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NCT01344018 · OUTCOME

Number of Patients With Abdominal Recurrence or Death

Surgery With or Without Radiation Therapy in Untreated Nonmetastatic Retroperitoneal Sarcoma · Source last updated 2023-04-24

Results reported by the registry submitting party. Population, time horizon, units and missing values must be read together.

Measure
COUNT_OF_PARTICIPANTS
Unit
Participants
Interval / dispersion
Not reported
Time frame
ARFS was measured from date of randomization to date of abdominal relapse or death, whichever occurred first, up to a maximum of 7 years.

What was measured

Abdominal recurrence was defined by one of the following events: local/abdominal or distant progressive disease during preoperative radiotherapy (as per RECIST 1.1), tumor or patient becoming inoperable (ASA score of 3 or involvement of superior mesenteric artery, aorta, or bone), peritoneal metastasis found at surgery, macroscopic residual disease left in at surgery (R2 resection), or local relapse (after macroscopically complete resection). Liver metastases were regarded as distant metastatic events. Patients with distant metastases were followed until local failure was detected. Patients without one of these events were censored at the date of last follow-up.

Groups in this outcome

Surgery Alone

En-bloc resection of surrounding tissues and organs when located within 1 to 2 cm from the surface tumor, even when not infiltrated. therapeutic conventional surgery

Preoperative Radiotherapy Followed by En-bloc Surgery

3D-CRT or IMRT to a dose of 50.4 Gy/28 daily fractions therapeutic conventional surgery 3-dimensional conformal radiation therapy

Group identifiers and denominators belong to this outcome only. They may differ in another outcome or in safety reporting.

Analysis denominator · Participants

GroupSource count
Surgery Alone133
Preoperative Radiotherapy Followed by En-bloc Surgery133

Reported measurements

No event
Values in Participants · Interval/dispersion: Not reported
GroupValueSpreadLowerUpperComment
Surgery Alone72Not reportedNot reportedNot reportedNot reported
Preoperative Radiotherapy Followed by En-bloc Surgery73Not reportedNot reportedNot reportedNot reported
Event
Values in Participants · Interval/dispersion: Not reported
GroupValueSpreadLowerUpperComment
Surgery Alone61Not reportedNot reportedNot reportedNot reported
Preoperative Radiotherapy Followed by En-bloc Surgery60Not reportedNot reportedNot reportedNot reported

Source statistical analyses

Group order, estimate direction, methods and comments are retained. No treatment ranking is inferred.

  1. ci Lower Limit
    0.71
    ci Num Sides
    TWO_SIDED
    ci Pct Value
    95
    ci Upper Limit
    1.44
    estimate Comment
    The arm having surgery alone was the reference arm.
    group Description
    Sample size was determined to provide 90% power for detecting a Hazard Ratio (HR)=0.52 (which corresponds to a 20% difference in ARFS rate at 5 years, from 50% in the surgery arm to 70% in the experimental arm) at a global 2-sided 5% significance level assuming ARFS followed an exponential distribution in both arms. This test required 102 events at the time of the statistical analysis.
    group Ids
    1. OG000
    2. OG001
    non Inferiority Comment
    Time assessment biases were taken into account for the primary endpoint: * Surgery alone arm: abdominal recurrence occurring prior to week 14 assessment was counted as occurring at week 14; progression occurring after the week 14 was counted as occurring at week 24. * Preoperative RT arm: abdominal recurrence occurring was counted as occurring at week 14; and any abdominal recurrence occurring after and prior to or during the week 24 will be counted as occurring at week 24.
    non Inferiority Type
    SUPERIORITY
    p Value
    0.955
    p Value Comment
    A 5% significance level was considered as a threshold for statistical significance.
    param Type
    Hazard Ratio (HR)
    param Value
    1.01
    statistical Comment
    The time assessment biases correction described before was not applied to patients for whom death was the first event.
    statistical Method
    Regression, Cox
Complete source fields
analyses
  1. ci Lower Limit
    0.71
    ci Num Sides
    TWO_SIDED
    ci Pct Value
    95
    ci Upper Limit
    1.44
    estimate Comment
    The arm having surgery alone was the reference arm.
    group Description
    Sample size was determined to provide 90% power for detecting a Hazard Ratio (HR)=0.52 (which corresponds to a 20% difference in ARFS rate at 5 years, from 50% in the surgery arm to 70% in the experimental arm) at a global 2-sided 5% significance level assuming ARFS followed an exponential distribution in both arms. This test required 102 events at the time of the statistical analysis.
    group Ids
    1. OG000
    2. OG001
    non Inferiority Comment
    Time assessment biases were taken into account for the primary endpoint: * Surgery alone arm: abdominal recurrence occurring prior to week 14 assessment was counted as occurring at week 14; progression occurring after the week 14 was counted as occurring at week 24. * Preoperative RT arm: abdominal recurrence occurring was counted as occurring at week 14; and any abdominal recurrence occurring after and prior to or during the week 24 will be counted as occurring at week 24.
    non Inferiority Type
    SUPERIORITY
    p Value
    0.955
    p Value Comment
    A 5% significance level was considered as a threshold for statistical significance.
    param Type
    Hazard Ratio (HR)
    param Value
    1.01
    statistical Comment
    The time assessment biases correction described before was not applied to patients for whom death was the first event.
    statistical Method
    Regression, Cox
classes
  1. categories
    1. measurements
      1. group Id
        OG000
        value
        72
      2. group Id
        OG001
        value
        73
    title
    No event
  2. categories
    1. measurements
      1. group Id
        OG000
        value
        61
      2. group Id
        OG001
        value
        60
    title
    Event
denoms
  1. counts
    1. group Id
      OG000
      value
      133
    2. group Id
      OG001
      value
      133
    units
    Participants
description
Abdominal recurrence was defined by one of the following events: local/abdominal or distant progressive disease during preoperative radiotherapy (as per RECIST 1.1), tumor or patient becoming inoperable (ASA score of 3 or involvement of superior mesenteric artery, aorta, or bone), peritoneal metastasis found at surgery, macroscopic residual disease left in at surgery (R2 resection), or local relapse (after macroscopically complete resection). Liver metastases were regarded as distant metastatic events. Patients with distant metastases were followed until local failure was detected. Patients without one of these events were censored at the date of last follow-up.
groups
  1. description
    En-bloc resection of surrounding tissues and organs when located within 1 to 2 cm from the surface tumor, even when not infiltrated. therapeutic conventional surgery
    id
    OG000
    title
    Surgery Alone
  2. description
    3D-CRT or IMRT to a dose of 50.4 Gy/28 daily fractions therapeutic conventional surgery 3-dimensional conformal radiation therapy
    id
    OG001
    title
    Preoperative Radiotherapy Followed by En-bloc Surgery
param Type
COUNT_OF_PARTICIPANTS
reporting Status
POSTED
time Frame
ARFS was measured from date of randomization to date of abdominal relapse or death, whichever occurred first, up to a maximum of 7 years.
title
Number of Patients With Abdominal Recurrence or Death
type
PRIMARY
unit Of Measure
Participants

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Preserved source evidence · Not medical advice