Comparing SingLe- Vs Multi-Fraction Spine STereotActic Radiosurgery in Spinal Metastases

NCT ID: NCT06173401

Last Updated: 2025-07-16

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

PHASE3

Total Enrollment

274 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-12-18

Study Completion Date

2028-12-31

Brief Summary

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The goal of this study is to determine whether fractionated Stereotactic radiosurgery (SRS) for spine metastases is associated with improved local tumor control compared to single-fraction SRS. Patients will be randomized to treatment with spine SRS using either 22 Gy in 1 fraction or 28 Gy in 2 fractions.

Detailed Description

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Conditions

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Spinal Metastases

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Single-fraction spine SRS

Single-fraction spine SRS (22 Gy x 1)

Group Type EXPERIMENTAL

Single-fraction spine SRS

Intervention Type RADIATION

Treatment Arm 1: Single-fraction spine SRS (22 Gy x 1)

Multi-fraction spine SRS

Multi-fraction spine SRS (14 Gy x 2)

Group Type EXPERIMENTAL

Multi-fraction spine SRS

Intervention Type RADIATION

Treatment Arm 2: Multi-fraction spine SRS (14 Gy x 2)

Interventions

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Single-fraction spine SRS

Treatment Arm 1: Single-fraction spine SRS (22 Gy x 1)

Intervention Type RADIATION

Multi-fraction spine SRS

Treatment Arm 2: Multi-fraction spine SRS (14 Gy x 2)

Intervention Type RADIATION

Eligibility Criteria

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Inclusion Criteria

* Histologically, cytologically, or radiographically confirmed diagnosis of metastatic cancer Age ≥ 18 years
* Patients who have cervical, thoracic, or lumbar spine metastasis that need treatment.
* Patients will have 1 to 3 separate spinal sites that require treatment.
* Each spinal site to be treated on trial will span 1-2 contiguous vertebral levels
* ECOG 0-2
* Negative serum or urine pregnancy test within 14 days prior to enrollment for people of childbearing potential or who are not postmenopausal
* people of childbearing potential and male participants who are sexually active must agree to use a medically effective means of birth control
* Ability to understand and the willingness to sign (personally or by a legal authorized representative) the written IRB approved informed consent document

Exclusion Criteria

* Prior or planned radiation off study within or overlapping with study treatment site
* Inability to have either an MRI or a CT scan. Patients with pacemaker will be allowed to undergo CT instead of MRI
* Pediatric patients (age \<18 years old), pregnant women, and nursing patients will be excluded
* Histology's of myeloma or lymphoma
* Patients with strength 1-3 (of 5), bladder incontinence, bowel incontinence, and/or bladder retention that is associated with spinal site to be treated
* Prior surgery to spinal site intended to be treated with protocol SRS
* Excluded those with SINS 13-18
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Stanford University

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Erqi Pollom, MD

Role: PRINCIPAL_INVESTIGATOR

Stanford University

Locations

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Stanford University School of Medicine

Palo Alto, California, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Kelly Huang

Role: CONTACT

650-724-4606

Alyssa Yauger

Role: CONTACT

650-498-5271

Facility Contacts

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Kelly Huang

Role: primary

650-724-4606

Alyssa Yauger

Role: backup

650-498-5271

Other Identifiers

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BRN0060

Identifier Type: OTHER

Identifier Source: secondary_id

NCI-2024-00695

Identifier Type: REGISTRY

Identifier Source: secondary_id

IRB-72248

Identifier Type: -

Identifier Source: org_study_id

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