Arterial Chemoembolization for the Treatment of Desmoid Fibromatosis

Recruiting now

Conditions studied: Desmoid

In brief

Desmoid fibromatoses are rare (1-2 cases/million per year) and locally aggressive mesenchymal tumors. For asymptomatic disease, current guidelines suggest an initial period of active surveillance. The current scientific evidence regarding the efficacy and safety of the treatment of desmoid fibromatosis by arterial embolization is constituted by several retrospective and prospective studies. Embolization of desmoid tumors alone, without chemotherapy, on the contrary, has been shown to be inefficient. Using Doxorubicin in desmoid fibromatosis is effective but associated with systemic toxicity. Consequently, this drug is reserved for symptomatic, nonresponsive, rapidly growing or life-threatening tumors. The intrinsic hypervascularity of desmoid tissue can be exploited as a conduit to achieve local distribution of Doxorubicin by navigation of a catheter endovascular.

Key facts

Study ID

NCT06268457

Run by

Istituto Ortopedico Rizzoli

People needed

20

Starts

2024-02-20

Expected to finish

2028-02-01

Last updated by the study team

2026-05-14

Who can join

Age: 18 and older. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

• FIbromatosis demsoid symptomatic and in active phase (documented growth at last follow-ups)
• Patients who are not candidates for surgery or cryoablation

You may not qualify if…

• Patients with life expectancy <3 months or severely impaired status functional status (ASA 4)
• Patients with fibromatosis not in active phase, documented clinically and by investigations imaging (MRI, CT)
• Patients with coagulation deficiency or plateletopenic disease
• Patients with documented active infection

Where it is running

• Istituto Ortopedico Rizzoli — Bologna, Emilia-Romagna, Italy (enrolling)

Full record on ClinicalTrials.gov

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