance after resectionSurveillance after tumour resection | Other | Surveillance after tumour resection |
Primary outcome
Recurrence-Free survival (RFS)
Time frame: 3 years
to compare the Recurrence-Free survival (RFS) between arms. RFS is defined as time from randomisation to the first recurrence (either local-regional or distant) or death of any cause.
1 secondary outcome
Local-regional (pleural or pericardial) recurrence
Time frame: 3 years
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 20 Apr 2026.
- Individual participant dataSharing planned: Yes. Sponsor will share de-identified data sets . Documents generated under the project will be disseminated in accordance with Institut Curie policies.
Related trials for Thymoma Malignant Recurrent
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PT-112 in Subjects With Thymoma and Thymic Carcinoma
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An Investigational Scan (MRI) in Imaging Patients With Newly-Diagnosed or Recurrent Thymoma
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Chemotherapy Plus Cetuximab Followed by Surgical Resection in Patients With Locally Advanced or Recurrent Thymoma or Thymic Carcinoma
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part.
21 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Radiotherapy and Surveillance after resection in people with Thymoma Malignant Recurrent, run by Institut Curie at 21 sites in France.
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 10 inclusion and 2 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: looking for participants now, as of the sponsor's last update on 20 Apr 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 21 sites in France. 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.
Are results available for this study?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
Contact Nicolas GIRARD, PR ((0)1 44 32 46 06 ext. +33, nicolas.girard2@curie.fr), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Recurrence-Free survival (RFS) (time frame: 3 years). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
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 20 Apr 2026.