Ewing's Sarcoma Clinical Trial
Official title:
Post-operative Radiotherapy Randomization in Poor Responders Ewing's Sarcoma Patients
Local recurrence after surgical resection is a complex phenomenon. An important predictive
factor is the response to chemotherapy. Central site of disease may be a second independent
predictive factor (Lin et al. 2007). Patients with more than 10% viable tumour cells at
surgery following neo-adjuvant chemotherapy had a less favourable outcome with an Event-free
Survival [EFS] of 47% after 10 years. Patients with good histological response (< 10% viable
tumour cells) after chemotherapy alone had a prognosis of about 70% after 10 years.
However, further studies are necessary to determine the merit of adjuvant radiation for
high-risk patients (poor responders). Taking into consideration that the toxicity and
morbidity of combined surgery and radiation is greater than either alone and must be closely
monitored.
n/a
Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Treatment
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