patients with high grade primary bone sarcoma except for Ewing sarcoma over 41
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Untreated case with a histological diagnosis of grade 2 or 3 (FNCLCC histological grading system) primary bone sarcoma except for Ewing sarcoma aged over 41 using open biopsy specimen. 2. 10 or more unstained tumor tissue slides are available 3. Resectable tumor 4. Measurable lesion on MRI axial section 5. ECOG performance status 0 or 1 6. Age between 20 and 70 years 7. No metastasis 8. Sufficient organ function with following condition; 1)Neutrophil count>1500/mm3 2)Platelet count>10x104/mm3 3)Hemoglobin>8.0g/dl 4)Alanine aminotransferase, Asparate aminotransferase <2.5 ULN (upper limit of normal) 5)Blood Bilirubin<1.5mg/dl 6)Creatinine<1.5mg/dl 7)CCr>60ml/min 8)No abnormal ECG findings 9)Written informed consent
Exclusion criteria
Exclusion criteria: 1) Severe comorbid illness 2) Active infection 3) Synchronous or metachronous (within 5 years) malignancies 4) History of chemotherapy using ADR and/or IFO 5) Poorly renal or bladder function 6) Severe myelosuppression 7) Abnormal heart function 8) Patients having a pacemaker 9) Patients requiring pentostatin 10) Women in pregnant, possibly pregnant or breast feeding 11) Patients requiring systemic steroid medication 12) Psychiatric disease 13) Positive HBs antigen, HBs antibody, or HBc antibody
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 3-year progression- free survival | — |
Secondary
| Measure | Time frame |
|---|---|
| Proportion of completion of preoperative chemotherapy without progression disease, 5-year progression- free survival, progression- free survival, overall survival, disease progression rate, preoperative progression rate, adverse event, postoperative complication rate, the ratio of the patients who were performed limb sparing surgery, function of postoperative limb | — |
Countries
Japan
Contacts
Gifu University school of medicine The department of Orthopaedic surgery