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RecruitingNCT04845893EWOssUpdated Jan 2, 2026

Observational Study on Skeletal Ewing's Sarcoma

An observational study in Ewing Sarcoma of Bone, sponsored by Italian Sarcoma Group. Recruiting at 19 sites in Italy. Open to participants aged 0 Years to 49 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-01-02.

Sponsored by Italian Sarcoma Group · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
100
Ages
0 Years to 49 Years
Sex
All
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Study summary

Observational prospective trial aimed to collect the collect demographic, clinical, surgical, pathological and molecular characteristics and treatment from patients affected by skeletal Ewing Sarcoma

Read the detailed description

The Ewing sarcoma treatment is based on chemotherapy, surgery and radiotherapy. Chemotherapy, performed with a combination of several drugs, is given as primary treatment before surgery.

Surgical intervention must be performed in all cases in which it is possible to obtain an excision with free margins and with acceptable functional deficits. However, when, after surgery in case of incomplete resection, post-operative radiotherapy is used, in order to reduce the risk of local recurrence as much as possible.

Subsequently in the local treatment, a phase of maintenance chemotherapy is foreseen, the intensity of which is modulated according to the response to induction therapy.

The treatments are carried out with different programs for patients with localized disease or metastatic disease and derive from clinical trials carried out in the last 30 years.

These results are the result of national and international prospective trials which, precisely due to the rarity of the disease, took many years to execute, and it is significant to know that randomized studies were in very limited numbers, as almost all the studies were represented by studies of uncontrolled phase II Improving treatments requires the expansion of knowledge on the biological behavior of this tumor and the acquisition of as much information as possible deriving from clinical experience.

For this reason, pending the definition of a new prospective randomized trial, which will take time (approximately two years) to be made operational, it is considered useful from a scientific point of view to prospectively collect data relating to new cases of Ewing's sarcoma 'bone.

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Conditions studied

  • Ewing Sarcoma of Bone

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Keywords

  • Ewing Sarcoma
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Who can participate

Ages eligible
0 Years to 49 Years
Sexes eligible
All
Accepts healthy volunteers
Yes
Sampling method
Non-probability sample

Study population

Patients with Ewing's sarcoma of the bone or with Ewing-like sarcoma (round cell sarcoma with fusion of the EWSR1 gene with others not of the Ewings' Tumor Sarcoma family, sarcoma with Capicua Transcriptional Repressor (CIC) rearrangement or sarcoma with BCL6 corepressor (BCOR) rearrangement

Inclusion criteria

  1. Diagnosis of Ewing's sarcoma of the bone
  2. Diagnosis of Ewing-like sarcoma (round cell sarcoma with fusion of the EWSR1 gene with others not of the ETS family, sarcoma with CIC rearrangement or sarcoma with BCOR rearrangement)
  3. Diagnosis of extraosseous Ewing's sarcoma for patients
  4. Age at diagnosis \<50 years
  5. Assessment of the extent of the disease at onset in accordance with the European Society of Medical Oncology guidelines
  6. Patients or parents oe guardians of minors who have given their written informed consent to participate in the study

Exclusion criteria

Exclusion Criteria:

1. Presence of comorbid factors who can compromise the compliance of the treatment plan or the evaluation of the outcomes, including but not limited to organ pathologies that contraindicate the use of chemotherapy and psychological or social conditions that do not allow for adequate compliance treatment or adequate follow-up

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Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
100 participants (estimated)
Patient registry
No

Groups and cohorts

  • Skeletal Ewing Sarcoma

    This cohort include patients affected by Ewing Sarcoma of bone, referred to participating Institutions.

    Other: Treatment of Ewings Sarcoma of bone according clinical practice (includes drugs, surgery, radiotherapy or any other received treatments)

Interventions

  • OtherTreatment of Ewings Sarcoma of bone according clinical practice (includes drugs, surgery, radiotherapy or any other received treatments)

    This observational study collects all the treatments received by the patients according clinical practices or experimental trials and therefore includes drug/biological/surgical/ radiotherapy and any other applicable treatments

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What researchers measure

Primary outcomes

  1. 5 years Event Free Survival (EFS)

    Onset of any event (an event is the defined as disease recurrence, death for disease or any other cause)

    Time frame: 5 years

Secondary outcomes

  1. Overall Survival (OS)

    Time elapsed for the diagnosis to the death for any cause

    Time frame: at 5 years

  2. Adverse events related to the treatments in patients with age >21 years at the time of diagnosis

    Number of Participants of age \>21 years with Treatment-Related Adverse Events as Assessed by CTCAE v5.0,

    Time frame: Every 3 weeks (Week 3, week 6, week 9, week 12, ...) up to 30 months

  3. To assess baseline clinical and disease-specific factors with possible impact on survival analyses in the subpopulation with Ewing-like sarcoma

    Collection of clinical pathological characteristics at disease presentation/diagnosis

    Time frame: Baseline

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Study locations

17 of 19 sites recruiting
  • Istituto Clinico Humanitas
    Rozzano, MI 20089, Italy
    Recruiting
  • Centro di Riferimento Oncologico - Unit of Medical Oncology
    Aviano, Pordenone 33081, Italy
    • Maurizio Mascarin, MD · Contact · mascarin@cro.it · +390434659
    • Maurizio Mascarin, MD · Principal investigator
    Recruiting
  • I.R.C.C. - Unit of Medical Oncology
    Candiolo, Torino 10060, Italy
    Recruiting
  • Azienda ospedaliero universitaria consorziale policlinico - bari
    Bari, 70124, Italy
    Recruiting
  • A.O. Universitaria Policlinico S. Orsola Malpighi di Bologna
    Bologna, 40138, Italy
    • Arcangelo Prete, MD · Contact · tmoped@aosp.bo.it · +390516363
    • Arcangelo Prete, MD · Principal investigator
    Recruiting
  • Istituto ortopedico Rizzoli
    Bologna, Italy
    Recruiting
  • A.O. Universitaria Meyer
    Florence, 50139, Italy
    • Angela Tamburini, MD · Contact · a.tamburini@meyer.it · +3905556
    • Angela Tamburini, MD · Principal investigator
    Recruiting
  • Istituto Giannina Gaslini
    Genova, Italy
    Recruiting
  • FONDAZIONE IRCCS Istituto Nazionale dei Tumori
    Milan, Italy
    Recruiting
  • FONDAZIONE IRCCS Istituto Nazionale dei Tumori
    Milan, Italy
    Recruiting
  • Azienda Ospedaliera Santobono Pausilipon
    Naples, Italy
    Not yet recruiting
  • Azienda Ospedaliera di Padova
    Padova, Italy
    • Gianni Bisogno, MD · Contact · gianni.bisogno@unipd.it · 039049-8211
    • Gianni Bisogno, MD · Principal investigator
    Recruiting
  • ARNAS P. O. "Civico e Benfratelli"
    Palermo, 90127, Italy
    Recruiting
  • Azienda Ospedaliera Universitaria di Parma
    Parma, Italy
    Recruiting
  • Azienda Ospedaliero-Universitaria Pisana
    Pisa, 56126, Italy
    Recruiting
  • Ospedale Pediatrico Bambin Gesu'
    Roma, Italy
    Not yet recruiting
  • Istituto Regina Elena - IFO
    Rome, 00100, Italy
    Recruiting
  • Ospedale Infantile Regina Margherita - Unit of Paediatric Oncoematology
    Torino, 10126, Italy
    Recruiting
  • IRCCS materno infantile Burlo Garofolo
    Trieste, 34137, Italy
    Recruiting
07

References and documents

Publications

  • Riggi N, Suva ML, Stamenkovic I. Ewing's Sarcoma. N Engl J Med. 2021 Jan 14;384(2):154-164. doi: 10.1056/NEJMra2028910. No abstract available. PubMed 33497548 ↗
  • Casali PG, Bielack S, Abecassis N, Aro HT, Bauer S, Biagini R, Bonvalot S, Boukovinas I, Bovee JVMG, Brennan B, Brodowicz T, Broto JM, Brugieres L, Buonadonna A, De Alava E, Dei Tos AP, Del Muro XG, Dileo P, Dhooge C, Eriksson M, Fagioli F, Fedenko A, Ferraresi V, Ferrari A, Ferrari S, Frezza AM, Gaspar N, Gasperoni S, Gelderblom H, Gil T, Grignani G, Gronchi A, Haas RL, Hassan B, Hecker-Nolting S, Hohenberger P, Issels R, Joensuu H, Jones RL, Judson I, Jutte P, Kaal S, Kager L, Kasper B, Kopeckova K, Krakorova DA, Ladenstein R, Le Cesne A, Lugowska I, Merimsky O, Montemurro M, Morland B, Pantaleo MA, Piana R, Picci P, Piperno-Neumann S, Pousa AL, Reichardt P, Robinson MH, Rutkowski P, Safwat AA, Schoffski P, Sleijfer S, Stacchiotti S, Strauss SJ, Sundby Hall K, Unk M, Van Coevorden F, van der Graaf WTA, Whelan J, Wardelmann E, Zaikova O, Blay JY; ESMO Guidelines Committee, PaedCan and ERN EURACAN. Bone sarcomas: ESMO-PaedCan-EURACAN Clinical Practice Guidelines for diagnosis, treatment and follow-up. Ann Oncol. 2018 Oct 1;29(Suppl 4):iv79-iv95. doi: 10.1093/annonc/mdy310. No abstract available. PubMed 30285218 ↗
  • Gaspar N, Hawkins DS, Dirksen U, Lewis IJ, Ferrari S, Le Deley MC, Kovar H, Grimer R, Whelan J, Claude L, Delattre O, Paulussen M, Picci P, Sundby Hall K, van den Berg H, Ladenstein R, Michon J, Hjorth L, Judson I, Luksch R, Bernstein ML, Marec-Berard P, Brennan B, Craft AW, Womer RB, Juergens H, Oberlin O. Ewing Sarcoma: Current Management and Future Approaches Through Collaboration. J Clin Oncol. 2015 Sep 20;33(27):3036-46. doi: 10.1200/JCO.2014.59.5256. Epub 2015 Aug 24. PubMed 26304893 ↗
  • Womer RB, West DC, Krailo MD, Dickman PS, Pawel BR, Grier HE, Marcus K, Sailer S, Healey JH, Dormans JP, Weiss AR. Randomized controlled trial of interval-compressed chemotherapy for the treatment of localized Ewing sarcoma: a report from the Children's Oncology Group. J Clin Oncol. 2012 Nov 20;30(33):4148-54. doi: 10.1200/JCO.2011.41.5703. Epub 2012 Oct 22. PubMed 23091096 ↗
  • Ferrari S, Sundby Hall K, Luksch R, Tienghi A, Wiebe T, Fagioli F, Alvegard TA, Brach Del Prever A, Tamburini A, Alberghini M, Gandola L, Mercuri M, Capanna R, Mapelli S, Prete A, Carli M, Picci P, Barbieri E, Bacci G, Smeland S. Nonmetastatic Ewing family tumors: high-dose chemotherapy with stem cell rescue in poor responder patients. Results of the Italian Sarcoma Group/Scandinavian Sarcoma Group III protocol. Ann Oncol. 2011 May;22(5):1221-1227. doi: 10.1093/annonc/mdq573. Epub 2010 Nov 8. PubMed 21059639 ↗
  • Luksch R, Tienghi A, Hall KS, Fagioli F, Picci P, Barbieri E, Gandola L, Eriksson M, Ruggieri P, Daolio P, Lindholm P, Prete A, Bisogno G, Tamburini A, Grignani G, Abate ME, Podda M, Smeland S, Ferrari S. Primary metastatic Ewing's family tumors: results of the Italian Sarcoma Group and Scandinavian Sarcoma Group ISG/SSG IV Study including myeloablative chemotherapy and total-lung irradiation. Ann Oncol. 2012 Nov;23(11):2970-2976. doi: 10.1093/annonc/mds117. Epub 2012 Jul 5. PubMed 22771824 ↗
  • Dirksen U, Brennan B, Le Deley MC, Cozic N, van den Berg H, Bhadri V, Brichard B, Claude L, Craft A, Amler S, Gaspar N, Gelderblom H, Goldsby R, Gorlick R, Grier HE, Guinbretiere JM, Hauser P, Hjorth L, Janeway K, Juergens H, Judson I, Krailo M, Kruseova J, Kuehne T, Ladenstein R, Lervat C, Lessnick SL, Lewis I, Linassier C, Marec-Berard P, Marina N, Morland B, Pacquement H, Paulussen M, Randall RL, Ranft A, Le Teuff G, Wheatley K, Whelan J, Womer R, Oberlin O, Hawkins DS; Euro-E.W.I.N.G. 99 and Ewing 2008 Investigators. High-Dose Chemotherapy Compared With Standard Chemotherapy and Lung Radiation in Ewing Sarcoma With Pulmonary Metastases: Results of the European Ewing Tumour Working Initiative of National Groups, 99 Trial and EWING 2008. J Clin Oncol. 2019 Dec 1;37(34):3192-3202. doi: 10.1200/JCO.19.00915. Epub 2019 Sep 25. PubMed 31553693 ↗
  • Ladenstein R, Potschger U, Le Deley MC, Whelan J, Paulussen M, Oberlin O, van den Berg H, Dirksen U, Hjorth L, Michon J, Lewis I, Craft A, Jurgens H. Primary disseminated multifocal Ewing sarcoma: results of the Euro-EWING 99 trial. J Clin Oncol. 2010 Jul 10;28(20):3284-91. doi: 10.1200/JCO.2009.22.9864. Epub 2010 Jun 14. PubMed 20547982 ↗
  • Whelan J, Le Deley MC, Dirksen U, Le Teuff G, Brennan B, Gaspar N, Hawkins DS, Amler S, Bauer S, Bielack S, Blay JY, Burdach S, Castex MP, Dilloo D, Eggert A, Gelderblom H, Gentet JC, Hartmann W, Hassenpflug WA, Hjorth L, Jimenez M, Klingebiel T, Kontny U, Kruseova J, Ladenstein R, Laurence V, Lervat C, Marec-Berard P, Marreaud S, Michon J, Morland B, Paulussen M, Ranft A, Reichardt P, van den Berg H, Wheatley K, Judson I, Lewis I, Craft A, Juergens H, Oberlin O; Euro-E.W.I.N.G.99 and EWING-2008 Investigators. High-Dose Chemotherapy and Blood Autologous Stem-Cell Rescue Compared With Standard Chemotherapy in Localized High-Risk Ewing Sarcoma: Results of Euro-E.W.I.N.G.99 and Ewing-2008. J Clin Oncol. 2018 Sep 6;36(31):JCO2018782516. doi: 10.1200/JCO.2018.78.2516. Online ahead of print. PubMed 30188789 ↗

Individual participant data

Plan to share: No — Not planned

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Registry details

Key details

Study ID
NCT04845893
Lead sponsor
Italian Sarcoma Group
Responsible party
Sponsor
First posted
Apr 15, 2021
Start date
Jun 1, 2021
Primary completion
May 25, 2028 (estimated)
Completion
May 25, 2028 (estimated)
Last update
Jan 2, 2026

Oversight

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

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