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Biological Imaging Guided Antalgic Radiotherapy of Bone Metastases (Phase II Trial)

Phase 2
Completed
Conditions
Bone Metastases
Interventions
Procedure: Biological imaging guided antalgic radiotherapy
Registration Number
NCT00503178
Lead Sponsor
University Hospital, Ghent
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.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
54
Inclusion Criteria
  • Painful bone metastasis of solid tumors
  • A maximum number of bone metastases less or equal to 3
  • Life expectancy > 6 months
  • Minimum age 21 years
  • Signed informed consent
Exclusion Criteria
  • Previous radiotherapy to the painful site
  • Bone metastasis from malignant melanoma or renal cell carcinoma
  • Associated fracture or extra-osseous component

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
Patients undergoing imaging guided radiotherapy.Biological imaging guided antalgic radiotherapy-
Primary Outcome Measures
NameTimeMethod
Pain assessmentt0
Secondary Outcome Measures
NameTimeMethod
Acute toxicityt0
Bone remodelingt0
Resulting volumes of the targets and functional active areast0
Mismatch and/or overlap areast0

Trial Locations

Locations (1)

University Hospital Ghent

🇧🇪

Ghent, Belgium

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