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TerminatedNCT04037527Updated Jul 6, 2026

Gemcitabine and Docetaxel With Radiation in Adults With Soft Tissue Sarcoma of the Extremities

A Phase 1 interventional study of Gemcitabine and Docetaxel in Soft Tissue Sarcoma, sponsored by Wake Forest University Health Sciences. Terminated at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-07-06.

Sponsored by Wake Forest University Health Sciences · Phase 1, Interventional, and Treatment

Why this study was terminated
Terminated due DLTs

From the registry’s dates

  • Primary completion was Jun 2024, 2 years 3 months ago, and no results have been posted to the registry.
Phase
Phase 1
Study type
Interventional
Enrollment
9
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

The purpose of this Phase 1 research study is to obtain data or information on the safety and effectiveness of the combination of gemcitabine, docetaxel with radiation.

Read the detailed description

Primary Objective:

  • To determine the maximum tolerated doses Gemcitabine and Taxotere when given weekly with concurrent radiation in the neoadjuvant setting for patients with soft tissue sarcoma of the extremities.

Secondary Objective:

  • To evaluate immunological changes induced by gemcitabine and docetaxel with radiation in patient with high risk-soft tissue sarcomas in blood. This would include T cell subsets, NK, and dendritic cells and tumor macrophages all of which make up the tumor microenvironment.

Long term follow-up will occur every 3-4 months for 24 months in person or video consultation.

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Conditions studied

  • Soft Tissue Sarcoma

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Keywords

  • Grade II sarcoma
  • Grade III sarcoma
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 9 is below the median of 40 across 1,283 interventional studies indexed under Sarcoma.

Browse Sarcoma studies →

Lead sponsor

Wake Forest University Health Sciences is the lead sponsor of 1,320 studies on the registry; 199 are open to participants now.

Of its 323 completed or terminated interventional studies of FDA-regulated products, 243 (75%) have results posted.

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

04

Who can participate

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

Inclusion criteria

  • Patients must have a histologically or cytologically confirmed Grade II or III soft tissue sarcoma that is considered to be resectable and are candidates for pre-op radiation.
  • Age greater than or equal to 18 years. No children will be enrolled on this protocol.
  • Eastern Cooperative Oncology Group (ECOG) performance status less than or equal to 2.
  • Women of child-bearing potential and men must agree to use adequate contraception (hormonal or double-barrier method of birth control; abstinence) prior to study entry and for the duration of study participation. Should a woman become pregnant or suspect she is pregnant while participating in this study, she should inform her treating physician immediately.
  • Ability to understand and the willingness to sign a written informed consent document.

Exclusion criteria

Exclusion Criteria:

  • Patients taking concurrent hormonal therapy, biologic or other chemotherapy are excluded except women on hormonal contraceptives.
  • Patients taking an investigational agent are excluded.
  • Pregnant and nursing women are excluded.
  • Patients who require amputation for local control.
  • Patients who underwent unplanned excision or other previous surgery involving the affected extremity.
  • Patients with sarcoma subtypes for which established chemotherapeutic regimens exist.
  • History of radiation to the limb.
05

Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
9 participants (actual)

Study arms

  • Experimental
    Neoadjuvant Chemotherapy Plus Radiation Therapy

    Up to 6 cycles (once a week) of chemotherapy with a 3+3 dose escalating plan (from 100 mg to 300 mg for Gemcitabine; 10 mg to 25 mg for Docetaxel) along with radiation (five days a week) for up to 6 weeks.

    Drug: Gemcitabine · Drug: Docetaxel · Radiation: Radiation · Procedure: Surgical Resection · Other: Blood draws

Interventions

  • DrugGemcitabine

    Gemcitabine will be administered on day 1 of each one-week cycle for 6 cycles concurrently with radiation to the extremity on a 3+3 escalating dose (100 mg/m² to 300 mg/m²)

  • DrugDocetaxel

    Docetaxel will be administered on day 1 of each one-week cycle for 6 cycles concurrently with radiation to the extremity (10 mg/m² to 25 mg/m²).

    Also known as: Taxotere

  • RadiationRadiation

    Radiation is to be done with standard preop dose of 50 Gy but at lower doses per fraction. Thus 50.4 Gy in 28 FX. Radiation will be given for 5 days (Monday - Friday) every week for approx. 6 weeks.

  • ProcedureSurgical Resection

    Upon completing neoadjuvant chemotherapy plus radiation therapy, surgical resection will occur.

  • OtherBlood draws

    Before treatment, blood (about 2 tubes of 10 mls each) to better understand some aspects of participants' immune system before chemotherapy.

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What researchers measure

Primary outcomes

  1. Maximum Tolerated Dose Chemotherapy and Radiation

    Maximum tolerated dose of Gemcitabine and Taxotere and radiation will be completed by monitoring toxicities and using the 3+3 dose escalation plan.

    Time frame: Up to 8 weeks

  2. Number of Toxicity Incidences

    Complication/side effects from the chemotherapy combination of gemcitabine and taxotere concurrent with radiation will be assessed by toxicity counts/rates presented descriptively by toxicity, severity, and dose level using Common Terminology Criteria for Adverse Events (CTCAE) version 5.0.

    Time frame: 8 weeks post-surgery

Secondary outcomes

  1. Number of Immunological Changes in Blood

    The effects of the treatment on the immune system will be analyzed using paired t-test or the non-parametric counterpart. Correlations between immune cells and immune factor levels will be assessed using Spearman correlation coefficient. All tests will be two-sided with a significance level of 0.05, and no adjustment for multiple comparisons will be made due to the exploratory nature of these studies.

    Time frame: 8 weeks post-surgery

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Study locations

1 site
  • Wake Forest Baptist Comprehensive Cancer Center
    Winston-Salem, North Carolina 27157, United States
08

References and documents

Study documents

  • Informed consent form · Sep 2, 2025

Documents are hosted by the registry — open the source record to download them.

Individual participant data

Plan to share: No

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 6, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04037527
Lead sponsor
Wake Forest University Health Sciences
Collaborators
National Cancer Institute (NCI)
Responsible party
Sponsor
First posted
Jul 30, 2019
Start date
Aug 18, 2020
Primary completion
Jun 18, 2024
Completion
Jun 18, 2024
Last update
Jul 6, 2026

Study contacts

Shailaja Raj, MRCP
principal investigator · Wake Forest University Health Sciences

Oversight

Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is terminated, as verified in Jul 2026. You cannot join it, but the record below documents what was studied.

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