ClinicalTrials.gg
RecruitingNCT04307277CHIC-STS01Updated Oct 16, 2026

Interest of Peri Operative CHemotherapy In Patients With CINSARC High-risk Localized Soft Tissue Sarcoma

A Phase 3 interventional study of Standard of care + chemotherapy and Standard of care in Soft Tissue Sarcoma, sponsored by Institut Claudius Regaud. Recruiting at 20 sites in France. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-10-16.

Sponsored by Institut Claudius Regaud · Phase 3, Interventional, and Treatment

From the registry’s dates

  • Started Oct 2020; still recruiting 6 years 1 month later.
Updated Oct 13, 20261 site addedGo to Updates ↓
Phase
Phase 3
Study type
Interventional
Enrollment
600
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

Phase III, multicenter, randomized open-label and comparative study designed to demonstrate whether adding 4 cycles of peri-operative doxorubicin-based chemotherapy improves metastasis-free survival as compared with standard management in patients with resectable STS, considered as high-risk according to CINSARC (Complexity Index in SARComas) signature.

After signed informed consent, patients considered as eligible to CHIC-STS study by the investigator will be enrolled in the study and a molecular screening will be performed (600 patients will be screened).

Patients considered as low-risk according to CINSARC signature will be treated at the discretion of the clinicians (prospective cohort).

Patients considered as high-risk according to CINSARC signature will be randomized in the open-label multicenter phase III trial and assigned in one of the two following treatments arms:

  • Arm A (control arm): Standard of care (surgical excision +/- external radiotherapy).
  • Arm B (experimental arm): Standard of care + 4 cycles of intravenous chemotherapy during 12 weeks.

A total of 250 patients will have to be randomized with 125 patients in each arm.

02

Conditions studied

  • Soft Tissue Sarcoma

Browse trials for

Keywords

  • Soft Tissue Sarcoma
  • CINSARC signature
  • Chemotherapy
03

In context

Sarcoma

1,607 studies on the registry are indexed under Sarcoma; 366 are open to participants now.

This study's planned enrollment of 600 is above the median of 40 across 1,255 interventional studies indexed under Sarcoma.

Browse Sarcoma studies →

Lead sponsor

Institut Claudius Regaud is the lead sponsor of 117 studies on the registry; 33 are open to participants now.

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

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. Diagnosis of soft-tissue sarcoma, confirmed by RRePS (Réseau de Référence en Pathologie des Sarcomes et des Viscères) network
  2. According to FNCLCC grading system, grade 1, 2 or 3 tumors
  3. Resectable and localized disease after appropriate extension work-up (including at least a chest-CT)
  4. 6 weeks or less between surgical excision and inclusion (if performed before inclusion)
  5. Available archived FFPE tumor sample in sufficient quantity to allow CINSARC qualification
  6. Age ≥ 18 years
  7. (ECOG) performance status ≤ 2
  8. of at least 12 weeks after the start of the treatment
  9. Women should be post-menopaused or willing to accept the use of an effective regimen during the treatment period and at least 12 months (ifosfamide treatment) or 6 months and 10 days (dacarbazine treatment) after the end of the treatment period. All non-menopaused women should have a negative pregnancy test within 72 hours prior to registration. Men should accept to use an effective contraception during treatment period and at least 3 months and 10 days after the end of the study treatment.
  10. Signed written
  11. Patient affiliated to a Social Health Insurance in France.

Exclusion criteria

Exclusion Criteria:

  1. Soft-tissue sarcoma with the following histological subtypes: well-differentiated liposarcomas, alveolar soft-part sarcoma, dermatofibrosarcoma protuberans, clear-cell sarcoma, epithelioid sarcoma, alveolar or embryonal rhabdomyosarcoma
  2. Primitive cutaneous, retroperitoneal, uterus or visceral STS
  3. disease
  4. Previous or ongoing treatment for the sarcoma (with the exception of surgical excision)
  5. for Doxorubicin, Ifosfamide and Dacarbazine treatments
  6. Prior therapy with ifosfamide or cyclophosphamide or other nitrogen mustards, and prior therapy with anthracyclines
  7. Prior mediastinal/cardiac radiotherapy
  8. History or presence of cardiovascular abnormalities such as uncontrolled hypertension, congestive heart failure classification of 3, unstable angina or poorly controlled arrhythmia, myocardial infarction within 6 months prior to study entry
  9. Prior or concurrent malignant disease diagnosed or treated in the last 2 years except for adequately treated in situ carcinoma of the cervix, basal or squamous skin cell carcinoma, or in situ transitional bladder cell carcinoma
  10. Active, uncontrolled bacterial, viral, or fungal infections, requiring systemic therapy
  11. Known infection with , , or
  12. Women who are breastfeeding, pregnant or who plan to become pregnant while in the trial
  13. Concomitant disease or condition that could interfere with the conduct of the study, or that would, in the opinion of the investigator, pose an unacceptable risk to the subject in this study
  14. Patient who has forfeited his/her freedom by administrative or legal award or who is under legal protection (curatorship and guardianship, protection of justice)
  15. Patient unable to comply with the protocol for any reason.

ADDITIONAL CRITERIA FOR THE RANDOMIZED PHASE III STUDY

  1. High-risk CINSARC signature
  2. Acceptable hematologic function (within 72 hours prior randomization): (ANC) ≥ 1.5 G/L, count ≥ 100 G/L and > 9g/dL
  3. Acceptable renal function within 72 hours prior randomization: Serum creatinine ≤ 1.5 x or calculated ≥ 60 mL/min (by the Cockcroft and Gault formula)
  4. Acceptable liver function: ≤ 1.5 x upper limit of normal (ULN), (SGOT) and ALT (SGPT) ≤ 2.5 x ULN
  5. Normal (>50%) measured by echocardiography or isotopic ventriculography
Terms in these criteria, in plain language(20)

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.

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.

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.

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.

Metastases

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

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.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

NYHA class (heart failure)

The New York Heart Association’s four classes of how much heart failure limits physical activity.

I
No limits: ordinary activity causes no undue tiredness or breathlessness.
II
Slight limits: comfortable at rest, ordinary activity causes symptoms.
III
Marked limits: comfortable at rest, less than ordinary activity causes symptoms.
IV
Symptoms even at rest; any activity makes them worse.

Studies set their own limit — many outside heart failure leave out class III–IV, while heart failure studies may ask for a particular class. Check the class this study names.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

Hepatitis C tests

Hepatitis C is a virus that infects the liver. An HCV antibody test can stay positive after an infection has cleared (and is occasionally positive without one); an HCV RNA test shows whether the virus is there now.

After treatment, hepatitis C counts as cured when HCV RNA is still undetectable 12 weeks or more after the treatment ended. Studies often accept people cured this way.

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.

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.

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).

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.

Creatinine clearance (CrCl)

How quickly the kidneys clear creatinine, a waste product, from the blood. A study may estimate it from a blood test with age, weight and sex (often by the Cockcroft–Gault formula), or measure it using blood and urine collected over a set time. Given in mL/min; higher is better.

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.

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.

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.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
600 participants (estimated)

Study arms

  • Other
    Control arm

    Other: Standard of care

  • Experimental
    Experimental arm

    Drug: Standard of care + chemotherapy

Interventions

  • DrugStandard of care + chemotherapy

    Doxorubicine with Ifosfamide during 4 cycles Q3W Or Doxorubicine with Dacarbazine during 4 cycles Q3W (for patients with Leiomyosarcoma)

  • OtherStandard of care

    Surgical excision with external radiotherapy (if applicable)

06

What researchers measure

Primary outcomes

  1. Metastasis-free survival defined by the delay between randomization and the appearance of metastatic.

    Time frame: 5 years for each patient

Secondary outcomes

  1. Disease-free survival defined by the delay between randomization and first relapse (local, regional, or distant) or death from any cause.

    Time frame: 5 years for each patient

  2. Safety assessed by the toxicity grading of the National Cancer Institute (NCI-CTCAE v5.0).

    Time frame: 4 months for each patient

  3. Overall survival defined by the delay between randomization and death from any cause.

    Time frame: 5 years for each patient

07

Study locations

20 of 20 sites recruiting
08

References and documents

Publications

  • Filleron T, Le Guellec S, Chevreau C, Cabarrou B, Lesluyes T, Lodin S, Massoubre A, Mounier M, Poublanc M, Chibon F, Valentin T. Value of peri-operative chemotherapy in patients with CINSARC high-risk localized grade 1 or 2 soft tissue sarcoma: study protocol of the target selection phase III CHIC-STS trial. BMC Cancer. 2020 Jul 31;20(1):716. doi: 10.1186/s12885-020-07207-3. PubMed 32736540 ↗
09

Timeline

2 registry updates 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

Started Oct 2020 (actual). Primary completion is estimated for Oct 2032, 144 months after the start.

Of 24 phase 3 interventional studies under Sarcoma, half reached primary completion within 105 months of starting (the median), counting those still running; a quarter within 50 and three quarters within 155. This study's planned 144 months is above that.

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

Registered
Mar 11, 2020
First posted
Mar 13, 2020
StartActual
Oct 9, 2020
Primary completionEst.
Oct 2032
CompletionEst.
Oct 2032
Last update
Oct 16, 2026
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.
Sites
1 site added
Show site
  • Institut Gustave Roussy · Villejuif, France
Oct 13, 2026
Site contacts
Changed at 1 site. See the sites
Show the site
  • Hôpitaux Universitaires de Strasbourg · Strasbourg, FranceContact J•••@chru-strasbourg.fr · •••7374→j•••@chru-strasbourg.fr · •••7225
Oct 16, 2026
Show all 2 updates
  1. Oct 16, 2026
    Site contacts Changed at 1 site. See the sites
    Show the site
    • Hôpitaux Universitaires de Strasbourg · Strasbourg, FranceContact J•••@chru-strasbourg.fr · •••7374→j•••@chru-strasbourg.fr · •••7225
  2. Oct 13, 2026
    1 site added
    Show site
    • Institut Gustave Roussy · Villejuif, France
    + 1 other change: verification date

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT04307277
Responsible party
Sponsor
First posted
Mar 13, 2020
Start date
Oct 9, 2020
Primary completion
Oct 2032 (estimated)
Completion
Oct 2032 (estimated)
Last update
Oct 16, 2026

Study contacts

Thibaud VALENTIN
Contact
valentin.thibaud@iuct-oncopole.fr
05 31 15 51 70

Oversight

FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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