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CompletedNCT017619295fr SBRTUpdated Mar 6, 2026

5 Fraction Stereotactic Body Radiation Therapy for Oligometastases Regimen, for Extra-Cranial Oligometastases

A Phase 2 interventional study of Radiation: 50Gy in 5 fr (max) to 25 Gy in 5 fr (min). Dose adapted to deliver the highest dose level while respecting normal tissue tolerance in Solid Tumors With Oligometastatic Spread, sponsored by University Health Network, Toronto. Completed at 1 site in Canada. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-03-06.

Sponsored by University Health Network, Toronto · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
138
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

This is a prospective Phase II study.The purpose of this study is to monitor the side effects and treatment outcomes of delivering higher doses of radiation therapy to the tumour, while limiting the dose of radiation to the normal tissues. This will be done using a 5 day treatment schedule.

The characteristics of patients whose disease remains confined to limited areas in the long term, compared with those who do not will also be described.

Read the detailed description

Endpoints are to describe: the proportion of patients with local control for the index site at 1 year; the number of index lesion(s) with local control at 1 year; acute and late AEs related to SBRT; time to local progression for the index site; time to distant disease progression; symptom and QoL profile; median survival.

02

Conditions studied

  • Solid Tumors With Oligometastatic Spread

Keywords

  • oligometastatic
  • oligometastases
  • stereotactic body radiotherapy
  • radiation therapy
  • Oligometastasis
  • Stereotactic ablative body
  • radiotherapy
03

In context

Lead sponsor

University Health Network, Toronto is the lead sponsor of 1,411 studies on the registry; 292 are open to participants now.

Of its 17 completed or terminated interventional studies of FDA-regulated products, 3 (18%) 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

Inclusion criteria

  • Any solid tumors are eligible. Lymphoma, myeloma and germ cell tumors are excluded.
  • Histological confirmation of neoplastic disease either from original primary or metastatic sites is required.
  • Radiological diagnosis of oligometastastic metastatic disease is accepted if considered clinically acceptable. Histological confirmation is not mandatory.
  • Oligometastatic disease, maximum of 5 lesions.
  • At least one lesion is suitable for stereotactic body radiotherapy
  • All known sites of disease have plans for local ablative management (see section management plan for definitions) within 3 months
  • ECOG ≤ 2
  • At least 18 yrs old

Exclusion criteria

Exclusion Criteria:

  • Previous radiotherapy to the intended treatment site
  • Patient cannot tolerate physical set up required for SBRT
  • Active bowel obstruction, if treating abdominal/pelvic site
  • Chemotherapy within 2 weeks of intended radiation therapy
  • Treatment plan respecting normal tissue tolerances using dose fractionation specified within the protocol cannot be achieved
  • Pregnancy
05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
138 participants (actual)

Study arms

  • Experimental
    Stereotactic Body Radiation Therapy

    All patients will be treated with SBRT 1-2 weeks after radiotherapy planning scans. Therapy will be given once daily, over 5 consecutive working days according to standard practice.

    Radiation: Radiation: 50Gy in 5 fr (max) to 25 Gy in 5 fr (min). Dose adapted to deliver the highest dose level while respecting normal tissue tolerance

Interventions

  • RadiationRadiation: 50Gy in 5 fr (max) to 25 Gy in 5 fr (min). Dose adapted to deliver the highest dose level while respecting normal tissue tolerance

    All patients will be treated with SBRT 1-2 weeks after radiotherapy planning scans. Therapy will be given once daily, over 5 consecutive working days according to standard practice.

06

What researchers measure

Primary outcomes

  1. Proportion of patients with lack of progressive disease for the index site at 1 year

    CT will be used for evaluation of the status of the local disease at the index site.

    Time frame: 10 years

Secondary outcomes

  1. Number of index lesion(s) with lack of progressive disease at 1 year.

    The Modified Response Evaluation Criteria for solid Tumors (RECIST) will be used. By measuring the longest diameter (LD) of the lesions, response of individual lesions and overall response will be documented.

    Time frame: 10 years

  2. Acute toxicity within 90 days of first fraction of radiotherapy

    Acute toxicity will be graded according to the Common Toxicity Criteria, v4.0

    Time frame: 10 years

  3. Time to local progression for the index site(s)

    Time frame: 10 years

  4. Time to distant disease progression (beyond known sites of oligometastases at time of study entry)

    Time frame: 10 years

  5. Late toxicity occuring beyond 90 days related to SBRT.

    Late toxicity will be graded according to the Radiation Therapy Oncology Group/ European Organization for Research and Treatment of Cancer score.

    Time frame: 10 year

  6. Describe symptom profile

    Time frame: 10 Years

  7. Examine radiotherapy parameters (outlined in Appendix J) for local control of index site(s) and toxicities

    Time frame: 10 years

Other outcomes

  1. Explore pre-treatment prognostic factors derived from clinical data and correlative studies for disease free interval

    Time frame: 10 years

  2. Explore pre-treatment prognostic factors derived from clinical data and correlative studies for local control of index site(s) at 1 year

    Time frame: 10 years

07

Study locations

1 site
  • University Health Network, Princess Margaret Cancer Center
    Toronto, Ontario M5G 2M9, Canada
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 6, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT01761929
Lead sponsor
University Health Network, Toronto
Collaborators
Princess Margaret Hospital, Canada
Responsible party
Sponsor
First posted
Jan 7, 2013
Start date
Mar 7, 2013
Primary completion
Feb 8, 2023
Completion
Feb 8, 2023
Last update
Mar 6, 2026

Study contacts

Rebecca K.S. Wong, MB ChB
principal investigator · University Health Network - Princess Margaret Cancer Center

Oversight

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

Not currently enrolling

This study is completed, as verified in Mar 2026. You cannot join it, but the record below documents what was studied.

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