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Not yet recruitingNCT07924384MAKI-FranceUpdated Nov 9, 2026

Prognostic and Predictive Factors in Childhood Soft Tissue Sarcomas

An observational study in Non-rhabdomyosarcoma Soft Tissue Sarcomas (NRSTS), sponsored by Institut Curie. Not yet recruiting at 28 sites in France. Open to participants aged Up to 25 Years. Per ClinicalTrials.gov, last updated 2026-11-09.

Sponsored by Institut Curie · Observational

Updated Nov 9, 2026Newly registeredGo to Updates ↓
Study type
Observational
Model
Case-only
Time perspective
Other
Enrollment
150
Ages
Up to 25 Years
Sex
All
01

Study summary

The goal of this study is to better understand biological characteristics of non-rhabdomyosarcoma soft tissue sarcomas (NRSTS), a rare group of cancers that affect children, adolescents, and young adults. Researchers also aim to identify factors that could help predict how the disease will behave and respond to treatment.

The main questions it aims to answer are:

  • Can advanced molecular analyses improve the classification and diagnosis of NRSTS?
  • Can blood- and tumor-based biomarkers help predict outcomes and detect relapse earlier?
  • Can researchers identify biological features that may guide future personalized treatments?

Participants aged 0 to 25 years with a recent diagnosis of NRSTS will take part in the prospective study. Researchers will collect archived tumor samples and blood samples during routine follow-up (approximately every 3 to 4 months) and will analyze these samples using advanced laboratory techniques. Clinical information will also be collected over a follow-up period of up to 4 years.

150 participants will be enrolled in the prospective part from 28 investigating centers across France.

Tumor samples already collected as part of your care, together with blood samples taken during follow-up visits, will be stored for future researches.

Read the detailed description

MAKI-France is an ambispective study. In addition to the 150 participants to include in the prospective part, 300 tumors collected as part of routine care will be analyzed.

02

Conditions studied

  • Non-rhabdomyosarcoma Soft Tissue Sarcomas (NRSTS)

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Keywords

  • Pediatric cancer
  • Rare tumors
  • Pronostic factors
  • Predictive factors
  • Molecular profiling
03

In context

Neoplasms

10,818 studies on the registry are indexed under Neoplasms; 2,324 are open to participants now.

This study's planned enrollment of 150 is below the median of 200 across 2,638 observational studies indexed under Neoplasms.

Browse Neoplasms studies →

Lead sponsor

Institut Curie is the lead sponsor of 135 studies on the registry; 29 are open to participants now.

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

04

Who can participate

Ages eligible
Up to 25 Years
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Children and young adults (aged from 0 to 25 years) with a new diagnosis of NRSTS.

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. Patients with local diagnosis of intermediate or malignant NRSTS, at the time of initial diagnosis only.
  2. Localized or disease.
  3. Age: 0-25 years.
  4. Whatever strategy is decided (observation, surgery, chemotherapy, radiotherapy, other systemic therapies).
  5. Within the 3 months after initial diagnosis.
  6. Written from adult patients, or the 2 parents/legal representatives. Assent from minor patients should be verified.
  7. Availability of archived tissue samples. Adult participants or parents must be willing to provide . A minimum of 1 FFPE block / 1 HE slide with IHC slides available is required.
  8. Patient affiliated to a health insurance system.

Exclusion criteria

Exclusion Criteria:

  1. NRSTS at relapse.
  2. Any significant medical, psychological, social or geographic conditions that, in the opinion of the Investigator, would impair study participation or cooperation.
  3. Patients deprived of their liberty or under guardianship.
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.

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.

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.

05

Study design

Observational model
Case-only
Time perspective
Other
Enrollment
150 participants (estimated)
Patient registry
No
Biospecimen retention
Samples with dna

Groups and cohorts

  • NRSTS group

    Single arm for all patients. Tumor samples will be taken for histological and molecular profiling, at baseline (FFPE for routine care or tissue sample from surgery. Blood samples will be taken at baseline and every 3- months up to end of study post surgery.

    Other: Intervention

Interventions

  • OtherIntervention

    Tumor samples will be taken for histological and molecular characterization at baseline (routine care biopsy) or surgery. Blood samples (liquid biopsies) will be taken at baseline and every 3-4 months up to end of study for early relapse detection

06

What researchers measure

Primary outcomes

  1. Histopathological profiling of NRSTS tumors

    Histopathological description of NRSTS tumors based on analysis of tumor tissue in paraffin. Results will be reported as the number and percentage of tumors classified into each histological subtype.

    Time frame: Baseline

  2. Molecular profiling of NRSTS tumors

    Molecular profiling of NRSTS tumors combining DNA and RNA profiling, DNA methylation analysis, and clustering. Results will be reported as the number and percentage of tumors presenting identified molecular alterations.

    Time frame: Baseline

Secondary outcomes

  1. Percentage of patients with associated cfDNA and tumor tissue DNA methylation profiles in NRSTS

    Assessment of the association between DNA methylation profiles obtained from cell-free DNA (cfDNA) and matched tumor tissue DNA samples

    Time frame: Through study completion, an average of 4 years

  2. Classification Accuracy of DNA Methylation-Based Classifiers for NRSTS Subtypes

    Classification results for NRSTS subtypes obtained using the Institut Curie classifier based on DNA methylation and RNA profiling compared with those obtained using the Heidelberg classifier. Agreement in subtype classification and the distribution of classification results between the two classifiers will be reported.

    Time frame: Baseline

  3. Percentage of patients with detectable cfDNA molecular changes associated with disease status or relapse.

    Detection and characterization of prognostic and epigenetic biomarkers using cell-free DNA (cfDNA) analysis at initial diagnosis and during follow-up assessments performed every 3-4 months. Changes in cfDNA methylation profiles over time and their association with disease status and relapse will be reported, including the detection of molecular changes potentially indicative of relapse.

    Time frame: Through study completion, an average of 4 years

  4. Identification of prognostic and predictive biomarkers a in NRSTS

    Sensitivity and specificity of molecular biomarkers, including epigenetic alterations at diagnosis and relapse, such as fragmentomic profiles and nucleosome positioning, genomic index, CINCARC, and other prognostic molecular signatures, compared with conventional clinical assessment and imaging.

    Time frame: Through study completion, an average of 4 years

  5. Percentage of synovial sarcoma organoids showing similar histological and molecular profiles to their parental tumors

    Assessment of the similarity between synovial sarcoma organoids and their corresponding parental tumor tissues based on histological and molecular characterization.

    Time frame: At the time of surgical resection, up to 4 years

  6. Impact of systematic national review on tumor diagnosis

    Number and proportion of tumors with concordant diagnoses or diagnostic modifications following systematic pathological and molecular review at the National Reference Center in Lyon. Diagnostic modifications will be classified as minor, without significant clinical impact, or major, with clinical impact.

    Time frame: Baseline

07

Study locations

28 sites
08

References and documents

Individual participant data

Plan to share: Yes — Sponsor will share de-identified data sets. Documents generated under the project will be disseminated in accordance with Institut Curie policies.

Supporting information: Study protocol, Statistical analysis plan

Time frame: Data requests can be submitted starting 9 months after last article publication and will be made accessible for up to 12 months.

Access criteria: Access to trial individual participant data can be requested by qualified researchers engaging in independent scientific research, and will be provided following review and approval of a research proposal and Statistical Analysis Plan (SAP) and execution of a data sharing agreement (DSA).

No publications or documents are linked to this record.

09

Updates

1 registry update since Sep 25, 2026
Registered
First appeared on the registry. No changes since
Nov 9, 2026
Show all 1 update
  1. Nov 9, 2026
    First appeared on the registry

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
NCT07924384
Lead sponsor
Institut Curie
Collaborators
Cancer Research Center of Lyon
Responsible party
Sponsor
First posted
Nov 9, 2026
Start date
Dec 2026 (estimated)
Primary completion
Dec 2034 (estimated)
Completion
Dec 2034 (estimated)
Last update
Nov 9, 2026

Study contacts

Carole CAGNOT
Contact
carole.cagnot@curie.fr
+33 1 47 11 18 91
Daniel ORBACH, MD
study chair · Institut Curie

Oversight

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

Not currently enrolling

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

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