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Radiation

Radiation Therapy for Bone Metastases

Phase 3
Recruiting
Led By Quynh Nguyen, M D
Research Sponsored by M.D. Anderson Cancer Center
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial
Must have
Patients with prior surgery for osseous metastases are eligible.
Patients age 18 years or older. Pediatric patients are usually enrolled on pediatric protocols. There are no adverse data available for patients < 18 years of age treated with SBRT, therefore children are excluded from this study.
Must not have
Patients with previously treated with radioactive isotope (e.g. Sr 89) within 30 days of randomization. This can have concomitant effects with radiation therapy.
Patient with current, un-treated cord compression at treatment site.
Timeline
Screening 3 weeks
Treatment Varies
Follow Up up to 5 years
Awards & highlights
No Placebo-Only Group
Pivotal Trial

Summary

This trial will compare different doses and timing of radiation therapy to a standard treatment for cancer.

Who is the study for?
This trial is for adults with solid primary malignancies and bone metastases, who have a life expectancy of at least 3 months. They must have adequate organ function, agree to use contraception if of childbearing potential, and be able to complete surveys. Excluded are pregnant individuals, those with prior radiation or certain treatments at the site, spinal metastases not invading paraspinal region or mechanically unstable fractures.
What is being tested?
The study tests different doses and schedules of stereotactic body radiation therapy (SBRT) against standard palliative radiation therapy in patients with painful bone metastases. The goal is to see which method better manages pain while considering patient quality of life.
What are the potential side effects?
Potential side effects include skin reactions at the treatment site, fatigue, nausea, changes in blood counts leading to increased infection risk or bleeding problems. There may also be acute pain flare-ups following treatment.

Eligibility Criteria

Inclusion Criteria

You may be eligible if you check “Yes” for the criteria below
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I have had surgery for bone metastases.
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I am 18 years old or older.
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My platelet count is at least 40,000 per microliter.
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I feel pain or discomfort where I might receive treatment.

Exclusion Criteria

You may be eligible for the trial if you check “No” for criteria below:
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I have not had treatment with radioactive isotopes like Sr 89 in the last 30 days.
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I have a spinal cord compression that hasn't been treated yet.
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My cancer has spread to my hands or feet.
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I have had radiation therapy on the area to be treated.

Timeline

Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~up to 5 years
This trial's timeline: 3 weeks for screening, Varies for treatment, and up to 5 years for reporting.

Treatment Details

Awards & Highlights

No Placebo-Only Group
All patients enrolled in this study will receive some form of active treatment.
Pivotal Trial
The final step before approval, pivotal trials feature drugs that have already shown basic safety & efficacy.

Trial Design

2Treatment groups
Experimental Treatment
Group I: Arm 2 - High DoseExperimental Treatment1 Intervention
Participants will receive either 1 radiation treatment a day for 5 days, or 1 radiation treatment given on 1 day.
Group II: Arm 1 - Standard DoseExperimental Treatment1 Intervention
Participants will receive either 1 radiation treatment a day for 3 days in a row (not counting weekends or holidays), or Participants will receive 1 radiation treatment given on 1 day.
Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
Radiation Therapy
2017
Completed Phase 3
~7250

Find a Location

Who is running the clinical trial?

M.D. Anderson Cancer CenterLead Sponsor
3,073 Previous Clinical Trials
1,803,107 Total Patients Enrolled
6 Trials studying Bone Metastases
341 Patients Enrolled for Bone Metastases
Quynh Nguyen, M DPrincipal InvestigatorM.D. Anderson Cancer Center
~78 spots leftby Jun 2025