Local Radiofrequency Ablation Plus External Beam Radiation for the Treatment of Painful Thoracic and Lumbar Spine Tumors
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: kyphoplasty with Osteocool.
- Who it may be relevant to
- Registry conditions: Thoracic Neoplasms, Lumbar Neoplasm. Basic parameters: from 18 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- United States
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Official title
Local Radiofrequency Ablation Plus External Beam Radiation for the Treatment of Painful Thoracic and Lumbar Spine Tumors -SPARC
Overview
This study looks at how well a combination of treatments helps reduce pain in people with tumors in the middle and lower back (thoracic and lumbar spine). All participants receive the same treatment, which includes a procedure to stabilize the spine (kyphoplasty), radiofrequency ablation will be with the Osteocool system and radiation therapy. The goal is to see how effective this combined approach is at relieving pain. The purpose of this study is to find out whether combining these three treatments provides better pain relief for patients with thoracic and lumbar spine tumors. This study is for adults who have cancer that has spread to the thoracic or lumbar spine and who report moderate to severe back pain (a pain score of 5 or higher on a 0-10 pain scale).
Interventions
- Procedure kyphoplasty with Osteocool
Participants will receive kyphoplasty with Osteocool prior to their Standard of Care External Beam Radiotherapy.
Primary outcome measures
- Change in pain intensity [Time frame: Baseline and at 3 months (1 months after completion of radiotherapy)]
Secondary outcome measures (8)
- Presence of thoracic and lumbar spine tumors [Time frame: at 3- and 6-months following procedure]
- Long term new or worsened vertebral body compression fracture [Time frame: at 6 months following procedure]
- Retreatment of thoracic and lumbar spine tumor [Time frame: at 6 months following procedure]
- Quality of life per Patient-Reported Outcomes version of the Common Terminology Criteria [Time frame: Baseline and at 6 months following procedure]
- Pain level [Time frame: Baseline and at 6 months following procedure]
- Readmission rate [Time frame: Up to 6 months following procedure]
- Narcotic pain medication [Time frame: Up to 6 months following procedure]
- Grade 2 or higher Adverse Events [Time frame: Up to 1 month]
Eligibility criteria
Inclusion criteria
- Written informed consent obtained to participate in the study and HIPAA authorization for release of personal health information.
- Subjects is willing and able to comply with study procedures based on the judgement of the investigator.
- Age ≥ 18 years at the time of consent.
- Life expectancy beyond completion of protocol intervention of at least 1 month and deemed appropriate for treatment based on multidisciplinary review and/or investigator discretion.
- Metastatic thoracic or lumbar spine tumor. Tumor should be lytic or mixed lytic/blastic. Note: there does not need to be a fracture.
- Patient reported back pain of ≥ 5 on a VAS scale
Exclusion criteria
- Active infection requiring systemic therapy.
- Pregnant or breastfeeding (NOTE: breast milk cannot be stored for future use while the mother is being treated on study).
- Is currently taking Avastin or anti-coagulant meds that cannot be held.
- Is currently enrolled in a cancer related clinical trial.
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Observational model
- Cohort
Study locations
United States · 1 center
- UNC Hospitals — Chapel Hill
Identifiers
NCT: NCT07479199 · LCCC2336