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OncoMatch/Clinical Trials/NCT04031677

Surgery With or Without Neoadjuvant Chemotherapy in High Risk RetroPeritoneal Sarcoma

Is NCT04031677 recruiting? Yes, currently enrolling (May 2026). This Phase 3 trial studies Preoperative chemotherapy for retroperitoneal sarcoma.

Phase 3RecruitingEuropean Organisation for Research and Treatment of Cancer - EORTCNCT04031677Data as of May 2026

Treatment: Preoperative chemotherapyThis is a multicenter, randomized, open label phase lll trial to assess whether preoperative chemotherapy, as an adjunct to curative-intent surgery, improves the prognosis of high risk DDLPS (dedifferentiated Liposarcoma) and LMS (Leiomyosarcoma) patients as measured by disease free survival. After confirmation of eligibility criteria, patients will be randomized to either the standard arm or experimental arm.

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Extracted eligibility criteria

Cancer type

Sarcoma

Biomarker criteria

Required: MDM2 expression

Diagnosis should be confirmed based on MDM2 (Mouse double minute 2 homolog) and CDK4 (Cyclin-dependent kinase 4) expression on IHC (immunohistochemistry), while proof of MDM2 amplification is highly recommended.

Required: CDK4 expression

Diagnosis should be confirmed based on MDM2 (Mouse double minute 2 homolog) and CDK4 (Cyclin-dependent kinase 4) expression on IHC (immunohistochemistry), while proof of MDM2 amplification is highly recommended.

Performance status

WHO 0–2

Prior therapy

No prior treatment (treatment-naive required)
Max 0 prior lines

Cannot have received: surgery

Exception: diagnostic biopsy

Any previous surgery (excluding diagnostic biopsy), radiotherapy or systemic therapy for the present tumour

Cannot have received: radiotherapy

Any previous surgery (excluding diagnostic biopsy), radiotherapy or systemic therapy for the present tumour

Cannot have received: systemic therapy

Any previous surgery (excluding diagnostic biopsy), radiotherapy or systemic therapy for the present tumour

Cannot have received: anthracycline (doxorubicin, daunorubicin, epirubicin, idarubicin)

Previous treatment with maximum cumulative doses (450mg/m² Doxorubicin or equivalent 900mg/m² Epirubicin) of doxorubicin, daunorubicin, epirubicin, idarubicin, and/or other anthracyclines and anthracenediones

Lab requirements

Blood counts

Adequate haematological function

Kidney function

Adequate organ function

Liver function

Adequate organ function

Cardiac function

American Society of Anaesthesiologist (ASA) score < 3

Adequate haematological and organ function; American Society of Anaesthesiologist (ASA) score < 3

Structured fields extracted by AI. May contain errors — verify against the official protocol.

US trial sites

  • University of Alabama at Birmingham Cancer Center · Birmingham, Alabama
  • Mayo Clinic Hospital in Arizona · Phoenix, Arizona
  • City of Hope Comprehensive Cancer Center · Duarte, California
  • UCI Health-Chao Family Comp CC and Ambulatory Care · Irvine, California
  • UC San Diego Moores Cancer Center · La Jolla, California

Showing up to 5 US sites. See all sites on ClinicalTrials.gov →

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