ClinicalTrials.gg
CompletedNCT00727584Updated Aug 26, 2013

Radiation Therapy in Treating Patients With Metastatic Spinal Cord Compression

An interventional study of radiation therapy in Spinal Cord Compression and Unspecified Adult Solid Tumor, Protocol Specific, sponsored by Cancer Research UK. Completed at 4 sites in United Kingdom. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2013-08-26.

Sponsored by Cancer Research UK · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
100
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

RATIONALE: Radiation therapy uses high-energy x-rays to kill tumor cells. It is not yet known which radiation therapy regimen is more effective in treating metastatic spinal cord compression.

PURPOSE: This randomized clinical trial is comparing two radiation therapy regimens to see how well they work in treating patients with metastatic spinal cord compression.

Read the detailed description

OBJECTIVES:

  • To examine whether a phase III randomized study comparing a single-fraction of radiotherapy with multi-fraction radiotherapy is acceptable to clinicians and to patients with metastatic spinal cord compression.
  • To determine the feasibility of conducting this study in the United Kingdom.

OUTLINE: This is a multicenter study. Patients are stratified by treatment center and known prognostic factors (ambulatory status at diagnosis, primary tumor type, and extent of disease [spinal metastases only vs spinal and non-bony metastases]). Patients are randomized to 1 of 2 treatment arms.

  • Arm I (multi-fraction radiotherapy): Patients undergo 5 fractions of 20 Gy external-beam radiotherapy.
  • Arm II (single-fraction radiotherapy): Patients undergo 1 fraction of 8 Gy external beam radiotherapy.

Patients undergo assessment of ambulatory status, quality of life, bladder and bowel function, and acute toxicity via self-reported questionnaires and telephone follow-ups at baseline and weeks 1, 4, 8, and 12.

02

Conditions studied

  • Spinal Cord Compression
  • Unspecified Adult Solid Tumor, Protocol Specific

Keywords

  • spinal cord compression
  • unspecified adult solid tumor, protocol specific
03

In context

Spinal Cord Compression

52 studies on the registry are indexed under Spinal Cord Compression; 19 are open to participants now.

This study's planned enrollment of 100 is above the median of 43 across 35 interventional studies indexed under Spinal Cord Compression.

Browse Spinal Cord Compression studies →

Lead sponsor

Cancer Research UK is the lead sponsor of 83 studies on the registry; 12 are open to participants now.

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

Eligibility criteria

DISEASE CHARACTERISTICS:

  • or cytologically confirmed malignant disease
  • Proven diagnosis of spinal cord compression on MRI or CT scan

    • Single site of compression OR multiple sites that can be treated within a single radiation treatment field
  • No patient for whom surgery or chemotherapy treatment is more appropriate
  • No multiple myeloma as primary cancer

PATIENT CHARACTERISTICS:

  • > 1 month
  • Not pregnant
  • Willing and able to complete assessment forms
  • Able to give

PRIOR CONCURRENT THERAPY:

  • See Disease Characteristics
Terms in these criteria, in plain language(4)

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.

Histologically or cytologically confirmed

The diagnosis was confirmed by looking at a sample under a microscope: tissue from a biopsy or surgery (histology), or cells from a fluid or needle sample (cytology).

Your pathology report is the document that shows this.

Metastases

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

Life expectancy

The study doctor’s estimate of how long someone is likely to live. Criteria use it so that people can stay in the study long enough for it to answer its question.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Enrollment
100 participants (estimated)

Study arms

  • Active comparator
    Arm I (multi-fraction radiotherapy)

    Patients undergo 5 fractions of 20 Gy external-beam radiotherapy.

    Radiation: radiation therapy

  • Experimental
    Arm II (single-fraction radiotherapy)

    Patients undergo 1 fraction of 8 Gy external beam radiotherapy.

    Radiation: radiation therapy

Interventions

  • Radiationradiation therapy

    Patients undergo external beam radiotherapy

06

What researchers measure

Primary outcomes

  1. Patient accrual per center over a 12-month period

Secondary outcomes

  1. Ambulatory status at 1, 4, 8, and 12 weeks from day 1 of treatment compared to baseline

  2. Bladder and bowel function at 1, 4, 8, and 12 weeks from day 1 of treatment compared to baseline

  3. Acute side effects using RTOG scales at 1, 4, 8, and 12 weeks from day 1 of treatment

  4. Quality of life as measured by the EORTC QLQ-C30 questionnaire at 1, 4, 8, and 12 weeks from day 1 of treatment compared to baseline

  5. Further treatment

  6. Overall survival at 3, 6, and 12 months

  7. Total number of days spent in hospital

  8. Preferred place of care

  9. Number of patients eligible but not randomized and reasons for non-randomization

07

Study locations

4 sites
  • Bristol Haematology and Oncology Centre
    Bristol, England BS2 8ED, United Kingdom
  • Cancer Research UK and University College London Cancer Trials Centre
    Northwood, England HA6 2RN, United Kingdom
  • Glan Clwyd Hospital
    Rhyl, Denbighshire, Wales LL 18 5UJ, United Kingdom
  • Christie Hospital
    Manchester, M20 6UX, United Kingdom
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 26, 2013, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT00727584
Lead sponsor
Cancer Research UK
First posted
Aug 4, 2008
Start date
Nov 2007
Primary completion
Feb 2009
Completion
Aug 2009
Last update
Aug 26, 2013

Study contacts

Peter J. Hoskin, MD
principal investigator · Mount Vernon Cancer Centre at Mount Vernon Hospital
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Jun 2009. You cannot join it, but the record below documents what was studied.

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