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