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A randomised feasibility study of single fraction radiotherapy compared to multi-fraction radiotherapy in patients with metastatic spinal cord compression
ISRCTN ISRCTN97555949
ClinicalTrials.gov identifier NCT00727584
Public title A randomised feasibility study of single fraction radiotherapy compared to multi-fraction radiotherapy in patients with metastatic spinal cord compression
Scientific title
Acronym SCORAD feasibility study
Serial number at source BRD/07/010
Study hypothesis To examine whether a phase III randomised trial comparing a single fraction of radiotherapy with multi-fraction radiotherapy is acceptable to clinicians and patients.

As of 29/04/2008 the anticipated start and end dates of this trial were updated. The initial anticipated start and end dates of this trial were:
Anticipated start date: 11/11/2007
Anticipated end date: 11/11/2008

As of 12/05/2009 the anticipated end date of this trial was again extended; the previous anticipated end date was 21/02/2009.
Ethics approval Cornwall and Plymouth Research Ethics Committee approved before patient recruitment began (ref: 07/H0203/167)
Study design Randomised controlled feasibility study
Countries of recruitment United Kingdom
Disease/condition/study domain Metastatic spinal cord compression
Participants - inclusion criteria 1. Proven diagnosis of spinal cord compression on magnetic resonance imaging (MRI)
2. Histologically or cytologically confirmed malignant disease
3. Life expectancy greater than 1 month
4. Aged 18 years or older
5. Able to give informed consent
6. Willing and able to complete assessment forms
Participants - exclusion criteria 1. Patients for whom surgery or chemotherapy treatment is more appropriate
2. Patient known to be pregnant
Anticipated start date 01/03/2008
Anticipated end date 31/08/2009
Status of trial Completed
Patient information material
Target number of participants 100
Interventions Radiotherapy (single or multiple fractions):
Arm 1: 20 Gy/5 fractions daily for 5 consecutive days
Arm 2: 8 Gy/1 fraction
Primary outcome measure(s) Patient accrual per centre over a 12-month period.
Secondary outcome measure(s) 1. Ambulatory status at 1, 4, 8 and 12 weeks from day 1 of treatment compared to baseline
2. Bladder and bowel function at baseline compared to week 1, 4, 8 and 12
3. Acute side effects at week 1 and 4 assessed using Radiation Therapy Oncology Group (RTOG) scales
4. Quality of life at week 1, 4, 8 and 12, measured by the European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire for Cancer patients (EORTC QLQ-C30) questionnaire
5. Further treatment
6. Overall survival at 3, 6 and 12 months
7. Total number of days spent in hospital
8. Preferred place of care
9. Number of patients who were eligible but not randomised and reasons for non-randomisation
Sources of funding Cancer Research UK (CRUK) (UK) (ref: C2422/A7932)
Trial website
Publications
Contact name Prof  Peter J  Hoskin
  Address Marie Curie Research Wing
Mount Vernon Hospital
Rickmansworth Road
Northwood
Middlesex
  City/town Northwood
  Zip/Postcode HA6 2RN
  Country United Kingdom
  Tel +44 (0)1923 844533
  Fax +44 (0)1923 844167
  Email peterhoskin@nhs.net
Sponsor University College London (UCL) (UK)
  Address Medical School Administration
Gower Street
  City/town London
  Zip/Postcode WC1E 6BT
  Country United Kingdom
  Sponsor website: http://www.ucl.ac.uk/cancertrials/
Date applied 04/06/2007
Last edited 12/05/2009
Date ISRCTN assigned 23/07/2007
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