C49
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Patients with biopsy-confirmed soft tissue sarcoma. 2. Planned multimodal first-line systemic therapy consisting of chemotherapy and regional deep hyperthermia.
Exclusion criteria
Exclusion criteria: Severe anemia, intensive care stay, unstable circulation, dementia patients, pregnant or breastfeeding women, minors, patients unable to provide consent, emergency patients, patients under legal guardianship, immunosuppressed patients, prior chemotherapy, active uncontrolled additional disease.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Detection of immune signatures/biomarkers under multimodal systemic therapy: Patients undergoing treatment for a soft tissue sarcoma will have peripheral venous blood drawn (a maximum total volume of 27 ml per collection) before and during multimodal therapy (before each cycle of hyperthermia/chemotherapy) and postoperatively. Additional study-related visits outside routine clinical care are not planned. Whenever possible, blood collection should be integrated into routine blood draws to avoid additional punctures. The study follows the "prospective-specimen-collection, retrospective-blinded-evaluation (PRoBE) design," which has been specifically developed for biomarker research. In this design, samples are prospectively collected from the target population for which the biomarker is intended. The samples and clinical data are initially archived without knowledge of disease progression. Once the disease course is determined at the end of the study period and a sufficient number of patients can be assigned to individual groups, the pseudonymized samples are quantified in a blinded manner. Subsequently, the samples are unblinded and assigned to the respective groups for further statistical analysis. Analysis Methods for Blood and Blood Components: - Analysis of PBMCs from venous blood - Single-cell genomics/Single-cell RNA sequencing (scRNA-seq) to identify and quantify specific molecular signatures associated with response to multimodal therapy - Detection of tumor-specific translocations (e.g., quantitative PCR, digital droplet PCR, next-generation sequencing, etc.) - Sequencing of tumor-specific point mutations (e.g., Sanger sequencing, next-generation sequencing) - Whole circulating DNA sequencing (next-generation sequencing) to identify additional tumor-specific alterations such as copy number alterations - Analysis of epigenetic modifications | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Comparison of the obtained immune signatures/biomarkers with radiologic response to multimodal therapy. 2. Comparison of the obtained immune signatures/biomarkers with histopathologic response to multimodal therapy. 3. Analysis of the obtained immune signatures/biomarkers with regard to prognosis after multimodal therapy. | — |
Countries
Germany
Contacts
LMU Klinikum