Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
This prospective, single-arm, open-label phase I study evaluates the safety and tolerability of intratumoral injection of tantalum nanoparticles (Ta-NPs) followed by radiotherapy in patients with locally recurrent retroperitoneal soft tissue sarcoma. Using a standard 3+3 dose-escalation design, three dose levels of Ta-NPs (injection volumes of 2%, 5%, and 10% of tumor volume, all at 30 mg/mL) are tested in sequential cohorts to identify dose-limiting toxicities.
Not provided
Not provided
Not provided
Not provided
Not provided
| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Arm 1: Low-Dose Ta-NPs (2% Tumor Volume) Plus Radiotherapy | Experimental | Participants in this arm receive a single intratumoral injection of Ta-NPs at a concentration of 30 mg/mL, with the injection volume calculated as 2% of the baseline tumor volume . Injection is performed under imaging guidance (ultrasound or CT) prior to radiotherapy. Radiotherapy starts 24 hours after injection. Dose-limiting toxicity (DLT) is monitored during the first 28 days after Ta-NPs injection. |
|
| Arm 2: Medium-Dose Ta-NPs (5% Tumor Volume) Plus Radiotherapy | Experimental | Participants in this arm receive a single intratumoral injection of Ta-NPs at a concentration of 30 mg/mL, with the injection volume calculated as 5% of the baseline tumor volume . Injection is performed under imaging guidance (ultrasound or CT) prior to radiotherapy. Radiotherapy starts 24 hours after injection. Dose-limiting toxicity (DLT) is monitored during the first 28 days after Ta-NPs injection. |
|
| Arm 3: High-Dose Ta-NPs (10% Tumor Volume) Plus Radiotherapy | Experimental | Participants in this arm receive a single intratumoral injection of Ta-NPs at a concentration of 30 mg/mL, with the injection volume calculated as 10% of the baseline tumor volume . Injection is performed under imaging guidance (ultrasound or CT) prior to radiotherapy. Radiotherapy starts 24 hours after injection. Dose-limiting toxicity (DLT) is monitored during the first 28 days after Ta-NPs injection. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Ta-NPs (2% Tumor Volume) | Biological | Ta-NPs at a concentration of 30 mg/mL administered via intratumoral injection at a volume equal to 2% of the baseline tumor volume (calculated as length × width × height). Injection is performed under imaging guidance (ultrasound/CT) prior to radiotherapy. |
| Measure | Description | Time Frame |
|---|---|---|
| Incidence of Dose-Limiting Toxicity (DLT) | DLT is defined as any adverse event occurring during the DLT observation period (from the first intratumoral injection of Ta-NPs through Day 28 post-injection) that is judged by the investigator to be at least possibly related to Ta-NPs and meets prespecified DLT criteria. | From day of Ta-NPs injection through day 28 post-injection |
| Measure | Description | Time Frame |
|---|---|---|
| Incidence of Adverse Events | Incidence, severity, and causality of adverse events (AEs), treatment-emergent AEs (TEAEs), Grade ≥3 treatment-related AEs (TRAEs), serious AEs (SAEs), and injection site toxicity (including extravasation) assessed by CTCAE v6.0. | From signing of informed consent through 90 days after last dose |
| Measure | Description | Time Frame |
|---|---|---|
| Changes in Tumor Immune Microenvironment | Dynamic changes in key immune cell subsets (e.g., CD8+ T cells) within the tumor microenvironment before and after combination treatment, assessed by multiplex immunofluorescence. | Baseline (pre-treatment) and post-treatment (at time of salvage surgery or biopsy if clinically indicated) |
Inclusion Criteria:
Age ≥18 years, male or female.
Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1.
Histopathologically confirmed diagnosis of dedifferentiated liposarcoma (DD-LPS) or leiomyosarcoma (LMS) with local or regional recurrence after prior standard treatment with curative intent. Prior treatment must include:
a) Curative/radical or extended resection of the primary or first recurrent lesion. b) Possible prior treatments (if received) must be completed at least 4 weeks before enrollment, including: radiotherapy (external beam radiotherapy to the abdominopelvic region; detailed radiotherapy plan and DVH must be available to assess normal organ doses), chemotherapy (anthracycline- and/or ifosfamide-based systemic chemotherapy), or targeted therapy (e.g., anlotinib). c) All acute adverse events from prior treatments must have resolved to normal or Grade 1 per CTCAE.
At least one lesion suitable for intratumoral injection (either directly or under imaging guidance) and radiotherapy, with a volume ≤3000 cm³ (tumor volume = length × width × height measured by CT/MRI), and measurable by imaging.
Adequate hematologic and organ function within 7 days before first dose, meeting the following laboratory criteria:
Expected survival ≥6 months.
Willing and able to provide written informed consent, good compliance, and able to complete follow-up.
Exclusion Criteria:
Not provided
Not provided
Not provided
Not provided
Not provided
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Xingchen Peng, MD, PhD | Contact | +8618980606753 | pxx2014@163.com |
Not provided
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Sichuan University West China Hospital, Chengdu, Sichuan | Chengdu | Sichuan | 610041 | China |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 31296491 | Background | Bonvalot S, Rutkowski PL, Thariat J, Carrere S, Ducassou A, Sunyach MP, Agoston P, Hong A, Mervoyer A, Rastrelli M, Moreno V, Li RK, Tiangco B, Herraez AC, Gronchi A, Mangel L, Sy-Ortin T, Hohenberger P, de Baere T, Le Cesne A, Helfre S, Saada-Bouzid E, Borkowska A, Anghel R, Co A, Gebhart M, Kantor G, Montero A, Loong HH, Verges R, Lapeire L, Dema S, Kacso G, Austen L, Moureau-Zabotto L, Servois V, Wardelmann E, Terrier P, Lazar AJ, Bovee JVMG, Le Pechoux C, Papai Z. NBTXR3, a first-in-class radioenhancer hafnium oxide nanoparticle, plus radiotherapy versus radiotherapy alone in patients with locally advanced soft-tissue sarcoma (Act.In.Sarc): a multicentre, phase 2-3, randomised, controlled trial. Lancet Oncol. 2019 Aug;20(8):1148-1159. doi: 10.1016/S1470-2045(19)30326-2. Epub 2019 Jul 8. | |
| 34171452 |
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| ID | Term |
|---|---|
| D047368 | Tumor Burden |
| D011878 | Radiotherapy |
| ID | Term |
|---|---|
| D001837 | Body Weights and Measures |
| D000886 | Anthropometry |
| D008919 | Investigative Techniques |
| D013812 | Therapeutics |
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
|
| Ta-NPs (5% Tumor Volume) | Biological | Ta-NPs at a concentration of 30 mg/mL administered via intratumoral injection at a volume equal to 5% of the baseline tumor volume (calculated as length × width × height). Injection is performed under imaging guidance (ultrasound/CT) prior to radiotherapy. |
|
| Ta-NPs (10% Tumor Volume) | Biological | Ta-NPs at a concentration of 30 mg/mL administered via intratumoral injection at a volume equal to 10% of the baseline tumor volume (calculated as length × width × height). Injection is performed under imaging guidance (ultrasound/CT) prior to radiotherapy. |
|
| Radiotherapy | Radiation | External beam radiotherapy delivered using a medical linear accelerator (energy ≥6 MV X-ray) with image-guided radiotherapy (IGRT). Techniques include intensity-modulated radiotherapy (IMRT) or volumetric modulated arc therapy (VMAT). Total dose follows NCCN/CSCO guidelines for soft tissue sarcoma. Fractionation: conventional fractionation (1.8-2.0 Gy per fraction, once daily, 5 days per week). |
|
| Pharmacokinetics (PK) of Ta-NPs |
Concentration-time profiles and derived PK parameters of tantalum element in whole blood, plasma, and urine after intratumoral injection of Ta-NPs, measured by inductively coupled plasma mass spectrometry (ICP-MS). |
| Blood: Day 0 (pre-injection, 0 hour), and at 1 hour, 2 hours, 4 hours, 8 hours, 12 hours, 24 hours, Day 4, Day 8, Day 15, Day 28; Urine: Collected in intervals: 0-6 hours, 6-12 hours, 12-24 hours (Day 1), Day 2, Day 8, Day 15 |
| Objective Response Rate (ORR) | Proportion of participants achieving complete response (CR) or partial response (PR) according to RECIST 1.1 criteria, assessed for injected and non-injected lesions. | Assessed at Week 3 (±2 days) after start of treatment, at treatment completion, and at Month 1, Month 2, Month 3, Month 6, Month 9, Month 12, Month 15, Month 18, Month 21, and Month 24 post-treatment initiation. |
| Local Control Rate at 6 Months | Proportion of participants with no disease progression (as defined by RECIST 1.1) at 6 months after intratumoral injection. | 6 months post injection |
| Progression-Free Survival (PFS) | Time from intratumoral injection to first documented disease progression (per RECIST 1.1) or death from any cause, whichever occurs first. | From injection until disease progression or death (up to approximately 36 months) |
| Overall Survival (OS) | Time from intratumoral injection to death from any cause. | From injection until death (up to approximately 36 months) |
| Salvage Surgery Success Rate | Proportion of participants who undergo salvage surgery after treatment and achieve complete (R0) resection. | At the time of salvage surgery |
| Changes in Peripheral Blood Immune Profile |
Dynamic changes in peripheral blood immune cell subsets (e.g., CD8+ T cells) measured by flow cytometry, and changes in serum cytokine levels (e.g., IFN-γ, TNF-α, IL-6) measured by ELISA. |
| Baseline (pre-injection), Day 8, Day 15, Day 29, and at treatment completion |
| Background |
| Leite ETT, Munhoz RR, Camargo VP, Lima LGCA, Rebolledo DCS, Maistro CEB, Busnardo FF, Ferreira FO, Salvajoli JV, Carvalho HA. Neoadjuvant stereotactic ablative radiotherapy (SABR) for soft tissue sarcomas of the extremities. Radiother Oncol. 2021 Aug;161:222-229. doi: 10.1016/j.radonc.2021.06.027. Epub 2021 Jun 22. |
| 8985029 | Background | Rhomberg W, Hassenstein EO, Gefeller D. Radiotherapy vs. radiotherapy and razoxane in the treatment of soft tissue sarcomas: final results of a randomized study. Int J Radiat Oncol Biol Phys. 1996 Dec 1;36(5):1077-84. doi: 10.1016/s0360-3016(96)00433-6. |
| 17040092 | Background | Rhomberg W. The radiation response of sarcomas by histologic subtypes: a review with special emphasis given to results achieved with razoxane. Sarcoma. 2006;2006(1):87367. doi: 10.1155/SRCM/2006/87367. |
| 32296197 | Background | Khokhar MA, Akhtar M, Shah Gillani SFUH, Abdulsalaam R, Qamar S. Radiotherapy alone with concurrent chemoradiotherapy plus temozolamide in locally advanced soft tissue sarcoma at Mayo Hospital Lahore: A randomized controlled trial. J Pak Med Assoc. 2020 Apr;70(4):572-576. doi: 10.5455/JPMA.293442. |
| 35571451 | Background | Huang Z, Li N, Tang Y, Jin J, Liu W, Xu H, Yu F, Hao L, Zhang Q, Ding Y, Niu X. Neoadjuvant radiotherapy for soft tissue sarcoma in China: a preliminary result. Ann Transl Med. 2022 Apr;10(8):452. doi: 10.21037/atm-22-98. |
| 38734790 | Background | Hayes AJ, Nixon IF, Strauss DC, Seddon BM, Desai A, Benson C, Judson IR, Dangoor A. UK guidelines for the management of soft tissue sarcomas. Br J Cancer. 2025 Jan;132(1):11-31. doi: 10.1038/s41416-024-02674-y. Epub 2024 May 11. |
| 26876538 | Background | Hogg HD, Manas DM, Lee D, Dildey P, Scott J, Lunec J, French JJ. Surgical outcome and patterns of recurrence for retroperitoneal sarcoma at a single centre. Ann R Coll Surg Engl. 2016 Mar;98(3):192-7. doi: 10.1308/rcsann.2016.0057. Epub 2016 Feb 14. |
| 31281208 | Background | Schwartz PB, Vande Walle K, Winslow ER, Ethun CG, Tran TB, Poultsides G, Tseng J, Roggin K, Grignol V, Howard JH, Krasnick BA, Fields RC, Mogal H, Clarke CN, Senehi R, Votanopoulos K, Cardona K, Abbott DE. Predictors of Disease-Free and Overall Survival in Retroperitoneal Sarcomas: A Modern 16-Year Multi-Institutional Study from the United States Sarcoma Collaboration (USSC). Sarcoma. 2019 Jun 2;2019:5395131. doi: 10.1155/2019/5395131. eCollection 2019. |
| 37323817 | Background | Buja A, Rugge M, Barillaro M, Miatton A, Tropea S, Cozzolino C, Zorzi M, Vecchiato A, Del Fiore P, Brunello A, Baldo V, Rossi CR, Mocellin S. Epidemiology, pathological characteristics and survival of retroperitoneal soft-tissue sarcomas compared with non-retroperitoneal soft tissue sarcomas. Oncol Lett. 2023 May 26;26(1):301. doi: 10.3892/ol.2023.13887. eCollection 2023 Jul. |
| 21793180 | Background | Ferrari A, Sultan I, Huang TT, Rodriguez-Galindo C, Shehadeh A, Meazza C, Ness KK, Casanova M, Spunt SL. Soft tissue sarcoma across the age spectrum: a population-based study from the Surveillance Epidemiology and End Results database. Pediatr Blood Cancer. 2011 Dec 1;57(6):943-9. doi: 10.1002/pbc.23252. Epub 2011 Jul 25. |
| 16518798 | Background | Porter GA, Baxter NN, Pisters PW. Retroperitoneal sarcoma: a population-based analysis of epidemiology, surgery, and radiotherapy. Cancer. 2006 Apr 1;106(7):1610-6. doi: 10.1002/cncr.21761. |