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Clinical Trial Details — Status: Recruiting

Administrative data

NCT number NCT04749446
Other study ID # ISG-Breast-Sarc
Secondary ID
Status Recruiting
Phase
First received
Last updated
Start date April 2, 2021
Est. completion date December 1, 2023

Study information

Verified date October 2023
Source Italian Sarcoma Group
Contact n/a
Is FDA regulated No
Health authority
Study type Observational

Clinical Trial Summary

This is multi-institutional retrospective study in order to identify the most relevant clinical characteristics, treatment strategies, to explore the impact on principal clinical outcomes and finally, to suggest some principles for management and treatment of breast sarcomas. The study will collect data about patients affected by breast sarcoma referred to participating Institutions between January 2000 and June 2020


Description:

In the field of soft tissue sarcomas, breast sarcomas are a truly peculiar family of rare tumors for both their clinical history and biology of disease. Surgery (if feasible) is the main therapeutic approach for all the patients with localized disease, while a pharmacological (chemotherapeutic) and/or radiotherapeutic treatment is reserved to those with high-risk/recurrent-relapsing/metastatic disease. Unfortunately, there is a lack of specific prospective trials in breast sarcoma to guide the clinical decision-making and breast sarcoma patients are often sent to sarcoma referral centers only after surgery Due to sarcoma-specific clinical features, it is clear that both diagnostic and clinical strategies mandate a different approach compared to epithelial tumors. This is of key importance to reach the correct diagnosis, design the best therapeutic decision-making and subsequent follow-up. Even if retrospective data limitations and biases, in the lack of prospective data collection, these data may be a unique and precious source of information For this reasons this multi-institutional retrospective study is aimed to identify the most relevant clinical characteristics, treatment strategies, to explore the impact on principal clinical outcomes and finally, to suggest some principles for management and treatment of breast sarcomas.


Recruitment information / eligibility

Status Recruiting
Enrollment 300
Est. completion date December 1, 2023
Est. primary completion date December 1, 2023
Accepts healthy volunteers No
Gender All
Age group 19 Years and older
Eligibility Inclusion Criteria: - >18 years at diagnosis - primary or secondary breast sarcoma - availability of medical data needed for the study (histopathological data, surgery, chemotherapy, including preceding chemotherapeutic regimens for secondary breast sarcomas, radiation therapy) Exclusion Criteria: - sarcoma metastases to the breast - chest wall sarcomas not arising in the mammary gland - cutaneous sarcomas

Study Design


Related Conditions & MeSH terms


Intervention

Other:
Treatment of Breast Sarcoma according clinical practice (includes drugs, surgery or any other received treatments)
This observational study collects all the treatments received by the patients according clinical practices or experimental trials and therefore includes drug/biological/surgical and any other applicable treatments Reorder Outcome Measures

Locations

Country Name City State
Italy A.O Ospedali Riuniti Marche Nord Ancona
Italy Centro di Riferimento Oncologico - Unit of Medical Oncology Aviano Pordenone
Italy Azienda Ospedaliera S. Orsola-Malpighi Bologna BO
Italy Fondazione del Piemonte per l'Oncologia IRCC Candiolo Candiolo Torino
Italy Azienda Ospedaliera Universitaria Careggi Firenze
Italy Fondazione IRCCS INT Milano Milano
Italy Istituto Europeo di Oncologia Milano MI
Italy Azienda Ospedaliera Universitaria Paolo Giaccone Palermo PA
Italy Ospedale Misericordia e Dolce Prato PO
Italy Istituto Nazionale Tumori Regina Elena - Unit of Medical Oncology I Roma
Italy Policlinico Universitario Campus Biomedico Roma RM
Italy Istituto Clinico Humanitas Rozzano MI
Italy ASL Città di Torino (Dipartimento di Oncologia) Torino
Italy Ospedale Umberto I Turin TO

Sponsors (1)

Lead Sponsor Collaborator
Italian Sarcoma Group

Country where clinical trial is conducted

Italy, 

References & Publications (7)

Al-Benna S, Poggemann K, Steinau HU, Steinstraesser L. Diagnosis and management of primary breast sarcoma. Breast Cancer Res Treat. 2010 Aug;122(3):619-26. doi: 10.1007/s10549-010-0915-y. Epub 2010 May 18. — View Citation

Fields RC, Aft RL, Gillanders WE, Eberlein TJ, Margenthaler JA. Treatment and outcomes of patients with primary breast sarcoma. Am J Surg. 2008 Oct;196(4):559-61. doi: 10.1016/j.amjsurg.2008.06.010. Epub 2008 Aug 23. — View Citation

Huang J, Mackillop WJ. Increased risk of soft tissue sarcoma after radiotherapy in women with breast carcinoma. Cancer. 2001 Jul 1;92(1):172-80. doi: 10.1002/1097-0142(20010701)92:13.0.co;2-k. — View Citation

Kirova YM, Gambotti L, De Rycke Y, Vilcoq JR, Asselain B, Fourquet A. Risk of second malignancies after adjuvant radiotherapy for breast cancer: a large-scale, single-institution review. Int J Radiat Oncol Biol Phys. 2007 Jun 1;68(2):359-63. doi: 10.1016/j.ijrobp.2006.12.011. Epub 2007 Mar 26. — View Citation

Sheth GR, Cranmer LD, Smith BD, Grasso-Lebeau L, Lang JE. Radiation-induced sarcoma of the breast: a systematic review. Oncologist. 2012;17(3):405-18. doi: 10.1634/theoncologist.2011-0282. Epub 2012 Feb 14. — View Citation

Trent II JC 2nd, Benjamin RS, Valero V. Primary soft tissue sarcoma of the breast. Curr Treat Options Oncol. 2001 Apr;2(2):169-76. doi: 10.1007/s11864-001-0059-8. — View Citation

Yap J, Chuba PJ, Thomas R, Aref A, Lucas D, Severson RK, Hamre M. Sarcoma as a second malignancy after treatment for breast cancer. Int J Radiat Oncol Biol Phys. 2002 Apr 1;52(5):1231-7. doi: 10.1016/s0360-3016(01)02799-7. — View Citation

Outcome

Type Measure Description Time frame Safety issue
Primary Treatments received for breast sarcoma To describe treatment that patient diagnosed with breast sarcoma, received At diagnosis (baseline) and after 6, 12, 18, 24, 36, 48 and 60 weeks
Primary Number of patients with primary breast sarcoma Number of patient with a diagnosis of primary breast sarcoma Through study inclusion period, an average of 20 years
Secondary Number of patients with primary breast sarcoma symptoms Number of patients with primary breast sarcoma symptoms Through study inclusion period, an average of 20 years
Secondary Local-regional Relapse Free Survival (LRFS) Time elapsed form the treatment (any) start and the onset of Local-regional relapse Every 3 months (Month 3, Month 6, Month 9...) up to 5 years
Secondary Progression Free Survival (PFS) Time elapsed form the treatment (any) start and the onset of progression Every 3 months (Month 3, Month 6, Month 9...) up to 5 years
Secondary Overall Survival (OS) Time elapsed for the diagnosis to the death for any cause at 5 years
Secondary Median time of secondary breast sarcoma presentation To define the median time to secondary sarcoma presentation Up to 3 years
Secondary Impact of upfront multidisciplinary tumor board consultation To describe the impact of upfront multidisciplinary tumor board consultation on outcomes Up to 3 years