One-Time procedure aims to ease spine cancer pain
NCT ID NCT02987153
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tested a new approach that combines a minimally invasive spine-stabilizing procedure (kyphoplasty) with a single dose of targeted radiation given during surgery. The goal was to see if this combination could better control pain from cancer that has spread to the spine. Twenty-two adults with unstable or potentially unstable spine metastases and significant pain took part. The treatment delivered radiation directly to the area at highest risk of regrowth, aiming for effective pain relief with fewer side effects.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Intraoperative radiation therapy (IORT) using the Intrabeam® Photon Radiosurgery System
- What this could lead to
- If successful, this approach could offer a one-time procedure that stabilizes the spine and provides lasting pain relief for people with cancer that has spread to the spine.
- What could go wrong
- This is a small, early-phase study with only 22 participants, so results may not apply to everyone. There are risks like infection, wound healing problems, or nerve damage from the radiation or procedure.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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About 22 people
The number the study aims to enrol. It can still change while the study runs.
- Start date
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Nov 2016
- Finished
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Oct 2022
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Karnofsky Index ≥ 60. * History/physical examination within 4 weeks prior to procedure. * Imaging of the involved spine within 8 weeks prior to procedure to determine the extent of the spine involvement. * Numerical Rating Pain Scale within 4 week prior to procedure (score must be ≥ 5 for at least one of the planned sites for spinal IORT. * Neurological examination within 4 week prior to procedure to rule out rapid neurologic decline. * Spine Instability Neoplastic Score (SINS score) = ≤12. * Negative serum pregnancy test within 4 weeks prior to procedure for women of childbearing potential. * Women of childbearing potential and male participants who are sexually active must agree to use a medically effective means of birth control. * The patient must have localized spine metastasis from the T5 to L5 levels by a screening imaging study \[bone scan, PET, CT, or MRI\] (a solitary spine metastasis; two separate spine levels; or up to 3 separate sites are permitted). Each of the separate sites have a maximal involvement of ONE vertebral body. Patients can have other visceral metastasis. * Patients must provide study specific informed consent prior to study entry. Exclusion Criteria: * Spine instability due to a compression fracture; SINS score \>12. * Frank spinal cord compression or displacement or epidural compression within 3 mm of the spinal cord * Patients with rapid neurologic decline * Bony retropulsion causing neurologic abnormality * Patients allergic to contrast dye used in MRIs or CT scans or who cannot be premedicated for the use of contrast dye
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Northwell Health
Lake Success, New York, 11040, United States
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