Vertebroplasty With Radiation Therapy for Spine Metastatic Cancer Patients With Indeterminate Lesion (SINS Criteria)
NCT05178472 · Status: RECRUITING · Phase: NA · Type: INTERVENTIONAL · Enrollment: 200
Last updated 2026-04-09
Summary
This clinical trial studies the side effects of stereotactic radiosurgery and how well it works with or without vertebroplasty, separation surgery, or immunotherapy in patients with cancer that is radiation resistant and has spread to the spine (spinal metastases). Spinal metastases are rapidly progressive, have poor prognosis, are extremely difficult to treat, and can effect patient quality of life and overall health. Immunotherapy is a type of standard of care therapy to boost or restore the ability of the immune system to fight cancer. Stereotactic radiosurgery is a type of external radiation therapy that uses special equipment to position the patient and precisely give a single large dose of radiation to a tumor. A vertebroplasty is a procedure used to repair a bone in the spine that has a break caused by cancer, osteoporosis, or trauma. The purpose of this trial is to test different combinations of immunotherapy, stereotactic radiosurgery, and surgery to improve overall survival and quality of life in patients with spinal metastases.
Conditions
- Hematopoietic and Lymphoid Cell Neoplasm
- Malignant Solid Neoplasm
- Metastatic Malignant Neoplasm in the Spine
Interventions
- OTHER
-
Immunotherapy
Receive SOC immunotherapy
- RADIATION
-
Stereotactic Radiosurgery
Undergo SRS
- PROCEDURE
-
Vertebroplasty
Undergo vertebroplasty
Sponsors & Collaborators
-
Ohio State University Comprehensive Cancer Center
lead OTHER
Principal Investigators
-
Dukagjin M Blakaj, MD · Ohio State University Comprehensive Cancer Center
Study Design
- Allocation
- RANDOMIZED
- Purpose
- SUPPORTIVE_CARE
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2023-03-27
- Primary Completion
- 2026-12-31
- Completion
- 2026-12-31
Countries
- United States
Study Locations
More Related Trials
-
Randomized Study Comparing Local Tumor Control After Post-Operative Single-Fraction or Hypofractionated Stereotactic Radiosurgery in the Treatment of Spinal Metastases
NCT02320825 ·Status: COMPLETED ·Phase: PHASE3
-
Single Versus Multifraction Salvage Spine Stereotactic Radiosurgery for Previously Irradiated Spinal Metastases
NCT03028337 ·Status: ACTIVE_NOT_RECRUITING ·Phase: PHASE2
-
Preoperative Stereotactic Radiotherapy for Treatment of Spinal Metastases
NCT07135817 ·Status: RECRUITING ·Phase: NA
-
Involved Versus Elective Target SSRS for Spinal Metastases
NCT04033536 ·Status: UNKNOWN ·Phase: NA
-
Stereotactic Radiosurgery in Treating Patients With Spinal Metastases
NCT00853528 ·Status: COMPLETED ·Phase: PHASE1
-
Stereotactic Body Radiotherapy Followed by Surgical Stabilization in Spinal Metastases
NCT05060653 ·Status: WITHDRAWN ·Phase: NA
-
Image-Guided Radiosurgery or Stereotactic Body Radiation Therapy in Treating Patients With Localized Spine Metastasis
NCT00922974 ·Status: COMPLETED ·Phase: PHASE2/PHASE3
-
Stereotactic Body Radiotherapy for Spine Tumors
NCT01347307 ·Status: COMPLETED ·Phase: NA
-
A Single-center Observational Clinical Trial of Stereotactic Radiotherapy on Metastatic Spinal Tumors Using TomoTherapy
NCT05808998 ·Status: UNKNOWN
-
Medical Data Collection for the Evaluation of Radiofrequency Ablation and Cement Augmentation for the Treatment of Secondary Metastases to the Spine
NCT04751422 ·Status: UNKNOWN
-
Proton SBRT for Spinal Metastasis
NCT06895564 ·Status: RECRUITING ·Phase: NA
-
Definitive Radiation for High-Risk Spine Metastases
NCT06165419 ·Status: RECRUITING ·Phase: PHASE2
-
Evaluation of a Novel CT-On-Rails or Trilogy Stereotactic Spine Radiotherapy System (SSRS)
NCT00508443 ·Status: ACTIVE_NOT_RECRUITING ·Phase: PHASE1/PHASE2
-
Thermal Ablation and Spine Stereotactic Radiosurgery in Treating Patients With Spine Metastases at Risk for Compressing the Spinal Cord
NCT02713269 ·Status: ACTIVE_NOT_RECRUITING ·Phase: PHASE2
-
Randomized Trial on Same-day SBRT and Surgical Stabilization for Symptomatic Spinal Metastases
NCT05575323 ·Status: RECRUITING ·Phase: NA
-
Phase 1/2 Study to Determine Optimal Dose for Treating Bone Metastases Using Novel STAT-RT Workflow
NCT02145286 ·Status: UNKNOWN ·Phase: NA
-
Adaptive Staged Stereotactic Body Radiation Therapy in Treating Patients With Spinal Metastases That Cannot Be Removed by Surgery
NCT02527304 ·Status: COMPLETED ·Phase: NA
-
Radiofrequency Ablation/Bone Augmentation + Radiotherapy vs Radiotherapy Alone
NCT07090122 ·Status: RECRUITING ·Phase: NA
-
Stereotactic Multiple Fraction Radiotherapy for Non-spine Bone Metastases
NCT05406063 ·Status: RECRUITING ·Phase: NA
-
Evaluate the Efficacy of Radiofrequency Ablation/Vertebroplasty with or Without SBRT for Treating Painful Spinal Vertebral Metastases
NCT06756087 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Stereotactic Radiotherapy and Image-guided Intensity Modulated Radiotherapy for Spinal Metastatic Tumors
NCT03963713 ·Status: UNKNOWN ·Phase: NA
-
En Bloc Resection Versus Separation Surgery Combined With Radiotherapy for the Treatment of Spinal Oligometastatic Tumor.
NCT06120426 ·Status: RECRUITING
-
Increased Early Pain Relief by Adding Vertebroplasty to SBRT
NCT05317026 ·Status: RECRUITING ·Phase: NA
-
A Phase I/II Dose Escalation Study Using Extracranial Stereotactic Radiosurgery to Control Pain
NCT00802659 ·Status: TERMINATED ·Phase: NA
-
Hippocampal Avoidance in Craniospinal Irradiation for the Treatment of Leptomeningeal Metastases From Breast Cancer or Non-small Cell Lung Cancer
NCT06518057 ·Status: RECRUITING ·Phase: PHASE2