Freeze or chemo? new trial tests a less harsh option for desmoid tumors
NCT ID NCT06081400
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tests whether freezing desmoid tumors with a needle (cryoablation) works better than standard chemotherapy for people whose tumors have grown after a period of watchful waiting. About 150 participants will be randomly assigned to one of the two treatments. If the tumor progresses on the first treatment, patients can switch to the other option. The goal is to see which approach better stops tumor growth with fewer side effects.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Cryoablation (a procedure that freezes and destroys tumor tissue) and chemotherapy drugs (methotrexate + vinblastine, or vinorelbine)
- What this could lead to
- If cryoablation works better than chemotherapy, it could offer a less toxic, more targeted way to control desmoid tumors without long-term medication.
- What could go wrong
- This is a phase 2 trial with only 150 participants, so results may not apply to everyone. Cryoablation may not work for all tumor locations or sizes, and there is a risk of side effects like pain or damage to nearby tissues.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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About 150 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Mar 2024
- Expected to finish
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Jun 2029
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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13 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Subject (male or female) with extra-peritoneal desmoid tumor (confirmed by prior biopsy by an experienced pathologist within the RRePS network) * 13 years of age or older * Measurable viable tumor (according to the mRECIST criteria using MRI. The baseline MRI imaging is mandatory in the 2 months prior to treatment initiation (D0). * Progressive disease (according to the mRECIST criteria) after the watchful waiting period or significant increase in symptoms requiring an active therapy, as advised in a multidisciplinary sarcoma tumor board * Tumor deemed accessible for cryoablation procedure by the operator in a type I center. (In pediatric cases, a careful site tumor analysis will be performed with interventional radiologist to ensure for limited consequence of cryoablation in pediatric patients especially regarding growth plates). * 100 % of destruction of the tumor achievable in one procedure of cryoablation with 1cm security margin according to assessment by referral center (type 1) for cryoablation * ECOG performance status 0-2 at inclusion visit * Biological and hematological parameters (neutrophils ≥ 1,5.109/L ; platelet count ≥ 100.109/L ; no significant hemostatic abnormalities) in the 4 weeks prior to treatment initiation (D0) * Subject able to understand the objectives and risks of the research and to give dated and signed informed consent. For minors, the consent of the 2 parents must be obtained. * Subject affiliated to a social health insurance plan * For a woman of childbearing age: negative blood pregnancy test at screening/inclusion visit * Subject agreeing to use a contraceptive method Exclusion criteria: * Intra-peritoneal or multifocal desmoid tumor * Concurrent or prior use of any antitumor agent for the current desmoid tumor * Relapse after surgery for desmoid tumor * Any contraindication including known hypersensitivity to vinorelbine or other vinca-alkaloids, or other constituents to navelbine, to vinblastine, to methotrexate or any excipients, such as, but not limited to current or recent (within 2 weeks) severe infection, severe renal failure, severe hepatic injury, chronic respiratory failure * Any contraindication including hypersensitivity to gadoteric acid, meglumine or any drug containing gadolinium * Concomitant treatment with: yellow fever vaccine, prophylactic treatment with phenytoin, trimethoprim, ciprofloxacin, penicillins, probenecid, acetylsalicylic acid, NSAIDs, PPIs, acitretin, azote protoxide, St John's wort * Any contra-indication for the procedure as stated by the interventional radiologist in terms of tumor size, proximity to neural/vascular structures or adjacent organs at risk making the procedure at unacceptable risk * Impaired hemostasis, that may interfere with the conduct of the cryoablation * Contraindication to any form of sedation * Others contra-indications to MRI * Pregnancy or breastfeeding * Concurrent participation in other experimental studies that could affect endpoints of the present study * Impossibility to give the subject informed information (subject in an emergency situation, patient with comprehension difficulties ...) * Psychiatric disorders * Incompetent subject (subject to a legal protection measure: curatorship, guardianship, future protection mandate, family habilitation)
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
13 sites. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Institut de cancérologie Strasbourg Europe (ICANS)
RECRUITINGStrasbourg, 67033, France
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Service d'Imagerie Interventionnelle, Hôpitaux Universitaires de Strasbourg , France, 67091
RECRUITINGStrasbourg, 67091, France
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Service d'Oncologie Médicale
RECRUITINGSaint-Herblain, 44805, France
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Service d'Oncologie Médicale -Centre Georges François LECLERC
RECRUITINGDijon, 21079, France
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Service d'Oncologie Médicale, Service de Radiologie Interventionnelle, Institut BERGONNIE
RECRUITINGBordeaux, 33000, France
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Service d'Oncologie Médicale, Service de Radiologie Interventionnelle-Centre François BACLESSE
RECRUITINGCaen, 14076, France
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Service d'Oncologie Médicale, Service de Radiologie Interventionnelle-Centre Léon BERARD
RECRUITINGLyon, 69373, France
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Service d'Oncologie Médicale, service de Radiologie Interventionnelle,CHU de Marseille, Hopital La Timone
RECRUITINGMarseille, 13385, France
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Service d'Oncologie Médicale-Centre Antoine LACASSAGNE
RECRUITINGNice, 06189, France
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Service d'Oncologie Médicale-Institut Claudius Régaud et Service de Radiologie Interventionnelle, CHU de Toulouse
NOT_YET_RECRUITINGToulouse, 31059, France
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Service d'Oncologie médicale, Service de Radiologie Interventionnelle- Institut Gustave ROUSSY
RECRUITINGVillejuif, 94800, France
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Service d'oncologie/CHU de Besançon
NOT_YET_RECRUITINGBesançon, France
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Service de Radiologie-CHU de Nantes
RECRUITINGNantes, 44000, France
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