NCT06398314

Brief Summary

PALLSOFT is a randomized, open-label, non-inferiority phase III, multicenter, national trial that will investigate whether the patient-reported symptomatic effect of palliative radiotherapy delivered in 1-2 fractions is non-inferior to palliative radiotherapy delivered in five fractions in patients with pelvic soft tissue tumors from either gastrointestinal, urological or gynecological cancer. Health-related quality of life, toxicities, survival and prognostic and predictive biomarkers will be assessed as secondary and explorative endpoints.

Trial Health

77
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
200

participants targeted

Target at P75+ for not_applicable

Timeline
56mo left

Started Dec 2024

Longer than P75 for not_applicable

Geographic Reach
1 country

11 active sites

Status
recruiting

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Progress24%
Dec 2024Dec 2030

First Submitted

Initial submission to the registry

April 17, 2024

Completed
16 days until next milestone

First Posted

Study publicly available on registry

May 3, 2024

Completed
7 months until next milestone

Study Start

First participant enrolled

December 10, 2024

Completed
5 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 1, 2029

Expected
1 year until next milestone

Study Completion

Last participant's last visit for all outcomes

December 1, 2030

Last Updated

May 23, 2025

Status Verified

March 1, 2025

Enrollment Period

5 years

First QC Date

April 17, 2024

Last Update Submit

May 22, 2025

Conditions

Keywords

Palliative radiotherapyPatient-reported outcomesGastrointestinal cancerUrologic cancerGynecologic cancerTumor hypoxia

Outcome Measures

Primary Outcomes (1)

  • Patient-reported symptomatic effect

    Establish whether 1-2 fractions of 8 Gy is non-inferior to 5 fractions of 5 Gy with regards to target symptom effect assessed by change in NRS 0-10 (Numerical Rating Scale) from baseline

    12 weeks

Secondary Outcomes (2)

  • Physician-reported toxicities

    52 weeks

  • Survival

    2 years

Other Outcomes (6)

  • Patient-reported quality of life

    12 weeks

  • Prognostic models

    Baseline

  • Prognostic models

    Baseline

  • +3 more other outcomes

Study Arms (2)

1-2 fractions of 8 Gy (Gray)

ACTIVE COMPARATOR
Radiation: Palliative radiotherapy

5 fractions of 5 Gy (Gray)

ACTIVE COMPARATOR
Radiation: Palliative radiotherapy

Interventions

Hypofractionated radiotherapy

1-2 fractions of 8 Gy (Gray)5 fractions of 5 Gy (Gray)

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Patients unsuitable for curative treatment due to either advanced disease or medical contradictions (i.e comorbidity, old age, poor general condition)
  • Histologically verified primary cancer originated from gastrointestinal, urological or gynecological organs (histological verification can be performed on other lesions than the symptomatic pelvic tumor)
  • Primary, residual, recurrent or metastatic pelvic tumor from the above-mentioned cancers not amenable for curative treatment
  • Tumor-related symptoms including within the 5 defined categories pain, bleeding, bowel/lower urinary/vaginal dysfunction
  • Considered candidate for palliative radiotherapy according to both study arms
  • Patient reported severity of symptoms ≥4 on a NRS- scale of 0-10
  • ≥18 years of age
  • Speaks and understands Norwegian or English
  • Ability to understand and willing to sign a written informed consent
  • ECOG performance status 0-3
  • Expected survival \> 12 weeks
  • Able to pause systemic cancer treatment for one week prior to, during, and one week after the radiotherapy treatment
  • Women of childbearing potential (WOCBP) should have a negative highly sensitive serum pregnancy test within 72 hours prior to study intervention. WOCBP must agree to the use of highly effective birth control methods or abstain from heterosexual sexual activity from randomization and until completed study intervention

You may not qualify if:

  • Neuroendocrine histology of any kind
  • Sarcoma or sarcomal components in the histology
  • Tumors that originate from bony metastases without a soft tissue component
  • Unable to comply with study questionnaires
  • Patients who are pregnant due to risk of teratogenic and abortifacient effects of radiotherapy

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (11)

Helse Møre og Romsdal

Ålesund, Norway

RECRUITING

Haukeland universitetssykehus

Bergen, Norway

RECRUITING

Nordlandssykehuset Bodø

Bodø, Norway

RECRUITING

Vestre Viken HF

Drammen, Norway

RECRUITING

Sykehuset Innlandet HF

Gjøvik, Norway

RECRUITING

Sørlandet sykehus HF

Kristiansand, Norway

RECRUITING

Oslo Universitetssykehus

Oslo, Norway

RECRUITING

Sykehuset Telemark HF

Skien, Norway

RECRUITING

Stavanger Universitetssykehus

Stavanger, Norway

RECRUITING

Universitetssykehuset i Nord-Norge

Tromsø, Norway

RECRUITING

St. Olavs Hospital HF

Trondheim, Norway

RECRUITING

Related Publications (1)

  • Skipar K, Orvik MS, Evers C, Balteskard L, Ekanger C, Giske LE, Odegaard K, Ostrem EH, Nordstrand CS, Tondel H, Nieder C, Guren MG, Kaasa S, Ragnum HB. Palliative radiotherapy in symptomatic pelvic soft tissue tumors (PallSoft)- protocol for a national, randomized, non-inferiority study. BMC Cancer. 2025 Jul 1;25(1):1051. doi: 10.1186/s12885-025-14424-1.

MeSH Terms

Conditions

Gastrointestinal NeoplasmsUrologic Neoplasms

Condition Hierarchy (Ancestors)

Digestive System NeoplasmsNeoplasms by SiteNeoplasmsDigestive System DiseasesGastrointestinal DiseasesUrogenital NeoplasmsFemale Urogenital DiseasesFemale Urogenital Diseases and Pregnancy ComplicationsUrogenital DiseasesMale Urogenital DiseasesUrologic Diseases

Study Officials

  • Harald Ragnum, MD,PhD

    Telemark Hospital Trust

    STUDY CHAIR

Central Study Contacts

Kjersti Skipar, MD

CONTACT

Harald Ragnum, MD, PhD

CONTACT

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Model Details: Non-inferiority, multicenter
Sponsor Type
OTHER GOV
Responsible Party
SPONSOR

Study Record Dates

First Submitted

April 17, 2024

First Posted

May 3, 2024

Study Start

December 10, 2024

Primary Completion (Estimated)

December 1, 2029

Study Completion (Estimated)

December 1, 2030

Last Updated

May 23, 2025

Record last verified: 2025-03

Data Sharing

IPD Sharing
Will not share

Locations