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ABCB1/P-glycoprotein Expression as Biologic Stratification Factor for Patients With Non Metastatic Osteosarcoma (ISG/OS-2)

I

Italian Sarcoma Group

Status and phase

Completed
Phase 2

Conditions

Osteosarcoma

Treatments

Other: 3 drugs arm
Drug: Mifamurtide arm

Study type

Interventional

Funder types

NETWORK

Identifiers

NCT01459484
ISG/OS-2
2011-001659-36 (EudraCT Number)

Details and patient eligibility

About

This is a phase II multicentre, uncontrolled trial including patients ≤ 40 years with non-metastatic extremity high-grade osteosarcoma stratified according to P-glicoprotein expression

Full description

The main objective of the study is to evaluate the impact on event-free survival (EFS) of a multi-drug chemotherapy approach and mifamurtide treatment in patients with non-metastatic osteosarcoma of the extremities according to the expression of ABCB1/P-glycoprotein

Enrollment

225 patients

Sex

All

Ages

Under 40 years old

Volunteers

No Healthy Volunteers

Inclusion criteria

  • Histology confirmed diagnosis of extremities high grade osteosarcoma
  • Age ≤ 40 years
  • Localized disease or presence of skip metastasis
  • Hepatic, renal and bone marrow normal function
  • LVEF > 50%
  • No previous surgery and/ or chemotheraputic osteosarcoma treatments,
  • No more than 4 weeks interval between histological diagnosis and start of chemotherapy
  • Informed consent to the study participation obtained.

Exclusion criteria

  • Presence of metastases other than skip metastases
  • Periosteal Osteosarcoma, parostal osteosarcoma, secondary osteosarcoma,
  • Medical contra-indication to the drugs foreseen in the protocol,
  • Subject is pregnant or breast feeding
  • Mental or social conditions that can compromise a correct adherence to the protocol and its procedures

Trial design

Primary purpose

Treatment

Allocation

Non-Randomized

Interventional model

Parallel Assignment

Masking

None (Open label)

225 participants in 2 patient groups

Mifamurtide arm
Experimental group
Description:
Chemotherapy for patients who over express ABCB1/P-glycoprotein (methotrexate, cisplatinum, doxorubicine, ifosfamide + mifamurtide)
Treatment:
Drug: Mifamurtide arm
3 drugs arm
Other group
Description:
High grade osteosarcoma treatment for patients who do not over express ABCB1/P-glycoprotein
Treatment:
Other: 3 drugs arm

Trial contacts and locations

11

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Data sourced from clinicaltrials.gov

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