Improving outcomes through collaboration in osteosarcoma

Study ID: 41346
Short Title: ICONIC
Trust Name: UHS
Recruitment Site: Southampton General Hospital
Disease Area: Sarcoma
Phase: N/A
Expected End Date: 31/01/2025
Postcode: SO16 6YD
Contact Name: Amanda Pattie
Contact Email: studysupport1and3.crnwessex@nihr.ac.uk
Active: Yes

Inclusion criteria, exclusion criteria and study summary

• New histological diagnosis of osteosarcoma or in the absence of osteoid seen on biopsy, pathology and imaging supportive of a diagnosis of osteosarcoma. It is well recognised that some patients may present with features suggestive of osteosarcoma (under 40, radiological abnormality compatible) but in whom no osteoid is detected in needle biopsy. Although categorised as spindle cell tumour of bone, such patients are usually treated in an identical approach to osteosarcoma. A definite diagnosis of osteosarcoma is then often possible after surgery when the entire resection specimen is available. • Written informed consent of patient or parent/legal guardian

• Osteosarcoma diagnosis more than three months prior to registration

There has been little improvement in outcome for patients with osteosarcoma (OS) over the last 20 years. There have been only a few clinical trials of new treatments and no major new therapies introduced recently. This is in part because we do not have a good understanding of the biology of osteosarcoma, but also trials have only included subgroups of patients. The more we understand about how and why osteosarcoma arises and grows the better we will be able to decide what treatments are most likely to work best. The purpose of this project is to collect high quality clinical data about patients of all ages with osteosarcoma, such as information about the size of the disease, how it was diagnosed and where it is at diagnosis, what treatments were given and how the disease responded the treatments. We will also collect blood and tissue samples for analysis in research laboratories. By looking at the results of the laboratory findings and the clinical data together, we will start to answer the questions about why osteosarcomas arise and grow, what makes it spread, and why some patients respond to treatment better than others. As time goes on, we plan to use this information to develop clinical trials of new treatments. Alongside this, we want to find out more about how osteosarcoma and its treatments affect the lives of those living with this disease. This information will help us to provide the most appropriate care and support that will meet the needs of each patient. Ultimately, our aim is to improve the care and treatment of osteosarcoma patients so that they may live longer and better lives.

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