Trial Outcomes & Findings for Pilot Study of Same-session MR-only Simulation and Treatment With Stereotactic MRI-guided Adaptive Radiotherapy (SMART) for Oligometastases of the Spine (NCT NCT03878485)

NCT ID: NCT03878485

Last Updated: 2024-07-25

Results Overview

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

10 participants

Primary outcome timeframe

First on-table attempt of first fraction of radiation (an average of 1 day)

Results posted on

2024-07-25

Participant Flow

Participant milestones

Participant milestones
Measure
Stereotactic MRI-guided Adaptive Radiotherapy
-Radiotherapy will consist of stereotactic body therapy to the spine, to be given over either a two or five fraction course, delivered once daily or once every other day for a period of one to two weeks, for a total of two or five treatments (depending on whether a 2 or 5 fraction course is selected).
Overall Study
STARTED
10
Overall Study
COMPLETED
10
Overall Study
NOT COMPLETED
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Pilot Study of Same-session MR-only Simulation and Treatment With Stereotactic MRI-guided Adaptive Radiotherapy (SMART) for Oligometastases of the Spine

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Stereotactic MRI-guided Adaptive Radiotherapy
n=10 Participants
-Radiotherapy will consist of stereotactic body therapy to the spine, to be given over either a two or five fraction course, delivered once daily or once every other day for a period of one to two weeks, for a total of two or five treatments (depending on whether a 2 or 5 fraction course is selected).
Age, Continuous
63 years
n=93 Participants
Sex: Female, Male
Female
8 Participants
n=93 Participants
Sex: Female, Male
Male
2 Participants
n=93 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=93 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
10 Participants
n=93 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=93 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=93 Participants
Race (NIH/OMB)
Asian
0 Participants
n=93 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=93 Participants
Race (NIH/OMB)
Black or African American
1 Participants
n=93 Participants
Race (NIH/OMB)
White
9 Participants
n=93 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=93 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=93 Participants
Region of Enrollment
United States
10 participants
n=93 Participants

PRIMARY outcome

Timeframe: First on-table attempt of first fraction of radiation (an average of 1 day)

Outcome measures

Outcome measures
Measure
Stereotactic MRI-guided Adaptive Radiotherapy
n=10 Participants
-Radiotherapy will consist of stereotactic body therapy to the spine, to be given over either a two or five fraction course, delivered once daily or once every other day for a period of one to two weeks, for a total of two or five treatments (depending on whether a 2 or 5 fraction course is selected).
Number of Participants to Receive Delivery of the First Fraction of Same-session MRI-only Simulation and Treatment With SMART on the First On-table Attempt
8 Participants

Adverse Events

Stereotactic MRI-guided Adaptive Radiotherapy

Serious events: 2 serious events
Other events: 1 other events
Deaths: 1 deaths

Serious adverse events

Serious adverse events
Measure
Stereotactic MRI-guided Adaptive Radiotherapy
n=10 participants at risk
-Radiotherapy will consist of stereotactic body therapy to the spine, to be given over either a two or five fraction course, delivered once daily or once every other day for a period of one to two weeks, for a total of two or five treatments (depending on whether a 2 or 5 fraction course is selected).
Musculoskeletal and connective tissue disorders
Back pain
10.0%
1/10 • Adverse events and all-cause mortality were collected from start of treatment through 3-month post-treatment follow-up visit.
The following adverse events were not collected: grade 1-2 events regardless of relatedness, grade 3-4 events that predate SBRT, and grade 3-4 events that are not at least probably attributable to treatment.
Gastrointestinal disorders
Abdominal pain
10.0%
1/10 • Adverse events and all-cause mortality were collected from start of treatment through 3-month post-treatment follow-up visit.
The following adverse events were not collected: grade 1-2 events regardless of relatedness, grade 3-4 events that predate SBRT, and grade 3-4 events that are not at least probably attributable to treatment.
General disorders
Disease progression
10.0%
1/10 • Adverse events and all-cause mortality were collected from start of treatment through 3-month post-treatment follow-up visit.
The following adverse events were not collected: grade 1-2 events regardless of relatedness, grade 3-4 events that predate SBRT, and grade 3-4 events that are not at least probably attributable to treatment.

Other adverse events

Other adverse events
Measure
Stereotactic MRI-guided Adaptive Radiotherapy
n=10 participants at risk
-Radiotherapy will consist of stereotactic body therapy to the spine, to be given over either a two or five fraction course, delivered once daily or once every other day for a period of one to two weeks, for a total of two or five treatments (depending on whether a 2 or 5 fraction course is selected).
Gastrointestinal disorders
Nausea
10.0%
1/10 • Adverse events and all-cause mortality were collected from start of treatment through 3-month post-treatment follow-up visit.
The following adverse events were not collected: grade 1-2 events regardless of relatedness, grade 3-4 events that predate SBRT, and grade 3-4 events that are not at least probably attributable to treatment.
Gastrointestinal disorders
Vomiting
10.0%
1/10 • Adverse events and all-cause mortality were collected from start of treatment through 3-month post-treatment follow-up visit.
The following adverse events were not collected: grade 1-2 events regardless of relatedness, grade 3-4 events that predate SBRT, and grade 3-4 events that are not at least probably attributable to treatment.

Additional Information

Dr. Clifford Robinson

Washington University School of Medicine

Phone: 314-362-8567

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place