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A randomised feasibility study of single fraction radiotherapy compared to multi-fraction radiotherapy in patients with metastatic spinal cord compression
Source of recordUK Clinical Trials Gateway
ISRCTNISRCTN97555949
Date ISRCTN assigned23/07/2007
Local reference number(s)BRD/07/010
Public titleA randomised feasibility study of single fraction radiotherapy compared to multi-fraction radiotherapy in patients with metastatic spinal cord compression
Scientific title
AcronymSCORAD
Disease/condition/study domainMetastatic spinal cord compression
Study hypothesisTo examine whether a phase III randomised trial comparing a single fraction of radiotherapy with multi-fraction radiotherapy is acceptable to clinicians and patients.
Design/methodologyA randomised controlled feasibility study.
Research ethics reviewTo be submitted as of 04/06/2007.
Countries of trialUnited Kingdom
Participants - inclusion criteria1. Proven diagnosis of spinal cord compression on Magnetic Resonance Imaging (MRI)
2. Histologically or cytologically confirmed malignant disease
3. Life expectancy > 1 month
4. Age 18 years or older
5. Able to give informed consent
6. Willing and able to complete assessment forms
Participants - exclusion criteria1. Patients for whom surgery or chemotherapy treatment is more appropriate
2. Patient who are known to be pregnant
Patient information material
Anticipated start date11/11/2007
Anticipated end date11/11/2008
Status of trialOngoing
Target number of participants100
InterventionsRadiotherapy (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 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 fundingCancer Research UK (ref: C2422/A7932)
Sponsor nameUniversity College London (UK)
Sponsor detailsMedical School Administration
Gower Street
London
United Kingdom
WC1E 6BT
Sponsor websitehttp://www.ucl.ac.uk/cancertrials/
Contact nameProf Peter J Hoskin
Contact detailsMarie Curie Research Wing
Mount Vernon Hospital
Rickmansworth Road
Northwood
Middlesex
Northwood
United Kingdom
HA6 2RN
Contact telephone+44 (0)1923 844533
Contact fax+44 (0)1923 844167
Contact emailpeterhoskin@nhs.net
More informationFor more up-to-date information please go to the ISRCTN link below.
Link to record in ISRCTN RegisterISRCTN97555949
Date last extracted from ISRCTN register17/04/2008
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