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Trial registered on ANZCTR
Registration number
ACTRN12624000554561
Ethics application status
Approved
Date submitted
18/04/2024
Date registered
1/05/2024
Date last updated
8/09/2024
Date data sharing statement initially provided
1/05/2024
Type of registration
Prospectively registered
Titles & IDs
Public title
Prospective Study Evaluating The Treatment Outcomes For Localised Recurrent, Resectable Retroperitoneal Liposarcoma
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Scientific title
Prospective Study Evaluating The Treatment Outcomes For Localised Recurrent, Resectable Retroperitoneal Liposarcoma in adults.
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Secondary ID [1]
311988
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X23-0316
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Universal Trial Number (UTN)
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Trial acronym
ReLaPSe
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Retroperitoneal Liposarcoma (LPS)
333603
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Condition category
Condition code
Cancer
330287
330287
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0
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Sarcoma (also see 'Bone') - soft tissue
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Intervention/exposure
Study type
Observational
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Patient registry
False
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Target follow-up duration
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Target follow-up type
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Description of intervention(s) / exposure
Group 1: Surgery with preoperative radiotherapy (RT) (can include any chemotherapy).
This study is collecting participant data prospectively from hospital medical records. Participant details regarding diagnosis, treatments, outcomes, complications and survival status will be captured after patients are enrolled into the study and at specific time points though out the study. Participants will also be asked to complete quality of life questionnaires called the EORTC QLQ-C30 and the QLQ-STO22 at 4 or 5 different time points which will take 15-20 minutes to complete. The overall duration of observation is from time of enrolment for 5 years.
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Intervention code [1]
328448
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Not applicable
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Comparator / control treatment
Group 2: Surgery without preoperative radiotherapy (can include surgery alone, surgery with postoperative radiotherapy and/or any chemotherapy).
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Control group
Active
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Outcomes
Primary outcome [1]
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Abdominopelvic recurrence-free survival (ARFS). Liver metastases will be regarded as distant metastatic events, rather than abdominopelvic relapse.
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Assessment method [1]
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CT-scan or MRI scan.
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Timepoint [1]
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Post-treatment and at every 3-6 month follow up visit (according to institutional guidelines) for a total of 5 years.
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Secondary outcome [1]
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Overall survival Causes of death will be recorded.
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Assessment method [1]
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This outcome will be assessed by checking the participant's medical records.
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Timepoint [1]
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Every 3-6 months post treatment follow up visit (according to institutional guidelines) for a total of 5 years.
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Secondary outcome [2]
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Cumulative incidence of 2nd local recurrence
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Assessment method [2]
434178
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CT-scan or MRI
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Timepoint [2]
434178
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Post-treatment and at every 3-6 month follow up visit (according to institutional guidelines) for a total of 5 years.
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Secondary outcome [3]
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Cumulative incidence of distant metastases
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Assessment method [3]
434179
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CT-scan or MRI
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Timepoint [3]
434179
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Post-treatment and at every 3-6 month follow up visit (according to institutional guidelines) for a total of 5 years.
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Secondary outcome [4]
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Cumulative incidence of in-field relapse for those who had preoperative RT
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Assessment method [4]
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CT-scan or MRI
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Timepoint [4]
434180
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Post-treatment and at every 3-6 month follow up visit (according to institutional guidelines) for a total of 5 years.
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Secondary outcome [5]
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Pathological response
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Assessment method [5]
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EORTC-STBSG criteria
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Timepoint [5]
434181
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Post-treatment and at every 3-6 month follow up visit (according to institutional guidelines) for a total of 5 years.
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Secondary outcome [6]
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Radiology response to preoperative RT.
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Assessment method [6]
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CT-scan or MRI
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Timepoint [6]
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At baseline and after preoperative radiotherapy (within 2 weeks of surgery)
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Secondary outcome [7]
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Local disease progression rendering disease no longer operable.
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Assessment method [7]
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CT-scan or MRI
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Timepoint [7]
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Post-treatment and at every 3-6 month follow up visit (according to institutional guidelines) for a total of 5 years.
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Secondary outcome [8]
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Distant disease progression during preoperative RT
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Assessment method [8]
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CT-scan or MRI scan
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Timepoint [8]
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Post-treatment and at every 3-6 month follow up visit (according to institutional guidelines) for a total of 5 years.
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Secondary outcome [9]
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Toxicity of preoperative RT.
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Assessment method [9]
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Data linkage to medical records
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Timepoint [9]
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This will be recorded weekly during the course of RT as per standard of care, and one week prior to surgery
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Secondary outcome [10]
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Surgical complication
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Assessment method [10]
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Data linkage to medical records
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Timepoint [10]
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At each visit post-surgery up to 60 days post-surgery
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Secondary outcome [11]
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Patient reported quality of life assessment
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Assessment method [11]
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EORTC QLQ-C30 v3.0 and QLQ-STO22 validated assessment tools.
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Timepoint [11]
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At registration, during the last week of RT treatment (preoperative RT patients only), within 2 weeks prior to surgery (for the preoperative RT patients), 3 months and 12 months post-surgery
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Eligibility
Key inclusion criteria
1. Aged 18 years or older presenting with first recurrent well-differentiated and/or dedifferentiated liposarcoma of retroperitoneal space or pelvis after previous macroscopically complete resection (R0/R1 resection)
2. No distant metastasis on cross-sectional imaging of chest/abdomen/pelvis (CT and/or MRI) within 1 month to confirm the absence of metastatic disease
3. Previous histologically proven well-differentiated or dedifferentiated liposarcoma histology only
4. Sarcoma not originating from bone or abdominal or gynecological viscera
5. Tumor confirmed to be resectable with likely R0/R1 resection, and all disease must be deemed to be treatable by RT (joint decision by surgeon and radiation oncologist at a sarcoma multidisciplinary team meeting)
6. WHO performance status 0-2
7. American Society of Anaesthesiologist (ASA) score 1-3
8. No prior RT for the retroperitoneal liposarcoma
9. Prior systemic therapy is allowed
10. No concurrent active malignancy (except for low risk skin malignancy, low risk prostate carcinoma, low risk breast carcinoma including in situ disease)
11. Women of childbearing potential must have a negative pregnancy test within 3 weeks prior to the first day of study treatment
12. Patient deemed able to comply with study requirements according to investigator evaluation
13. Signed ethics approved written informed consent
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
1. Unresectable disease or likely R2 resection as assessed by the multidisciplinary sarcoma team
2. Extent of recurrence where preoperative RT to all visible disease is not deemed to be feasible
3. Contradiction for RT such as history of bowel obstruction or mesenteric ischemia or severe chronic inflammatory bowel disease
4. Myxoid liposarcoma histology
5. Pregnancy
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Study design
Purpose
Natural history
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Duration
Longitudinal
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Selection
Defined population
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Timing
Prospective
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Statistical methods / analysis
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Recruitment
Recruitment status
Recruiting
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Date of first participant enrolment
Anticipated
27/05/2024
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Actual
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Date of last participant enrolment
Anticipated
27/05/2027
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Actual
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Date of last data collection
Anticipated
27/05/2032
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Actual
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Sample size
Target
100
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Accrual to date
0
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Final
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Recruitment in Australia
Recruitment state(s)
NSW,QLD,SA,WA,VIC
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Recruitment hospital [1]
27083
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Royal Prince Alfred Hospital - Camperdown
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Recruitment postcode(s) [1]
43153
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2050 - Camperdown
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Recruitment outside Australia
Country [1]
26252
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Netherlands
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State/province [1]
26252
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Funding & Sponsors
Funding source category [1]
316336
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Hospital
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Name [1]
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Royal Prince Alfred Hospital
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Address [1]
316336
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Country [1]
316336
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Australia
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Funding source category [2]
316387
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Hospital
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Name [2]
316387
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Peter MacCallum Cancer Centre
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Address [2]
316387
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Country [2]
316387
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Australia
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Funding source category [3]
316388
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Hospital
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Name [3]
316388
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Prince of Wales Hospital
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Address [3]
316388
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Country [3]
316388
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Australia
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Funding source category [4]
316389
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Other Collaborative groups
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Name [4]
316389
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Australia and New Zealand Sarcoma Association
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Address [4]
316389
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Country [4]
316389
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Australia
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Funding source category [5]
316392
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Hospital
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Name [5]
316392
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Chris O'Brien Lifehouse
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Address [5]
316392
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Country [5]
316392
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Australia
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Primary sponsor type
Other Collaborative groups
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Name
Australia and New Zealand Sarcoma Association
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Address
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Country
Australia
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Secondary sponsor category [1]
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None
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Name [1]
318519
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Address [1]
318519
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Country [1]
318519
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
315146
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Sydney Local Health District Ethics Review Committee (RPAH Zone)
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Ethics committee address [1]
315146
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https://www.slhd.nsw.gov.au/rpa/research/
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Ethics committee country [1]
315146
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Australia
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Date submitted for ethics approval [1]
315146
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Approval date [1]
315146
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17/10/2023
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Ethics approval number [1]
315146
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2023/ETH01899
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Summary
Brief summary
The aim of the study is to collect prospective data on the treatment outcomes in patients with first localized, resectable recurrent retroperitoneal liposarcoma undergoing curative intent treatment. Who is it for? You may be eligible for this study if you are aged 18 or older presenting with first recurrent liposarcoma of retroperitoneal space or pelvis after previous macroscopically complete resection. Study details Patients enrolled in this study will form a validation cohort of the TARPSWG recurrent RPS nomogram. The treatment decision (surgery alone +/- post operative treatments, or surgery with preoperative RT +/- post operative chemotherapy) is per the institutional multidisciplinary team recommendation. There are no additional tests above standard of care tests involved in this project. There will be a quality of life questionnaire that will be administered at 4-5 different timepoints throughout the study. It is hoped that findings from this study will further medical knowledge about the treatment for this type of sarcoma and hence improve outcomes for patients with recurrent retroperitoneal liposarcomas in the future.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Prof Angela Hong
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Address
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Royal Prince Alfred Hospital. 50 Missenden Rd, Camperdown NSW 2050
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Country
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Australia
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Phone
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+61 418388875
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
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Janina Chapman
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Address
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Australia and New Zealand Sarcoma Association. 305 Grattan Street, Melbourne VIC 3000
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Country
133815
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Australia
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Phone
133815
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+61 414316490
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Fax
133815
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Email
133815
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[email protected]
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Contact person for scientific queries
Name
133816
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Angela Hong
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Address
133816
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Chris O'Brien Lifehouse. 119-143 Missenden Rd, Camperdown NSW 2050
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Country
133816
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Australia
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Phone
133816
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+61 418388875
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Fax
133816
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Email
133816
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[email protected]
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Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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