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Soft Tissue Sarcoma of the Lower ExtremityFOCUSNCT06737172

Functional and Structural Outcomes Following Childhood Bone or Soft Tissue Sarcomas of the Lower Extremity

An observational study of Soft Tissue Sarcoma of the Lower Extremity and Bone Sarcoma of the Lower Extremity, run by Technical University of Munich at 2 sites in Germany.

Active, not recruiting

Under way, not looking for participants. Everyone needed has enrolled. The study is still running.

Official record
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Trial summary

Soft tissue and bone sarcomas of the lower extremity pose significant challenges for affected individuals, often associated with considerable burden. Chemotherapy, load restrictions, and surgery frequently result in long-term physical limitations, causing structural and functional deterioration. Read more about this study

Who is it for?
Ages 6 to 18 years
How many people
18 participants
Where
2 sitesGermany
Study dates
1 Apr 2025to 31 Mar 2027
Phase
Observational
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 6 to 18 years
  • All sexes
  • No healthy volunteers
  • Child, Adult

Study population: Participants include children and adolescents during follow-up in Munich/Germany for soft tissue sarcoma or bone tumor at the lower extremity currently 1-5 years after cessation of treatment.

Who may be able to join

  • Cessation of treatment for a bone tumor or soft tissue sarcoma of the lower extremity 1-5 years ago
  • Age Range of 6 to 18 years
  • Treatment has been conducted at one of the two designated study sites

Who cannot join

  • Medical contraindications for testing (e.g. injury, pain, dizziness, lack of orthopedic clearance for weight-bearing in the tumor region, other acute orthopedic limitations unrelated to the underlying condition, etc.)
  • Language barriers that prevent understanding of the instructions for study participation
  • Cognitive impairment or developmental delay that hinders comprehension of the instructions in the testing situation, thereby preventing standardized diagnostic data collection

Trial locations and contacts

2 sites in 1 country.

Germany2 sites
  • Dr. von Haunersches Kinderspital, University of Munich

    Munich, Bavaria, 80337

  • Technical University of Munich, Germany; TUM School of Medicine and Health, Department of Pediatrics. German Center for Child and Adolescent Health (DZKJ), partner site Munich

    Munich, Bavaria, 80804

Other trials in Germany

About this study

Official title: Cross-sectional Analysis of Functional and Structural Outcomes in Children, Adolescents and Young Adults Within Follow-up of Bone or Soft Tissue Sarcomas of the Lower Extremity

Soft tissue and bone sarcomas of the lower extremity pose significant challenges for affected individuals, often associated with considerable burden. Chemotherapy, load restrictions, and surgery frequently result in long-term physical limitations, causing structural and functional deterioration. These challenges are particularly pronounced in childhood and adolescence, as they affect physiological development, resilience, and autonomy. Yet, it remains unclear whether these deficits can be fully compensated after treatment or if they result in long-term limitations, as this has not been sufficiently studied.

This bicentric study includes children and adolescents undergoing follow-up care for soft tissue or bone sarcoma of the lower extremity within 1 to 5 years since end of therapy. The cohort did not receive any specific prehabilitative training during neoadjuvant therapy. Participants will be divided into two subgroups based on the study site: (1) participants who participated in a non-specific exercise program during acute therapy and (2) participants who did not receive any exercise promotion during acute therapy. Target sample size is n=16. The study has been consented by the local ethics committee.

Read more

Several structural and functional parameters are measured to document the natural status of muscular structures and functional abilities after the treatment of a solid tumor in the lower extremities, with a focus on identifying specific deficits and the associated long-term limitations in daily life. The measurements include psoas muscle area, body composition, strength, mobility, balance ability, gait analysis, two questionnaires on physical activity and quality of life, and quantitative measures of the clinical course during acute treatment (days of hospitalization, infection rates, etc.).

For children and adolescents, daily functionality and the experience of autonomy are crucial for physiological development and contribute significantly to quality of life. Therefore, these factors should be investigated and supported in this cohort, a group that is currently underrepresented in scientific research.

Keywords
bone tumor, soft tissue sarcoma, functional outcomes, cross-sectional analysis
Medical subject headings
Bone Neoplasms, Sarcoma

What participants receive

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

Study groups in NCT06737172
Study groupRoleWhat they receive
Survivors of childhood bone or soft tissue sarcomas of the lower extremitySurvivors aged 6-18 years who were treated for bone or soft tissue sarcoma of the lower extremity in one of the recruiting study sites, 1-5 years following the end of therapy

What is being measured

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

  1. Total psoas muscle area

    Total psoas muscle area at lumbal level (L4) analyzed via MRI or PET CT

    Measured: At diagnostic procedure 1-5 years following the end of therapy

Secondary outcomes (14)
  1. Fat-free mass

    The weight of all body components excluding fat, measured in kilograms, using bioimpedance analysis.

    Outcome measures 2.-6. will be combined to report body composition.

    Measured: At diagnostic procedure 1-5 years following the end of therapy

  2. Fat mass

    Total body fat weight, measured in kilograms, assessed via bioimpedance analysis.

    Outcome measures 2.-6. will be combined to report body composition.

    Measured: At diagnostic procedure 1-5 years following the end of therapy

  3. Total body water

    The proportion of total body water in kg, expressed as percentage, measured through bioimpedance analysis.

    Outcome measures 2.-6. will be combined to report body composition.

    Measured: At diagnostic procedure 1-5 years following the end of therapy

  4. Body cell mass

    The mass of metabolically active cells in the body, measured in kilograms, via bioimpedance analysis.

    Outcome measures 2.-6. will be combined to report body composition.

    Measured: At diagnostic procedure 1-5 years following the end of therapy

  5. Phase angle

    An indicator of cellular health and membrane integrity, measured in degrees using bioimpedance analysis.

    Outcome measures 2.-6. will be combined to report body composition.

    Measured: At diagnostic procedure 1-5 years following the end of therapy

  6. Muscle strength

    Overall muscle strength measured by hand-grip dynamometry.

    Measured: At diagnostic procedure, 1-5 years following the end of therapy

  7. Range of motion of the adjacent joints

    Range of motion of the adjacent joints measured with an analog goniometer.

    Measured: At diagnostic procedure, 1-5 years following the end of therapy

  8. Gait analysis

    Gait analysis measured with a force plate to analyze how pressure is distributed during stance phases of walking (vertical ground reaction force during loading response, mid stance, terminal stance, toe off).

    Measured: At diagnostic procedure, 1-5 years following the end of therapy

  9. Path length

    The total distance traveled by the center of pressure during balance assessment, measured in centimeters using a force plate. Outcome measures 10.-13. will be combined to report balance ability.

    Measured: At diagnostic procedure 1-5 years following the end of therapy

  10. Mean velocity

    The average speed of center of pressure shifts during balance assessment, measured in meters per second with a force plate. Outcome measures 10.-13. will be combined to report balance ability.

    Measured: At diagnostic procedure 1-5 years following the end of therapy

  11. Sway angle

    The angular deviation of the center of pressure from a neutral position during balance tasks, measured in degrees using a force plate. Outcome measures 10.-13. will be combined to report balance ability.

    Measured: At diagnostic procedure 1-5 years following the end of therapy

  12. Equlibrium score

    Calculated from the anterior-posterior and medial-lateral projection of the 90% Standard Ellipse and estimated height of center of gravity during balance tasks in percentage using a force plate. Outcome measures 10.-13. will be combined to report balance ability.

    Measured: At diagnostic procedure 1-5 years following the end of therapy

  13. Level of physical activity

    Level of physical activity following therapy measured with the standardized ActiOn questionnaire

    Measured: At diagnostic procedure, 1-5 years following the end of therapy

  14. Quality of life

    Quality of life during and following therapy measured with the standardized and validated KINDL questionnaire

    Measured: At diagnostic procedure, 1-5 years following the end of therapy

Timeline

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

  1. First posted17 Dec 2024
  2. Study start1 Apr 2025
  3. Primary completion31 Oct 2026 (estimated)
  4. Study completion31 Mar 2027 (estimated)

Resources

More details

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

Study design
Study type
Observational
Observational model
Cohort
Time perspective
Prospective
Enrolment
18 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06737172
Sponsor's protocol ID
FOCUS
Acronym
FOCUS
Status last verified
Aug 2026
First submitted
25 Nov 2024
Last updated
18 Aug 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Undecided

Publications

  • Basteck S, Guder WK, Dirksen U, Krombholz A, Streitburger A, Reinhardt D, Gotte M. Effects of an Exercise Intervention on Gait Function in Young Survivors of Osteosarcoma with Megaendoprosthesis of the Lower Extremity-Results from the Pilot Randomized Controlled Trial proGAIT. Curr Oncol. 2022 Oct 14;29(10):7754-7767. doi: 10.3390/curroncol29100613.

    PubMed 36290890
  • Bhagat A, Kleinerman ES. Anthracycline-Induced Cardiotoxicity: Causes, Mechanisms, and Prevention. Adv Exp Med Biol. 2020;1257:181-192. doi: 10.1007/978-3-030-43032-0_15.

    PubMed 32483740
  • Ehrhardt MJ, Leerink JM, Mulder RL, Mavinkurve-Groothuis A, Kok W, Nohria A, Nathan PC, Merkx R, de Baat E, Asogwa OA, Skinner R, Wallace H, Lieke Feijen EAM, de Ville de Goyet M, Prasad M, Bardi E, Pavasovic V, van der Pal H, Fresneau B, Demoor-Goldschmidt C, Hennewig U, Steinberger J, Plummer C, Chen MH, Teske AJ, Haddy N, van Dalen EC, Constine LS, Chow EJ, Levitt G, Hudson MM, Kremer LCM, Armenian SH. Systematic review and updated recommendations for cardiomyopathy surveillance for survivors of childhood, adolescent, and young adult cancer from the International Late Effects of Childhood Cancer Guideline Harmonization Group. Lancet Oncol. 2023 Mar;24(3):e108-e120. doi: 10.1016/S1470-2045(23)00012-8. Epub 2023 Feb 14.

    PubMed 37052966
  • Furtado S, Errington L, Godfrey A, Rochester L, Gerrand C. Objective clinical measurement of physical functioning after treatment for lower extremity sarcoma - A systematic review. Eur J Surg Oncol. 2017 Jun;43(6):968-993. doi: 10.1016/j.ejso.2016.10.002. Epub 2016 Oct 14.

    PubMed 27836415
  • Garcia MB, Ness KK, Schadler KL. Exercise and Physical Activity in Patients with Osteosarcoma and Survivors. Adv Exp Med Biol. 2020;1257:193-207. doi: 10.1007/978-3-030-43032-0_16.

    PubMed 32483741
  • Gauss G, Beller R, Boos J, Daggelmann J, Stalf H, Wiskemann J, Gotte M. Adverse Events During Supervised Exercise Interventions in Pediatric Oncology-A Nationwide Survey. Front Pediatr. 2021 Aug 19;9:682496. doi: 10.3389/fped.2021.682496. eCollection 2021.

    PubMed 34490156
  • Gotte M, Gauss G, Dirksen U, Driever PH, Basu O, Baumann FT, Wiskemann J, Boos J, Kesting SV. Multidisciplinary Network ActiveOncoKids guidelines for providing movement and exercise in pediatric oncology: Consensus-based recommendations. Pediatr Blood Cancer. 2022 Nov;69(11):e29953. doi: 10.1002/pbc.29953. Epub 2022 Sep 8.

    PubMed 36073842
  • Lurz E, Patel H, Lebovic G, Quammie C, Woolfson JP, Perez M, Ricciuto A, Wales PW, Kamath BM, Chavhan GB, Juni P, Ng VL. Paediatric reference values for total psoas muscle area. J Cachexia Sarcopenia Muscle. 2020 Apr;11(2):405-414. doi: 10.1002/jcsm.12514. Epub 2020 Jan 9.

    PubMed 31920002
  • Pilz F, Vill K, Rawer R, Bonfert M, Tacke M, Heussinger N, Muller-Felber W, Blaschek A. Mechanography in children: pediatric references in postural control. J Musculoskelet Neuronal Interact. 2022 Dec 1;22(4):431-454.

    PubMed 36458382
  • Runco DV, Zimmers TA, Bonetto A. The urgent need to improve childhood cancer cachexia. Trends Cancer. 2022 Dec;8(12):976-979. doi: 10.1016/j.trecan.2022.07.005. Epub 2022 Aug 3.

    PubMed 35931609
  • Winter CC, Muller C, Hardes J, Gosheger G, Boos J, Rosenbaum D. The effect of individualized exercise interventions during treatment in pediatric patients with a malignant bone tumor. Support Care Cancer. 2013 Jun;21(6):1629-36. doi: 10.1007/s00520-012-1707-1. Epub 2013 Jan 5.

    PubMed 23292667

Questions about this trial

What is this clinical trial studying?

An observational study of Soft Tissue Sarcoma of the Lower Extremity and Bone Sarcoma of the Lower Extremity, run by Technical University of Munich at 2 sites in Germany.

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 3 inclusion and 3 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: under way, not looking for participants, as of the sponsor's last update on 18 Aug 2026. 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 Germany. 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?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Total psoas muscle area (time frame: At diagnostic procedure 1-5 years following the end of therapy). 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 NCT06737172, which also lists 11 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 18 Aug 2026.

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