ClinicalTrials.gg
TerminatedNCT00706485Updated Oct 19, 2016Results posted

Intra-Operative Dural Brachytherapy With Yttrium-90 Plaque Applicators

An interventional study of Yttrium-90 Plaque Applicator in Spinal Neoplasms, sponsored by Massachusetts General Hospital. Terminated at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2016-10-19.

Sponsored by Massachusetts General Hospital · Not applicable, Interventional, and Treatment

Why this study was terminated
New device for dural plaque irradiation was approved by FDA.
Phase
Not applicable
Study type
Interventional
Enrollment
5
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

The purpose of this clinical trial is to determine the feasibility of the Y-90 plaque applicator. The Y-90 plaque application is designed to deliver high doses of radiation to tumors in the spine that involve dura (the tough outer layer of the spinal cord). Tumors in the spine need a high dose of radiation to kill cancer cells. The nearby spinal cord is a sensitive area which does not safely tolerate high doses of radiation. The Y-90 plaque applicator is a special technique used to deliver the radiation dose to the tumor cells and avoid the spinal cord.

Read the detailed description
  • The surgeon will remove the participants tumor from the outer layer of the spinal cord (dura). The Y-90 applicator and a "dummy" applicator will be brought to the surgery table in a protected container. A "dummy" applicator is the same size and shape as the Y-90 plaque applicator but does not contain radioactive plaque. The "dummy" applicator will be placed on the participants dura to make sure it fits properly, then it will be removed. The working Y-90 applicator will be placed on the dura for 10-17 1/2 minutes and then be removed.
  • External beam irradiation is a type of high-energy radiation used to kill cancer cells and shrink tumors. This radiation will be given to the participant only if they have not had it prior to the study.
  • After the treatment, participants will be asked to return for a follow-up visit 6 weeks, 3 months, every 6 months thereafter for 4 years, then annually to year 10. At these visits, they will have the following: physical examination; recent medical history; MRI or CT scan (twice each year) and; chest x-ray or chest CT (twice each year).
02

Conditions studied

  • Spinal Neoplasms

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Keywords

  • Y-90 plaque applicator
  • dural brachytherapy
03

In context

Spinal Neoplasms

18 studies on the registry are indexed under Spinal Neoplasms; 5 are open to participants now.

This study's enrollment of 5 is below the median of 71 across 11 interventional studies indexed under Spinal Neoplasms.

Browse Spinal Neoplasms studies →

Lead sponsor

Massachusetts General Hospital is the lead sponsor of 2,586 studies on the registry; 447 are open to participants now.

Of its 222 completed or terminated interventional studies of FDA-regulated products, 168 (76%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Pathological diagnosis of malignant tumor involving spine with extraosseous extension or arising in paraspinal soft tissues with tumor involving or abutting the dura. Patients with a limited disease and tumor involving the spine or paraspinal soft tissues and who are judged to benefit from surgery will also be eligible.
  • Lesion may be primary or recurrent after prior surgery
  • No clinical, radiographic or other evidence of distant metastatic tumor
  • Fit for receiving the planned radiation dose to the affected site. No known genetic disease or medical condition associated with an abnormal radiation sensitivity.
  • 18 years of age or older
  • of 70 or greater (excluding consideration of poor function due to the local growth or systemic metabolic effects of the tumor

Exclusion criteria

Exclusion Criteria:

  • Disease/conditions characterized by high radiation sensitivity
  • Pregnancy
  • Evidence of cord/cauda malfunction for causes other than effect os local tumor growth or due to metabolic effects of tumor
Terms in these criteria, in plain language(2)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Metastases

Cancer that has spread from where it began to other parts of the body. “Metastatic” cancer is cancer that has spread this way.

Karnofsky performance status (KPS)

A 0–100 scale of how well someone can carry out everyday activities. 100 is no complaints and no signs of illness; 70 is able to look after yourself but not to work or keep up normal activity; 50 is needing considerable help and frequent medical care.

Studies often ask for 60 or 70 and above. Your doctor gives the score.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
5 participants (actual)

Study arms

  • Experimental
    Dural brachytherapy plaque

    Patients undergoing spine tumor resection will undergo dural plaque brachytherapy.

    Device: Yttrium-90 Plaque Applicator

Interventions

  • DeviceYttrium-90 Plaque Applicator

    Placed on the dura during surgery for 10-17 1/2 minutes

    Also known as: Y-90 Plaque applicator

06

What researchers measure

Primary outcomes

  1. Number of Participants With Successful Titanium-enclosed and Differentially-loaded Y-90 Dural Brachytherapy Plaque Fabrication and Use

    Time frame: At time of procedure

Secondary outcomes

  1. Number of Participants With Local Control

    Local failure is defined as: extension of the tumor margin\[s\] in any direction at least 5 mm beyond that present on the pre-treatment imaging studies or the appearance of -tumor in tissues previously scored as sites of sub-clinical disease. Local control is absence of local failure.

    Time frame: at 6 weeks and at three months after therapy, and every 6 months thereafter for four years, and then annually to year 10

  2. Marginal Failure.

    Marginal failure is defined as appearance of tumor growth at the margin of dural plaque.

    Time frame: up to 10 years

07

Results

Posted Oct 19, 2016

Participant flow

Participant flow — Overall Study
MilestoneDural Brachytherapy Plaque
Started5
Completed5
Not completed0

Outcome measures

PrimaryNumber of Participants With Successful Titanium-enclosed and Differentially-loaded Y-90 Dural Brachytherapy Plaque Fabrication and Use
Time frame:
At time of procedure
Reported as:
Number · participants
Number of Participants With Successful Titanium-enclosed and Differentially-loaded Y-90 Dural Brachytherapy Plaque Fabrication and Use
participantsDural Brachytherapy Plaque
Number of Participants With Successful Titanium-enclosed and Differentially-loaded Y-90 Dural Brachytherapy Plaque Fabrication and Use5
SecondaryNumber of Participants With Local Control

Local failure is defined as: extension of the tumor margin\[s\] in any direction at least 5 mm beyond that present on the pre-treatment imaging studies or the appearance of -tumor in tissues previously scored as sites of sub-clinical disease. Local control is absence of local failure.

Time frame:
at 6 weeks and at three months after therapy, and every 6 months thereafter for four years, and then annually to year 10
Reported as:
Number · participants
Number of Participants With Local Control
participantsDural Brachytherapy Plaque
Number of Participants With Local Control5
SecondaryMarginal Failure.

Marginal failure is defined as appearance of tumor growth at the margin of dural plaque.

Time frame:
up to 10 years

No measurements were reported for this outcome.

Adverse events

Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Dural Brachytherapy Plaque—0/5 (0%)0/5 (0%)

Baseline characteristics

Age, Categorical
Age, Categorical(Participants)Dural Brachytherapy Plaque
<=18 years0
Between 18 and 65 years5
>=65 years0
Sex: Female, Male
Sex: Female, Male(Participants)Dural Brachytherapy Plaque
Female1
Male4
08

Study locations

1 site
  • Massachusetts General Hospital
    Boston, Massachusetts 02115, United States
09

Timeline

Tracking since Sep 25, 2026
Not marked actual or estimatedDates not marked actual or estimated

The record gives a start of Jul 2007, a primary completion of Apr 2010 and a completion of Apr 2010. It does not say whether these dates are actual or estimated.

Results were first posted in Oct 2016, 6 years 6 months after primary completion.

How these figures are worked out, and which studies are left out of them.

Registered
Jun 25, 2008
First posted
Jun 27, 2008
Start
Jul 2007
Primary completionActual
Apr 2010
CompletionActual
Apr 2010
Results first posted
Oct 19, 2016
Last update
Oct 19, 2016
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Oct 19, 2016, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT00706485
Collaborators
National Institutes of Health (NIH), Implant Sciences
Responsible party
Tom DeLaney, MD (MD, Massachusetts General Hospital) — Principal investigator
First posted
Jun 27, 2008
Start date
Jul 2007
Primary completion
Apr 2010
Completion
Apr 2010
Results posted
Oct 19, 2016
Last update
Oct 19, 2016

Study contacts

Thomas F. DeLaney, MD
principal investigator · Massachusetts General Hospital

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is terminated, as verified in Oct 2016. You cannot join it, but the record below documents what was studied.

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