ClinicalTrials.gg
Not yet recruitingNCT07823491Updated Sep 16, 2026

Pembrolizumab and Radiation Therapy With or Without Neoadjuvant Doxorubicin and Ifosfamide for the Treatment of High-Risk Resectable Undifferentiated Pleomorphic Sarcoma or Liposarcoma of the Extremity or Trunk Wall

A Phase 3 interventional study of Biospecimen Collection and Computed Tomography in Resectable Liposarcoma, Resectable Soft Tissue Sarcoma and Resectable Undifferentiated Pleomorphic Sarcoma, sponsored by Ohio State University Comprehensive Cancer Center. Not yet recruiting at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-09-16.

Sponsored by Ohio State University Comprehensive Cancer Center · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
228
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

This phase III trial compares the effect of adding doxorubicin and ifosfamide (AIM chemotherapy) before (neoadjuvant) receiving standard treatment with pembrolizumab, radiation therapy and surgery to standard of care treatment alone in treating patients with high-risk soft-tissue sarcomas, such as undifferentiated pleomorphic sarcoma (UPS) or liposarcoma (LPS), that originate in the arms, legs (extremity) or torso (trunk wall) and can be removed by surgery (resectable). Doxorubicin comes from the bacterium Streptomyces peucetius. It damages deoxyribonucleic acid (DNA) and may kill tumor cells. It is a type of anthracycline antitumor antibiotic. Ifosfamide attaches to DNA in cells and may kill tumor cells. It is a type of alkylating agent and a type of antimetabolite. Immunotherapy with monoclonal antibodies, such as pembrolizumab, may help the body's immune system attack the tumor, and may interfere with the ability of tumor cells to grow and spread. Intensity-modulated radiation therapy (IMRT)is a type of 3-dimensional radiation therapy that uses computer-generated images to show the size and shape of the tumor. Thin beams of radiation of different intensities are aimed at the tumor from many angles. Giving neoadjuvant doxorubicin and ifosfamide with standard of care pembrolizumab, radiation therapy and surgery may be safe, tolerable, and/or more effective than standard of care therapy alone in treating patients with high-risk resectable soft tissue sarcoma of the arms, legs, or torso.

Read the detailed description

PRIMARY OBJECTIVE:

I. Disease-free survival (DFS).

SECONDARY OBJECTIVES:

I.Patient-reported quality of life (QoL). II. Overall survival (OS). III. Loco-regional DFS. IV. Distant DFS. V. Treatment-related adverse events (TRAEs).

EXPLORATORY OBJECTIVES:

I. To evaluate DFS between study arms in patients stratified by estimated 10-year (yr) OS (\< 60% versus [vs] ≥ 60%) as determined by SARCULATOR nomogram.

II. To characterize the immune micro-environment of UPS and LPS prior to treatment and after neoadjuvant treatment.

III. To identify factors associated with pathologic response to neoadjuvant therapy.

IV. To compare surgical outcomes between arms, including percentage of patients who successfully undergo protocol-defined surgical resection, rate of R0 vs ≥ R1 resection, rate of re-resection, and surgical complication rates.

V. To identify factors associated with DFS. VI. To identify circulating biomarkers associated with response to treatment and risk of recurrence.

OUTLINE: Patients are randomized to 1 of 2 arms.

ARM A:

NEOADJUVANT: Patients receive doxorubicin intravenously (IV) within 72 hours on day 1 and ifosfamide IV on days 1-3 or on days 1-5 of each cycle. Cycles repeat every 21 days for up to 3 cycles in the absence of disease progression or unacceptable toxicity. Starting 21 days after completing neoadjuvant chemotherapy with AIM, patients receive standard of care pembrolizumab IV over 30 minutes on day 1 of each cycle. Cycles repeat every 21 days for up to 3 cycles in the absence of disease progression or unacceptable toxicity. Starting 4 weeks after beginning last cycle of AIM, patients also undergo IMRT once daily (QD) on Monday-Friday (5 days per week) for up to 25 fractions (5 weeks) per standard of care. Starting 4-6 weeks after completing radiation therapy, patients undergo oncologic resection per standard of care.

POST-SURGERY: Starting 1-4 weeks after surgery, patients receive pembrolizumab IV over 30 minutes on day 1 of each cycle per standard of care. Cycles repeat every 21 days for cycles 4-17 in the absence of disease progression or unacceptable toxicity.

Additionally, patients undergo transthoracic echocardiography (TTE) or multigated acquisition scan (MUGA) at screening, and blood sample collection, computed tomography (CT) and magnetic resonance imaging (MRI) throughout the study.

ARM B:

NEOADJUVANT: Patients receive standard of care pembrolizumab IV over 30 minutes on day 1 of each cycle. Cycles repeat every 21 days for up to 3 cycles in the absence of disease progression or unacceptable toxicity. Starting on day 8, patients undergo radiation therapy, patients undergo IMRT QD on Monday-Friday (5 days per week) for up to 25 fractions (5 weeks) per standard of care. Starting 4-6 weeks after completing radiation therapy, patients undergo oncologic resection per standard of care.

POST-SURGERY: Starting 1-4 weeks after surgery, patients receive pembrolizumab IV over 30 minutes on day 1 of each cycle per standard of care. Cycles repeat every 21 days for cycles 4-17 in the absence of disease progression or unacceptable toxicity.

Additionally, patients undergo TTE or MUGA at screening, and blood sample collection, CT and MRI throughout the study.

After completion of study treatment, patients are followed every 12 weeks (3 months) for 2 years then every 24 weeks (about every 6 months) through year 5.

02

Conditions studied

  • Resectable Liposarcoma
  • Resectable Soft Tissue Sarcoma
  • Resectable Undifferentiated Pleomorphic Sarcoma

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03

In context

Liposarcoma

160 studies on the registry are indexed under Liposarcoma; 36 are open to participants now.

This study's planned enrollment of 228 is above the median of 52 across 136 interventional studies indexed under Liposarcoma.

Browse Liposarcoma studies →

Lead sponsor

Ohio State University Comprehensive Cancer Center is the lead sponsor of 377 studies on the registry; 84 are open to participants now.

Of its 38 completed or terminated interventional studies of FDA-regulated products, 19 (50%) 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

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

  • Age ≥ 18 years
  • (ECOG) performance status (PS) 0-2
  • proven diagnosis of UPS or LPS originating in an extremity or trunk wall. Alternative terms for UPS include but are not limited to the following:

    • Fibrosarcoma
    • Malignant fibrous histiocytoma
    • Myxofibrosarcoma
    • Pleomorphic fibroblastic sarcoma
    • Pleomorphic sarcoma with giant cells
    • Pleomorphic sarcoma with prominent inflammation
    • Pleomorphic spindle cell sarcoma
    • Pleomorphic undifferentiated sarcoma
    • Spindle cell sarcoma, not otherwise specified (NOS)
    • Unclassified spindle cell sarcoma
    • Undifferentiated high-grade pleomorphic sarcoma

      • Please contact the medical monitor or study principal investigator (PI) with any questions regarding potentially eligible histologies
  • Tumor size ≥ 5 cm on anatomic imaging (computed tomography [CT] or magnetic resonance imaging [MRI])
  • Fédération Nationale des Centres de Lutte Contre le Cancer (FNCLCC) grade (G)3
  • Eligible for definitive local management of soft-tissue sarcoma (STS) per established guidelines with wide oncologic resection as determined by a surgeon with expertise in STS management
  • Must be a candidate for radiation as part of local control plan as determined by a radiation oncologist with expertise in STS management
  • ≥ 9.0 g/dL without transfusion within 7 days of enrollment
  • (ANC) ≥ 1.5 x 10\^9/L
  • ≥ 100 x 10\^9/L
  • Serum creatinine ≤ 1.5 x institutional (ULN), or estimated (eGFR) ≥ 60 ml/min/m\^2 (modification of diet in renal disease [MDRD] formula) for patients with serum creatinine > 1.5 x institutional ULN
  • ≤ 1.5 x institutional ULN (in patients with a documented history of Gilbert's syndrome, bilirubin ≤ 3 x institutional ULN)
  • (AST)(serum glutamic oxaloacetic transaminase [SGOT]) and alanine aminotransferase (ALT)(serum glutamic pyruvic transaminase [SGPT]) ≤ 2.5 x institutional ULN
  • In patients for whom (PT) and international normalized ratio (INR) testing is clinically indicated, PT or INR must be ≤ 1.5 x ULN in patients not on anticoagulation. In patients receiving anticoagulant therapy, PT and INR must be within therapeutic range for the given anticoagulant
  • In patients for whom partial thromboplastin time (PTT) testing is clinically indicated, PTT must be ≤ 1.5 x ULN in patients not on anticoagulation. In patients receiving anticoagulant therapy, PTT must be within therapeutic range for the given anticoagulant
  • Clinically normal cardiac function based on (LVEF) ≥ 50%
  • In patients for whom 12-lead (ECG) is indicated, ECG without abnormalities
  • Women of (WOCBP) must have a negative serum pregnancy test within 3 days prior to randomization
  • Subjects in both arms must agree to use highly effective measures during the study treatment period and for at least 6 months after the last dose of chemotherapy or date of surgery, whichever is later
  • Female subjects who are breastfeeding should discontinue nursing prior to the first day of study treatment and abstain from nursing until 6 months after the last study treatment

Exclusion criteria

Exclusion Criteria:

  • Patients with evidence of nodal or distant metastases (DM)

    • Lung nodule(s) between 0.6-1.0 cm are permitted on study if stable on imaging for least 6 months or if fluorodeoxyglucose-positron emission tomography (FDG-PET) scan suggests that the nodule(s) are low-risk for metastatic disease
    • Lung nodules > 1.0 cm should be considered metastatic unless proven otherwise by or resection or if nodules have stable appearance for at least 6 months on imaging
  • Any prior surgery (apart from diagnostic biopsy), radiation therapy, or systemic therapy for management of present tumor. Patients with locally recurrent sarcoma after prior surgery alone are eligible for enrollment if other inclusion criteria are met
  • to DOXOrubicin, ifosfamide, mesna, or pembrolizumab or their metabolites or
  • Prior treatment with DOXOrubicin (or other anthracyclines and anthracenediones)
  • cardiac disease, including, but not limited to:

    • Symptomatic congestive heart failure
    • Angina pectoris
    • Acute inflammatory heart disease
    • Myocardial infarction within 1 year before randomization
    • Uncontrolled cardiac arrhythmia
  • Active bleeding or clinically significant major bleeding episode within the last 4 weeks
  • Other invasive within 2 years, with the exception of adequately treated nonmelanoma skin cancer, localized cervical cancer, or low-risk prostate cancer
  • Diagnosis of immunodeficiency or treatment with systemic or any other form of systemic therapy within 7 days prior to study treatment
  • History of disease treated with systemic corticosteroids and/or other disease-modifying agents in the last 2 years

    • Replacement endocrine therapy (thyroid hormone, insulin, corticosteroids) is not exclusionary
    • Patients with a history of autoimmune disease previously treated with systemic corticosteroids and/or other disease-modifying agents > 2 years ago, who are not currently on systemic therapy, may be considered for enrollment on consultation with the medical monitor or study PI
  • Clinically significant, active, or uncontrolled infection
  • Known history of active tuberculosis
  • Active (HIV) (confirmed by detectable viral load)
  • Active (confirmed by detectable viral load)
  • Active (confirmed by detectable viral load)
  • Any medically significant comorbidity, which in the opinion of the investigator would preclude safe participation in the study
Terms in these criteria, in plain language(27)

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.

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.

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.

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.

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).

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.

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.

GFR and eGFR (kidney filtering)

GFR (glomerular filtration rate) is how much blood the kidneys filter each minute. It is usually estimated from a blood test — eGFR, by formulas such as CKD-EPI or MDRD — and some studies ask for it to be measured directly instead. Usually given in mL/min/1.73 m².

Check the method, the units and the minimum the study states. A value of 90 or above is in the normal-or-high range, but kidney damage can show in other tests too.

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.

INR, PT and aPTT (clotting tests)

Blood tests of how long blood takes to clot. The INR is the prothrombin time (PT) put on a common scale; about 1 is usual for someone not taking a blood thinner.

Criteria often make an exception for people on a blood thinner such as warfarin, whose INR is raised on purpose.

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.

ECG (electrocardiogram)

A recording of the heart’s electrical activity, taken with stickers on the chest, arms and legs. It takes a few minutes and does not hurt.

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.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

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.

Metastases

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

Biopsy and archival tissue

A biopsy takes a small piece of tissue to examine. “Archival tissue” is a sample already taken, for example at diagnosis, and kept by the hospital.

Whether a stored sample will do depends on when it was taken, how much there is and what the study needs. Ask whether the study accepts your stored sample or needs a new biopsy.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

Excipients

The other ingredients in a medicine besides the active drug, such as fillers, colours or preservatives.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

Immunosuppression

A weakened immune system. It can come from an illness, such as HIV or some blood cancers, or from medicines that turn the immune system down, for example after an organ transplant or for an autoimmune disease; steroids at higher doses count.

Read whether the line is about a condition or about medicines, and which medicines and doses it means.

Autoimmune disease

A condition in which the immune system attacks the body’s own tissues, such as rheumatoid arthritis, lupus, psoriasis, type 1 diabetes or inflammatory bowel disease.

Immunotherapy studies often leave out active autoimmune disease, and some name exceptions, such as thyroid disease on replacement hormone. Check the exceptions this study lists.

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.

05

Study design

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

Study arms

  • Experimental
    Arm A (AIM, pembrolizumab, IMRT, surgery)

    See Detailed Description

    Procedure: Biospecimen Collection · Procedure: Computed Tomography · Drug: Doxorubicin · Drug: Ifosfamide · Radiation: Intensity-Modulated Radiation Therapy · Procedure: Magnetic Resonance Imaging · Procedure: Multigated Acquisition Scan · Biological: Pembrolizumab · Other: Questionnaire Administration · Procedure: Surgical Procedure · Procedure: Transthoracic Echocardiography Test

  • Active comparator
    Arm B (pembrolizumab, IMRT, surgery)

    NEOADJUVANT: Patients receive standard of care pembrolizumab IV over 30 minutes on day 1 of each cycle. Cycles repeat every 21 days for up to 3 cycles in the absence of disease progression or unacceptable toxicity. Starting on day 8, patients undergo radiation therapy, patients undergo IMRT QD on Monday-Friday (5 days per week) for up to 25 fractions (5 weeks) per standard of care. Starting 4-6 weeks after completing radiation therapy, patients undergo oncologic resection per standard of care. POST-SURGERY: Starting 1-4 weeks after surgery, patients receive pembrolizumab IV over 30 minutes on day 1 of each cycle per standard of care. Cycles repeat every 21 days for up to a total of 17 cycles in the absence of disease progression or unacceptable toxicity. Additionally, patients undergo TTE or MUGA at screening, and blood sample collection, CT and MRI throughout the study.

    Procedure: Biospecimen Collection · Procedure: Computed Tomography · Radiation: Intensity-Modulated Radiation Therapy · Procedure: Magnetic Resonance Imaging · Procedure: Multigated Acquisition Scan · Biological: Pembrolizumab · Other: Questionnaire Administration · Procedure: Surgical Procedure · Procedure: Transthoracic Echocardiography Test

Interventions

  • ProcedureBiospecimen Collection

    Undergo blood sample collection

    Also known as: Biological Sample Collection, Biospecimen Collected, Sample Collection, Specimen Collection

  • ProcedureComputed Tomography

    Undergo CT

    Also known as: CAT, CAT Scan, Computed Axial Tomography, Computerized Axial Tomography, Computerized axial tomography (procedure), Computerized Tomography, Computerized Tomography (CT) scan, CT, CT Scan, Diagnostic CAT Scan, Diagnostic CAT Scan Service Type, tomography

  • Given IV

    Also known as: Adriablastin, Hydroxydaunomycin, Hydroxyl Daunorubicin, Hydroxyldaunorubicin

  • Given IV

    Also known as: Asta Z 4942, Asta Z-4942, Cyfos, Holoxan, Holoxane, Ifex, IFO, IFO-Cell, Ifolem, Ifomida, Ifomide, Ifosfamidum, Ifoxan, IFX, Iphosphamid, Iphosphamide, Iso-Endoxan, Isoendoxan, Isophosphamide, Mitoxana, MJF 9325, MJF-9325, Naxamide, Seromida, Tronoxal, Z 4942, Z-4942

  • RadiationIntensity-Modulated Radiation Therapy

    Undergo IMRT

    Also known as: IMRT, Intensity modulated radiation therapy (procedure), Intensity Modulated RT, Intensity-Modulated Radiotherapy, Radiation, Intensity-Modulated Radiotherapy

  • ProcedureMagnetic Resonance Imaging

    Undergo MRI

    Also known as: Magnetic Resonance, Magnetic Resonance Imaging (MRI), Magnetic resonance imaging (procedure), Magnetic Resonance Imaging Scan, Medical Imaging, Magnetic Resonance / Nuclear Magnetic Resonance, MR, MR Imaging, MRI, MRI Scan, MRIs, NMR Imaging, NMRI, Nuclear Magnetic Resonance Imaging, sMRI, Structural MRI

  • ProcedureMultigated Acquisition Scan

    Undergo MUGA

    Also known as: Blood Pool Scan, Equilibrium Radionuclide Angiography, Gated Blood Pool Imaging, Gated Heart Pool Scan, MUGA, MUGA Scan, Multi-Gated Acquisition Scan, Radionuclide Ventriculogram Scan, Radionuclide Ventriculography, RNV Scan, RNVG, SYMA Scanning, Synchronized Multigated Acquisition Scanning

  • BiologicalPembrolizumab

    Given IV

    Also known as: BCD-201, GME 751, GME751, Keytruda, Lambrolizumab, MK 3475, MK-3475, MK3475, Pembrolizumab Biosimilar BCD-201, Pembrolizumab Biosimilar GME751, Pembrolizumab Biosimilar QL2107, Pembrolizumab Biosimilar RPH-075, Pembrolizumab Biosimilar SB27, QL2107, RPH 075, RPH-075, RPH075, SB 27, SB-27, SB27, SCH 900475, SCH-900475, SCH900475

  • OtherQuestionnaire Administration

    Ancillary studies

  • ProcedureSurgical Procedure

    Undergo oncologic resection

    Also known as: Operation, Surgery, Surgery Type, Surgery, NOS, Surgical, Surgical Intervention, Surgical Interventions, Surgical Procedures, Type of Surgery

  • ProcedureTransthoracic Echocardiography Test

    Undergo TTE

    Also known as: TRANSTHORACIC ECHOCARDIOGRAPHY, TTE

06

What researchers measure

Primary outcomes

  1. Disease-free survival (DFS)

    DFS will be estimated using the Kaplan-Meier method and compared between treatment groups using the stratified log-rank test. In addition, a Cox proportional hazards model will be used to estimate the hazard ratio and 95% confidence interval, adjusting for relevant covariates.

    Time frame: From randomization to disease recurrence of death, whichever occurs first, assessed up to 2 years

Secondary outcomes

  1. Patient-reported quality of life (QOL)

    Will be evaluated using the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire-Core 30. A linear mixed-effects model will be used to assess changes in QOL over time, including random intercepts and slopes. The model will incorporate treatment group, time, baseline QOL score, and the treatment-by-time interaction as covariates.

    Time frame: At baseline and at 1 and 2 years post-randomization

  2. Overall survival (OS)

    Will be estimated using the Kaplan-Meier method and compared between treatment groups using the log-rank test. A Cox proportional hazards model will also be used to evaluate OS, adjusting for relevant covariates.

    Time frame: From randomization to death from any cause, assessed up to 5 years

  3. Loco-regional DFS

    Will be defined as clinical or biopsy-confirmed recurrence at the primary tumor site, regional nodal involvement, and loco-regional relapse. Will be estimated using the Kaplan-Meier method and compared between treatment groups using the log-rank test. A Cox proportional hazards model will also be used to evaluate loco-regional DFS, adjusting for relevant covariates.

    Time frame: Up to 5 years

  4. Distant DFS

    Will be defined as clinical or biopsy-confirmed recurrence at a distant site distinct from the primary tumor site. Will be estimated using the Kaplan-Meier method and compared between treatment groups using the log-rank test. A Cox proportional hazards model will also be used to evaluate distant DFS, adjusting for relevant covariates.

    Time frame: Up to 5 years

  5. Incidence of treatment-related adverse events (TRAEs)

    Will be measured using Common Terminology Criteria for Adverse Events version 6. The rate of TRAEs will be calculated as the number of patients who develop TRAEs divided by the total number of eligible and evaluable patients. The frequency and severity of TRAEs will be collected and summarized by descriptive statistics. The maximum grade for each type of toxicity will be recorded for each patient, and frequency tables will be reviewed to determine toxicity patterns.

    Time frame: Up to 5 years

07

Study locations

1 site
08

References and documents

Related links

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Start is estimated for Dec 2026; primary completion for Dec 2028, 24 months later.

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

Registered
Sep 11, 2026
First posted
Sep 16, 2026
StartEst.
Dec 1, 2026
Primary completionEst.
Dec 31, 2028
CompletionEst.
Dec 31, 2028
Last update
Sep 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.
No changes since tracking began. The registry record was last updated on Sep 16, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07823491
Collaborators
Patient-Centered Outcomes Research Institute
Responsible party
David Liebner, MD (Principal Investigator, Ohio State University Comprehensive Cancer Center) — Principal investigator
First posted
Sep 16, 2026
Start date
Dec 1, 2026 (estimated)
Primary completion
Dec 31, 2028 (estimated)
Completion
Dec 31, 2028 (estimated)
Last update
Sep 16, 2026

Study contacts

The Ohio State University Comprehensive Cancer Center
Contact
OSUCCCClinicaltrials@osumc.edu
800-293-5066
David A Liebner
principal investigator · Ohio State University Comprehensive Cancer Center

Oversight

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

Not currently enrolling

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

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Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

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Studies of the drugs tested here: Doxorubicin · Ifosfamide

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