Trial Outcomes & Findings for A Prospective Study Using Implanted Fiducial Markers to Assess Treatment Accuracy and Esophageal Toxicity in Spinal Stereotactic Body Radiation Therapy (NCT NCT01624220)

NCT ID: NCT01624220

Last Updated: 2026-05-12

Results Overview

Patients will be monitored at each follow-up visit, with MRI of the spine performed at each follow-up time point during the first year. Treated lesions will be classified as progressive (defined as \> 25% increased volume), stable (defined as radiographically unchanged), or smaller, and spinal tumor progression-free survival (PFS) will be calculated.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

41 participants

Primary outcome timeframe

10 years and 9.5 months

Results posted on

2026-05-12

Participant Flow

A total of 41 patient enrolled to this study from Aug 3, 2012 to Jun 1, 2015. Stage 1 in 38 patient and stage 2 in 3 patients

Participant milestones

Participant milestones
Measure
Stage 2
Stage 2 has group 3 with the patient population of T4-T10
Stage 1
Stage 1 has 5 groups, Group 1 has the patient population on T4-T12, Group 2 has the patient population of L1-L5, group 5 has the patient population of C5-T13, group 6 has patient population of T4-T12, group 7 has the patient population of L1-L5
Overall Study
STARTED
3
38
Overall Study
COMPLETED
3
35
Overall Study
NOT COMPLETED
0
3

Reasons for withdrawal

Reasons for withdrawal
Measure
Stage 2
Stage 2 has group 3 with the patient population of T4-T10
Stage 1
Stage 1 has 5 groups, Group 1 has the patient population on T4-T12, Group 2 has the patient population of L1-L5, group 5 has the patient population of C5-T13, group 6 has patient population of T4-T12, group 7 has the patient population of L1-L5
Overall Study
Withdrawal by Subject
0
3

Baseline Characteristics

A Prospective Study Using Implanted Fiducial Markers to Assess Treatment Accuracy and Esophageal Toxicity in Spinal Stereotactic Body Radiation Therapy

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Stage 1
n=38 Participants
Stage 1 has 5 groups, Group 1 has the patient population on T4-T12, Group 2 has the patient population of L1-L5, group 5 has the patient population of C5-T13, group 6 has patient population of T4-T12, group 7 has the patient population of L1-L5
Stage 2
n=3 Participants
Stage 2 has group 3 with the patient population of T4-T10
Total
n=41 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=1512 Participants
0 Participants
n=504 Participants
0 Participants
n=2016 Participants
Age, Categorical
Between 18 and 65 years
24 Participants
n=1512 Participants
2 Participants
n=504 Participants
26 Participants
n=2016 Participants
Age, Categorical
>=65 years
14 Participants
n=1512 Participants
1 Participants
n=504 Participants
15 Participants
n=2016 Participants
Sex: Female, Male
Female
17 Participants
n=1512 Participants
1 Participants
n=504 Participants
18 Participants
n=2016 Participants
Sex: Female, Male
Male
21 Participants
n=1512 Participants
2 Participants
n=504 Participants
23 Participants
n=2016 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
5 Participants
n=1512 Participants
1 Participants
n=504 Participants
6 Participants
n=2016 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
10 Participants
n=1512 Participants
2 Participants
n=504 Participants
12 Participants
n=2016 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
23 Participants
n=1512 Participants
0 Participants
n=504 Participants
23 Participants
n=2016 Participants
Race (NIH/OMB)
American Indian or Alaska Native
1 Participants
n=1512 Participants
0 Participants
n=504 Participants
1 Participants
n=2016 Participants
Race (NIH/OMB)
Asian
2 Participants
n=1512 Participants
0 Participants
n=504 Participants
2 Participants
n=2016 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=1512 Participants
0 Participants
n=504 Participants
0 Participants
n=2016 Participants
Race (NIH/OMB)
Black or African American
2 Participants
n=1512 Participants
0 Participants
n=504 Participants
2 Participants
n=2016 Participants
Race (NIH/OMB)
White
29 Participants
n=1512 Participants
2 Participants
n=504 Participants
31 Participants
n=2016 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=1512 Participants
0 Participants
n=504 Participants
0 Participants
n=2016 Participants
Race (NIH/OMB)
Unknown or Not Reported
4 Participants
n=1512 Participants
1 Participants
n=504 Participants
5 Participants
n=2016 Participants
Region of Enrollment
United States
38 participants
n=1512 Participants
3 participants
n=504 Participants
41 participants
n=2016 Participants

PRIMARY outcome

Timeframe: 10 years and 9.5 months

Patients will be monitored at each follow-up visit, with MRI of the spine performed at each follow-up time point during the first year. Treated lesions will be classified as progressive (defined as \> 25% increased volume), stable (defined as radiographically unchanged), or smaller, and spinal tumor progression-free survival (PFS) will be calculated.

Outcome measures

Outcome measures
Measure
Stage 1
n=38 Participants
Stage 1 has 5 groups, Group 1 has the patient population on T4-T12, Group 2 has the patient population of L1-L5, group 5 has the patient population of C5-T13, group 6 has patient population of T4-T12, group 7 has the patient population of L1-L5
Stage 2
n=3 Participants
Stage 2 has group 3 with the patient population of T4-T10
Overall Response at Protocol Treatment Site
Stable disease
23 Participants
2 Participants
Overall Response at Protocol Treatment Site
Progression disease
7 Participants
0 Participants
Overall Response at Protocol Treatment Site
Unknown
8 Participants
1 Participants

Adverse Events

Stage 1

Serious events: 0 serious events
Other events: 10 other events
Deaths: 18 deaths

Stage 2

Serious events: 0 serious events
Other events: 1 other events
Deaths: 1 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Stage 1
n=38 participants at risk
Stage 1 has 5 groups, Group 1 has the patient population on T4-T12, Group 2 has the patient population of L1-L5, group 5 has the patient population of C5-T13, group 6 has patient population of T4-T12, group 7 has the patient population of L1-L5
Stage 2
n=3 participants at risk
Stage 2 has group 3 with the patient population of T4-T10
Respiratory, thoracic and mediastinal disorders
Chest pain, abdominal pain
0.00%
0/38 • From date of protocol registration until the date of documented development of AEs in both treatment groups (sate 1 and Stage 2), assessed in every visit, approximately 3 years and 7 days
Only grade 2 and above toxicity that is directly related to therapy will be required to be documented related to treatment occurring within one month of treatment.
33.3%
1/3 • Number of events 1 • From date of protocol registration until the date of documented development of AEs in both treatment groups (sate 1 and Stage 2), assessed in every visit, approximately 3 years and 7 days
Only grade 2 and above toxicity that is directly related to therapy will be required to be documented related to treatment occurring within one month of treatment.
Musculoskeletal and connective tissue disorders
weakness / DC diagnoses: new epidural disease
2.6%
1/38 • Number of events 1 • From date of protocol registration until the date of documented development of AEs in both treatment groups (sate 1 and Stage 2), assessed in every visit, approximately 3 years and 7 days
Only grade 2 and above toxicity that is directly related to therapy will be required to be documented related to treatment occurring within one month of treatment.
0.00%
0/3 • From date of protocol registration until the date of documented development of AEs in both treatment groups (sate 1 and Stage 2), assessed in every visit, approximately 3 years and 7 days
Only grade 2 and above toxicity that is directly related to therapy will be required to be documented related to treatment occurring within one month of treatment.
Metabolism and nutrition disorders
Cathecholamine excess (causing severe swings in BP and obstipation)
2.6%
1/38 • Number of events 1 • From date of protocol registration until the date of documented development of AEs in both treatment groups (sate 1 and Stage 2), assessed in every visit, approximately 3 years and 7 days
Only grade 2 and above toxicity that is directly related to therapy will be required to be documented related to treatment occurring within one month of treatment.
0.00%
0/3 • From date of protocol registration until the date of documented development of AEs in both treatment groups (sate 1 and Stage 2), assessed in every visit, approximately 3 years and 7 days
Only grade 2 and above toxicity that is directly related to therapy will be required to be documented related to treatment occurring within one month of treatment.
Gastrointestinal disorders
Failure to thrive
2.6%
1/38 • Number of events 1 • From date of protocol registration until the date of documented development of AEs in both treatment groups (sate 1 and Stage 2), assessed in every visit, approximately 3 years and 7 days
Only grade 2 and above toxicity that is directly related to therapy will be required to be documented related to treatment occurring within one month of treatment.
0.00%
0/3 • From date of protocol registration until the date of documented development of AEs in both treatment groups (sate 1 and Stage 2), assessed in every visit, approximately 3 years and 7 days
Only grade 2 and above toxicity that is directly related to therapy will be required to be documented related to treatment occurring within one month of treatment.
General disorders
Fever
5.3%
2/38 • Number of events 2 • From date of protocol registration until the date of documented development of AEs in both treatment groups (sate 1 and Stage 2), assessed in every visit, approximately 3 years and 7 days
Only grade 2 and above toxicity that is directly related to therapy will be required to be documented related to treatment occurring within one month of treatment.
0.00%
0/3 • From date of protocol registration until the date of documented development of AEs in both treatment groups (sate 1 and Stage 2), assessed in every visit, approximately 3 years and 7 days
Only grade 2 and above toxicity that is directly related to therapy will be required to be documented related to treatment occurring within one month of treatment.
Musculoskeletal and connective tissue disorders
Foot drop
2.6%
1/38 • Number of events 1 • From date of protocol registration until the date of documented development of AEs in both treatment groups (sate 1 and Stage 2), assessed in every visit, approximately 3 years and 7 days
Only grade 2 and above toxicity that is directly related to therapy will be required to be documented related to treatment occurring within one month of treatment.
0.00%
0/3 • From date of protocol registration until the date of documented development of AEs in both treatment groups (sate 1 and Stage 2), assessed in every visit, approximately 3 years and 7 days
Only grade 2 and above toxicity that is directly related to therapy will be required to be documented related to treatment occurring within one month of treatment.
Gastrointestinal disorders
GI bleed
2.6%
1/38 • Number of events 1 • From date of protocol registration until the date of documented development of AEs in both treatment groups (sate 1 and Stage 2), assessed in every visit, approximately 3 years and 7 days
Only grade 2 and above toxicity that is directly related to therapy will be required to be documented related to treatment occurring within one month of treatment.
0.00%
0/3 • From date of protocol registration until the date of documented development of AEs in both treatment groups (sate 1 and Stage 2), assessed in every visit, approximately 3 years and 7 days
Only grade 2 and above toxicity that is directly related to therapy will be required to be documented related to treatment occurring within one month of treatment.
Respiratory, thoracic and mediastinal disorders
Hemoptysis
2.6%
1/38 • Number of events 2 • From date of protocol registration until the date of documented development of AEs in both treatment groups (sate 1 and Stage 2), assessed in every visit, approximately 3 years and 7 days
Only grade 2 and above toxicity that is directly related to therapy will be required to be documented related to treatment occurring within one month of treatment.
0.00%
0/3 • From date of protocol registration until the date of documented development of AEs in both treatment groups (sate 1 and Stage 2), assessed in every visit, approximately 3 years and 7 days
Only grade 2 and above toxicity that is directly related to therapy will be required to be documented related to treatment occurring within one month of treatment.
Nervous system disorders
pain
5.3%
2/38 • Number of events 4 • From date of protocol registration until the date of documented development of AEs in both treatment groups (sate 1 and Stage 2), assessed in every visit, approximately 3 years and 7 days
Only grade 2 and above toxicity that is directly related to therapy will be required to be documented related to treatment occurring within one month of treatment.
0.00%
0/3 • From date of protocol registration until the date of documented development of AEs in both treatment groups (sate 1 and Stage 2), assessed in every visit, approximately 3 years and 7 days
Only grade 2 and above toxicity that is directly related to therapy will be required to be documented related to treatment occurring within one month of treatment.

Additional Information

Dr. Amol Jitendra Ghia

University of Texas MD Anderson Cancer Center

Phone: (832) 628-7357

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place