Actively Recruiting

Phase 2
Age: 18Years - 75Years
FEMALE
NCT06524583

Interest of Post-operative Chemotherapy in Patients With Localised Uterine Leiomyosarcoma Suspected of Having a High Risk of Recurrence Based on a Biological Test Performed on the Tumour

Led by UNICANCER · Updated on 2025-03-30

198

Participants Needed

25

Research Sites

304 weeks

Total Duration

On this page

Sponsors

U

UNICANCER

Lead Sponsor

P

PharmaMar

Collaborating Sponsor

AI-Summary

What this Trial Is About

Addition of postoperative chemotherapy to prevent or delay recurrence in patients newly diagnosed with localized uterine leiomyosarcoma and who have undergone complete tumor surgery.

CONDITIONS

Official Title

Interest of Post-operative Chemotherapy in Patients With Localised Uterine Leiomyosarcoma Suspected of Having a High Risk of Recurrence Based on a Biological Test Performed on the Tumour

Who Can Participate

Age: 18Years - 75Years
FEMALE

Eligibility Criteria

Eligible

You may qualify if you...

  • Histologically confirmed uterine leiomyosarcoma diagnosis within 8 weeks after surgery
  • ECOG performance status 0 or 1
  • No prior chemotherapy for sarcoma and no previous anthracyclines or trabectedin for other cancers
  • Available tumor tissue suitable for CINSARC NanoCind® testing
  • Age between 18 and 75 years
  • FIGO 2018 stage I uterine leiomyosarcoma with complete tumor resection
  • No measurable disease confirmed by imaging within 4 weeks prior to study entry
  • Signed informed consent in line with ICH-GCP and local laws
  • Affiliated with social security or equivalent health insurance
  • For randomization: all above criteria still met
  • High-risk CINSARC signature
  • Diagnosis confirmed by local or central sarcoma expert pathologist
  • Adequate blood counts: neutrophils ≥1.5 G/L, hemoglobin ≥9 g/dL, platelets ≥100 G/L
  • Adequate kidney function: creatinine ≤1.5 mg/dL or clearance ≥60 mL/min
  • Adequate liver function: bilirubin ≤ULN, transaminases ≤2.5x ULN, alkaline phosphatase ≤1.5x ULN
  • Adequate heart function: shortening fraction >30%, left ventricular ejection fraction >50%
  • Creatine phosphokinase ≤2.5x ULN
  • Albumin ≥25 g/L
  • Signed informed consent for randomized phase
Not Eligible

You will not qualify if you...

  • Other uterine sarcoma types (adenosarcoma, endometrial sarcoma, undifferentiated sarcoma)
  • Malignancy diagnosed or treated in past 5 years except certain in situ or skin cancers
  • Planned pelvic post-operative radiation therapy
  • Metastatic or measurable disease on CT scan
  • Known allergy to doxorubicin, trabectedin, or their components
  • Contraindications to doxorubicin or trabectedin use
  • Participation in another therapeutic trial within 30 days before study
  • Active hepatitis B or C or HIV infection
  • Anticancer therapy within last 4 weeks (6 weeks for nitrosoureas and mitomycin C)
  • Significant cardiovascular issues including congestive heart failure NYHA ≥2, recent myocardial infarction, uncontrolled arrhythmias or hypertension, unstable angina
  • Active infection above Grade 2 severity
  • Breastfeeding women
  • Inability or unwillingness to comply with study procedures due to personal reasons
  • Persons under legal custody or guardianship
  • For randomization: unknown CINSARC risk, failure to confirm diagnosis centrally, more than 13 weeks since surgery, or use of specific medications or vaccines prior to randomization

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Trial Site Locations

Total: 25 locations

1

Institut de Cancerologie de L'Ouest (Ico)

Angers, France, 49100

Not Yet Recruiting

2

Hopital Jean Minjoz

Besançon, France, 25030

Not Yet Recruiting

3

Institut Bergonie

Bordeaux, France, 33076

Not Yet Recruiting

4

Centre Francois Baclesse

Caen, France, 14176

Not Yet Recruiting

5

Centre Jean Perrin

Clermont-Ferrand, France, 63011

Not Yet Recruiting

6

Centre Georges Francois Leclerc

Dijon, France, 21079

Not Yet Recruiting

7

Chu Limoges

Limoges, France, 87042

Not Yet Recruiting

8

Centre Léon Berard

Lyon, France, 69373

Not Yet Recruiting

9

Institut Paoli Calmettes

Marseille, France, 13273

Not Yet Recruiting

10

La Timone University Hospital

Marseille, France, 13385

Actively Recruiting

11

Centre Antoine Lacassagne

Nice, France, 06189

Not Yet Recruiting

12

Hopital Saint Louis

Paris, France, 75010

Not Yet Recruiting

13

Hôpital Cochin

Paris, France, 75014

Not Yet Recruiting

14

Groupe Hospitalier Diaconesses Croix St Simon

Paris, France, 75020

Not Yet Recruiting

15

Hopital Tenon

Paris, France, 75020

Not Yet Recruiting

16

Institut Curie

Paris, France

Not Yet Recruiting

17

Chu de Poitiers

Poitiers, France, 86000

Not Yet Recruiting

18

Centre Eugene Marquis

Rennes, France, 35042

Not Yet Recruiting

19

Centre Henri Becquerel

Rouen, France, 76038

Not Yet Recruiting

20

Institut de cancerologie de l'ouest site Rene Gauducheau

Saint-Herblain, France, 44805

Not Yet Recruiting

21

Institut de Cancerologie Strasbourg Europe (Icans)

Strasbourg, France

Not Yet Recruiting

22

Institut Claudius Regaud

Toulouse, France, 31052

Not Yet Recruiting

23

CHU Bretonneau

Tours, France, 37000

Not Yet Recruiting

24

Centre Alexis Vautrin

Vandœuvre-lès-Nancy, France, 54519

Not Yet Recruiting

25

Gustave Roussy

Villejuif, France, 94800

Actively Recruiting

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Research Team

A

Amel MEKALICHE, MS

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

PREVENTION

Number of Arms

3

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