Comparing single-fraction palliative radiotherapy to standard multi-fraction radiation

Advanced Techniques For Single-fraction Palliative Radiotherapy Versus Standard Multi Fraction Radiation

Not applicable Interventional Royal North Shore Hospital · NCT04649125

This study is testing if a single high-dose radiation treatment can help people with advanced cancer feel better for longer compared to the usual multiple smaller doses.

Quick facts

PhaseNot applicable
Study typeInterventional
Enrollment100 (estimated)
SexAll
SponsorRoyal North Shore Hospital Academic / other
Drugs / interventionsradiation
Locations1 site (Saint Leonards, New South Wales)
Trial IDNCT04649125 on ClinicalTrials.gov

What this trial studies

This study aims to evaluate whether a single fraction of escalated dose palliative radiotherapy can provide longer-lasting benefits compared to the standard multi-fraction approach for patients with metastatic cancer. The primary goal is to assess the percentage of patients who experience significant symptom relief and do not redevelop symptoms within 12 months post-treatment. The study focuses on patients who are typically unwell due to advanced disease and aims to optimize treatment by minimizing the number of sessions while maximizing quality of life. By exploring hypofractionated radiation, the study seeks to enhance local control and reduce the need for retreatment.

Who should consider this trial

Good fit: Ideal candidates are patients with metastatic cancer who are recommended for 5-10 fractions of palliative radiation.

Not a fit: Patients who are recommended for single fraction palliative radiation may not benefit from this study.

Why it matters

Potential benefit: If successful, this approach could lead to improved symptom control and quality of life for patients undergoing palliative care.

How similar studies have performed: Previous studies have shown promise with similar hypofractionated approaches, indicating potential for success in this area.

Eligibility criteria

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Metastatic cancer
* Recommended for 5-10 fractions palliative radiation
* Patients with spinal cord compression are eligible for enrolment

Exclusion Criteria:

* Unwilling or unable to give informed consent
* Patients who are recommended for single fraction palliative radiation

Where this trial is running

Saint Leonards, New South Wales

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 Palliative Radiotherapy
Last reviewed 2026-06-13 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.