Bone Metastases, Palliative Care, Radiotherapy
Conditions
Keywords
Short Course Radiotherapy, Complicated Bone Metastases
Brief summary
Aim of the study is to assess efficacy of a short course radiation treatment in patients with complicated bone metastases
Detailed description
Standard treatment for complicated bone metastases (3000 cGy in 10 daily fractions of 300 cGy each) is compared with experimental treatment (4000 cGy in 4 fractions of 500 cGy twice a day) to demonstrate non-inferiority of this scheme.
Interventions
3000 cGy in 10 daily fractions
2000 cGy in 4 fractions administered twice a day
Sponsors
Study design
Eligibility
Inclusion criteria
* complicated bone metastases from any solid tumor * age \>18 years * ECOG performance status 0-3 * symptomatic lesion (NRS \>1) * no changes in analgesic treatment at least in the week before radiotherapy
Exclusion criteria
* pregnancy * previously irradiation of the same region
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Efficacy of palliation using the short course scheme compared with the standard scheme | 3 months | Reduction of pain after radiotherapy, assessed with VAS (visual analogue scale) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Acute toxicity in the two treatment groups | 3 months | incidence of treatment-related acute adverse events in the two arms of the study registered using Cooperative Group Common Toxicity Criteria |
| Late toxicity in the two treatment groups | 12 months | incidence of treatment-related late adverse events in the two arms of the study registered using RTOG/EORTC Late Radiation Morbidity Scoring Schema |
| Quality of Life (QoL) assessment in the two groups | 12 months | Changes in QoL after the treatment assessed using EORTC questionnaires (QLQ-BM22 and C15-PAL) |
Countries
Italy