Patterns of Care and Outcomes in Patients With Metastatic Bone Tumors (METABONE) (METABONE)
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| ClinicalTrials.gov Identifier: NCT03963531 |
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Recruitment Status :
Active, not recruiting
First Posted : May 24, 2019
Last Update Posted : March 7, 2022
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Bone tumors make up about 3-5% of childhood cancers and less than 1% of cancers in adults. Of these, osteosarcoma (OSS) is the most commonly diagnosed primary malignant bone tumor. OSS is a primary mesenchymal malignant tumor of bone characterized by the production of osteoid or immature bone by the malignant cells. Despite its rarity, OSS is the most common primary malignancy of bone in children and adolescents, and the fifth most common malignancy among adolescents and young adults aged 15 to 19 years.
Ewing sarcoma (ES) is the second most frequent bone tumors in children and may arise also in soft tissues. This disease encompasses tumors formerly known as Askin's tumor, Peripheral Neuroectodermal Tumor (PNET) and the Ewing Sarcoma Family of Tumors (ESFT).
Chondrosarcoma are rare sarcoma reputed chemorefractory in the non-operable setting and for which little is known in terms of palliative management with systemic treatments.
Despite adequate loco-regional treatment, up to 40% of patients with sarcoma, soft tissue or bone, will develop metastatic disease. When metastases are detected, the standard of care is based on palliative chemotherapy with a median survival in this setting of only 18 months.
A slight improvement has been obtained over years thank to registration of a couple of drugs such as Trabectedin and Pazopanib, the first antiangiogenic registered for soft tissue sarcoma patients. Pazopanib is routinely prescribed worldwide after failure of first line chemotherapy in soft tissue sarcoma. However, bone tumors have not benefited from these small advances yet and treatment still rely on chemotherapy combining doxorubicine cisplatinum and ifosfamide. There is no standard in relapse and palliative settings, and after failure of these agents the survival is very poor. Bone sarcomas are therefore tumors with very little available data and low level of evidence on palliative systemic treatments in clinical trials and in the real life setting.
The primary objective of the METABONE study is to conduct a retrospective descriptive analysis of clinic-biological profiles, patterns of care and modalities of treatment for a set of patients with malignant bone tumors in a real-life national setting.
| Condition or disease | Intervention/treatment |
|---|---|
| Metastatic Bone Tumor | Other: chemotherapy, surgery, radiotherapy, interventional radiology. |
| Study Type : | Observational |
| Actual Enrollment : | 2500 participants |
| Observational Model: | Cohort |
| Time Perspective: | Prospective |
| Official Title: | Patterns of Care and Outcomes of Patients With METAstatic BONE Tumors in a Real-life Setting |
| Actual Study Start Date : | January 2007 |
| Estimated Primary Completion Date : | January 2024 |
| Estimated Study Completion Date : | January 2025 |
- Other: chemotherapy, surgery, radiotherapy, interventional radiology.
Other Name: intervention as per recommendations
- overall survival (OS) [ Time Frame: 2 years ]Interval between the diagnosis of metastatic disease or the first-line systemic therapy onset and the time of death.
- Time to next treatment (TNT) [ Time Frame: 2 years ]time from the systemic treatment onset to the next treatment or death due to any cause, whichever comes first
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| Ages Eligible for Study: | Child, Adult, Older Adult |
| Sexes Eligible for Study: | All |
| Accepts Healthy Volunteers: | No |
| Sampling Method: | Non-Probability Sample |
Inclusion Criteria:
- Patients of all ages
- Informed consent obtained for inclusion in the databases
- Histology of Ewing's sarcoma type, osteosarcoma, chondrosarcoma
- Diagnostic between 2007 and 2016
To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT03963531
| France | |
| Institut Bergonié, Comprehensive Cancer Center | |
| Bordeaux, France, 33076 | |
| Principal Investigator: | Maud Toulmonde, MD | Institut Bergonié |
| Responsible Party: | Institut Bergonié |
| ClinicalTrials.gov Identifier: | NCT03963531 |
| Other Study ID Numbers: |
IB2019-METABONE |
| First Posted: | May 24, 2019 Key Record Dates |
| Last Update Posted: | March 7, 2022 |
| Last Verified: | December 2021 |
| Individual Participant Data (IPD) Sharing Statement: | |
| Plan to Share IPD: | Undecided |
| Studies a U.S. FDA-regulated Drug Product: | No |
| Studies a U.S. FDA-regulated Device Product: | No |
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Bone Neoplasms Neoplasm Metastasis Bone Marrow Diseases Neoplasms by Site Neoplasms |
Bone Diseases Musculoskeletal Diseases Hematologic Diseases Neoplastic Processes Pathologic Processes |

