Clinical trial Recruiting at 1 site Interventional Ages 18 and up

Neoadjuvant radiation therapy for retroperitoneal soft tissue sarcoma using protons or carbon ions

Official title: Neoadjuvant Irradiation of Retroperitoneal Soft Tissue Sarcoma With Ions Retro-Ion Prospektive Randomisierte Phase-II-Studie

Run by University Hospital Heidelberg · NCT04219202 · Data updated 2026-11-12

This study is testing whether using proton or carbon ion radiation therapy before surgery can safely help patients with retroperitoneal soft tissue sarcomas.

Quick facts

Study typeInterventional
Ages18 Years and up
SexAll
Enrollment64 (estimated)
SponsorUniversity Hospital Heidelberg
Academic / other
Drugs / interventionsradiation
Locations1 site (Heidelberg)
StatusRecruiting
StartedMay 9, 2019
Main results expectedMay 9, 2026
Study endsMay 9, 2027
Registry record updatedMarch 10, 2026
Trial IDNCT04219202 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates are adults aged 18 and older with histologically confirmed, resectable or marginally resectable retroperitoneal soft tissue sarcomas.

Probably not a fit

Patients with distant metastases, previous radiation in the treatment area, or specific types of tumors like desmoid tumors or GIST may not benefit from this study.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This study evaluates the safety and feasibility of a hypofractionated, accelerated radiation approach for patients with retroperitoneal soft tissue sarcomas. Participants will be randomly assigned to receive either proton or carbon ion radiation therapy before surgical resection of their tumors. The primary focus is on monitoring the incidence of severe adverse effects and the overall safety of the treatment. Secondary objectives include assessing local control, progression-free survival, disease-free survival, overall survival, and quality of life post-treatment.

Why it matters

Potential benefit: If successful, this approach could improve treatment outcomes and reduce side effects for patients with retroperitoneal soft tissue sarcomas.

How similar studies have gone: While the use of protons and carbon ions in radiation therapy is gaining interest, this specific approach for retroperitoneal sarcomas is relatively novel and has not been extensively tested in prior studies.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Histologically confirmed retroperitoneal soft-tissue sarcoma which is resectable or marginally resectable
* Karnofsky index of ≥ 70%
* Age from 18 years
* Completed patient information and written consent
* ability to give consent

Exclusion Criteria:

* Stage IV (distant metastases)
* Lymphogenic metastasis
* Metal implants at the level of the sarcoma, which influence the treatment planning
* Previous radiation therapy in the treatment area
* Desmoid tumors, peritoneal sarcomatosis, GIST
* Simultaneous participation in another clinical study that could influence the results of the respective study
* Active medical implants for which there is no license for ion irradiation at the time of treatment (e.g. pacemaker, defibrillator)
* Pregnant women

Where it's running

  • University Hospital of Heidelberg, Radiation Oncology
    Heidelberg, Germany
    Recruiting

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.