Esophagus-sparing Radiotherapy for Metastatic Spinal Cord Compression.

NCT ID: NCT05109819

Last Updated: 2024-05-01

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

Get a concise snapshot of the trial, including recruitment status, study phase, enrollment targets, and key timeline milestones.

Recruitment Status

RECRUITING

Clinical Phase

NA

Total Enrollment

200 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-05-20

Study Completion Date

2024-05-31

Brief Summary

Review the sponsor-provided synopsis that highlights what the study is about and why it is being conducted.

Metastatic spinal cord compression (MSCC) is a serious complication to metastatic cancer and when diagnosed life expectancy is short. Treatment is palliative radiotherapy (RT). Early esophageal toxicity is underreported but can seriously impact quality of life (QoL).

The aim of the ESO-SPARE trial is to investigate if esophagus sparing RT can decrease patient reported esophageal toxicity without compromising ambulatory function or increase other toxicities.

200 patients with MSCC in the thoracic or cervical spine referred for RT will be randomized to either standard or esophagus/pharynx sparing RT. Subsequently participants will be followed with PROM (Patient Reported Outcome Measures) for 9 weeks. PROM-CTCAE questionnaires on upper GI toxicity and pain will be collected daily for 5 weeks and weekly for 4 weeks. Questionnaires evaluating QoL and physical function will be collected weekly for 9 weeks.

Detailed Description

Dive into the extended narrative that explains the scientific background, objectives, and procedures in greater depth.

Conditions

See the medical conditions and disease areas that this research is targeting or investigating.

Metastatic Spinal Cord Compression Radiation Toxicity Esophagitis Patient Reported Outcome Measures

Study Design

Understand how the trial is structured, including allocation methods, masking strategies, primary purpose, and other design elements.

Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Patients with metastatic spinal cord compression in the cervical and/or thoracic spine are randomized into two groups. Group A receives standard radiotherapy, group B receives esophagus sparing therapy.
Primary Study Purpose

PREVENTION

Blinding Strategy

SINGLE

Participants
The outcome of randomization is not reviled to the patient.

Study Groups

Review each arm or cohort in the study, along with the interventions and objectives associated with them.

Arm A: standard radiotherapy treatment

Patients in arm A will receive standard radiotherapy treatment for metastatic spinal cord compression.

Group Type NO_INTERVENTION

No interventions assigned to this group

Arm B: esophagus sparring radiotherapy treatment

Patients in arm B will receive esophagus sparring radiotherapy treatment.

Group Type EXPERIMENTAL

Esophagus sparring radiotherapy treatment

Intervention Type RADIATION

A radiotherapy plan for metastatic spinal cord compression is conducted with specific constrains sparring the esophagus.

Interventions

Learn about the drugs, procedures, or behavioral strategies being tested and how they are applied within this trial.

Esophagus sparring radiotherapy treatment

A radiotherapy plan for metastatic spinal cord compression is conducted with specific constrains sparring the esophagus.

Intervention Type RADIATION

Eligibility Criteria

Check the participation requirements, including inclusion and exclusion rules, age limits, and whether healthy volunteers are accepted.

Inclusion Criteria

* Histology or cytology proven cancer
* Referred for palliative radiotherapy of the cervical or thoracic vertebra for

* epidural ingrowth
* metastatic spinal cord compression
* metastatic spinal nerve root compression
* post-operative radiotherapy after decompressive surgery for spinal cord or nerve root compression
* Ability to understand and the willingness to sign a written informed consent document
* Referred for the following dose prescriptions 5 Gy x 5, 5 Gy x 4, 3 Gy x 10, 10 Gy x 1, 8 Gy x 1.
* ≥ 18 years old.

Exclusion Criteria

\- Referred for \> 10 fractions
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

Meet the organizations funding or collaborating on the study and learn about their roles.

Rigshospitalet, Denmark

OTHER

Sponsor Role collaborator

Danish Cancer Society

OTHER

Sponsor Role collaborator

University of Copenhagen

OTHER

Sponsor Role collaborator

Herlev Hospital

OTHER

Sponsor Role lead

Responsible Party

Identify the individual or organization who holds primary responsibility for the study information submitted to regulators.

Anna Mann Nielsen

Principal Investigator, MD

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

Explore where the study is taking place and check the recruitment status at each participating site.

Rigshospitalet

Copenhagen, , Denmark

Site Status RECRUITING

Herlev Hospatal

Herlev, , Denmark

Site Status RECRUITING

Countries

Review the countries where the study has at least one active or historical site.

Denmark

Central Contacts

Reach out to these primary contacts for questions about participation or study logistics.

Anna M Nielsen, MD

Role: CONTACT

00 45 26718136

Gitte Persson, MD, Ph.d.

Role: CONTACT

00 45 38689299

Facility Contacts

Find local site contact details for specific facilities participating in the trial.

Morten H Suppli, MD, PhD.

Role: primary

00 45 35459698

Ivan R Vogelius, Dr. med, clinical proffesor

Role: backup

00 45 35459885

Anna M Nielsen

Role: primary

+4526718136

Gitte Persson

Role: backup

+4538689299

References

Explore related publications, articles, or registry entries linked to this study.

Aaronson NK, Ahmedzai S, Bergman B, Bullinger M, Cull A, Duez NJ, Filiberti A, Flechtner H, Fleishman SB, de Haes JC, et al. The European Organization for Research and Treatment of Cancer QLQ-C30: a quality-of-life instrument for use in international clinical trials in oncology. J Natl Cancer Inst. 1993 Mar 3;85(5):365-76. doi: 10.1093/jnci/85.5.365.

Reference Type BACKGROUND
PMID: 8433390 (View on PubMed)

Rabin R, de Charro F. EQ-5D: a measure of health status from the EuroQol Group. Ann Med. 2001 Jul;33(5):337-43. doi: 10.3109/07853890109002087.

Reference Type BACKGROUND
PMID: 11491192 (View on PubMed)

Provided Documents

Download supplemental materials such as informed consent forms, study protocols, or participant manuals.

Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Other Identifiers

Review additional registry numbers or institutional identifiers associated with this trial.

H-20069184

Identifier Type: REGISTRY

Identifier Source: secondary_id

AA 2112 ESO-SPARE

Identifier Type: -

Identifier Source: org_study_id

More Related Trials

Additional clinical trials that may be relevant based on similarity analysis.

Spinal Cord Compression Re-Treat Study
NCT00974168 COMPLETED PHASE2