Actively Recruiting

Age: 18Years +
All Genders
NCT07432932

Precision Medicine Approaches for Neoadjuvant Therapy in High-risk Sarcoma Patients

Led by Royal Marsden NHS Foundation Trust · Updated on 2026-02-25

800

Participants Needed

1

Research Sites

345 weeks

Total Duration

On this page

Sponsors

R

Royal Marsden NHS Foundation Trust

Lead Sponsor

I

Institute of Cancer Research, United Kingdom

Collaborating Sponsor

AI-Summary

What this Trial Is About

This is a cohort study aimed at developing a stratified medicine approach for personalised neoadjuvant chemotherapy (NCT) in high-risk soft tissue sarcoma (STS) patients with dedifferentiated liposarcoma (DDLPS), leiomyosarcoma (LMS), synovial sarcoma (SS), vascular sarcomas, malignant peripheral nerve sheath tumour (MPNST) or other subtypes. It comprises of both retrospective and prospective tissue collection from patients advancing directly to surgery (control group) and patients receiving NCT and surgery.

CONDITIONS

Official Title

Precision Medicine Approaches for Neoadjuvant Therapy in High-risk Sarcoma Patients

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Written informed consent for the prospective cohort
  • Histopathological diagnosis of high-risk soft tissue sarcoma with subtypes including dedifferentiated liposarcoma, leiomyosarcoma, synovial sarcoma, vascular sarcomas, or malignant peripheral nerve sheath tumor; other subtypes allowed with principal investigator approval
  • High-risk sarcoma defined as tumors larger than 5 cm or Grade 3
  • Tumor located in a deep anatomic site
  • Disease amenable to biopsy; patients not amenable to repeat biopsy may be considered by local site principal investigator
  • Resectable tumor
  • Measurable disease by RECIST 1.1
  • Age 18 years or older
  • WHO performance status 0 to 2
  • For patients receiving NCT, medically fit with adequate organ function to undergo chemotherapy
  • Medically fit to undergo surgical resection
  • Capable of giving written informed consent (for prospective cohort) and able to comply with study schedule
  • Patients may also participate in the STRASS 2 trial
Not Eligible

You will not qualify if you...

  • Prior invasive malignancy within the last 5 years, except low-risk malignancies reviewed by principal investigator
  • Known additional malignancy that is progressing or requires active treatment
  • Metastatic disease not suitable for curative intent local therapy
  • Any active uncontrolled medical conditions

AI-Screening

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Trial Site Locations

Total: 1 location

1

The Royal Marsden Hospital

London, United Kingdom, SW3 6JJ

Actively Recruiting

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Research Team

S

Stephanie Elston, MSc

CONTACT

T

Thuy-Giang Nguyen, BSc

CONTACT

How is the study designed?

Study Type

OBSERVATIONAL

Masking

N/A

Allocation

N/A

Model

N/A

Primary Purpose

N/A

Number of Arms

2

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