Preventing wound complications after limb sarcoma surgery with a single-use negative-pressure dressing
Official title: Preventive Application of Single-use Negative Pressure Wound Therapy (sNPWT) in the Postoperative Course of Radiotreatated Limb Sarcoma Surgery a Randomized Clinical Trial
Run by Istituto Oncologico Veneto IRCCS · NCT06941194 · Data updated 2026-11-12
This test will try a single-use negative-pressure wound dressing (PICO14) to see if it reduces wound complications after limb high-grade soft tissue sarcoma surgery in adults who received preoperative radiotherapy.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 18 Years to 99 Years |
| Sex | All |
| Enrollment | 48 (estimated) |
| Sponsor | Istituto Oncologico Veneto IRCCS Academic / other |
| Locations | 1 site (Padova, Italy/Padova) |
| Status | Recruiting |
| Started | September 15, 2025 |
| Main results expected | November 2027 |
| Study ends | November 2027 |
| Registry record updated | December 2, 2025 |
| Trial ID | NCT06941194 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults with histologically confirmed high-grade (grade III) soft-tissue sarcoma of a limb who received neoadjuvant radiotherapy, are candidates for wide excision without distant metastases, and can give informed consent.
✕Probably not a fit
Patients with benign tumors, trunk or retroperitoneal sarcomas, planned forequarter/hindquarter amputation, incomplete excision, vascular resection, or who received other loco-regional treatments are unlikely to benefit from this protocol.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
Adults meeting screening criteria are randomized at pre-admission to receive either the PICO14 single-use negative-pressure dressing or standard gauze-and-plaster dressings on the day of wide excision surgery. For those in the PICO14 arm, dressings are renewed around day 4, day 8, and day 14; both arms undergo wound assessment using the ASEPSIS score at those same time points. Eligibility requires histologically confirmed grade III soft-tissue sarcoma of a limb, neoadjuvant radiotherapy, negative CT staging for metastases, and candidacy for wide excision; several local or amputation procedures are excluded. Patients may change dressings themselves during follow-up if needed and outcomes focus on postoperative wound healing and complications.
Why it matters
Potential benefit: If successful, PICO14 could reduce postoperative wound infections and healing problems, leading to fewer reinterventions and faster recovery.
How similar studies have gone: Negative-pressure wound therapy has reduced wound complications in several high-risk surgical settings, but evidence is mixed and specifically limited for pre-radiated limb sarcoma resections.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Male or female ≥ 18 years of age * diagnosis of primary high-grade (grade III) soft tissue sarcoma of the limbs (confirmed histopathologically) * performed neoadjuvant radiotherapy (short or long-term) * candidates for wide radical excision surgery * negative CT scan staging for distant metastasis * Signing of Informed consent Exclusion Criteria: * diagnosis of benign neoplasm * diagnosis of retroperitoneal or trunk sarcomas; * candidates to hindquarter or forequarter amputation surgery; * incomplete wide excision; * vascular resection; * other loco-regional treatments (e.g. isolated limb perfusion or electrochemotherapy).
Where it's running
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Istituto Oncologico Veneto
Padova, Italy/Padova, Italy Recruiting
Study contacts
- Study coordinator: Marcodomenico Mazza, MD
- Email: marcodomenico.mazza@iov.veneto.it
- Phone: 34722887055
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.