Evidence map›Paper›PMID 42778256›Full record

ArticleBMJ open2026

SCOPES-II: short course of preoperative radiotherapy in head and neck, trunk and extremity soft tissue sarcomas - study protocol for a second randomised phase II clinical trial.

Geraldien Florine Foppele, Marta Fiocco, Olga Husson, Astrid Kramer, Valesca P Retèl, Vincent van der Noort, Judith V Bovee, Gerry Feeney, Fred J F Ubbels, Pètra M Braam and 7 more

Registry-linked trialAbstract readClinical Trial Protocol
In one paragraph

Article in BMJ open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07071727 (Short Course Of Preoperative Radiotherapy in Head and Neck-, Trunk- and Extremity Soft Tissue Sarcomas; a Second Randomized Phase II Clinical Trial), which is not on this map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT07071727 narecruitingnot on this map

Short Course Of Preoperative Radiotherapy in Head and Neck-, Trunk- and Extremity Soft Tissue Sarcomas; a Second Randomized Phase II Clinical Trial

TypeinterventionalSponsorThe Netherlands Cancer InstituteRan2025 to 2033Enrolled150ConditionsSarcoma of Soft Tissue, Sarcoma, Sarcoma, Soft TissueArmsPreoperative radiotherapy
3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

17 authors.

Geraldien Florine FoppeleDepartment of Radiotherapy, Leiden University Medical Center, Leiden, The Netherlands.ORCID http://orcid.org/0009-0003-5445-4120
Marta FioccoMathematical Institute, Leiden University, Leiden, The Netherlands.
Olga HussonDepartment of Medical Oncology, Netherlands Cancer Institute, Amsterdam, The Netherlands.
Astrid KramerDepartment of Psychosocial Research and Epidemiology, Netherlands Cancer Institute, Amsterdam, The Netherlands.
Valesca P RetèlDepartment of Psychosocial Research and Epidemiology, Netherlands Cancer Institute, Amsterdam, The Netherlands.
Vincent van der NoortDepartment of Biometrics, the Netherlands Cancer Institute, Amsterdam, The Netherlands.
Judith V BoveeDepartment of Pathology, Leiden University Medical Centre, Leiden, The Netherlands.
Gerry FeeneyPatient advocate, Sarcoma Patients Advocacy Global Network, London, UK.ORCID http://orcid.org/0009-0005-1767-1796
Fred J F UbbelsDepartment of Radiotherapy, University Medical Centre Groningen, Groningen, The Netherlands.
Pètra M BraamDepartment of Radiotherapy, Radboud University Medical Center, Nijmegen, The Netherlands.
Brian BalgobindDepartment of Radiotherapy, Amsterdam UMC Locatie AMC, Amsterdam, The Netherlands.ORCID http://orcid.org/0009-0009-0326-7345
Kim De VriesDepartment of Radiotherapy, Erasmus MC Cancer Center, Rotterdam, The Netherlands.
Frederik W WesselingDepartment of Radiotherapy (Maastro), Maastricht University Medical Centre+, Maastricht, The Netherlands.
Piotr RutkowskiDepartment of Radiotherapy, The Maria Sklodowska-Curie National Research Institute of Oncology, Warsaw, Poland.
Mateusz SpalekDepartment of Radiotherapy, The Maria Sklodowska-Curie National Research Institute of Oncology, Warsaw, Poland.
Rick L HaasDepartment of Radiotherapy, Leiden University Medical Center, Leiden, The Netherlands.
Lisette M WiltinkDepartment of Radiotherapy, Leiden University Medical Center, Leiden, The Netherlands l.m.wiltink@lumc.nl.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionSoft tissue sarcomas (STS) are rare malignant tumours typically treated with surgery in combination with radiotherapy and/or chemotherapy. Conventional preoperative radiotherapy (25×2 Gy) prolongs treatment duration up to 3-5 months, which can substantially have an impact on the patient's burden. Moderate hypofractionated schedules (14-15×2.85-3 Gy) have shown comparable oncological outcomes and toxicity profiles to conventional treatment. Data on ultra-hypofractionated regimens, such as 5×6 Gy, suggest comparable outcomes. The SCOPES-II trial is designed to evaluate and compare a moderately hypofractionated radiotherapy regimen (14×3 Gy) with an ultra-hypofractionated schedule (5×6 Gy) in adults diagnosed with STS of intermediate or high histological grade. METHODS AND ANALYSIS: This international, multicentre, randomised phase II trial will include 150 adult patients with localised STS showing intermediate or high tumour grade, arising in the head and neck region, trunk, chest wall or limbs. Patients assigned to arm A will receive preoperative radiotherapy delivered as 14 fractions of 3 Gy, whereas those in arm B will undergo treatment consisting of 5 fractions of 6 Gy. In both treatment arms, surgical resection is planned approximately 6 to 8 weeks following completion of radiotherapy. The primary endpoint is the rate of postoperative wound-related complications occurring within 120 days after surgery. Secondary objectives comprise assessment of oncological efficacy, including local control and the development of distant disease, evaluation of late radiation-associated toxicities, patient-reported Health-Related Quality of Life (HRQoL) and an analysis of cost-effectiveness. ETHICS AND DISSEMINATION: Ethical approval for this trial has been obtained from the relevant Medical Ethics Committees (METc) in both the Netherlands (Medisch-Ethische Toetsingscommissie NedMec NL009842) and Poland (43/2026). Written informed consent will be obtained from all participants before inclusion in the study. The findings of this trial will be shared through publication in international peer-reviewed journals. TRIAL REGISTRATION NUMBER: NCT07071727.

Indexed as

Head and Neck NeoplasmsSarcomaAdultClinical Trials, Phase II as TopicDose Fractionation, RadiationExtremitiesFemaleHumansMulticenter Studies as TopicPreoperative CareQuality of LifeRadiation Dose HypofractionationRadiotherapy, AdjuvantRandomized Controlled Trials as TopicTorsoTreatment OutcomeRadiation oncologyRADIOTHERAPYSarcoma

Identifiers

PMID42778256
PMCPMC13629992

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.