Palliative Care
Conditions
Keywords
palliative care, complicated bone metastases, radiotherapy, pain, quality of life
Brief summary
The study wants to define the maximum tolerated dose (MTD), safety and efficacy of a short course radiation treatment in patients with complicated bone metastases.
Detailed description
The study wants to define the maximum tolerated dose (MTD) of a conformal short course radiation treatment delivered in twice daily fractions and 2 consecutive days, and the feasibility of this fractionation in term of safety and efficacy for symptomatic palliation of complicated bone metastases.
Interventions
An accelerated hypo-fractionation radiotherapy is delivered for palliation in patients with complicated bone metastases
Sponsors
Study design
Eligibility
Inclusion criteria
* radiologically proven complicated bone metastasis * age \> 18 years * Eastern Cooperative Oncology Group (ECOG) performance status \< 3
Exclusion criteria
* prior RT to the same region
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Maximum tolerated dose | 1 year | The maximum tolerated dose is defined as the dose level below the highest administered dose associated with dose limiting toxicity (DLT) in at least one third of patients |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Acute toxicity | 1 year | Acute toxicity after treatment is evaluated with Common Terminology Criteria for Adverse Events (CTCAE) scale (values from 1 that represents the minimum acute toxicity to 5 that represent the maximum/severe acute toxicity). |
| Quality of life | 1 year | Quality of life after treatment is evaluated according to Cancer Lineal Analog Scale (CLAS) which evaluated well-being, fatigue, and ability to perform daily activities (values range from 0 that represents the best status to 10 that represents the worst one). |
| Pain relief | 1 year | Pain after the therapy is evaluated with the visual analogically scale (VAS scale). Values range from 0 (no pain) to 10 (worst possible pain). |
| Late toxicity | 1 year | Late toxicity after treatment is evaluated with Toxicity criteria of the Radiation Therapy Oncology Group and the European Organization for Research and Treatment of Cancer (EORTC-RTOG scale). The values range from 1 that represents the minimum late toxicity to 5 that represent the maximum/severe late toxicity |