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NCT02512965

Study Comparing Stereotactic Body Radiotherapy vs Conventional Palliative Radiotherapy (CRT) for Spinal Metastases

Completed NA Results posted Last updated 13 February 2024
What this trial tests

NA trial testing 20 Gy in 5 fractions in Spinal Metastases in 229 participants. Completed in 16 August 2021.

Timeline
4 January 2016
Primary endpoint
21 July 2020
16 August 2021

Quick facts

Lead sponsorCanadian Cancer Trials Group
PhaseNA
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingnone
Primary purposeother
Enrollment229
Start date4 January 2016
Primary completion21 July 2020
Estimated completion16 August 2021
Sites22 locations across Canada, Australia

Drugs / interventions tested

Conditions studied

Sponsor

Canadian Cancer Trials Group — full company profile →

Who can join

18 and older, any sex, with Spinal Metastases. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Phase III: Complete Pain Response at 3 Months Post-radiation Primary · 3 months

A Complete Pain Response is defined as a pain score of zero (0) at the treated site with no concomitant increase in analgesic intake (stable or reducing analgesics in daily oral morphine equivalent) .

CR
GroupValue95% CI
Standard Conventional Radiotherapy16
Stereotactic Body Radiotherapy40
PR
GroupValue95% CI
Standard Conventional Radiotherapy29
Stereotactic Body Radiotherapy20
SD
GroupValue95% CI
Standard Conventional Radiotherapy34
Stereotactic Body Radiotherapy27
PD
GroupValue95% CI
Standard Conventional Radiotherapy14
Stereotactic Body Radiotherapy7
In-evalable
GroupValue95% CI
Standard Conventional Radiotherapy22
Stereotactic Body Radiotherapy16
Complete Pain Response at 6 Months Post Radiation Based on the International Bone Metastases Consensus Working Party Criteria Secondary · 6 months post radiation

A Complete Pain Response is defined as a pain score of zero (0) at the treated site with no concomitant increase in analgesic intake (stable or reducing analgesics in daily oral morphine equivalent) .

CR
GroupValue95% CI
Standard Conventional Radiotherapy18
Stereotactic Body Radiotherapy37
PR
GroupValue95% CI
Standard Conventional Radiotherapy18
Stereotactic Body Radiotherapy10
SD
GroupValue95% CI
Standard Conventional Radiotherapy32
Stereotactic Body Radiotherapy26
PD
GroupValue95% CI
Standard Conventional Radiotherapy8
Stereotactic Body Radiotherapy5
In-evaluable
GroupValue95% CI
Standard Conventional Radiotherapy39
Stereotactic Body Radiotherapy36
Radiation Site Progression-free Survival Rate at 6 Months Using MRI Imaging Secondary · 6 months.

Radiation site progression was defined as: * Gross unequivocal increase in tumor volume or linear dimension \> 20%. * Any new or progressive tumor within the epidural space. * Neurologic deterioration attributable to pre-existing epidural disease with equivocal increased epidural disease dimensions on MRI.

GroupValue95% CI
Standard Conventional Radiotherapy0.690.60 – 0.77
Stereotactic Body Radiotherapy0.750.65 – 0.82
Overall Survival Rate at 6 Months Secondary · 6 months post radiation

Proportion of participants who were alive at 6 months in study.

GroupValue95% CI
Standard Conventional Radiotherapy0.730.64 – 0.81
Stereotactic Body Radiotherapy0.770.68 – 0.84

Adverse events — posted to ClinicalTrials.gov

Time frame: 6 months.. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Standard Conventional Radiotherapy
Serious: 4/115 (3%)
Deaths: 30/115
Stereotactic Body Radiotherapy
Serious: 3/110 (3%)
Deaths: 25/114

Serious adverse events (8 terms)

ReactionSystemStandard Conventional Radi…Stereotactic Body Radiothe…
DysphagiaGastrointestinal disorders
EsophagitisGastrointestinal disorders
NauseaGastrointestinal disorders
FatigueGeneral disorders
PainGeneral disorders
Spinal fractureInjury, poisoning and procedural complications
DehydrationMetabolism and nutrition disorders
Neck painMusculoskeletal and connective tissue disorders
Other adverse events (2 terms — click to expand)

ReactionSystemStandard Conventional Radi…Stereotactic Body Radiothe…
Back painMusculoskeletal and connective tissue disorders
PainGeneral disorders

Most-reported serious reactions: Dysphagia, Esophagitis, Nausea, Fatigue, Pain, Spinal fracture, Dehydration, Neck pain.

Data from ClinicalTrials.gov NCT02512965 adverse events section.

Sponsor's own description

The purpose of this study is to find out if SBRT is better than CRT at controlling pain in the spine 3 months after receiving treatment.

Publications & conference data

8 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Stereotactic body radiotherapy versus conventional external beam radiotherapy in patients with painful spinal metastases: an open-label, multicentre, randomised, controlled, phase 2/3 trial.
    Sahgal A, Myrehaug SD, Siva S, Masucci GL, et al · · 2021 · cited 269× · PMID 34126044 · DOI 10.1016/s1470-2045(21)00196-0
  2. Imaging-Based Outcomes for 24 Gy in 2 Daily Fractions for Patients with de Novo Spinal Metastases Treated With Spine Stereotactic Body Radiation Therapy (SBRT).
    Tseng CL, Soliman H, Myrehaug S, Lee YK, et al · · 2018 · cited 91× · PMID 30003994 · DOI 10.1016/j.ijrobp.2018.06.047
  3. Current concepts in bone metastasis, contemporary therapeutic strategies and ongoing clinical trials.
    Gdowski AS, Ranjan A, Vishwanatha JK. · · 2017 · cited 83× · PMID 28800754 · DOI 10.1186/s13046-017-0578-1
  4. Separation surgery for metastatic epidural spinal cord compression: A qualitative review.
    Di Perna G, Cofano F, Mantovani C, Badellino S, et al · · 2020 · cited 60× · PMID 33088700 · DOI 10.1016/j.jbo.2020.100320
  5. Decision Making in Patients With Metastatic Spine. The Role of Minimally Invasive Treatment Modalities.
    Conti A, Acker G, Kluge A, Loebel F, et al · · 2019 · cited 56× · PMID 31608228 · DOI 10.3389/fonc.2019.00915
  6. Stereotactic spine radiosurgery: Review of safety and efficacy with respect to dose and fractionation.
    Huo M, Sahgal A, Pryor D, Redmond K, et al · · 2017 · cited 37× · PMID 28303210 · DOI 10.4103/2152-7806.200581
  7. Recent advances and new discoveries in the pipeline of the treatment of primary spinal tumors and spinal metastases: a scoping review of registered clinical studies from 2000 to 2020.
    Furlan JC, Wilson JR, Massicotte EM, Sahgal A, et al · · 2022 · cited 24× · PMID 34508647 · DOI 10.1093/neuonc/noab214
  8. Management of recurrent or progressive spinal metastases: reirradiation techniques and surgical principles.
    Kotecha R, Dea N, Detsky JS, Sahgal A. · · 2020 · cited 16× · PMID 33299573 · DOI 10.1093/nop/npaa045

Verify or expand the search:

Other recruiting trials for Spinal Metastases

Currently open trials in the same condition.

Other Canadian Cancer Trials Group trials

Trials by the same sponsor.

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