CClinicalTrials.gg
CompletedNCT00004109Updated Aug 2, 2012

Doxorubicin Plus External-Beam Radiation Therapy in Treating Patients With Soft Tissue Sarcoma

A Phase 1 interventional study of Doxorubicin Hydrochloride and Radiation Therapy (RT) in Sarcoma, sponsored by M.D. Anderson Cancer Center. Completed at 1 site in United States. Open to participants aged 16 Years and older. Per ClinicalTrials.gov, last updated 2012-08-02.

Sponsored by M.D. Anderson Cancer Center · Phase 1, Interventional, and Treatment

Phase
Phase 1
Study type
Interventional
Enrollment
30
Allocation
Non-randomized
Ages
16 Years and older
Sex
All
01

Study summary

RATIONALE: Drugs used in chemotherapy use different ways to stop tumor cells from dividing so they stop growing or die. Radiation therapy uses high-energy x-rays to damage tumor cells. Combining chemotherapy with radiation therapy may kill more tumor cells.

PURPOSE: Phase I trial to study the effectiveness of doxorubicin plus external-beam radiation therapy in treating patients who have soft tissue sarcoma.

Read the detailed description

OBJECTIVES: I. Determine the toxicity and maximum tolerated dose of doxorubicin when combined with external beam radiotherapy in patients with high risk soft tissue sarcomas of the extremity or trunk. II. Assess the radiographic and pathologic response rates to this preoperative regimen in the subset of these patients with measurable disease.

OUTLINE: This is a dose escalation study of doxorubicin. Patients receive doxorubicin intravenous (IV) bolus followed immediately by doxorubicin IV over 4 days every week for 5 weeks in the absence of unacceptable toxicity. Patients with measurable disease receive external beam radiotherapy 5 days a week for 5 weeks concurrently with doxorubicin treatment. Patients with measurable disease undergo surgical resection of the residual mass 4-7 weeks following completion of chemoradiation. Patients who have no measurable disease and have undergone prereferral excision undergo surgical resection of the prior surgical scar and tumor bed followed by external beam radiotherapy 5 days a week for 5 weeks. Cohorts of 3 patients receive escalating doses of doxorubicin until the maximum tolerated dose (MTD) is determined. Patients are followed every 3 months for 3 years, every 4 months for 2 years, and then annually for 5 years.

PROJECTED ACCRUAL: A maximum of 30 patients will be accrued for this study at a rate of 5-6 patients per month.

02

Conditions studied

  • Sarcoma

Browse trials for

Keywords

  • stage III adult soft tissue sarcoma
  • recurrent adult soft tissue sarcoma
  • Doxorubicin
  • External-Beam RT
  • XRT
  • cancer
  • PREOPERATIVE CONCURRENT CHEMORADIATION
  • EXTREMITY SOFT TISSUE SARCOMAS
  • TRUNK SOFT TISSUE SARCOMAS
  • Concurrent Chemoradiation
  • Surgical Resection
  • Localized Extremity Soft Tissue Sarcomas
  • Body Wall Soft Tissue Sarcomas
03

In context

Sarcoma

1,667 studies on the registry are indexed under Sarcoma; 393 are open to participants now.

This study's enrollment of 30 is below the median of 40 across 1,283 interventional studies indexed under Sarcoma.

Browse Sarcoma studies →

Lead sponsor

M.D. Anderson Cancer Center is the lead sponsor of 2,999 studies on the registry; 581 are open to participants now.

Of its 599 completed or terminated interventional studies of FDA-regulated products, 402 (67%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
16 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  1. Patients must have cytologic or histologic proof of large (>5 mc), Grade III, resectable soft tissue sarcoma of the extremity or trunk (AJCC Stage IIIB). Patients with The American Joint Committee on Cancer (AJCC) Stage IIB tumors (Grade II) greater than 8 cms will also be eligible.
  2. Patients may have measurable or non-measurable disease (C/P pre-referral excision).
  3. Patients may have had prior doxorubicin (up to a total doxorubicin dose of 450 mg/m2).
  4. Patients may have a prior history of malignancy (at the discretion of the Principal Investigator).
  5. Patients must have Karnofsky Point Scale (P.S.)> of >70 or Xubrod P.S. of 0 or 1.
  6. Patients must have: Absolute neutrophil count (ANC) > 1,500 cells/mm; platelet count > 100,000 platelets/ml; serum creatinine \<1.8 mg/dl, aspartate aminotransferase (AST or SGOT) and alanine aminotransferase (ALT or SGPT) \< 3 times normal, total bilirubin \< 1.5mg/dl; for patients with cumulative Adriamycin 450 mg/M2, EF >50%.
  7. Women of childbearing potential must not be pregnant or breast feeding and must practice adequate contraception.

Exclusion criteria

Exclusion Criteria:

  1. Patients must not have had prior radiation therapy (XRT) in the area of the primary tumor, and the anticipated XRT field must not include the perineum, scrotum, or vaginal introitus.
  2. Patients with uncontrolled coexisting medical conditions are excluded.
  3. Patient must not be pregnant or brest feeding.
05

Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Single group
Masking
None (open label)
Enrollment
30 participants (actual)

Study arms

  • Experimental
    Doxorubicin + External-Beam RT

    Drug: Doxorubicin Hydrochloride · Radiation: Radiation Therapy (RT)

Interventions

  • DrugDoxorubicin Hydrochloride

    Doxorubicin dose will not exceed 20 mg/m2 per week IV over 4 days every week for 5 weeks

    Also known as: doxorubicin

  • RadiationRadiation Therapy (RT)

    External-beam radiotherapy at a dose of 50 Gy (2.0 x 25 fractions, weeks 1-5).

    Also known as: RT, Radialtherapy

06

What researchers measure

Primary outcomes

  1. Maximum Tolerated Dose (MTD)

    MTD of doxorubicin intravenous (IV) based on presence of dose limiting toxicities. For dose-finding purposes, a dose-limiting toxicity (DLT) was defined as grade 3 or greater treatment-related cutaneous toxicity

    Time frame: Continousouly during 5 weeks treatment

07

Study locations

1 site
  • University of Texas - MD Anderson Cancer Center
    Houston, Texas 77030-4009, United States
08

References and documents

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 2, 2012, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT00004109
Lead sponsor
M.D. Anderson Cancer Center
Collaborators
National Cancer Institute (NCI)
Responsible party
Sponsor
First posted
Mar 15, 2004
Start date
Mar 1998
Primary completion
Sep 2001
Completion
Apr 2011
Last update
Aug 2, 2012

Study contacts

Peter W. Pisters, MD
study chair · M.D. Anderson Cancer Center

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Aug 2012. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion