ClinicalTrials.gg
CompletedNCT03011528CombinaiR3Updated Nov 21, 2025

First-line Treatment of Ewing Tumours With Primary Extrapulmonary Dissemination in Patients From 2 to 50 Years (CombinaiR3)

A Phase 2 interventional study of VDC-IE x2 and VDC-IE in Ewing Sarcoma Family of Tumors, sponsored by Institut Curie. Completed at 17 sites in France. Open to participants aged 2 Years to 50 Years. Per ClinicalTrials.gov, last updated 2025-11-21.

Sponsored by Institut Curie · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
45
Allocation
Non-randomized
Ages
2 Years to 50 Years
Sex
All
01

Study summary

Ewing's sarcoma and related tumours (ESFT) are rare tumours, with a peak incidence in the second decade of life. They start most often from bone, and are characterized by a specific translocation involving the so-called EWS gene. In one patient out of three, the staging procedures detect metastatic tumours at the diagnosis, most commonly in lungs, bones, and bone marrow.

ESFT treatment strategy is multidisciplinary, combining primary chemotherapy, a local treatment, and consolidation chemotherapy.

The primary metastatic dissemination is the most important prognostic factor, as the survival rate is around 70-75% for localized tumours, in contrast with less than 50% for patients with primary metastatic disease.

Among primary metastatic patients, bone involvement and / or bone marrow strike markedly the prognosis of these patients. While the long-term survival of patients with isolated pleural pulmonary metastases is approximately 50%, whereas it is only from 0 to 25% in patients with bone marrow involvement.

In 1999, the Intergroup EURO EWING built a new study protocol for patients with Ewing tumours. For the patients with primary extrapulmonary metastatic Ewing tumours (R3 patients), the protocol proposed a heavy induction chemotherapy, in order to propose a consolidation with high dose chemotherapy to a higher rate of patients. The high-dose Busulfan Melphalan chemotherapy (BuMel) was based on Busulfan (600 mg/m²) and Melphalan (140 mg/m²), with autologous peripheral blood stem cell (PBSC) support.

Of note, for the full population of patients with metastatic disease, the 3-year EFS rate was 27% (SD 3%), and the OS rate was 34% (SD 4%), with a median follow-up of 3.9 years after diagnosis, and a median survival time of 1.6 years.

Read the detailed description

Ewing's sarcoma and related tumours (ESFT) are rare tumours, with a peak incidence in the second decade of life. They start most often from bone, and are characterized by a specific translocation involving the so-called EWS gene. The gene rearrangement results in the production of a transcription factor, in the majority EWS-FLI1 transcription.

In one patient out of three, the staging procedures detect metastatic tumours at the diagnosis; metastases involve most commonly lungs, bones, and bone marrow.

Therefore, in addition to local imaging, the initial extension assessment of any Ewing tumour includes at least a chest CT scan, and a bone marrow extensive evaluation, comprising bone marrow punctures into several different sectors, bone marrow biopsies, and a bone imaging evaluation. The FDG-PET scan is more sensible than bone scan and conventional imaging as MRI in detection of bone metastases. It is more and more widely used in the bone metastasis search in Ewing tumours and seems useful to complement the search of extra-osseous metastases (outside the lungs), including that of bone marrow metastases. The full-body MRI is still under evaluation for the disease extension evaluation.

ESFT treatment strategy is multidisciplinary, combining primary chemotherapy, a local treatment, and consolidation chemotherapy. The local treatment may combine surgery and / or radiotherapy, according to the tumour site and size, and to the tumour response. ESFT chemotherapy is based on alkylating agents (ifosfamide and / or cyclophosphamide), etoposide, anthracyclines, vincristine, and actinomycin.

The primary metastatic dissemination is the most important prognostic factor, as the survival rate is around 70-75% for localized tumours, in contrast with less than 50% for patients with primary metastatic disease. Among primary metastatic patients, bone involvement and / or bone marrow strike markedly the prognosis of these patients. While the long-term survival of patients with isolated pleural pulmonary metastases is approximately 50%, whereas it is only from 0 to 25% in patients with bone marrow involvement.

In 1999, the Intergroup EURO EWING built a new study protocol for patients with Ewing tumours, localized or metastatic and below 50 years of age. For the patients with primary extrapulmonary metastatic Ewing tumours (R3 patients), the protocol proposed a heavy induction chemotherapy, in order to propose a consolidation with high dose chemotherapy to a higher rate of patients. The high-dose BuMel chemotherapy was based on Busulfan (600 mg/m²) and Melphalan (140 mg/m²), with autologous peripheral blood stem cell (PBSC) support.

The study enrolled 281 patients with primary dissemination and skeletal metastases, with or without bone marrow involvement and with or without additional pulmonary metastases or metastases to other sites. In contrast to the distribution in the entire group of patients with Ewing tumours, the primary site in this subgroup was extremity in only 31% patients, pelvis/abdomen in 45%, and axial/other in 24% patients. The overall survival at 3 years was 28% (SD 4%) in the group with primary tumour in the abdomen or pelvis, versus 39% (SD 6%) for each of the two other groups. Of note, for the full population of patients with metastatic disease, the 3-year EFS rate was 27% (SD 3%), and the OS rate was 34% (SD 4%), with a median follow-up of 3.9 years after diagnosis, and a median survival time of 1.6 years.

02

Conditions studied

  • Ewing Sarcoma Family of Tumors
03

In context

Neuroectodermal Tumors, Primitive, Peripheral

135 studies on the registry are indexed under Neuroectodermal Tumors, Primitive, Peripheral; 2 are open to participants now.

This study's enrollment of 45 is above the median of 31 across 102 interventional studies indexed under Neuroectodermal Tumors, Primitive, Peripheral.

Browse Neuroectodermal Tumors, Primitive, Peripheral studies →

Lead sponsor

Institut Curie is the lead sponsor of 135 studies on the registry; 29 are open to participants now.

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

04

Who can participate

Ages eligible
2 Years to 50 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. - Ewing tumour or cytologically confirmed, harboring a specific transcript, and with extrapulmonary (including nodal extension) - histology and FISH results must be consistent, specific transcript can be obtained after inclusions.
  2. - Ewing tumour not previously treated.
  3. - Age between 2 and 50 years.
  4. - by cross sectional imaging ( 1.1) or evaluable disease with functional metabolic, positron emission tomography scanner (PET SCAN) or other methods (e.g., cytology/histology).
  5. - General status compatible with the study treatments (LANSKY score ≥ 50%, or ≥ 50%, or (ECOG) ≤ 2).
  6. - Adequate bone marrow function (not applicable in case of bone marrow disease).

    • ≥ 100 x 109 /L
    • (ANC) ≥ 1 x 109 /L
    • ≥ 8g /dL.
  7. - Adequate liver function :

    • (AST) and Alanine Transferase (ALT) ≤ 5 x Upper Limit Normal ()
    • Total ≤ 2 Upper Limit Normal (ULN). If total bilirubin > 2xULN, Bilirubin Conjugated Fraction (BCF) ≤ 2 x ULN
  8. - No absolute of Busulfan-Melphalan if radiotherapy of the primary tumour is necessary with specific attention to patient with primary spinal tumor.
  9. - Adequate cardiac and renal functions:

    • Creatinine \< 1.5 of normal for age or clearance > 60 ml/min/1.73 m²;
    • (LVEF) > 50% and/or shortening fraction > 28%.
  10. - No underlying disease contra-indicating the study treatments.
  11. - Patient likely compliant with the recommended study medical monitoring during and after treatments.
  12. - Patients of must agree to use adequate for the duration of study treatments and up to 12 months for women and 6 months for men following completion of therapy.
  13. - Females of childbearing potential must have a negative serum β-human chorionic gonadotropin (HCG) pregnancy test within 10 days prior study inclusion, and/or urine pregnancy test within 48 hours before the first administration of the study treatment.
  14. - Patients covered by a health insurance system.
  15. - Patient, or patient's legal representative, informed and having signed the .

Exclusion criteria

Exclusion Criteria:

  1. - Age below 2 or greater than 50 years.
  2. - Ewing tumour localized, or solely with pleural and/or lung .
  3. - Concomitant disease, particularly infectious disease, likely to interfere with patient's treatment.
  4. - History of cancer, according to investigator's judgment.
  5. - \< 2 months.
  6. - Patient already included in another clinical trial with an drug.
  7. - Pregnant or breastfeeding patient.
  8. - Person deprived of liberty or under guardianship.
  9. - Patient likely unable to comply with the study medical monitoring for geographical, social or psychological reasons.
Terms in these criteria, in plain language(19)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Histologically or cytologically confirmed

The diagnosis was confirmed by looking at a sample under a microscope: tissue from a biopsy or surgery (histology), or cells from a fluid or needle sample (cytology).

Your pathology report is the document that shows this.

Metastases

Cancer that has spread from where it began to other parts of the body. “Metastatic” cancer is cancer that has spread this way.

Measurable disease

The amount of disease can be tracked with a defined measurement, so the study can see whether it shrinks or grows. It might be a tumour measured on a scan or, in some blood cancers such as myeloma, a marker measured in blood or urine.

The criteria or the study team say which measurement counts — having no tumour visible on a scan does not by itself rule you out.

RECIST

The standard rules for measuring tumours on CT or MRI scans, to tell whether a cancer is shrinking, stable or growing during treatment.

“Measurable disease per RECIST 1.1” usually means at least one tumour 10 mm or more at its longest on a CT scan, or a lymph node 15 mm or more across its short axis.

Karnofsky performance status (KPS)

A 0–100 scale of how well someone can carry out everyday activities. 100 is no complaints and no signs of illness; 70 is able to look after yourself but not to work or keep up normal activity; 50 is needing considerable help and frequent medical care.

Studies often ask for 60 or 70 and above. Your doctor gives the score.

ECOG performance status

A scale of how much an illness limits everyday activity. For people being assessed to join a study, scores run from 0 (fully active) to 4; lower is more active.

0
Fully active, no restrictions.
1
Limited in strenuous activity, but walking and able to do light work, such as housework or office work.
2
Walking and able to look after yourself, but unable to work; up and about more than half of waking hours.
3
Able to look after yourself only in part; in bed or a chair more than half of waking hours.
4
Unable to look after yourself at all; in bed or a chair all day.

Studies most often ask for 0–1 or 0–2. Your doctor gives the score; the WHO scale uses the same steps. The full scale also has 5, which records death.

Platelets

Blood cells that help blood clot. Too few raises the risk of bleeding and bruising. A usual adult range is about 150–400 × 10⁹/L (150,000–400,000 per µL); each lab has its own reference range.

Absolute neutrophil count (ANC)

The number of neutrophils, white blood cells that help fight infection, in a given amount of blood. Too few raises the risk of infection.

It is a count, not a percentage of the white cells. Limits are written in units that mean the same: ≥ 1.5 × 10⁹/L is ≥ 1,500 per mm³ (µL). Each lab has its own reference range.

Hemoglobin (Hb)

The protein in red blood cells that carries oxygen. A low level is anaemia, which can cause tiredness and breathlessness. Measured in g/dL or g/L (9 g/dL is 90 g/L).

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

Bilirubin

A yellow substance made when red blood cells are broken down, which the liver clears. A high level can mean a problem with the liver or the bile ducts.

Criteria often allow more for people with Gilbert’s syndrome, a harmless inherited condition that raises bilirubin.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

LVEF (left ventricular ejection fraction)

The share of blood the heart’s main pumping chamber (the left ventricle) pushes out with each beat, measured by an echocardiogram (heart ultrasound) or a MUGA scan. About 50–70% is normal.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Life expectancy

The study doctor’s estimate of how long someone is likely to live. Criteria use it so that people can stay in the study long enough for it to answer its question.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
45 participants (actual)

Study arms

  • Other
    VDC - IE x2 & Surgery

    Patients in Arm A receive * VDC-IE x2: Intensified induction phase: * 4 cycles of VDC (Vincristine Doxorubicine Cyclophosphamide) association alternative with 4 cycles of IE (Ifosfamide-Etoposide) association if "good response" after the 4th treatment, followed by: * 4 cycles of VDC (Vincristine-Doxorubicine-Cyclophosphamide) association alternative with 4 cycles of IE (Ifosfamide-Etoposide) association * Consolidation BuMel High dose chemotherapy (Busulfan Melphalan) followed by Peripheral Blood Stem Cell Infusion * Local treatment by surgery of primary tumour/metastatic sites (outside pulmonary sites): indicated before of after consolidation phase (BuMel) among multidisciplinary decision. Radiotherapy can be added * Maintenance phase * 1st year : VC (Vincristine Cyclophosphamide) association * 2nd year : Cyclophosphamide po 25 mg/m²

    Drug: VDC-IE x2 · Drug: Consolidation BuMel · Drug: Maintenance · Procedure: Local treatment by surgery · Radiation: Local treatment by radiotherapy

  • Other
    VDC - IE & TEMIRI & Surgery

    Patients in Arm B receive * VDC-IE \& TEMIRI: Intensified induction phase: * 4 cycles of VDC (Vincristine-Doxorubicine-Cyclophosphamide) association alternative with 4 cycles of IE (Ifosfamide-Etoposide) association if "poor response" after the 4th treatment, followed by: * 4 cycles of TEMIRI (Temozolomide-Irinotecan) association * Local treatment by surgery of primary tumour/metastatic sites (outside pulmonary sites): indicated before of after consolidation phase (BuMel) among multidisciplinary decision. Radiotherapy can be added * Consolidation BuMel High dose chemotherapy (Busulfan-Melphalan) followed by Peripheral Blood Stem Cell Infusion * Maintenance phase * 1st year : VC (Vincristine Cyclophosphamide) association * 2nd year : Cyclophosphamide po 25 mg/m²

    Drug: VDC-IE · Drug: TEMIRI · Drug: Consolidation BuMel · Drug: Maintenance · Procedure: Local treatment by surgery · Radiation: Local treatment by radiotherapy

  • Other
    VDC - IE x2 & Radiotherapy

    Patients in Arm C receive * VDC-IE x2: Intensified induction phase: * 4 cycles of VDC (Vincristine-Doxorubicine-Cyclophosphamide) association alternative with 4 cycles of IE (Ifosfamide-Etoposide) association if "good response" after the 4th treatment, followed by: * 4 cycles of VDC (Vincristine-Doxorubicine-Cyclophosphamide) association alternative with 4 cycles of IE (Ifosfamide-Etoposide) association * Consolidation BuMel High dose chemotherapy (Busulfan-Melphalan) followed by Peripheral Blood Stem Cell Infusion * Local treatment by radiotherapy of primary tumour/metastatic sites (outside pulmonary sites): indicated before of after consolidation phase (BuMel) among multidisciplinary decision. * Consolidation BuMel High dose chemotherapy (Busulfan-Melphalan) followed by Peripheral Blood Stem Cell Infusion * Maintenance phase * 1st year : VC (Vincristine Cyclophosphamide) association * 2nd year : Cyclophosphamide po 25 mg/m²

    Drug: VDC-IE x2 · Drug: Consolidation BuMel · Drug: Maintenance · Radiation: Local treatment by radiotherapy

  • Other
    VDC - IE & TEMIRI & Radiotherapy

    Patients in Arm D receive * VDC-IE \& TEMIRI: Intensified induction phase: * 4 cycles of VDC (Vincristine-Doxorubicine-Cyclophosphamide) association alternative with 4 cycles of IE (Ifosfamide-Etoposide) association if "poor response" after the 4th treatment, followed by: * 4 cycles of TEMIRI (Temozolomide-Irinotecan) association * Local treatment by radiotherapy of primary tumour/metastatic sites (outside pulmonary sites): indicated before of after consolidation phase (BuMel) among multidisciplinary decision. * Consolidation BuMel High dose chemotherapy (Busulfan-Melphalan) followed by Peripheral Blood Stem Cell Infusion * Maintenance phase * 1st year : VC (Vincristine Cyclophosphamide) association * 2nd year : Cyclophosphamide po 25 mg/m²

    Drug: VDC-IE · Drug: TEMIRI · Drug: Consolidation BuMel · Drug: Maintenance · Radiation: Local treatment by radiotherapy

Interventions

  • DrugVDC-IE x2

    Week 1, 5, 9 and week 13: * Vincristine, IV, D1, 1.5mg/m² * Doxorubicine, IV, D1-D2, 37.5mg/m² * Cyclophosphamide, IV, D1, 1.2g/m² Week 3, 7, 11 and week 15: * Ifosfamide, IV, D15 to D19, 1.8g/m²/d * Etoposide, IV, D15 to D19, 100mg/m²/d

    Also known as: Intensified Induction VDC-IE x2

  • DrugVDC-IE

    Week 1 and week 5: * Vincristine, IV, D1, 1.5mg/m² * Doxorubicine, IV, D1-D2, 37.5mg/m² * Cyclophosphamide, IV, D1, 1.2g/m² Week 3, and week 7: * Ifosfamide, IV, D15 to D19, 1.8g/m²/d * Etoposide, IV, D15 to D19, 100mg/m²/d

    Also known as: Intensified Induction VDC-IE

  • DrugTEMIRI

    Week 9, 12, 15 and week 18: * Temozolomide, PO, D1 to D5, 150mg/m²/d * Irinotecan, IV, D1 to D5, 50mg/m²/d

    Also known as: Intensified Induction TEMIRI

  • DrugConsolidation BuMel

    After induction phase and local treatment (surgery and/or radiotherapy) and before PBSC: * Busulfan, IV, D-5 to D-2, dosa according to the weight * Melphalan, IV, D-1, 140 mg/m² Peripheral Blood Stem Cell infusion: \- PBSC infusion, D0, at least 3.10\^6 CD34/kg

    Also known as: High dose Consolidation chemotherapy

  • DrugMaintenance

    \* 1st year : VC * Vinblastine, IV, 3mg/m², once a week (except during radiotherapy: 1mg/m², 3 times a week) * Cyclophosphamide, PO, 25mg/m² continuously

    Also known as: 2 years maintenance

  • ProcedureLocal treatment by surgery

    Surgical excision of whole site of the primary tumour and metastatic sites (outside pulmonary sites) can take place before or after the high dose consolidation chemotherapy. Radiotherapy can be added

    Also known as: Surgery of primary tumour/metastatic sites

  • RadiationLocal treatment by radiotherapy

    Radiotherapy of whole site of the primary tumour and metastatic sites (outside pulmonary sites) can take place before or after the high dose consolidation chemotherapy

    Also known as: Radiotherapy of primary tumour/metastatic sites

06

What researchers measure

Primary outcomes

  1. Anti-tumour effect of the treatment strategy assessed by the number of patients event-free survival (EFS) at 18 months

    EFS is defined as the time from inclusion date to the first documentation of progression, distant disease, second cancer or death (or last news for patients free of event). The event free survival is estimated by Kaplan-Meier method.

    Time frame: 18 months after inclusion of the last patient

Secondary outcomes

  1. Anti-tumour effect of the dose-intensified induction chemotherapy assessed by the response rate of patients

    Number of patients with complete response (CR) / partial response (PR) eligible for consolidation phase

    Time frame: week 19-20 = Response Evaluation 2 (RE2)

  2. Anti-tumour effect of the dose-intensified induction chemotherapy assessed by the number of patients eligible for consolidation phase

    Number of patients eligible for consolidation phase have good response after induction phase : * complete remission on primary tumour and on metastatic sites or * very good disease response defined by: * complete or partial response according to RECIST 1.1 criteria on primary lesion * complete or very good partial response (\> 90 %) in case of RECIST 1.1 criteria on metastatic sites AND * complete metabolic response in case of metastatic visceral and/or bone/bone marrow lesions, or very good partial response according to investigator's judgment AND * in case of bone marrow involvement, bone marrow free of disease on at least one biopsy and two punctures at different sites at RE1 (evaluation after 4 cycles VDC-IE), RE2 (evaluation after 2x4 cycles VDC-IE or 4 cycles VDC-IE+4 cycles TEMIRI), or at the latest RE3 evaluation (evaluation after local treatment).

    Time frame: week 19-20 = RE2

  3. Overall survival (OS) is assessed by the number of patients still alive at the end of the three years of treatment

    The overall survival (OS) is estimated by Kaplan-Meier method.

    Time frame: 3 years = Response Evaluation End-Of-Treatment (EOT RE)

  4. 3-years event-free survival (EFS) is assessed by the number of patients without any event at the end of treatment phase

    EFS is defined as the time from inclusion date to the first documentation of progression, distant disease, second cancer or death (or last news for patients free of event). The event free survival is estimated by Kaplan-Meier method.

    Time frame: 3 years = EOT RE

  5. Number of patients with treatment-related adverse events as assessed by CTCAE v4.03

    Number of patients with treatment-related adverse events using the NCI CTCAE version 4.03 to graduate the severity of adverse events

    Time frame: week 19-20 = RE2 ; week 27-28 = Response Evaluation 3 (RE3); 3 years = EOT RE

  6. Number of patients with treatment-related toxicities on laboratory data as assessed by CTCAE v4.03 of the different phases of treatment

    Number of patients with treatment-related toxicities on laboratory data using the NCI CTCAE version 4.03 to graduate the severity of toxicities

    Time frame: week 19-20 = RE2 ; week 27-28 = RE3; 3 years = EOT RE

  7. 18F-FDG PET evaluation efficacy assessed by primary tumour uptake

    Efficacy assessed by primary tumour uptake (Standardized Uptake Value max at 18F-FDG PET)

    Time frame: study inclusion, after week 8 (RE1), after week18-19 (if VDC-IE) or week19-20 (if TEMIRI)=RE2, after local treatment ≤week30 (RE3), from week31 (=RE4), 3 years = EOT RE

  8. 18F-FDG PET evaluation efficacy assessed by metabolic tumour volume (MTV)

    Efficacy assessed by metabolic tumour volume (MTV at 18F-FDG PET)

    Time frame: study inclusion, after week 8 (RE1), after week18-19 (if VDC-IE) or week19-20 (if TEMIRI)=RE2, after local treatment ≤week30 (RE3), from week31 (=RE4), 3 years = EOT RE

  9. Percentage of circulating tumour cells in blood and bone marrow to correlate with patient outcome (EFS). Ancillary study

    sample collected : primary tumour and metastatic site (if possible)

    Time frame: study inclusion, and/or during Procedure=surgery (if done) either after week 19-20=RE2 or after PBSC infusion=RE4

  10. Percentage of circulating tumour cells in blood and bone marrow to correlate with patient outcome (EFS). Ancillary study

    sample collected : blood

    Time frame: study inclusion, at each evaluation time (RE1=week8 to Response Evaluation before maintenance therapy (RE5=<week38)), every 3 months during 2 years maintenance therapy, at End of Treatment

  11. Percentage of circulating tumour cells in blood and bone marrow to correlate with patient outcome (EFS). Ancillary study

    sample collected : bone marrow

    Time frame: at diagnosis (before treatment), at 1st evaluation time (RE1=wk8 if bone marrow involvement at diagnosis), at RE2=week19-20 (or RE3=<week30), after PBSC infusion=RE4 or RE5=< week38 (if bone marrow involvement at diagnosis), at End of Treatment

  12. Comparison of transcriptomic profiles between those of primary disease and those of bone marrow metastases to determine if they are the same or not. Ancillary study

    Investigation whether the cells from metastatic material harbour a unique transcriptomic signature compared to primary tumour cells : quantification of EWS-ETS transcript and EWS-ETS gene using Polymerase Chain Reaction (PCR) methods to determine the genomic EWS-ETS translocation loci

    Time frame: study inclusion

07

Study locations

17 sites
  • Chr Felix Guyon
    La Réunion, Saint Denis 97400, France
  • Bordeaux Chu
    Bordeaux, 33076, France
  • CHU Grenoble Alpes
    Grenoble, 38043, France
  • LILLE Centre Oscar Lambret
    Lille, 59000, France
  • LYON Centre Léon Bérard
    Lyon, 69000, France
  • Marseille Chu
    Marseille, 13000, France
  • CHRU Montpellier - Hôpital A. de Villeneuve
    Montpellier, 34295, France
  • Nantes Chu
    Nantes, 44000, France
  • PARIS Institut Curie
    Paris, 75005, France
  • PARIS Trousseau
    Paris, 75012, France
  • CHU Hôpital Sud
    Rennes, 35056, France
  • Strasbourg Chu
    Strasbourg, 67098, France
  • Toulouse Chu
    Toulouse, 31059, France
  • TOULOUSE Institut Claudius Regaud
    Toulouse, 31059, France
  • Nancy Chu
    Vandœuvre-lès-Nancy, 54511, France
  • NANCY Institut de Cancérologie de Lorraine
    Vandœuvre-lès-Nancy, 54519, France
  • VILLEJUIF Institut Gustave Roussy
    Villejuif, 94805, France
08

References and documents

Publications

  • Laurence V, Jehanno N, Dureau S, Mous L, Claude L, Ballet S, Pierron G, Gaspar N, Brahmi M, Valentin T, Revon-Riviere G, Lervat C, Probert J, Entz-Werle N, Mansuy L, Plantaz D, Rios M, Saumet L, Verite C, Castex MP, Thebaud E, Cassou-Mounat T, Plissonnier AS, Dieppedale J, Delattre O, Legrier ME, Marec-Berard P, Gouin F, Berlanga P, Cordero C, Surdez D, Corradini N. Interest of a sequential multimodal approach for the treatment of newly diagnosed patients with multimetastatic Ewing sarcoma: results of the French prospective CombinaiR3 phase II trial. Br J Cancer. 2026 Jan;134(2):279-288. doi: 10.1038/s41416-025-03263-3. Epub 2025 Nov 17. PubMed 41249450 ↗

Individual participant data

Plan to share: Yes — Sponsor will share de-identified data sets. Documents generated under the project will be disseminated in accordance with Institut Curie policies.

Supporting information: Study protocol, Statistical analysis plan

Time frame: Data requests can be submitted starting 9 months after last article publication and will be made accessible for up to 12 months.

Access criteria: Access to trial individual participant data can be requested by qualified researchers engaging in independent scientific research, and will be provided following review and approval of a research proposal and Statistical Analysis Plan (SAP) and execution of a data sharing agreement (DSA).

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Dec 2016 to primary completion in Aug 2022, 68 months.

Of 20 non-industry phase 2 interventional studies under Neuroectodermal Tumors, Primitive, Peripheral, half reached primary completion within 56 months of starting (the median); a quarter within 41 and three quarters within 70. This study's 68 months is above that.

Counting every sponsor, half of 20 studies reached it within 56 months; a quarter within 41 and three quarters within 70.

How these figures are worked out, and which studies are left out of them.

Registered
Dec 6, 2016
First posted
Jan 5, 2017
StartActual
Dec 2016
Primary completionActual
Aug 2022
CompletionActual
Nov 2023
Last update
Nov 21, 2025
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Nov 21, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03011528
Lead sponsor
Institut Curie
Collaborators
UNICANCER
Responsible party
Sponsor
First posted
Jan 5, 2017
Start date
Dec 2016
Primary completion
Aug 2022
Completion
Nov 2023
Last update
Nov 21, 2025

Study contacts

Valérie LAURENCE, MD
principal investigator · Institut Curie
Nadège CORRADINI, MD
principal investigator · Institut d'Hématologie et d'Oncologie Pédiatrique

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Nov 2025. You cannot join it, but the record below documents what was studied.

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