Biological Imaging Guided Antalgic Radiotherapy of Bone Metastases (Phase II Trial)
Study Details
Study Description
Brief Summary
Highly selective irradiation requires accurate target definition by high-resolution three-dimensional imaging. Co-registration of FDG-PET and high-resolution CT might be the imaging modality of choice. This choice might target radiation therapy precisely to the intra-osseous volume that is responsible for pain and to spare selectively healthy bone in the vicinity of the metastasis. This strategy could result in equal anti-pain efficacy as conventional large volume radiotherapy, but could allow bone remodeling and preservation of bone structural strength in the vicinity and could lead to reduced toxicity to neighboring organs.
Condition or Disease | Intervention/Treatment | Phase |
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Phase 2 |
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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Experimental: Patients undergoing imaging guided radiotherapy.
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Procedure: Biological imaging guided antalgic radiotherapy
Biological imaging guided antalgic radiotherapy is followed.
|
Outcome Measures
Primary Outcome Measures
- Pain assessment [t0]
Secondary Outcome Measures
- Acute toxicity [t0]
- Bone remodeling [t0]
- Resulting volumes of the targets and functional active areas [t0]
- Mismatch and/or overlap areas [t0]
Eligibility Criteria
Criteria
Inclusion Criteria:
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Painful bone metastasis of solid tumors
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A maximum number of bone metastases less or equal to 3
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Life expectancy > 6 months
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Minimum age 21 years
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Signed informed consent
Exclusion Criteria:
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Previous radiotherapy to the painful site
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Bone metastasis from malignant melanoma or renal cell carcinoma
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Associated fracture or extra-osseous component
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
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1 | University Hospital Ghent | Ghent | Belgium | 9000 |
Sponsors and Collaborators
- University Hospital, Ghent
Investigators
- Principal Investigator: Wilfried De Neve, MD, PhD, University Hospital, Ghent
Study Documents (Full-Text)
None provided.More Information
Additional Information:
Publications
None provided.- 2006/098