Extra radiation boost may help control spine tumors and ease pain
NCT ID NCT07478289
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study is testing whether giving an extra 'boost' of radiation to spinal tumors that have spread from other cancers can better control the tumor, reduce pain, and limit side effects. The trial will enroll 108 adults with confirmed or suspected solid tumors that have spread to the spine. Participants will receive standard spine radiation plus an additional dose tailored to their treatment plan.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Radiation boost (additional dose of radiation to the spine)
- What this could lead to
- If successful, this approach could improve long-term tumor control and reduce pain for people with spinal metastases, offering a more effective treatment option.
- What could go wrong
- This is a mid-stage trial with only 108 participants, so results may not apply to everyone. The extra radiation could increase side effects, and it is not yet known if it will meaningfully improve outcomes.
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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Phase 2
Tests whether the treatment actually works, and watches for side effects, in a larger group.
- Participants
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About 108 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Apr 2026
An estimate. Start dates often move.
- Expected to finish
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Dec 2031
An estimate. End dates often move.
- 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.
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Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Histopathologically confirmed solid tumor malignancy, or strong suspicion based on clinical and radiographic examination of malignancy * Spinal metastases with paraspinal disease extension documented with MRI and recommended for treatment with SBRT * Post-operative SBRT is permitted (after stabilization and/or decompression surgery) as long as no prior radiotherapy had been delivered to the spinal level planned for trial treatment and paraspinal disease is present * ECOG performance status 0-2 * Able to tolerate protocol SBRT * Age 18 years or older * Patient is able and willing to complete the Patient Diary (pain and analgesic use) * Consent must be appropriately obtained in accordance with local requirements. Each patient must sign a consent form prior to enrollment in the trial to document their willingness to participate * Patients must be accessible for treatment and follow-up * Treatment to begin within 14 days (ideally 7 days) of radiotherapy simulation Exclusion Criteria: * Extremely radiosensitive histology (seminoma, small cell lung cancer, hematologic primaries) * Prior radiotherapy in the spine target of interest * Spinal instability as assessed by the Spinal Instability Neoplastic Score with a score of \> 12 * Symptomatic cord compression or cauda equine syndrome resulting from bony compression or epidural compression of the spinal cord and cauda equina, respectively. Symptomatic refers to neurologic deficit in the form of motor, bowel or bladder dysfunction * Pacemaker, such that MRI cannot be performed or treatment cannot be delivered safely * Cytotoxic chemotherapy within 1 week prior to radiotherapy delivery
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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.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
1 site. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Sunnybrook Health Sciences Centre
RECRUITINGToronto, Ontario, M4N3M5, Canada
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