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NCT07436364RecruitingEarly phase 1

Application of Contrast-enhanced Ultrasound in Monitoring Soft Tissue Sarcoma Response to Neoadjuvant Radiotherapy

Source: ClinicalTrials.gov · Last updated 14 Apr 2026

Brief summary (registry, in English)

This pilot study will evaluate the feasibility of applying CEUS as imaging guidance for planning RT and predicting RT response. The investigators will determine if US-CT/MRI fusion is feasible and if tumor vascularity and pressure from CEUS can be used to reflect/predict the RT response. The investigators will perform CEUS three times: before the first neoadjuvant RT fraction, halfway through RT, and between the completion of RT and surgery. The fusion will be performed using previously acquired CT/MRI or on-site cone-beam CT with Bmode US. Once the fusion is successful, CEUS will be performed and panoramic 2D images (mimicking 3D) will be collected for the whole tumor. If the fusion is not feasible or successful, the investigators will perform CEUS side by side with CT/MRI and collect images. The investigators will quantify tumoral vascularity comparing Bmode area/volume (total tumor) and contrast-enhanced area/volume (vascular region) at each time point. Subharmonic amplitudes in the tumor area/volume will be quantified to estimate tumoral pressure (known to be the same level as interstitial fluid pressure (IFP)). Quantified vascularity and pressure at each time point will be compared with the tumor size change at later study points as well as the histological outcome after the surgery.

Status (registry)
Recruiting
Phase (registry)
Early phase 1
Study type
Interventional
Enrollment
10 (estimated)
First submitted
18 Feb 2026
Start date
23 Mar 2026
Primary completion date
May 2027
Lead sponsor
Thomas Jefferson University
Diseases
Sarcoma
NCT number
NCT07436364

What you commit to

  • Study type: Interventional · Early phase 1
  • Planned participants: 10
  • From 23 Mar 2026 to the primary completion date, May 2027
  • 1 site in 1 country
  • Visits and tests: ask the trial team, the registry does not list them

Built from the registry fields of ClinicalTrials.gov. It describes the study, not your situation.

Who cannot take part

Copied verbatim from ClinicalTrials.gov and grouped by topic. Only the trial team decides who can take part.

Prior treatment

  • An individual who meets any of the following criteria will be excluded from participation in this study:
    • Pregnancy or lactation
    • Known allergic reactions to any component of Definity
    • Has STS that is too large for ultrasound imaging (e.g. its short axis is larger than 10 cm at the depth of 2 cm)
    • Has other primary cancers requiring systemic treatment.
    • Has metastatic disease at presentation
    • Had prior RT to the area

Who the study is looking for

  • Individuals must meet all of the following inclusion criteria in order to be eligible to participate in the study:
    • Provide signed and dated informed consent form
    • Willing to comply with all study procedures and be available for the duration of the study
    • Male or female, Male or female, aged ≥18 years of age
    • Patients with pathologically confirmed STS (Trunk and extremity sarcoma only)
    • Scheduled for neoadjuvant RT for STS
    • o Both standard and hypofractionation schedules are permitted.
    • Willing to comply with all study procedures and be available for the duration of the study

Age in the registry: 18 years to - · Sex: All · Does not accept healthy volunteers

Full criteria on ClinicalTrials.gov

Sites (1)

Sites in registry order. Pick your city on the disease page to sort them by distance.

SiteCityCountrySite status
Thomas Jefferson University Hospital
Coordinator of this site? Confirm its status
PhiladelphiaUnited StatesRecruiting

This page is information, not medical advice. Discuss any trial with your doctor.