ClinicalTrials.gg
RecruitingNCT06480955BOREALISUpdated Dec 30, 2025

BOne Metastases REgistry for Patients Undergoing cryoAbLation With curatIve purpoSe

An observational study in Bone Metastases, sponsored by Cardiovascular and Interventional Radiological Society of Europe. Recruiting at 5 sites in 3 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2025-12-30.

Sponsored by Cardiovascular and Interventional Radiological Society of Europe · Observational

From the registry’s dates

  • Started Apr 2025; still recruiting 1 year 7 months later.
Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
50
Ages
18 Years and older
Sex
All
01

Study summary

BOREALIS is a multicentre, prospective, observational cohort study designed to investigate the effectiveness, feasibility, safety and impact on pain and quality of life of curative-intent cryoablation for the treatment of bone metastases in patients with oligometastatic or bone oligo-progressive disease.

02

Conditions studied

  • Bone Metastases

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Keywords

  • Cryoablation Oligo-progressive disease
  • Bone metastases
  • Oligometastatic Disease
  • Oligo-progressive disease
03

In context

Neoplasm Metastasis

4,040 studies on the registry are indexed under Neoplasm Metastasis; 886 are open to participants now.

This study's planned enrollment of 50 is below the median of 136 across 557 observational studies indexed under Neoplasm Metastasis.

Browse Neoplasm Metastasis studies →

Lead sponsor

Cardiovascular and Interventional Radiological Society of Europe is the lead sponsor of 10 studies on the registry; 4 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
Sampling method
Non-probability sample

Study population

Patients with bone metastases from oligometastatic or bone oligo-progressing disease from solid tumours treated with curative-intent cryoablation may participate in BOREALIS. Patients from vulnerable populations (e.g., minors, pregnant women, incapacitated or unconscious individuals) shall not be included in the study.

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

  • Bone in patients with oligometastatic disease (\<5 bone/visceral metastases) or bone oligo-progressive disease (visceral or osseous multi-metastatic disease stable under systemic treatment except 1-3 progressing bone metastases) from solid tumours;
  • Number of target lesions ≤ 3
  • Size of target lesion(s) \< 5 cm (largest diameter);
  • Referral to local ablative treatment by multidisciplinary tumour board (MDTB);
  • Treatment by percutaneous cryoablation with curative intent (i.e., complete tumour destruction) assessed as technically feasible by the IR in charge;
  • Procedure performed with a cryoablation system from Boston Scientific.

Exclusion criteria

Exclusion Criteria:

  • \< 18 years old;
  • Incapacity or refusal to give ;
  • Ongoing pregnancy;
  • Health status not compatible with the minimum meaningful follow-up period (i.e., 12 months):

    • Performance Scale \< 60%, or
    • Bone originating from rapidly evolving tumour histologies not allowing reasonable of at least 12 months, or
    • Life expectancy \< 12 months
  • Infection of treatment site or systemic infection;
  • Uncorrectable coagulopathy;
  • Haematological disease (including multiple myeloma and plasmacytoma);
  • Concomitant radiation therapy or radiation therapy within 12 weeks before the planned cryoablation procedure.
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.

Metastases

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

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.

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.

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.

05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
50 participants (estimated)
Target follow-up
1 Year
Patient registry
Yes

Groups and cohorts

  • Full cohort

    Cryoablation with curative-intent of bone metastases from oligometastatic or bone oligo-progressive disease.

    Device: Cryoablation system

Interventions

  • DeviceCryoablation system

    Any cryoablation system from Boston Scientific that has received CE Mark and/or FDA clearance for the ablation of bone malignancies.

06

What researchers measure

Primary outcomes

  1. Local progression-free survival rate

    On a per lesion basis, proportion of target lesions free from local tumour progression using the Kaplan Meier estimate

    Time frame: 12 months

Secondary outcomes

  1. Technical feasibility

    Adherence to a comprehensive SOC treatment protocol that includes i) peri-operative biopsy if indicated, ii) cryoablation, and iii) bone consolidation through osteoplasty or osteosynthesis if biomechanically indicated

    Time frame: Periprocedurally

  2. Adverse events

    Incidence and severity of adverse events graded according to the Common Terminology Criteria for Adverse Events (CTCAE) version 5.0

    Time frame: Through study completion

  3. Complete local tumour response

    On a per lesion basis, proportion of target lesions with complete response status

    Time frame: 12 months

  4. Fracture-free survival

    On a per lesion basis,time between cryoablation and fracture at treated site

    Time frame: End of study

  5. Fracture-free survival rate

    On a per lesion basis, proportion of target lesion(s) free from fracture

    Time frame: Until the end of the follow-up period (1 year)

  6. Bone-disease progression-free survival

    Time between cryoablation and progression in the bone (incl. new lesions)

    Time frame: Until the end of the follow-up period (1 year)

  7. Extraosseous disease progression-free survival

    Time between cryoablation and extra-osseous progression (incl. new lesions)

    Time frame: Until the end of the follow-up period (1 year)

  8. Overall progression-free survival

    Time between cryoablation and any progression (incl. new lesions) or death

    Time frame: Until the end of the follow-up period (1 year)

  9. Overall survival

    Time between cryoablation and death

    Time frame: Until the end of the follow-up period (1 year)

  10. Systemic therapy-free survival

    Time between cryoablation and the next systemic treatment (excluding any adjuvant treatment that was part of the patient's treatment plan)

    Time frame: Until the end of the follow-up period (1 year)

  11. Impact on patient pain

    Patient-reported pain assessment using the Brief Pain Inventory - short form

    Time frame: 1, 3, 6, 12 months

  12. Impact on patient quality of life

    Patient-reported quality of life assessment using the EORTC QLQ-C30 questionnaire

    Time frame: 1, 3, 6, 12 months

07

Study locations

5 of 5 sites recruiting
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References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Dec 30, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06480955
Lead sponsor
Cardiovascular and Interventional Radiological Society of Europe
Responsible party
Sponsor
First posted
Jun 28, 2024
Start date
Apr 1, 2025
Primary completion
Apr 2027 (estimated)
Completion
Apr 2028 (estimated)
Last update
Dec 30, 2025

Study contacts

Claire E Poulet, PhD
Contact
borealis@cirse.org
+41 79 385 16 78
Dhwani S. Korde, PhD
Contact
borealise@cirse.org
+4367762942469
Roberto L Cazzato, Dr
study chair · Strasbourg University Hospitals, Strasbourg, France

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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