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RecruitingNCT07202273SIM-FREE RTUpdated Aug 13, 2026

Simulation-Free, Single-Fraction Palliative Radiation Therapy for Treatment of Bone Metastases

An interventional study of simulation-free, single-fraction palliative radiation therapy in Bone Metastases, sponsored by University of Utah. Recruiting at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-08-13.

Sponsored by University of Utah · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Started Nov 2025; still recruiting 11 months later.
Phase
Not applicable
Study type
Interventional
Enrollment
40
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

The goal of this study is to provide proof that patients can be treated with simulation-free, single-fraction palliative radiation therapy with a single in-person visit.

02

Conditions studied

  • Bone Metastases
03

In context

Lead sponsor

University of Utah is the lead sponsor of 969 studies on the registry; 178 are open to participants now.

Of its 107 completed or terminated interventional studies of FDA-regulated products, 62 (58%) 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

  • Participant aged ≥ 18 years.
  • Diagnosis of any cancer with one to two sites of painful and treatable metastatic bone lesions.
  • Bone metastases are causing pain or instability in the opinion of the treating investigator.
  • Amenable to single fraction radiation therapy per the discretion of the treating physician.
  • CT collected within 60 days of registration with adequate visualization of target site as determined by the treating investigator.
  • ECOG Performance Status ≤ 2.
  • Participants must adhere to the following sex and contraceptive/barrier requirements:

    • If participant is of childbearing potential, they must have a negative pregnancy test ≤ 14 days before the planned date of radiation therapy. This may be completed on the day of radiation if results from the pregnancy test are available for review before treatment.
    • For participants of non-child bearing potential: The post-menopausal status will be defined as having been amenorrheic for 12 months without an alternative medical cause or having undergone surgical sterilization (bilateral oophorectomy or hysterectomy). The following age-specific requirements apply:

      • \< 50 years of age:

        • Amenorrheic for ≥ 12 months following cessation of exogenous hormonal treatments; and
        • Luteinizing hormone and follicle-stimulating hormone levels in the post-menopausal range for the institution

          ---≥ 50 years of age:

        • Amenorrheic for 12 months or more following cessation of all exogenous hormonal treatments; or
        • Had radiation-induced menopause with last menses >1 year ago; or
        • Had chemotherapy-induced menopause with last menses >1 year ago
      • Participants of childbearing potential and participants with a sexual partner of childbearing potential must agree to use a highly effective method of contraception.
  • Able to provide informed consent and willing to sign an approved consent form that conforms to federal and institutional guidelines.

Exclusion criteria

Exclusion Criteria:

  • Evidence of spinal cord compression caused by the bone metastases to be treated.
  • Any other condition that would, in the Investigator's judgment, contraindicate the participant's participation in the clinical study due to safety concerns or compliance with clinical study procedures.
  • Medical, psychiatric, cognitive, or other conditions that may compromise the participant's ability to understand the participant information, give informed consent, comply with the study protocol or complete the study.
  • Participants taking prohibited medications as described in Section 6.7.1.
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
40 participants (estimated)

Study arms

  • Experimental
    Simulation-free, single-fraction palliative radiation therapy

    Radiation: simulation-free, single-fraction palliative radiation therapy

Interventions

  • Radiationsimulation-free, single-fraction palliative radiation therapy

    Radiation will be delivered in a single fraction. The recommended prescription dose is 8 Gy with external beam radiation therapy. Up to two sites of bone metastases may be treated on trial (i.e. no more than two radiation portals). Each site may have multiple lesions.

06

What researchers measure

Primary outcomes

  1. To assess the rate at which the intervention is delivered with fidelity to protocol.

    To provide proof-of-concept that patients can be treated with simulation-free, single-fraction palliative radiation therapy with only a single in-person visit to Huntsman Cancer Hospital (HCH). This will be defined as receiving simulation-free, single-fraction radiation therapy with documented real-time approval by the radiation oncologist, medical physicist, and radiation therapist that the treatment adequately covers the target without unreasonable or unsafe differences.

    Time frame: 1 day

Secondary outcomes

  1. The percentage of patients who experience an improved Functional Assessment of Cancer Therapy Quality of Life Measurement in patients with bone pain score at 30 days post-treatment compared to baseline.

    To assess whether the percentage of patients who experience an improvement in patient-reported quality of life related to bone pain after simulation-free, single-fraction palliative radiation therapy is consistent with a historical standard of 70%. Improved will be defined as an increase in total FACT-BP score of ≥ 2.

    Time frame: 30 days

07

Study locations

1 of 1 sites recruiting
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 13, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT07202273
Lead sponsor
University of Utah
Responsible party
Sponsor
First posted
Oct 1, 2025
Start date
Nov 3, 2025
Primary completion
Oct 2027 (estimated)
Completion
Oct 2028 (estimated)
Last update
Aug 13, 2026

Study contacts

Rachel Kingford
Contact
Rachel.kingsford@hci.utah.edu
8015850115
Shane Lloyd, MD
Contact
Shane.lloyd@hci.utah.edu
8015850255

Oversight

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

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