Clinical trial Recruiting at 1 site Phase 2 Interventional Ages 18 and up

Radiation treatment for high-risk spine cancer patients

Official title: A Phase II Study Evaluating Definitive Radiosurgical Decompression in Patients With High-Risk Spinal Metastases

Run by Stony Brook University · NCT06165419 · Data updated 2026-11-12

This study is testing a new type of radiation treatment for patients with cancer that has spread to the spine to see if it can help manage their condition without needing major surgery.

More Metastasis trials

Quick facts

PhasePhase 2
Study typeInterventional
Ages18 Years and up
SexAll
Enrollment26 (estimated)
SponsorStony Brook University
Academic / other
Drugs / interventionsradiation
Locations1 site (Stony Brook, New York)
StatusRecruiting
StartedDecember 14, 2023
Main results expectedMay 31, 2026
Study endsMay 31, 2026
Registry record updatedMay 14, 2025
Trial IDNCT06165419 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates are patients with solid tumors that have metastasized to the spine, with intact neurologic function and specific imaging criteria.

Probably not a fit

Patients with unstable spine conditions or those who have previously undergone surgery or radiation for the same spinal metastases 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 investigates the effectiveness of stereotactic body radiation therapy (SBRT) as a treatment for patients with metastatic cancer that has spread to the spine. The goal is to determine if this non-invasive approach can effectively manage spine metastases without the need for extensive surgical intervention. Eligible participants will have documented metastatic spine involvement and will be evaluated by both radiation oncology and orthopedic spine/neurosurgery specialists. The study aims to provide a less invasive treatment option for patients with specific criteria.

Why it matters

Potential benefit: If successful, this treatment could provide a less invasive alternative to surgery for patients with high-risk spine metastases.

How similar studies have gone: Other studies have shown promising results with stereotactic body radiation therapy for similar conditions, indicating potential for success in this approach.

Who can join: the full rules

Show full inclusion / exclusion criteria
Eligible patients must have:

* Any pathologically proven solid tumor diagnosis not of central nervous system origin with radiographic or pathologic evidence of metastatic disease
* Metastatic spine involvement documented by imaging
* Involvement of maximum 3 contiguous vertebral bodies at the index site
* Intact neurologic function, or only minor neurologic deficits with muscle strength greater or equal to 4 out of 5 with or without steroids
* An evaluation by an radiation oncology and orthopedic spine/neurosurgery attending
* ECOG Performance Status of 0-3

Patients are ineligible if they have:

* An unstable spine defined as a Spinal Instability Neoplastic Score (SINS) greater than 12
* Had previous surgery or radiation to address the target spinal metastases
* Radiosensitive tumors (e.g. small cell lung cancer, lymphoma, multiple myeloma, and germ-cell tumors)

Where it's running

  • Stony Brook University Hospital
    Stony Brook, New York, United States
    Recruiting

Study contacts

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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.