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Trial Title: Single High-dose Brachytherapy for Giant Osteosarcoma Masses

NCT ID: NCT06524778

Condition: Osteosarcoma

Conditions: Official terms:
Osteosarcoma

Conditions: Keywords:
brachytherapy
high-dose
osteosarcoma

Study type: Interventional

Study phase: Phase 2

Overall status: Not yet recruiting

Study design:

Allocation: N/A

Intervention model: Single Group Assignment

Intervention model description: Single dose high-dose (10Gy)implantable brachytherapy

Primary purpose: Treatment

Masking: None (Open Label)

Intervention:

Intervention type: Radiation
Intervention name: brachytherapy
Description: Patients with locally unresectable giant osteosarcoma masses who meet the criteria are enrolled in the experimental group, and all patients receive a single dose of 10Gy of implantable brachytherapy. Record treatment-related acute events during and after treatment. Follow up on survival and local control after treatment ends, marking the end of the trial treatment.
Arm group label: brachytherapy

Summary: This study is a prospective, single-arm, phase II, single-center study. Patients with locally unresectable giant osteosarcoma masses who meet the criteria are enrolled in the experimental group, and all patients receive a single dose of 10Gy of implantable brachytherapy. Record treatment-related acute events during and after treatment. Follow up on survival and local control after treatment ends, marking the end of the trial treatment.

Detailed description: Screening period: Local MRI or CT examination, blood routine and coagulation function test. Selected treatment period: All enrolled patients received one dose of close range interstitial radiotherapy with a radiation dose of 10 Gy. The number of insertion needles depends on the size and location of the tumor. The instrument used for radiotherapy is the Medda high-dose rate brachytherapy machine, and the radiation source is 192 iridium. Record treatment related acute events such as bleeding during the treatment period. Follow up: Follow up with local MRI or CT at 1 month, 3 months, 6 months, and 1 year after the end of radiotherapy treatment to evaluate the treatment effect; Simultaneously follow up with patients for survival and treatment related adverse reactions, such as dermatitis, infections, etc.

Criteria for eligibility:
Criteria:
Inclusion Criteria: 1. Pathological diagnosis of osteosarcoma; 2. Age range 12-70 years old; 3. The primary or metastatic lesion cannot be surgically removed based on clinical evaluation, and treatment with internal medicine multi line chemotherapy, targeted therapy, immunotherapy, etc. is ineffective; 4. ECOG physical fitness status is 0-1 points; 5. According to RECIST version 1.1 standard, there must be at least one evaluable target lesion with a mass length diameter greater than 5cm; 6. Sign a written informed consent form before conducting any experimental activities; 7. Researchers determine that they are able to comply with the research protocol; 8. Patients who are willing and able to comply with visit arrangements, treatment plans, laboratory tests, and other research procedures. Exclusion Criteria: 1. Local mass previously received radiation therapy; 2. Major surgery ≤ 4 weeks before enrollment; 3. Previous or concurrent malignant tumors (excluding malignant tumors that have been cured and have a cancer free survival of more than 5 years, such as basal cell carcinoma of the skin and papillary thyroid carcinoma); 4. Pregnant or lactating women; 5. Active pulmonary tuberculosis.

Gender: All

Minimum age: 12 Years

Maximum age: 70 Years

Healthy volunteers: No

Start date: August 30, 2024

Completion date: June 30, 2027

Lead sponsor:
Agency: Shanghai Jiao Tong University Affiliated Sixth People's Hospital
Agency class: Other

Source: Shanghai Jiao Tong University Affiliated Sixth People's Hospital

Record processing date: ClinicalTrials.gov processed this data on November 12, 2024

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT06524778

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