Osteosarcoma and Ewing's Sarcoma MedDRA version: 20.0 Level: PT Classification code 10023676 Term: Lactic acidosis System Organ Class: 10027433 - Metabolism and nutrition disorders MedDRA version: 20.1 Level: LLT Classification code 10000491 Term: Acidosis lactic System Organ Class: 10027433 - Metabolism and nutrition disorders
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: - Age = 14 years - Patients with localized osteosarcoma with necrosis = 60% at the end of postoperative chemotherapy (within 45 days) - Patients with osteosarcoma or Ewing's Sarcoma made disease-free after the first relapse (within 45 days of surgery or chemotherapy) - Patients not included in other protocols - Patients who can swallow - Screening within 30 days after the end of chemotherapy (or relapse surgery). - Start of treatment within 30 minutes after screening - Normal renal function (creatinine 60) and liver function (serum bilirubin =65 years) no F.1.3.1 Number of subjects for this age range
Exclusion criteria
Exclusion criteria: - Type I or II diabetes - Patient with metastatic disease - Patients with kidney failure of any degree - Patient who does not meet the inclusion criteria
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: Evaluation of EFS (Event Free Survival) in patients with osteosarcoma and Ewing's Sarcoma at high risk of relapse compared to that found in historical controls.;Secondary Objective: Evaluate metformin toxicity (blood tests, clinical evaluation), compliance of therapy with EORTC QLQ C-30 questionnaire for adults based on age.;Primary end point(s): - In cohort 1 (localized osteosarcomas with poor necrosis) increase EFS to 3 years from 35% (personal case references) to 60%. - In cohort 2 (patients made disease-free after relapse both osteosarcomas and Ewing's sarcomas) increase Post Relapse Disease Free Survival (PRDFS) to 1 year after achieving complete post- relapse remission from 20% (historical references) to 45%.;Timepoint(s) of evaluation of this end point: 3 years | — |
Countries
Italy
Contacts
IRCCS Istituto Ortopedico Rizzoli