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Predicting recurrence after radiotherapy in Ewing s sarcoma

Relapse After Definitive Radiotherapy in Ewing s Sarcoma: A Predictive Nomogram - ENDORSE

Status
Active, not recruiting
Phases
Unknown
Study type
Observational
Source
CTRI
Registry ID
CTRI/2026/04/108333
Enrollment
250
Registered
2026-04-13
Start date
Unknown
Completion date
Unknown
Last updated
2026-04-27

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Health Condition 1: C419- Malignant neoplasm of bone and articular cartilage, unspecified

Interventions

Intervention1: Nil: Nil Intervention2: Nil: Nil Intervention3: Nil: Nil Intervention4: Nil: Nil Intervention5: Nil: Nil

Sponsors

Tata Memorial Hospital
Lead Sponsor

Eligibility

Inclusion criteria

Inclusion criteria: Histologically confirmed Ewing sarcoma of bone or soft tissue Treated with definitive radiotherapy to the primary tumor with curative intent Treatment received at TMH or ACTREC between 2000 and 2023 Minimum 6 months follow-up data available

Exclusion criteria

Exclusion criteria: Patients receiving palliative radiotherapy only Incomplete treatment or missing follow-up data after radiotherapy Patients with relapsed disease before definitive radiotherapy Patients with syndromic cancer predisposition or concurrent malignancies affecting outcome analysis

Design outcomes

Primary

MeasureTime frame
Event-Free Survival EFS following definitive radiotherapy in Ewing s sarcoma. EFS is defined as the time from initial definitive treatment end of primary therapy to the occurrence of any failure event tumor relapse or progression or death from any cause. The primary aim of the study is to identify significant prognostic factors associated with postRT EFS and to integrate them into a multivariable prognostic nomogram for relapse riskTimepoint: Event-Free Survival EFS following definitive radiotherapy in Ewing s From completion of definitive radiotherapy up to 5 years (primary analysis at 3 years)

Secondary

MeasureTime frame
Local control LC,Overall Survival OS and patterns of failure in this cohort. Local control will be measured from the time from initial definitive treatment end of primary therapy to local relapse. OS will be measured from time from initial definitive treatment end of primary therapy to death or last followup censored. We will document the pattern of relapse local vs. distant, or both for each patient to facilitate subset analyses e.g. comparing outcomes for isolated local relapse vs. systemic relapse. These secondary objectives will provide additional context for the nomogram for instance, by correlating the nomogram risk score with OS, and examining local control rates.Timepoint: Local control will be measured from the time from initial definitive treatment (end of primary therapy) to local relapse. OS will be measured from time from initial definitive treatment (end of primary therapy) to death or last follow-up (censored). Overall survival at 1, 3 and 5 years. Pattern of relapse recorded during follow up up to 5 years.

Countries

India

Contacts

Public ContactDr Jifmi Jose Manjali

Tata Memorial Centre Parel Mumbai

jifmijosemanjali@gmail.com7045714838

Outcome results

None listed

Source: CTRI (via WHO ICTRP) · Data processed: May 1, 2026