Palliative Dose Escalated Radiation for Painful Non-Spine Bone Metastases and Painful Non-Bone Metas

NCT ID: NCT05419518

Last Updated: 2026-01-23

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

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Recruitment Status

RECRUITING

Clinical Phase

PHASE2

Total Enrollment

124 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-03-16

Study Completion Date

2027-04-01

Brief Summary

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The investigators hypothesize that with dose escalation to 40-50 Gy in ten fractions, the complete pain response rate at one month can be increased to 40-50% in painful non-spinal bone metastases. Additionally, the investigators hypothesize that utilizing a fractionation scheme with an escalated biologically equivalent dose (BED) will result in a higher proportion of participants responding to treatment, and will also lead to more durable responses. Furthermore, the investigators hypothesize that with dose escalation to 40-50 Gy in ten fractions, the complete pain response rate at one month can be increased to 35-45% in painful non-bone metastases

Detailed Description

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The purpose of this study is to prospectively evaluate dose escalation and pain response in patients with painful non-spinal bone metastases and painful non-bone metastases treated with radiation therapy.

Primary Objective:

To evaluate improvement of complete pain response rate in painful non-spine bone metastases and painful non-bone metastases with dose escalated radiation using a ten fraction radiation regimen

Secondary Objectives:

To evaluate best pain response To evaluate mean pain scores To evaluate the duration of pain response To evaluate the changes in quality-of-life following radiation To evaluate the rates of retreatment with radiation secondary to disease or symptom progression To evaluate treatment related toxicity

Conditions

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Neoplasm Metastases Metastases, Neoplasm

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

This is an, open label, single-institution, Phase II trial of palliative radiation dose escalation study for painful non-spine bone Metastases and painful non-bone metastases.

Dose escalation with 2D/ 3D-CRT in ten fractions in non-spine bone metastases will be evaluated. The total dose will range from 40-50 Gy depending on normal tissue constraints. This dose in ten fractions will lead to BED10 of 56 - 75 Gy which is higher than the BED10 39 Gy with 30 Gy in ten fractions.
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Palliative radiation dose escalation

The prescribed dose is 50 Gy in 10 fractions. The total dose can be reduced to 40 Gy and the total number of fractions can be reduced to 8 fractions in non-spine metastases to achieve the normal tissue constraints.

Group Type EXPERIMENTAL

EXTERNAL BEAM RADIATION

Intervention Type BIOLOGICAL

A minimum of three daily radiation therapy treatments are required in any given week. Any missed radiation treatments will be made up at the end of the treatment schedule, such that the total number of delivered 5 Gy fractions remains ten.

Therapeutic benefit

Radiation will be delivered as per protocol. For participants experiencing unacceptable toxicity related to study treatment, yet obtaining therapeutic benefit, participants will be allowed to continue treatment, if well tolerated at the discretion of the investigator.

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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EXTERNAL BEAM RADIATION

A minimum of three daily radiation therapy treatments are required in any given week. Any missed radiation treatments will be made up at the end of the treatment schedule, such that the total number of delivered 5 Gy fractions remains ten.

Intervention Type BIOLOGICAL

Eligibility Criteria

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Inclusion Criteria

* Have provided signed informed consent for the trial
* Aged ≥18 years at the time of informed consent
* Histologic proof of malignancy
* Radiologic or histologic evidence of bone metastases or non-bone metastases
* Eastern Cooperative Oncology Group (ECOG) Performance Status of ≥3
* Pain Score ≥ 3
* Life expectancy of six months or more
* Willing and able to comply with all aspects of the protocol
* A female participant is eligible to participate if she is not pregnant and not breastfeeding
* Woman of childbearing potential who agrees to follow contraceptive guidance during the treatment period and for at least 120 days after the last dose of study treatment.
* A male participant must agree to use contraception during the treatment period and for at least 120 days after the last dose of study treatment.

Exclusion Criteria

* Metastasis from a highly radiosensitive tumor (eg, lymphoma, myeloma, germ cell tumor)
* Spinal metastasis
* Active compression of spinal cord/cauda equina
* Previous RT or SBRT to the same site
* \> 3 sites requiring radiation treatment
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Rutgers, The State University of New Jersey

OTHER

Sponsor Role lead

Responsible Party

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Matthew Pierre Deek

Assistant Professor, Radiation Oncology

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Matthew P Deek, MD

Role: PRINCIPAL_INVESTIGATOR

Rutgers Cancer Institute of New Jersey

Locations

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RWJBarnabas Health - Robert Wood Johnson University Hospital

Hamilton, New Jersey, United States

Site Status NOT_YET_RECRUITING

RWJBarnabas Health - Monmouth Medical Center Southern Campus

Lakewood, New Jersey, United States

Site Status RECRUITING

RWJBarnabas Health - Saint Barnabas Medical Center

Livingston, New Jersey, United States

Site Status RECRUITING

Robert Wood Johnson University Hospital

New Brunswick, New Jersey, United States

Site Status RECRUITING

Cancer Institute of New Jersey

New Brunswick, New Jersey, United States

Site Status RECRUITING

RWJBarnabas Health - Robert Wood Johnson University Hospital

Somerset, New Jersey, United States

Site Status RECRUITING

RWJBarnabas Health - Community Medical Center

Toms River, New Jersey, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Matthew P Deek, MD

Role: CONTACT

732-253-3941

Salma Jabbour, MD

Role: CONTACT

732-253-3961

Facility Contacts

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Matthew P Deek, MD

Role: primary

732-253-3941

Matthew P Deek, MD

Role: primary

732-253-3941

Matthew P Deek, MD

Role: primary

732-253-3941

Other Identifiers

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Pro2022000822

Identifier Type: OTHER

Identifier Source: secondary_id

152201

Identifier Type: -

Identifier Source: org_study_id

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