Prophylactic Radiotherapy to Prevent Bone Complications in Patients With Metastatic Solid Cancers
NCT07540650 · Status: NOT_YET_RECRUITING · Phase: PHASE2 · Type: INTERVENTIONAL · Enrollment: 90
Last updated 2026-04-20
Summary
This is a prospective, randomized, single-center clinical trial evaluating whether early prophylactic radiotherapy to high-risk asymptomatic or minimally symptomatic bone metastases reduces the 1-year rate of skeletal-related events (SREs) in patients with metastatic solid cancers. Patients will be randomized in a 1:1 ratio to receive either standard of care systemic therapy or observation, or prophylactic radiotherapy in addition to standard of care. The primary endpoint is the 1-year rate of SREs. Secondary endpoints include adverse events, quality of life, economic burden, pain-free survival, and overall survival.
Conditions
- Bone Metastases
- Metastatic Solid Tumor
Interventions
- RADIATION
-
Prophylactic External Beam Radiotherapy
External beam radiotherapy delivered to up to five high-risk asymptomatic or minimally symptomatic bone metastases at a total dose of 25 Gy in 5 fractions.
- OTHER
-
Standard of Care
Systemic therapy or observation according to tumor type and clinical guidelines.
Sponsors & Collaborators
-
Institute of Oncology Ljubljana
lead OTHER
Study Design
- Allocation
- RANDOMIZED
- Purpose
- PREVENTION
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2026-04-30
- Primary Completion
- 2029-02-28
- Completion
- 2029-02-28
Countries
- Slovenia
Study Locations
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