At a glance
ClinicalIndex Comparison Record- ✓Histologically confirmed soft tissue sarcoma (STS): high-grade extremity STS ≥10 cm or multifocal, or truncal/head-neck STS ≥10 cm or any size without surgical margin options; primary site controlled by surgery/radiotherapy
- ✓Osteosarcoma: extremity OS post-neoadjuvant chemotherapy/surgery with <50% necrosis AND elevated LDH/alkaline phosphatase (>2× normal at presentation); or axial/metastatic OS in CR/PR after chemotherapy/surgery
- ✓Ewing's sarcoma or PNET: primary site in CR/PR after prior therapy, OR rib/pelvic/axial primary ≥10 cm, OR metastatic disease in CR/PR
- ✓Rhabdomyosarcoma: gross residual disease after primary treatment, OR primary group IV/recurrent metastatic disease in CR/PR
- ✕Brain metastases
- ✕Histologically confirmed bone marrow metastases (prior metastases allowed if bone marrow clear at entry)
- ✕Contraindication to stem cell collection or autologous bone marrow harvest
- ✕Hearing loss >40 decibels
Standardized by ClinicalIndex from the ClinicalTrials.gov record · verify against the source.
High-Dose Doxorubicin and Ifosfamide Followed by Melphalan and Cisplatin for Patients With High-Risk and Recurrent Sarcoma
In Brief
A Phase 2 clinical trial evaluating filgrastim, cisplatin, and 4 other interventions for Sarcoma. Completed, enrolled 13 participants across 1 site.
Detailed Summary
RATIONALE: Drugs used in chemotherapy use different ways to stop tumor cells from dividing so they stop growing or die. Combining more than one drug and combining chemotherapy with peripheral stem cell transplantation may allow the doctor to give higher doses of chemotherapy drugs and kill more tumor cells. PURPOSE: Phase II trial to study the effectiveness of high-dose combination chemotherapy and peripheral stem cell transplantation in treating patients who have advanced or recurrent sarcoma.
Study Details
Timeline
Interventions
5 ug/kg daily following stem cell reinfusion
Course 2 - 100 mg/m2 at an infusion rate of 25 mg/hr
Course 1 - 150 mg/m2 by continuous intravenous infusion for 96 hours.
Course 1 - 14 gm/M2 by continuous intravenous infusion for 96 hours.
Course 2 - 75 mg/m2 infused at a rate of 5 mg/minute
Administered on Day 0 following high-dose chemotherapy in both courses 1 and 2