NL-OMON42087
Completed
Phase 2
Stereotactic body radiotherapy followed by surgical stabilization for patients with painful unstable spinal metastases: First-in-man study according to the IDEAL recommendations - BLEND study
niversitair Medisch Centrum Utrecht0 sites13 target enrollmentTBD
Overview
- Phase
- Phase 2
- Intervention
- Not specified
- Conditions
- metastatic spine tumor
- Sponsor
- niversitair Medisch Centrum Utrecht
- Enrollment
- 13
- Status
- Completed
- Last Updated
- 2 years ago
Overview
Brief Summary
No summary available.
Investigators
Eligibility Criteria
Inclusion Criteria
- •\* Painful radiosensitive metastases from solid tumors in the thoracic or lumbar spine needing surgical stabilization
- •\* Histologic proof of malignancy
- •\* Radiographic evidence of spinal metastases
- •\* Karnofsky performance status \> 50
- •\* Age \> 18 years
- •\* Written informed consent
Exclusion Criteria
- •\* Multiple spinal metastases necessitating bridging more than five vertebral levels during surgery
- •\* Previous surgery or radiotherapy to index lesion
- •\* SBRT cannot be delivered (Bilsky score 2 and 3 \[Bilsky 2010])
- •\* Neurological deficits (ASIA C, B or A)
- •\* Partial neurological deficits (ASIA D) with rapid progression (hours to days)
- •\* Inability to lie flat on table for SBRT
- •\* Non\-ambulatory patients
- •\* Patient in hospice or with \< 3 months life expectancy
- •\* Medically inoperable or patient refused surgery
Outcomes
Primary Outcomes
Not specified
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