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Table 4 The table summarizes currently ongoing and recruiting trials on preoperative hypofractionated radiotherapy for soft tissue sarcoma

From: Preoperative hypofractionated radiotherapy for soft tissue sarcomas: a systematic review

NCT number/phase

Title

RTX fraction × dose

Outcome measures

Dates

Center

NCT05109494/Phase II

Hypofractionated vs Conventional Fractionated RT in Soft Tissue Sarcomas

25 × 2 Gy = 50 Gy vs 5 × 5.5 Gy = 27.5 Gy

1°: Pathological necrosis

2°: Surgical margins, WC, late toxicity, PFS, LR

Start: December 2021

Study completion: November 2026

University of Wisconsin Hospital and Clinics, Madison, Wisconsin, United States

NCT04425967/Phase II

Short Course Of Preoperative Radiotherapy in Head and Neck-, Trunk- and Extremity Soft Tissue Sarcomas

25 × 2 Gy = 50 Gy vs 14 × 3 = 42 Gy

1°: Acute toxicity (30 days post op) 2°: LC, late toxicity (2 years)

Start: June 2021

Study completion: April 2034

Universitair Medisch Centrum Groningen, Groningen, Netherlands

Leids Universitair Medisch Centrum, Leiden, Netherlands

Radboudumc, Nijmegen, Netherlands

NCT04562480/Phase II

Hypofractionated Radiation Therapy Before Surgery for the Treatment of Localized, Resectable Soft Tissue Sarcoma of the Extremity and Superficial Trunk

15 × 2.85 Gy = 42.75 Gy

1°: Major WC (within 120 days)

2°: LR, DFS, OS, late toxicity, pattern of relapse, QoL changes

Start: November 2020

Study completion: November 2026

Mayo Clinic in Rochester, Rochester, Minnesota, United States

NCT03819985/Phase II

Shorter Course, Hypofractionated Pre-Surgery Radiation Therapy in Treating Patients With Localized, Resectable Soft Tissue Sarcoma of the Extremity of Superficial Trunk

15 × 2.85 Gy = 42.75 Gy vs 25 × 2 Gy = 50 Gy (historical control)

1°: Non-inferiority design for time till major WC (within 120 days)

2°: LRFS, DFS, Time to relapse, Disease specific survival time, pattern of local relapse, acute toxicity other than WC, late toxicity, functional outcomes, QoL

Start: December 2018

Study completion: August 2023

MD Anderson Cancer Center, Houston, Texas, United States

NCT04617327/Phase I/II

Pre-operative RadiothErapy for Soft Tissue SarcOmas (PRESTO)

5 × 7 Gy = 35 Gy every other day (3 fractions per week)

1°: Acute toxicity (within 1 month) according to CTCAE V.5

2°: Performance measure by Physicians Muscle Tumor Rating Scale

Start: June 2020

Study completion: December 2027

McGill University Health Centre-Cedars Cancer Centre, Montréal, Quebec, Canada

NCT03972930/Phase II

Hypofractionated Radiotherapy for Soft Tissue Sarcomas

Highly conformal RT in 3–8 fractions maximum prescribed dose, total of 60 Gy in ≤ 8 weeks

1°: LC (2-year)

2°: LC (5-year), CR-rate, PFS, OS, acute toxicity, late toxicity

Start: June 2019

Study completion: July 2026

University of Wisconsin, Madison, Wisconsin, United States

NCT04946357/Phase II

Neoadjuvant Irradiation of Extremity Soft Tissue Sarcoma With Ions (EXTREM ION)

Proton: 13 × 3 Gy = 39 Gy (RBE) vs Carbon ion: 13 × 3 Gy = 39 Gy (RBE)

1°: Absence of wound healing disorders (till 120 days after surgery)

2°: LC, LPFS, DFS, OS

Start: June 2021

Study completion: July 2023

University Hospital Heidelberg, Heidelberg, Germany

NCT02634710/Phase II

Hypofractionated Pre-operative Radiation Therapy for Soft Tissue Sarcomas of the Extremity and Chest-wall

5 × 7 Gy = 35 Gy every other day

1°: LC (2 year)

2°: Serious adverse events (CTCAE V.4.0), Musculoskeletal Tumor Rating Scale Score, QoL, DFS, OS, radiological changes (T2 MRI), pathological changes

Start: February 2016

Study completion: December 2025

Froedtert Hospital, Milwaukee, Wisconsin, United States

  1. The National Clinical Trial number, the study phase, study title, radiotherapy fractionation and dose, the primary and secondary outcomes, the dates and the participating centers are included. 1° (primary), 2° (secondary), CR (complete remission), CTCAE (Common Terminology Criteria of Adverse Events), DFS (disease-free survival), doxo (doxorubicine), LC (local control, LPFS (local progression-free survival), LR (local recurrence), LRFS (local recurrence-free survival), MRI ( Magnetic resonance imaging), NCT (National Clinical Trial), OS (overall survival), QoL (quality of life), RBE (relative biological effectiveness), WC (wound complication)