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CompletedNCT02000518CK-INFUpdated Dec 4, 2013

Emergency Radiotherapy in Metastatic Spinal Cord Compression of Patients With Non-small Cell Lung Cancer

An observational study in Neurological Outcome and Survival From First Diagnosis Metastatic Spinal Cord Compression to Death, sponsored by Heidelberg University. Completed at 1 site in Germany. Open to participants aged 18 Years to 80 Years. Per ClinicalTrials.gov, last updated 2013-12-04.

Sponsored by Heidelberg University · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
15
Ages
18 Years to 80 Years
Sex
All
01

Study summary

Acute neurological deficit in metastatic spinal cord compression is an emergency condition in radiation oncology. Despite some reports about the high efficacy of radiation treatment for oncological emergencies, a standard of care is not well defined, especially the time interval of immediate RT after deficit, and neurological outcome with respect to poor survival in non-small cell lung cancer patients. The objective of this trial is to investigate neurological outcome after emergency radiotherapy in metastatic spinal cord compression of non-small cell lung cancer patients with acute neurological deficit.

Read the detailed description

Subjects and recruitment 15 consecutive patients with histologically confirmed non-small cell lung cancer and bone metastases of the thoracic or lumbar segments of the vertebral column will be screened for this trial in the Radiooncology Department of the Heidelberg University Clinic. Inclusion criteria are an age of 18 to 80 years, acute neurological symptom caused by metastatic spinal cord compression, no radiotherapy in this spinal area before, and written consent to participate.

Design and procedures This is a prospective, controlled, explorative trial to investigate the neurological outcome after emergency radiotherapy in metastatic spinal cord compression of non-small cell lung cancer patients with acute neurological deficit. RT start within 12 hours after onset of neurological symptoms. The target parameters will be measured at the start of radiotherapy (t0), and six weeks after radiotherapy (RT) (t1). The target parameters comprise the documentation and completion of the ASIA Impairment Scale (AIS), and the recording of patient-specific data.

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Conditions studied

  • Neurological Outcome
  • Survival From First Diagnosis Metastatic Spinal Cord Compression to Death

Keywords

  • emergency radiotherapy
  • MSCC
  • spine
  • neurological outcome
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In context

Death

456 studies on the registry are indexed under Death; 86 are open to participants now.

This study's enrollment of 15 is below the median of 400 across 236 observational studies indexed under Death.

Browse Death studies →

Lead sponsor

Heidelberg University is the lead sponsor of 287 studies on the registry; 19 are open to participants now.

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

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Who can participate

Ages eligible
18 Years to 80 Years
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

histologically confirmed non-small cell lung cancer and bone metastases of the thoracic or lumbar segments of the vertebral column

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

  • Inclusion criteria are an age of 18 to 80 years, acute neurological symptom caused by spinal cord compression, no RT in this spinal area before, and written consent to participate.

Exclusion criteria

Exclusion Criteria:

  • neurological symptom more than 12 hours before
Terms in these criteria, in plain language(1)

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.

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Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
15 participants (actual)
Target follow-up
6 Weeks
Patient registry
Yes

Groups and cohorts

  • external beam radiotherapy

    emergency radiotherapy within 12 hours after neurological deficit due to MSCC

    Radiation: external beam radiotherapy

Interventions

  • Radiationexternal beam radiotherapy
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What researchers measure

Primary outcomes

  1. neurological outcome

    The primary endpoint was neurological outcome, assessed using the ASIA Impairment Scale (AIS)

    Time frame: 6 weeks after end of radiotherapy

Secondary outcomes

  1. local control

    according CT scan, local control will be assessed

    Time frame: 6 weeks after end of radiotherapy

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Study locations

1 site
  • University hospital of Heidelberg, Departement radiation oncology
    Heidelberg, 69120, Germany
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References and documents

Publications

  • Rades D, Fehlauer F, Schulte R, Veninga T, Stalpers LJ, Basic H, Bajrovic A, Hoskin PJ, Tribius S, Wildfang I, Rudat V, Engenhart-Cabilic R, Karstens JH, Alberti W, Dunst J, Schild SE. Prognostic factors for local control and survival after radiotherapy of metastatic spinal cord compression. J Clin Oncol. 2006 Jul 20;24(21):3388-93. doi: 10.1200/JCO.2005.05.0542. PubMed 16849752 ↗
  • Bach F, Larsen BH, Rohde K, Borgesen SE, Gjerris F, Boge-Rasmussen T, Agerlin N, Rasmusson B, Stjernholm P, Sorensen PS. Metastatic spinal cord compression. Occurrence, symptoms, clinical presentations and prognosis in 398 patients with spinal cord compression. Acta Neurochir (Wien). 1990;107(1-2):37-43. doi: 10.1007/BF01402610. PubMed 2096606 ↗
  • Christian E, Adamietz IA, Willich N, Schafer U, Micke O; German Working Group Palliative Radiotherapy; German Society for Radiation Oncology (DEGRO). Radiotherapy in oncological emergencies--final results of a patterns of care study in Germany, Austria and Switzerland. Acta Oncol. 2008;47(1):81-9. doi: 10.1080/02841860701481554. PubMed 17851852 ↗
  • Rief H, Heinhold RC, Petersen LC, Rieken S, Bruckner T, Moghaddam-Alvandi A, Debus J, Sterzing F. Neurological outcome after emergency radiotherapy in MSCC of patients with non-small cell lung cancer--a prospective trial. Radiat Oncol. 2013 Dec 28;8:297. doi: 10.1186/1748-717X-8-297. PubMed 24373638 ↗
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Timeline

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

The record gives a start of Jul 2012, a primary completion of Jun 2013 and a completion of Jun 2013. It does not say whether these dates are actual or estimated.

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

Registered
Nov 26, 2013
First posted
Dec 4, 2013
Start
Jul 2012
Primary completionActual
Jun 2013
CompletionActual
Jun 2013
Last update
Dec 4, 2013
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 Dec 4, 2013, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT02000518
Responsible party
Alexandra Jensen (Neurological outcome after emergency radiotherapy in MSCC of patients with non-small cell lung cancer, Heidelberg University) — Principal investigator
First posted
Dec 4, 2013
Start date
Jul 2012
Primary completion
Jun 2013
Completion
Jun 2013
Last update
Dec 4, 2013

Oversight

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

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This study is completed, as verified in Dec 2013. You cannot join it, but the record below documents what was studied.

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