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Clinical Trial NCT07342322 for Soft Tissue Sarcoma (STS) is not yet recruiting. See the Trial Radar Card View and AI discovery tools for all the details. Or ask anything here. | ||
A Prospective, Multicenter, Open-label, Single-arm Phase II Clinical Study Evaluating the Efficacy and Safety of Spatially Fractionated Radiotherapy Combined With the PraG Strategy for the Treatment of Soft Tissue Sarcoma Phase 2 25 Immunotherapy Open-Label
The primary objective of this clinical trial is to evaluate the efficacy and safety of spatially fractionated radiotherapy combined with the PraG strategy in the treatment of soft tissue sarcoma (STS). The main questions it aims to answer are:
- Can spatially fractionated radiotherapy combined with the PraG strategy improve the clinical prognosis of patients?
- What medical adverse events and clinical problems wil...
A Prospective, Multicenter, Open-label, Single-arm Phase II Clinical Study Evaluating the Efficacy and Safety of Spatially Fractionated Radiotherapy Combined With the PraG Strategy for the Treatment of Soft Tissue Sarcoma
- 2025-K0608
| Participant Group/Arm | Intervention/Treatment |
|---|---|
ExperimentalSFRT + PraG | Spatially Fractionated Radiation Therapy Combined with Toripalimab and Human Granulocyte-Macrophage Colony-Stimulating Factor for Injection 1. Spatially Fractionated Radiation Therapy:
1. High-dose area: 500-800 cGy × 3 fractions
2. Fraction interval: 1 session of radiotherapy per day, with 3 sessions per cycle
3. High-dose area coverage: 40-60% of the irradiated field area
2. Toripalimab:
1. Dose: 3 mg/kg
2. Frequency: Every 2-3 weeks
3. Administration timing: Within one week after the completion of radiotherapy
3. Human Granulocyte-...Show More |
| Outcome Measure | Measure Description | Time Frame |
|---|---|---|
Objective Response Rate | week 4 |
| Outcome Measure | Measure Description | Time Frame |
|---|---|---|
Disease Control Rate | week 4 |
Age: 18-75 years old, both genders are eligible.
Pathological Diagnosis: Histologically confirmed soft tissue sarcoma, including but not limited to:
- Undifferentiated pleomorphic sarcoma
- Liposarcoma
- Leiomyosarcoma
- Synovial sarcoma
- Fibrosarcoma
- Other high-grade soft tissue sarcomas
Disease Stage:
- Locally advanced, unresectable soft tissue sarcoma, or
- Recurrent or metastatic soft tissue sarcoma
Prior Therapy:
- Prior surgery, radiotherapy, or chemotherapy is allowed.
- At least 4 weeks since the last anti-tumor treatment.
- Prior treatment-related toxicities have resolved to ≤Grade 1 (except alopecia).
Measurable Disease: At least one measurable lesion according to RECIST 1.1 criteria.
Performance Status: ECOG performance status score of 0-2.
Life Expectancy: ≥3 months.
Organ Function:
- Hematology: Hemoglobin ≥50 g/L, absolute neutrophil count ≥1.5×10⁹/L, platelet count ≥60×10⁹/L
- Liver Function: Total bilirubin ≤1.5× upper limit of normal (ULN), ALT and AST ≤2.5× ULN (≤5× ULN for patients with liver metastasis)
- Renal Function: Serum creatinine ≤1.5× ULN or creatinine clearance ≥50 mL/min
- Cardiac Function: Left ventricular ejection fraction ≥40%
Informed Consent: The patient or their legal representative has signed the informed consent form.
Special Types of Sarcoma:
- Gastrointestinal Stromal Tumor (GIST)
- Osteosarcoma
- Ewing's Sarcoma
Prior Treatment History:
- Previous radiotherapy to the same site with a cumulative dose that may exceed the normal tissue tolerance dose
- Major surgery within 4 weeks
Concurrent Diseases:
- Active autoimmune diseases
- Diseases requiring systemic immunosuppressive therapy
- Severe cardiovascular diseases (myocardial infarction, unstable angina, heart failure, etc.)
- Severe pulmonary diseases (interstitial pneumonia, pulmonary fibrosis, etc.)
- Active infections requiring systemic anti-infective therapy
Central Nervous System Metastasis: Symptomatic brain or spinal metastasis.
Pregnancy and Lactation: Women who are pregnant or breastfeeding.
Allergy History: Known allergies to the drugs or their components involved in the study.
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