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Active, not recruitingNCT03896620Updated Jun 23, 2026

Recognition of Circulating Tumor DNA in Soft Tissue Sarcoma

An observational study in Sarcoma, sponsored by Medical College of Wisconsin. Active, not recruiting at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-06-23.

Sponsored by Medical College of Wisconsin · Observational

Study type
Observational
Model
Other
Time perspective
Other
Enrollment
45
Ages
18 Years and older
Sex
All
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Study summary

A tissue biopsy is currently the only clinical test or procedure that is able to confirm the initial diagnosis of soft tissue or metastatic sarcoma and evaluate its progress during treatment. However, tissue biopsy collection can be challenging (depending on the location of the tumor), and this procedure poses physical risks to the patient. A tissue biopsy also needs to be recollected at various time points in order to assess if the patient is responding to treatment.

In this project, the investigator would like to collect blood samples in addition to the sample of the tumor that will be collected before treatment is started. The investigator would like to analyze both blood and tumor, in hopes of identifying new biomarkers of sarcoma that can help the study doctors better diagnose sarcoma for patients in the future without needing to collect a piece of their tumor.

A biomarker is something found in the blood, other body fluids, or tissues that can be used to measure the progress of disease, how a treatment is working, or its likelihood of being successful. In this project, the investigator would like to compare ctDNA from blood to the DNA in the tumor. ctDNA, or circulating tumor DNA, is DNA originating from the tumor that is present in the blood. It can be assessed by taking an additional sample of blood when it will be collected for normal laboratory tests. These biomarkers may also help the study doctors detect how a patient is responding to their treatment or help predict their response to future treatment.

Read the detailed description

In the proposed study, the investigators wish to prospectively collect blood samples from 25 patients with localized soft tissue sarcomas and 25 patients with metastatic sarcoma (schema III) at various time points outlined. The presence/absence, as well as the change of ctDNA in circulation, will then be measured after the therapies administered and correlated with overall survival, progression-free survival and local control.

The risks to the subjects enrolled on this study include the general risks of undergoing the standard procedures, such as blood draws, imaging, radiation therapy, chemotherapy and surgery, which will be discussed prior to the therapies and images each patient undergoes. The risks of the procedures are not risks of the study with exception to blood draws. There is also a risk of loss of confidentiality, but the data will be deidentified once acquired. Thus, this risk is minimal.

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Conditions studied

  • Sarcoma

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Keywords

  • Sarcoma
  • ctDNA
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In context

Sarcoma

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

This study's enrollment of 45 is below the median of 121 across 238 observational studies indexed under Sarcoma.

Browse Sarcoma studies →

Lead sponsor

Medical College of Wisconsin is the lead sponsor of 540 studies on the registry; 120 are open to participants now.

Of its 71 completed or terminated interventional studies of FDA-regulated products, 56 (79%) have results posted.

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

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Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Patients with localized, stage II-III or stage IV histologically confirmed soft tissue sarcomas of the extremity, chest wall or retroperitoneal primaries will be eligible for this study. Stage IV patients may have had prior therapy but must obtain a biopsy within registration requirements for study enrollment.

Inclusion criteria

  • Have signed an Institutional Review Board (IRB)/Independent Ethics Committee (IEC)-approved informed consent form (ICF) prior to any study-specific evaluation.
  • Diagnosis of soft tissue sarcoma.
  • ≥ 18 years of age.
  • Planned biopsy obtained within four weeks after registration.
  • History and physical within eight weeks prior to registration.
  • For stage II-III patients, no prior therapy to primary site of sarcoma.
  • Computerized tomography (CT), positron emission tomography (PET) /CT or MR imaging of the affected primary site obtained in stage II-III or metastatic site in stage IV patients within eight weeks prior to registration.
  • CT chest or PET /CT acquired to assess distant disease within eight weeks prior to registration for stage II-III patients.
  • Karnofsky Performance Scale (KPS) 60 or above within four weeks prior to registration.
  • Documentation of stage within eight weeks prior to registration.
  • Biopsy of primary or metastatic disease site must be safe, feasible and in concordance with standard of care per the treating physician and/or radiologist.
  • Life expectancy ≥ 12 weeks.

Exclusion criteria

Exclusion Criteria:

  • Pregnant women.
  • Patients with a history of metastatic disease from a primary other than sarcoma.
  • Patients who cannot undergo imaging as part of treatment planning or surveillance.
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Study design

Observational model
Other
Time perspective
Other
Enrollment
45 participants (actual)
Patient registry
No
Biospecimen retention
Samples with dna

Groups and cohorts

  • Stage II-III Sarcomas undergoing preoperative radiation therapy (RT)

    This group will have preoperative chemotherapy (if administered), preoperative radiation and surgery.

    Device: Preoperative RT · Drug: Chemotherapy · Other: Surgery

  • Stage II-III Sarcomas undergoing postoperative RT

    This group will have surgery, postoperative radiation, post operative chemotherapy (if administered).

    Device: Postoperative RT · Drug: Chemotherapy · Other: Surgery

  • Stage IV Sarcomas

    This group will only have chemotherapy.

    Drug: Chemotherapy

Interventions

  • DevicePreoperative RT

    Radiation delivered before surgery.

  • DevicePostoperative RT

    Radiation delivered after surgery.

  • DrugChemotherapy

    Physician's choice of chemotherapy.

  • OtherSurgery

    Surgical excision of tumor.

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What researchers measure

Primary outcomes

  1. ctDNA measure

    Blood samples will be collected. ctDNA is measured in percentage: variant allele fraction percentage.

    Time frame: Reported at baseline, at 4 weeks after first intervention, 4 weeks following radiation treatment, 4 weeks post third intervention, 1 year.

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Study locations

1 site
  • Froedtert Hospital & the Medical College of Wisconsin
    Milwaukee, Wisconsin 53226, United States
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References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 23, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT03896620
Lead sponsor
Medical College of Wisconsin
Responsible party
Ciani M Ellison, MD (Assistant Professor, Medical College of Wisconsin) — Principal investigator
First posted
Apr 1, 2019
Start date
Jun 18, 2019
Primary completion
Apr 1, 2027 (estimated)
Completion
Apr 1, 2027 (estimated)
Last update
Jun 23, 2026

Study contacts

Ciani Ellison, MD
principal investigator · Medical College of Wisconsin

Oversight

Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is active, not recruiting, as verified in Jun 2026. You cannot join it, but the record below documents what was studied.

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