Osteosarcoma Clinical Trial
Official title:
A European Treatment Protocol for Bone-sarcoma in Patients Older Than 40 Years
The study is a first step of a process to establish the standard chemotherapy treatment with
the aim to improve outcome for patients with these rare tumours. For this reason the study
will be non-controlled clinical trial.
In this regard, the study aims to determine the feasibility of intensive chemotherapy in
this age group, and/or separate efficacy analyses according to the different histologic
categories and whether the number of patients recruited by the co-operating groups permits
future randomised studies.
Wide surgical removal of the tumor with the addition of a systemic treatment based on the
antineoplastic drugs active against osteosarcoma (Adriamycin, Cisplatin, Ifosfamide,
Methotrexate). The use of radiation therapy will be given to patients with unresectable
tumors. It is recommended in patients who underwent inadequate surgical removal of the
tumor. The addition of radiation therapy can not compensate for an adequate surgical
treatment.
All the patients eligible for the study will receive the planned systemic treatment.
Depending on clinical features, and feasibility of adequate surgical removal of the tumor,
patients may receive primary chemotherapy followed by a postoperative chemotherapy treatment
or only an adjuvant chemotherapy. In case of immediate surgery, patients will receive an
adjuvant treatment with the 3-drug regimen (Cisplatin-Adriamycin-Ifosfamide).
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Time Perspective: Prospective
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