ClinicalTrials.gg
RecruitingNCT04515459EPOP-SARCOMAUpdated Sep 15, 2025

Efficacy of Pre-operative Prehabilitation in Patients With Limb Sarcoma

A Phase 2 interventional study of Surgical prehabilitation program. in Sarcoma, sponsored by Institut Claudius Regaud. Recruiting at 1 site in France. Open to participants aged 16 Years and older. Per ClinicalTrials.gov, last updated 2025-09-15.

Sponsored by Institut Claudius Regaud · Phase 2, Interventional, and Other

From the registry’s dates

  • Started Sep 2022; still recruiting 4 years 1 month later.
Phase
Phase 2
Study type
Interventional
Enrollment
53
Allocation
Not applicable
Ages
16 Years and older
Sex
All
01

Study summary

This Phase II feasibility study, prospective, interventional, monocentric aiming to assess the interest of pre-operative rehabilitation in patients treated for bone or soft-tissue sarcoma of the limbs.

This protocol will be based on the realisation of a surgical prehabilitation program adapted to the patient. This strategy will involve a team of several health professionals: rehabilitation doctor, physiotherapist, occupational therapist, specialised nurse, dietician and adapted physical activity teacher.

The aim of an adapted surgical prehabilitation program is to improve the functional recovery of the treated limb and the patient's autonomy after surgery.

Each patient will be followed until 24 months post surgery.

02

Conditions studied

  • Sarcoma

Keywords

  • Bone sarcoma
  • Soft-tissue sarcoma
  • Pre-operative prehabilitation
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 53 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
16 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. Age > or = 16 years old.
  2. Patient with a diagnosis of bone or soft-tissue sarcoma confirmed by the "Réseau de Relecture en Pathologie Sarcomateuse (RRePS)"
  3. Tumour localized in the lower or upper limb.
  4. Localized or disease (in case of metastatic disease, the optimal surgical treatment for the primary tumor must be performed).
  5. Indication of treatment (radiotherapy and/or chemotherapy) according to the Multidisciplinary Concertation Meeting.
  6. Inclusion before the initiation or during neoadjuvant treatment. In both cases, surgery must be scheduled between 6 and 10 weeks after inclusion, to permit the completion of the surgical prehabilitation.
  7. Patient must provide written prior to any study-specific procedure. For minor patients, the holder(s) of parental authority must sign the informed consent and the patient's assent must be obtained.
  8. Patient affiliated to the French social security system.

Exclusion criteria

Exclusion Criteria:

  1. disease without optimal surgery planned of the primary tumour.
  2. Any disease or medical condition that could interfere with study procedure, or that could, according to the judgment of investigator, expose the patient to an unacceptable risk.
  3. Patient who has forfeited his/her freedom by administrative or legal award or who is under legal protection (curatorship and guardianship, protection of justice).
  4. Any psychological, familial, geographic or social situation preventing compliance with the medical monitoring and/or with study procedure.
  5. Pregnant or breastfeeding patient.
Terms in these criteria, in plain language(3)

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.

Metastases

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

Adjuvant and neoadjuvant

Neoadjuvant treatment is given before the main treatment (usually surgery), often to shrink a tumour. Adjuvant treatment is given after it, to lower the chance of the cancer coming back.

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.

05

Study design

Phase
Phase 2
Primary purpose
Other
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
53 participants (estimated)

Study arms

  • Other
    Patients treated for bone or soft-tissue sarcoma of the limbs

    Other: Surgical prehabilitation program.

Interventions

  • OtherSurgical prehabilitation program.

    This programme will include the practice of general physical activity and the implementation of nutritional and psychological support. Each patient will have 8 Oncorehabilitation Transdisciplinary Evaluations (OTE): * 2 OTE will be performed before the surgery, * 6 OTE will be performed after the surgery. During the program (at each OTE), patients will also be asked to complete the QLQ-C30 questionnaire.

06

What researchers measure

Primary outcomes

  1. Rate of patients with a MSTS score (Musculoskeletal Tumor Rating Scale) greater than 75% at 24 months post-surgery.

    Time frame: 26 months for each patient.

Secondary outcomes

  1. Quality of life using the Quality Of Life Questionnaire Core 30 (QLQ-C30).

    Quality of life will be evaluated from OTE1 to OTE8.

    Time frame: 26 months for each patient.

  2. Anxiety using the Hospital Anxiety and Depression Scale (HADS).

    Seven item subscale. Each item is scored on a 4-point scale. Anxiety will be evaluated from OTE1 to OTE8.

    Time frame: 26 months for each patient.

  3. Depression using the Hospital Anxiety and Depression Scale (HADS).

    Seven item subscale. Each item is scored on a 4-point scale. Depression will be evaluated from OTE1 to OTE8.

    Time frame: 26 months for each patient.

  4. The patient functionality will be evaluated using the Tinetti's test from OTE1 to OTE8.

    Time frame: 26 months for each patient.

  5. The patient functionality will be evaluated using the 6-min walk test from OTE1 to OTE8.

    Time frame: 26 months for each patient.

  6. The patient functionality will be evaluated using the New Functional Ambulation Classification test from OTE1 to OTE8.

    Time frame: 26 months for each patient.

  7. The patient functionality will be evaluated using the Box and Block Test from OTE1 to OTE8.

    Time frame: 26 months for each patient.

  8. The patient functionality will be evaluated using the Frenchay Arm Test from OTE1 to OTE8.

    Time frame: 26 months for each patient.

  9. The patient functionality will be evaluated using the Visual Analog Scale from OTE1 to OTE8.

    Time frame: 26 months for each patient.

  10. The patient functionality will be evaluated using the Ricci and Gagnon's Score from OTE1 to OTE8.

    Time frame: 26 months for each patient.

07

Study locations

1 of 1 sites recruiting
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 15, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT04515459
Responsible party
Sponsor
First posted
Aug 17, 2020
Start date
Sep 13, 2022
Primary completion
Nov 2029 (estimated)
Completion
Nov 2029 (estimated)
Last update
Sep 15, 2025

Study contacts

Dimitri GANGLOFF
Contact
gangloff.dimitri@iuct-oncopole.fr
05 31 15 53 58

Oversight

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

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