ClinicalTrials.gg
CompletedNCT01347307Updated Jun 18, 2020Results posted

Stereotactic Body Radiotherapy for Spine Tumors

An interventional study of SBRT for Benign Extradural Spine Tumors and SBRT for Vertebral/Paraspinal Metastases in Spinal Metastases, Vertebral Metastases and Benign Spinal Tumors, sponsored by Mercy Research. Completed at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2020-06-18.

Sponsored by Mercy Research · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Registered 2 years 8 months after the study started (first participant enrolled Sep 2008, registered May 2011).
Phase
Not applicable
Study type
Interventional
Enrollment
38
Allocation
Non-randomized
Ages
18 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 44 studies in Chordoma with a site in United States — 7 open to participants now, 18 under way, none of them phase 3. Chordoma · United States.

Enrollment
11th of 32
38 · median 29
Started
2008
with 1 other
No phase
4 of 44
none open now
Registered
13th of 44
by date

Among the 44 studies in Chordoma with a site in United States, this one is the 11th largest by enrollment of the 32 interventional ones, is one of 2 that started in 2008, is one of 4 with no phase, and was the 13th registered.

By phase

44 studies; the count open now beside each. This study's row is marked.

Observational11 · 4 open
Phase 111 · 0 open
Phase 210 · 1 open
Phase 1/27 · 1 open
No phasethis study4 · 0 open
Other kind1 · 1 open

By the year they started

First in 1998; this study’s year is marked. 2 started in 2008.

Size and results

Median enrollment 29 across the 32 interventional studies, 150 across the 11 observational. Of the 24 that completed or were terminated, 8 (33%) have results posted.

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Watch this landscapeDownload CSVWith an account: a weekly mail of what changed among 44 studies in Chordoma with a site in United States, or all of them as a file.
02

Study summary

This study will evaluate the local control rate as well as acute and late toxicity rates of stereotactic body radiotherapy (SBRT) for the treatment of spine metastases and benign spine tumors.

Read the detailed description

This study is a single site, non-randomized, prospective, phase IV trial. Patients are composed of 2 groups:Spine Metastases OR Benign Spine Tumors. Data collected will include patient demographics, pathology data, tumor stage, SBRT dose fractionation scheme, dose received by adjacent critical normal tissues, tumor recurrence data, and acute and late toxicities.

Follow up data will be collected during the patient's standard office visits. The anticipated duration of this study is 5 years

03

Conditions studied

  • Spinal Metastases
  • Vertebral Metastases
  • Benign Spinal Tumors
  • Chordoma
  • Meningioma
  • Schwannoma
  • Neurofibroma
  • Paragangliomas
  • Arteriovenous Malformations

Keywords

  • stereotactic radiotherapy
  • spinal metastases
  • vertebral metastases
  • benign spinal tumors
04

Who can participate

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

Eligibility criteria

Eligibility Criteria:

  • Patient age >= 18 years
  • performance status of 0-3
  • Vertebral and/or paraspinal , with or without prior surgery and/or fractionated radiotherapy
  • Benign extradural spine tumors such as chordomas, meningiomas, schwannomas, neurofibromas, paragangliomas, and arteriovenous malformations (AVMs).
  • Established histologic diagnosis of a benign or malignant tumor of the spine.
  • Arteriovenous malformation of the spine identified radiographically (no )
  • Well-defined lesion involving no more than 2 adjacent vertebral levels or spinal segment
  • Minimal spinal canal compromise that is not rapidly progressive. Ideally, the tumor should not be within 5 mm of the spinal cord.
  • If chemotherapy is planned, ideally it should not have been given within 30 days of starting radiation and should not resume until at least 2 weeks after completing radiation. In addition, it is not recommended to perform SBRT when targeted anti-angiogenesis therapy is planned within 2 months of the procedure.
  • Signed study-specific consent form

Exclusion Criteria:

  • Lesion involving > 3 adjacent vertebral levels
  • Overt spinal instability
  • Neurologic deficit due to bony fragments/bony compression of neural structures
  • Prior radiotherapy at the involved level(s) within 3 months of radiosurgery, more than one prior course of radiotherapy at the involved level(s), or more than 45 Gy previous radiation exposure at the involved level(s)
  • Rapidly progressive spinal cord compromise or neurological deficit
  • Paralysis, or otherwise compromised motor function due to radiographically confirmed cord compression
  • Patient unable to undergo an MRI
  • Pregnant or lactating women, due to potential exposure of the fetus to RT and unknown effects of RT on lactating females
  • Patients with psychiatric or addictive disorder that would preclude obtaining
Terms in these criteria, in plain language(3)

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.

Biopsy and archival tissue

A biopsy takes a small piece of tissue to examine. “Archival tissue” is a sample already taken, for example at diagnosis, and kept by the hospital.

Whether a stored sample will do depends on when it was taken, how much there is and what the study needs. Ask whether the study accepts your stored sample or needs a new biopsy.

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
Non-randomized
Intervention model
Single group
Masking
None (open label)
Enrollment
38 participants (actual)

Study arms

  • Other
    SBRT for Benign Extradural Spine Tumors

    Benign extradural spine tumors such as chordomas, meningiomas, schwannomas, neurofibromas, paragangliomas, and arteriovenous malformations (AVMs).

    Radiation: SBRT for Benign Extradural Spine Tumors

  • Other
    SBRT for Vertebral/Paraspinal Metastases

    Vertebral and/or paraspinal metastases, with or without prior surgery and/or fractionated radiotherapy

    Radiation: SBRT for Vertebral/Paraspinal Metastases

Interventions

  • RadiationSBRT for Benign Extradural Spine Tumors

    14-25 Gy / 1 fraction OR 21-27 Gy / 3 fractions (7-9 Gy per fraction) OR 25-30 Gy / 5 fractions (5-6 Gy per fraction)

    Also known as: Stereotactic Body Radiotherapy (SBRT)

  • RadiationSBRT for Vertebral/Paraspinal Metastases

    12-16 Gy / 1 fraction OR 21-27 Gy / 3 fractions (7-9 Gy per fraction) OR 25-30 Gy / 5 fractions (5-6 Gy per fraction)

    Also known as: Stereotactic Body Radiotherapy (SBRT)

06

What researchers measure

Primary outcomes

  1. Initial Symptom Control

    Evaluation of pain relief per patient report

    Time frame: 6 weeks post-SBRT (or at first post-treatment follow-up)

  2. Local Tumor Recurrence Rate

    Local recurrence is defined as tumor recurrence or progression within the planning target volume. Local control rate will be evaluated by imaging techniques and/or clinical symptoms (worsening or no improvement in pain or neurologic compromise). If follow-up imaging is available, a local recurrence will be defined as an increase of \> 20% in tumor size.

    Time frame: (1) At 1 year post-SBRT, (2) At patient's last follow-up or time of death

Secondary outcomes

  1. Late Toxicity Rate

    Toxicity will be assessed using CTCAE grading criteria at specified timepoints.

    Time frame: at patient's last follow-up (at least 3 months from treatment) or time of death

07

Results

Posted Jun 18, 2020

Participant flow

Participant flow — Overall Study
MilestoneSBRT for Benign Extradural Spine TumorsSBRT for Vertebral/Paraspinal Metastases
Started333
Completed328
Not completed05
Withdrew: Death04
Withdrew: Physician decision01

Outcome measures

PrimaryInitial Symptom Control

Evaluation of pain relief per patient report

Time frame:
6 weeks post-SBRT (or at first post-treatment follow-up)
Reported as:
Count of participants · Participants
Initial Symptom Control
ParticipantsSBRT for Benign Extradural Spine TumorsSBRT for Vertebral/Paraspinal Metastases
Number with Follow-up Data328
Number with Initial Symptom Control327
Number without Symptom Control01
PrimaryLocal Tumor Recurrence Rate

Local recurrence is defined as tumor recurrence or progression within the planning target volume. Local control rate will be evaluated by imaging techniques and/or clinical symptoms (worsening or no improvement in pain or neurologic compromise). If follow-up imaging is available, a local recurrence will be defined as an increase of \> 20% in tumor size.

Time frame:
(1) At 1 year post-SBRT, (2) At patient's last follow-up or time of death
Reported as:
Count of participants · Participants
Local Tumor Recurrence Rate
ParticipantsSBRT for Benign Extradural Spine TumorsSBRT for Vertebral/Paraspinal Metastases
Local Control at last Follow-up325
No Response to Treatment01
Local Recurrence after Initial Response02
Number with at least 1 year Follow-up318
Local Control at 1 year Follow-up317
Local Recurrence within 1st year of Follow-up01
SecondaryLate Toxicity Rate

Toxicity will be assessed using CTCAE grading criteria at specified timepoints.

Time frame:
at patient's last follow-up (at least 3 months from treatment) or time of death
Reported as:
Number · participants
Late Toxicity Rate
participantsSBRT for Benign Extradural Spine TumorsSBRT for Vertebral/Paraspinal Metastases
Late Toxicity Rate00

Adverse events

Collected over Patients were followed until time of death or until lost to follow-up.. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
SBRT for Benign Extradural Spine Tumors0/3 (0%)0/3 (0%)1/3 (33.3%)
SBRT for Vertebral/Paraspinal Metastases27/28 (96.4%)1/28 (3.6%)7/28 (25%)
Most frequent serious events
Most frequent serious events
EventSBRT for Benign Extradural Spine TumorsSBRT for Vertebral/Paraspinal Metastases
EsophagitisGastrointestinal disorders0/31/28
Most frequent other events
Most frequent other events
EventSBRT for Benign Extradural Spine TumorsSBRT for Vertebral/Paraspinal Metastases
Self limiting nauseaGastrointestinal disorders1/33/28
mild esophagitisGastrointestinal disorders0/32/28
desquamationSkin and subcutaneous tissue disorders0/31/28
muscle painMusculoskeletal and connective tissue disorders0/31/28

Baseline characteristics

2 enrolled patients were not treated. 35 patients completed 36 Stereotactic Body Radiotherapy courses for a total of 38 patients included at baseline.

Age, Categorical
Age, Categorical(Participants)SBRT for Benign Extradural Spine TumorsSBRT for Vertebral/Paraspinal MetastasesTotal
<=18 years000
Between 18 and 65 years22022
>=65 years11516
Age, Continuous
Age, Continuous(years)SBRT for Benign Extradural Spine TumorsSBRT for Vertebral/Paraspinal MetastasesTotal
Age Range64 (55 to 82)62 (34 to 90)62 (34 to 90)
Sex: Female, Male
Sex: Female, Male(Participants)SBRT for Benign Extradural Spine TumorsSBRT for Vertebral/Paraspinal MetastasesTotal
Female22022
Male11516
Race/Ethnicity, Customized
Race/Ethnicity, Customized(Participants)SBRT for Benign Extradural Spine TumorsSBRT for Vertebral/Paraspinal MetastasesTotal
Race — Caucasion33235
Race — African American033
Race — Other000
Region of Enrollment
Region of Enrollment(Participants)SBRT for Benign Extradural Spine TumorsSBRT for Vertebral/Paraspinal MetastasesTotal
United States33538
08

Study locations

1 site
  • Mercy Medical Center, St. Louis
    Saint Louis, Missouri 63141, United States
09

References and documents

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

10

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Sep 2008 to primary completion in Sep 2017, 108 months.

Results were first posted in Jun 2020, 2 years 9 months after primary completion.

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

Registered
May 2, 2011
First posted
May 4, 2011
StartActual
Sep 2008
Primary completionActual
Sep 2017
CompletionActual
Sep 2017
Results first posted
Jun 18, 2020
Last update
Jun 18, 2020
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 Jun 18, 2020, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT01347307
Lead sponsor
Mercy Research
Responsible party
Juli Mai, MD (Radiation Oncology, Mercy Research) — Principal investigator
First posted
May 4, 2011
Start date
Sep 2008
Primary completion
Sep 2017
Completion
Sep 2017
Results posted
Jun 18, 2020
Last update
Jun 18, 2020

Study contacts

Bethany Sleckman, MD
study chair · Mercy Research

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Jun 2020. You cannot join it, but the record below documents what was studied.

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