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Comparison Of Low Vs High Dose 177Lu-EDTMP Therapy For Palliation Of Painful Bone Metastases: RCT.

Phase 3
Conditions
Health Condition 1: C419- Malignant neoplasm of bone and articular cartilage, unspecified
Registration Number
CTRI/2021/04/033060
Lead Sponsor
AIIMS Jodhpur
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Open to Recruitment
Sex
Not specified
Target Recruitment
0
Inclusion Criteria

1.Patients with greater than 18 years of age, with HPE confirmed cancer.

2. Patients having painful metastatic bone lesions with osteoblastic response, as confirmed by areas of intense uptake on radionuclide bone scans at painful sites.

3.The patients on naive or prior analgesic therapy.

4.The minimum VAS/NRS score without medication should be > 4.

5.The patientâ??s KPS score should be > 30 and ECOG < 3.

6.Time interval between 177Lu-EDTMP therapy and prior chemotherapy or radiotherapy should be greater than four weeks.

Exclusion Criteria

1.Patients with the following cell count limits will not be considered for the therapy:

Haemoglobin < 9 g/dL

Total white cell count < 3000/μL

Platelet count < 60000/μL

2.Patients with poor renal function i.e. estimated glomerular filtration rate < 30 mL/ min.

3.Patients with life expectancy less than 3 months.

4.Pregnant or lactating females if any.

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
To find difference in pain relief in patients of bony metastases receiving high dose vs low dose 177Lu-EDTMP therapy.Timepoint: 2, 4, 8, 12 weeks following therapy
Secondary Outcome Measures
NameTimeMethod
1.To find and compare improvement in quality of life as assessed by KPS/ECOG scale between the two groups. <br/ ><br>2.To compare reduction in analgesic dose post therapy in both groups. <br/ ><br>3.To find and compare the duration of pain relief achieved between the two groups. <br/ ><br>4.To evaluate change in haematological and biochemical parameters post therapy between both the groups. <br/ ><br>5.To look for any other adverse effect. <br/ ><br>6.Bone scan quantification for response assessment and comparison between two groups. <br/ ><br>Timepoint: 2, 4, 8, 12 weeks following therapy
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