Advanced spinal radiation therapy using MR imaging

Phase II Cohort of Spinal Stereotactic Radiotherapy in Patients Using a MR LINAC

Phase 2 Interventional M.D. Anderson Cancer Center · NCT05709782

This study is testing a new type of radiation therapy for spinal tumors that uses advanced imaging to see if it can better control the disease and improve patients' quality of life.

Quick facts

PhasePhase 2
Study typeInterventional
Enrollment40 (estimated)
Ages18 Years and up
SexAll
SponsorM.D. Anderson Cancer Center Academic / other
Drugs / interventionsRadiation
Locations1 site (Houston, Texas)
Trial IDNCT05709782 on ClinicalTrials.gov

What this trial studies

This clinical trial evaluates the effectiveness of spinal stereotactic radiosurgery (SRSS) enhanced by Magnetic Resonance imaging with a Linear Accelerator (MR-LINAC) in treating spinal disease. The primary goal is to assess the local control of the target site after six months of treatment. Secondary objectives include measuring changes in epidural tumor volume and local control at one year. The study aims to improve treatment responses and enhance the quality of life for patients with spinal tumors.

Who should consider this trial

Good fit: Ideal candidates are adults aged 18 and older with documented spinal disease who are eligible for spine stereotactic radiosurgery.

Not a fit: Patients with highly radiosensitive cancers or those unable to undergo MRI may not benefit from this study.

Why it matters

Potential benefit: If successful, this approach could lead to better treatment outcomes and improved quality of life for patients with spinal disease.

How similar studies have performed: Other studies have shown promise with advanced imaging techniques in radiation therapy, suggesting potential for success in this approach.

Eligibility criteria

Show full inclusion / exclusion criteria
INCLUSION CRITERIA:

1. Age ≥ 18 years old
2. Radiographically documented disease of the spine within 4 weeks of registration (candidates with or without epidural disease allowed)
3. Candidate for spine SRS/SBRT as determined by treating Radiation Oncologist or Multidisciplinary Spine Conference review
4. Maximum of 3 contiguous vertebral levels involved with metastasis in the spine to be irradiated allowed
5. Diagnosis of cancer documented
6. Motor strength ≥ 4 out of 5 in the extremity affected by the level of spinal disease planned for radiation
7. Karnofsky Performance score (KPS) ≥ 40 or ECOG score ≤ 3

EXCLUSION CRITERIA:

1. Patients with highly radiosensitive histologies likely to respond to conventional radiation therapy alone (ie lymphoma, multiple myeloma, etc)
2. Patients who are unable to undergo MRI of the spine with contrast
3. Patients who are pregnant

Where this trial is running

Houston, Texas

Study contacts

How to participate

  1. Review the eligibility criteria above with your treating physician.
  2. Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
  3. Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.
Conditions Spinal Disease
Last reviewed 2026-06-15 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.