Metastatic Lesions in Vertebral Bodies
Conditions
Keywords
metastatic lesions, vertebral body, ablation, targeted radio-frequency ablation, radio-frequency targeted vertebral augmentation, radiofrequency kyphoplasty, spine, vertebral augmentation, kyphoplasty, spinal ablation, pain, quality of life
Brief summary
To evaluate the clinical outcomes of minimally invasive targeted radiofrequency tumor ablation (t-RFA) and kyphoplasty (also known as vertebral augmentation) in painful metastatic lesions in the spine.
Interventions
Radiofrequency targeted radiofrequency ablation (t-RFA) and targeted vertebral augmentation (RF-TVA)
Sponsors
Study design
Eligibility
Inclusion criteria
* One to 2 painful vertebrae (T1-L5) with evidence of osteolytic metastatic lesion with known primary histology with pathologic fracture(s) at index vertebra by MRI * Pain score ≥ 4 on the numerical rating pain scale * Life expectancy of ≥ 6 months
Exclusion criteria
* Primary tumors of the bone at index vertebra * Benign tumors of the bone at index vertebra * Osteoblastic tumors at index vertebra * Index vertebra with more than one (1) pedicle involved * Epidural extension of tumor within 5 mm of the spinal cord or without sufficient room for thermal protective maneuvers * Spinal cord compression or canal compromise requiring decompression * Radiation therapy is planned to be started on the index vertebra within 4 weeks post procedure * Radiation therapy was performed on the index vertebra within 2 months before enrollment * Major surgery of the spine was performed within 3 months before enrollment * Index vertebra(e) had previous spine surgery including vertebroplasty or kyphoplasty * Additional non-kyphoplasty/vertebroplasty surgical treatment is required for the index vertebra
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Pain relief | 1 month | Measured by the Numerical Rating Pain Scale (NRPS) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change in function | up to 6 months | Measured by Modified Oswestry Low Back Pain Disability Questionnaire (m-ODI) |
| Change in Quality of Life | up to 6 months | Measured by European Organization for Research and Treatment of Cancer and Bone Metastasis Questionnaires (EORTC-C30 and EORTC-BM22) |
| Change in pain medications | up to 6 months | — |
Countries
France, Germany, Italy