Comparing SingLe- Vs Multi-Fraction Spine STereotActic Radiosurgery in Spinal Metastases

Trial statusRecruiting
Trial phasePhase 3
Trial typeInterventional
Biological sexAll
Age18+
SponsorStanford University

About this trial

The goal of this study is to determine whether fractionated Stereotactic radiosurgery (SRS) for spine metastases is associated with improved local tumor control compared to single-fraction SRS. Patients will be randomized to treatment with spine SRS using either 22 Gy in 1 fraction or 28 Gy in 2 fractions.

Eligibility criteria

Qualifiers

Histologically, cytologically, or radiographically confirmed diagnosis of metastatic cancer Age ≥ 18 years

Patients who have cervical, thoracic, or lumbar spine metastasis that need treatment.

Patients will have 1 to 3 separate spinal sites that require treatment.

Each spinal site to be treated on trial will span 1-2 contiguous vertebral levels

Disqualifiers

Prior or planned radiation off study within or overlapping with study treatment site

Inability to have either an MRI or a CT scan. Patients with pacemaker will be allowed to undergo CT instead of MRI

Pediatric patients (age <18 years old), pregnant women, and nursing patients will be excluded

Histology's of myeloma or lymphoma

Trial design

Treatments tested in this trial

  • Single-fraction spine SRS
  • Multi-fraction spine SRS

Treatment groups

274 Participants
are divided into 2 treatment groups

Sponsors and collaborators