Clinical trial Recruiting at 1 site Interventional

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

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

Run by Royal North Shore Hospital · NCT04649125 · Data updated 2026-11-12

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.

More Palliative Radiotherapy trials

Quick facts

Study typeInterventional
SexAll
Enrollment100 (estimated)
SponsorRoyal North Shore Hospital
Academic / other
Drugs / interventionsradiation
Locations1 site (Saint Leonards, New South Wales)
StatusRecruiting
StartedMay 31, 2021
Main results expectedJune 30, 2026
Study endsJune 30, 2026
Registry record updatedFebruary 6, 2026
Trial IDNCT04649125 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

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

Probably not a fit

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

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

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.

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

Who can join: the full rules

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 it's running

  • Royal North Shore Hospital
    Saint Leonards, New South Wales, Australia
    Recruiting

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

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How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 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.