Please note that the copy function is not enabled for this field.
If you wish to
modify
existing outcomes, please copy and paste the current outcome text into the Update field.
LOGIN
CREATE ACCOUNT
MY TRIALS
LOGIN
CREATE ACCOUNT
MY TRIALS
REGISTER TRIAL
FAQs
HINTS AND TIPS
DEFINITIONS
Register a trial
The ANZCTR website will be unavailable from 1pm until 3pm (AEDT) on Wednesday the 30th of October for website maintenance. Please be sure to log out of the system in order to avoid any loss of data.
The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been endorsed by the ANZCTR. Before participating in a study, talk to your health care provider and refer to this
information for consumers
Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT03944798
Additional trial details provided through ANZCTR are available at the end of this record.
Registration number
NCT03944798
Ethics application status
Date submitted
7/05/2019
Date registered
10/05/2019
Titles & IDs
Public title
Surveillance AFter Extremity Tumor surgerY
Query!
Scientific title
Surveillance AFter Extremity Tumor surgerY (SAFETY) International Randomized Controlled Trial
Query!
Secondary ID [1]
0
0
GHRT02
Query!
Universal Trial Number (UTN)
Query!
Trial acronym
SAFETY
Query!
Linked study record
Query!
Health condition
Health condition(s) or problem(s) studied:
Soft Tissue Sarcoma
0
0
Query!
Lung Metastases
0
0
Query!
Condition category
Condition code
Cancer
0
0
0
0
Query!
Sarcoma (also see 'Bone') - soft tissue
Query!
Cancer
0
0
0
0
Query!
Bone
Query!
Intervention/exposure
Study type
Interventional
Query!
Description of intervention(s) / exposure
Other interventions - Frequency: Every 3 Months
Other interventions - Frequency: Every 6 Months
Other interventions - Imaging Modality: Chest Radiograph (CXR)
Other interventions - Imaging Modality: Chest CT
Active comparator: Surveillance Arm I - Clinical assessment and chest radiograph (CXR) every six months for two years
Experimental: Surveillance Arm II - Clinical assessment and CXR every three months for two years
Experimental: Surveillance Arm III - Clinical assessment and chest computed tomography (CT) every six months for two years
Experimental: Surveillance Arm IV - Clinical assessment and chest CT every three months for two years
Other interventions: Frequency: Every 3 Months
every 3 months
Other interventions: Frequency: Every 6 Months
every 6 months
Other interventions: Imaging Modality: Chest Radiograph (CXR)
Chest radiograph (CXR)
Other interventions: Imaging Modality: Chest CT
Chest computed tomography (CT)
Query!
Intervention code [1]
0
0
Other interventions
Query!
Comparator / control treatment
Query!
Control group
Query!
Outcomes
Primary outcome [1]
0
0
Overall Survival
Query!
Assessment method [1]
0
0
as measured by death from any cause.
Query!
Timepoint [1]
0
0
5 years
Query!
Secondary outcome [1]
0
0
Patient Anxiety
Query!
Assessment method [1]
0
0
The PROMIS® Cancer-Anxiety instrument assesses self-reported fear (fearfulness, panic), anxious misery (worry, dread), hyperarousal (tension, nervousness, restlessness), and somatic symptoms related to arousal (racing heart, dizziness). The PROMIS® Cancer-Anxiety instrument is a computer adaptive test. A minimum of 4 questions must be answered. One's responses will guide the system's choice of the next question. The test will continue until either the standard error drops below a specified level or the participant has answered the maximum number of 12 questions (whichever comes first). Each question has 5 response options ranging in value from 1 to 5. To find the raw score, sum the values of the response to each question. The lowest possible raw score is 4 and the highest is 60. The raw score will then be converted into a standardized T-score for each participant using the applicable conversion table. A higher T-score represents a higher degree of anxiety.
Query!
Timepoint [1]
0
0
5 years
Query!
Secondary outcome [2]
0
0
Patient Satisfaction
Query!
Assessment method [2]
0
0
The PROMIS® Satisfaction with Social Roles \& Activities instrument assesses satisfaction with performing one's usual social roles and activities (e.g., 'I am satisfied with my ability to participate in family activities'). This instrument is a computer adaptive test. A minimum of 4 questions must be answered. One's response will guide the system's choice of the next question. The test will continue until either the standard error drops below a specified level or the participant has answered the maximum number of 12 questions (whichever comes first). Each question has 5 response options ranging in value from 1 to 5. To find the raw score, sum the values of the response to each question. The lowest possible raw score is 4 and the highest possible raw score is 60. The raw score will then be converted into a standardized T-score for each participant using the applicable conversion table. A higher T-score represents a higher degree of satisfaction.
Query!
Timepoint [2]
0
0
5 years
Query!
Secondary outcome [3]
0
0
Patient Quality-of-Life
Query!
Assessment method [3]
0
0
The validated EuroQol-5 Dimension 5-level (EQ-5D-5L) questionnaire measures generic health status and consists of 2 sections: the descriptive system and the Visual Analogue Scale (VAS). The descriptive system is comprised of 5 dimensions (mobility, self care, usual activities, pain / discomfort and anxiety / depression). Each question has 5 response options ranging in value from 1 to 5. To find the raw score, sum the values of the response to each question. The lowest possible raw score is 5 and the highest is 25. A lower raw score in the descriptive system represents fewer issues with each of the 5 domains. The VAS records a participant's self-rated health from 0 to 100 on a vertical VAS with endpoints labeled '100 - the best health you can imagine' and '0 - the worst health you can imagine'. The participant is asked to mark an 'X' on the scale and write the corresponding number, which is this section's raw score.
Query!
Timepoint [3]
0
0
5 years
Query!
Secondary outcome [4]
0
0
Local Recurrence-Free Survival
Query!
Assessment method [4]
0
0
As measured by the length of time from the time of randomization that the participant survives with no detection of recurrent disease at the initial tumor site or operative field.
Query!
Timepoint [4]
0
0
5 years
Query!
Secondary outcome [5]
0
0
Metastasis-Free Survival
Query!
Assessment method [5]
0
0
As measured by as the length of time from the time of randomization that the participant survives with no detection of systemic disease recurrence at any anatomic location.
Query!
Timepoint [5]
0
0
5 years
Query!
Secondary outcome [6]
0
0
Treatment-Related Complications
Query!
Assessment method [6]
0
0
Will include both chemotherapy-related complications, such as febrile neutropenia, fungal infections or sepsis, and thoracotomy-related complications, such as pneumothorax or surgical site infections.
Query!
Timepoint [6]
0
0
5 years
Query!
Secondary outcome [7]
0
0
Net Healthcare Costs
Query!
Assessment method [7]
0
0
Will include both the net costs of surveillance and costs incurred from metastasis treatment and metastasis treatment-related complications.
Query!
Timepoint [7]
0
0
5 years
Query!
Eligibility
Key inclusion criteria
* The patient is 18 years of age or older;
* The patient has been diagnosed with a primary extremity grade II or III soft-tissue sarcoma (STS);
* The patient has undergone surgical excision of the tumor with curative intent and with no evidence of gross residual disease based on the pathology report;
* The patient has completed all planned neoadjuvant or adjuvant radiation and / or chemotherapy, if applicable;
* The tumor size is greater than or equal to (=) five centimeters according to the pathology report or based on the pre-treatment MRI if neoadjuvant radiation and / or chemotherapy are given; and
* The patient provides informed consent.
Query!
Minimum age
18
Years
Query!
Query!
Maximum age
No limit
Query!
Query!
Sex
Both males and females
Query!
Can healthy volunteers participate?
No
Query!
Key exclusion criteria
* The patient has metastases at initial presentation based on the radiology report of the initial thoracic imaging†;
* The patient has recently undergone surgical excision of a local recurrence;
* The patient has been diagnosed with one of the special sub-types, myxoid / round cell liposarcoma or extra-skeletal Ewing's sarcoma*;
* The patient has been previously diagnosed with a genetic syndrome with an elevated risk of malignancy, such as Li-Freumeni Syndrome‡;
* The patient has been previously diagnosed with a co-morbid condition that has a life expectancy of less than (<) one year;
* The site-specific surveillance protocol for the patient's disease is not compatible with the study protocol (i.e., regular planned whole-body imaging with positron emission tomography [PET] scans);
* Likely problems, in the judgment of the investigator, with the patient maintaining follow-up (with the specific reasoning requiring approval of the Methods Center);
* The patient is currently enrolled in a study that does not permit co-enrolment; and
* The patient has already been enrolled in the SAFETY trial.
* A second CT scan may be required to confirm that indeterminate nodules are false positives before the patient can be enrolled (provided that the second CT scan shows no evidence of metastatic disease);
* Myxoid liposarcoma and extra-skeletal Ewing's sarcoma have different metastatic patterns, which necessitate different surveillance protocols;
* Individuals with Li-Freumeni Syndrome, or other genetic syndromes with an elevated risk of malignancy, appear to be at an elevated risk for radiation-induced cancers, so the use of CT scans should be limited.
Query!
Study design
Purpose of the study
Prevention
Query!
Allocation to intervention
Randomised controlled trial
Query!
Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Query!
Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Query!
Masking / blinding
Blinded (masking used)
Query!
Who is / are masked / blinded?
The people assessing the outcomes
Query!
Query!
Query!
Query!
Intervention assignment
Factorial
Query!
Other design features
Query!
Phase
NA
Query!
Type of endpoint/s
Query!
Statistical methods / analysis
Query!
Recruitment
Recruitment status
Recruiting
Query!
Data analysis
Query!
Reason for early stopping/withdrawal
Query!
Other reasons
Query!
Date of first participant enrolment
Anticipated
Query!
Actual
19/11/2019
Query!
Date of last participant enrolment
Anticipated
Query!
Actual
Query!
Date of last data collection
Anticipated
1/12/2030
Query!
Actual
Query!
Sample size
Target
200
Query!
Accrual to date
Query!
Final
Query!
Recruitment in Australia
Recruitment state(s)
Melbourn
Query!
Recruitment hospital [1]
0
0
St. Vincent's Hospital Melbourne - Fitzroy
Query!
Recruitment postcode(s) [1]
0
0
3065 - Fitzroy
Query!
Recruitment outside Australia
Country [1]
0
0
United States of America
Query!
State/province [1]
0
0
California
Query!
Country [2]
0
0
United States of America
Query!
State/province [2]
0
0
Connecticut
Query!
Country [3]
0
0
United States of America
Query!
State/province [3]
0
0
Florida
Query!
Country [4]
0
0
United States of America
Query!
State/province [4]
0
0
Indiana
Query!
Country [5]
0
0
United States of America
Query!
State/province [5]
0
0
Iowa
Query!
Country [6]
0
0
United States of America
Query!
State/province [6]
0
0
New York
Query!
Country [7]
0
0
United States of America
Query!
State/province [7]
0
0
Ohio
Query!
Country [8]
0
0
United States of America
Query!
State/province [8]
0
0
Oregon
Query!
Country [9]
0
0
United States of America
Query!
State/province [9]
0
0
Texas
Query!
Country [10]
0
0
United States of America
Query!
State/province [10]
0
0
Utah
Query!
Country [11]
0
0
United States of America
Query!
State/province [11]
0
0
Virginia
Query!
Country [12]
0
0
Argentina
Query!
State/province [12]
0
0
Buenos Aires
Query!
Country [13]
0
0
Austria
Query!
State/province [13]
0
0
Graz
Query!
Country [14]
0
0
Brazil
Query!
State/province [14]
0
0
Porto Alegre
Query!
Country [15]
0
0
Canada
Query!
State/province [15]
0
0
Nova Scotia
Query!
Country [16]
0
0
Canada
Query!
State/province [16]
0
0
Ontario
Query!
Country [17]
0
0
Canada
Query!
State/province [17]
0
0
Quebec
Query!
Country [18]
0
0
Italy
Query!
State/province [18]
0
0
Turin
Query!
Country [19]
0
0
Netherlands
Query!
State/province [19]
0
0
Leiden
Query!
Funding & Sponsors
Primary sponsor type
Other
Query!
Name
McMaster University
Query!
Address
Query!
Country
Query!
Other collaborator category [1]
0
0
Other
Query!
Name [1]
0
0
Hamilton Academic Health Sciences Organization
Query!
Address [1]
0
0
Query!
Country [1]
0
0
Query!
Ethics approval
Ethics application status
Query!
Summary
Brief summary
Following treatment for a primary extremity sarcoma, patients remain at risk for the development of local and systemic disease recurrence. Metastasis (distant recurrence) to the lung is the most frequent single location of disease recurrence in sarcoma patients, occurring in almost half of all patients. Therefore, careful post-operative surveillance is an integral element of patient care. However, the detection of metastases does not necessarily affect long-term survival and may negatively impact quality of life. Surveillance strategies have not been well researched and have been identified as the top research priority in the extremity sarcoma field. Using a 2X2 factorial design to maximize efficiency and reduce overall trial costs, the SAFETY trial will randomize 830 extremity soft-tissue sarcoma (STS) patients to determine the effect of surveillance strategy on overall patient survival after surgery for a STS of the extremity by comparing the effectiveness of both surveillance frequency (every 3 vs. every 6 months) and imaging modality (CT scans vs. chest radiographs).
Query!
Trial website
https://clinicaltrials.gov/study/NCT03944798
Query!
Trial related presentations / publications
SAFETY Investigators. The Surveillance After Extremity Tumor Surgery (SAFETY) trial: protocol for a pilot study to determine the feasibility of a multi-centre randomised controlled trial. BMJ Open. 2019 Sep 18;9(9):e029054. doi: 10.1136/bmjopen-2019-029054.
Query!
Public notes
Query!
Contacts
Principal investigator
Name
0
0
Michelle Ghert, MD
Query!
Address
0
0
McMaster University
Query!
Country
0
0
Query!
Phone
0
0
Query!
Fax
0
0
Query!
Email
0
0
Query!
Contact person for public queries
Name
0
0
Hadia Farrukh
Query!
Address
0
0
Query!
Country
0
0
Query!
Phone
0
0
(905) 521-2100
Query!
Fax
0
0
Query!
Email
0
0
[email protected]
Query!
Contact person for scientific queries
Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
Undecided
Query!
No/undecided IPD sharing reason/comment
Query!
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT03944798
Additional trial details provided through ANZCTR
Accrual to date
71
Recruiting in Australia
Recruitment state(s)
VIC
Recruitment hospital [1]
36
St Vincent's Hospital (Melbourne) Ltd
Recruitment postcode(s) [1]
41
3065
Funding & Sponsors
Primary sponsor
Hospital
Primary sponsor name
Hamilton Academic Health Sciences Organisation (HAHSO)
Primary sponsor address
HAHSO
c/o McMaster University
HSC-2E22, 1280 Main St. W.
Hamilton, ON L8S 4K1
Canada.
Primary sponsor country
Canada
Secondary sponsor category [1]
53
Charities/Societies/Foundations
Name [1]
53
Canadian Cancer Society Research Institute (CCSRI)
Address [1]
53
Suite 300, 55 St. Claire Avenue W. Toronto, Ontario. M4V 2Y7 Canada.
Country [1]
53
Canada
Ethics approval
Ethics application status
Approved
Ethics committee name [1]
32
HiREB: Hamilton Integrated Research Ethics Board
Address [1]
32
293 Wellington Street North Suite 120 Hamilton, Ontario. Canada. L8L 8E7
Country [1]
32
Canada
Date submitted for ethics approval [1]
32
Approval date [1]
32
27/08/2019
Ethics approval number [1]
32
Project Number: 7562
Ethics committee name [2]
33
St Vincent's HREC
Address [2]
33
Research Governance Unit St Vincent's Hospital, Melbourne. 41 Victoria Parade Fitzroy VIC 3065. PO Box 2900 Fitzroy VIC 3065.
Country [2]
33
Date submitted for ethics approval [2]
33
29/03/2021
Approval date [2]
33
19/10/2021
Ethics approval number [2]
33
Project ID: 72769, HREC: 085/21
Public notes
Contacts
Principal investigator
Title
269
0
Prof
Query!
Name
269
0
Peter Choong
Query!
Address
269
0
Department of Surgery I St Vincent’s Hospital Melbourne Level 2, Clinical Sciences Building 29 Regent Street, Fitzroy 3065, Victoria, Australia
Query!
Country
269
0
Australia
Query!
Phone
269
0
+61392312364
Query!
Fax
269
0
+61392312131
Query!
Email
269
0
[email protected]
Query!
Contact person for public queries
Title
270
0
Mrs
Query!
Name
270
0
Angela Cochrane
Query!
Address
270
0
Department of Surgery, St Vincent's Hospital, level 3, Daly Wing 35 Victoria Parade, Fitzroy. Victoria, 3065. Australia
Query!
Country
270
0
Australia
Query!
Phone
270
0
+61392312364
Query!
Fax
270
0
+61392312131
Query!
Email
270
0
[email protected]
Query!
Contact person for scientific queries
Title
271
0
Ms
Query!
Name
271
0
Tricia Schneider
Query!
Address
271
0
McMaster University
Query!
Country
271
0
Canada
Query!
Phone
271
0
Query!
Fax
271
0
Query!
Email
271
0
[email protected]
Query!