Treatment for femoral bone metastases at high risk of fracture

A Prospective Cohort Study of the Role of Surgery and/or Radiotherapy for Bone Metastases of the Femur at High Risk of Pathological Fracture

Not applicable Interventional University Health Network, Toronto · NCT01428895

This study is testing whether surgery alone or surgery with radiation helps people with femoral bone cancer who are at high risk of fractures feel better and improve their mobility.

Quick facts

PhaseNot applicable
Study typeInterventional
Enrollment180 (estimated)
Ages18 Years and up
SexAll
SponsorUniversity Health Network, Toronto Academic / other
Locations2 sites (Toronto, Ontario and 1 other locations)
Trial IDNCT01428895 on ClinicalTrials.gov

What this trial studies

This study aims to evaluate the clinical outcomes of patients with femoral metastases who are at high risk for pathological fractures. Participants will be followed after receiving either surgery alone or a combination of surgery and post-operative radiotherapy. The study will document patient and disease characteristics, as well as assess ambulatory status and limb function before treatment. Outcomes will be measured at 6 weeks, 3 months, and 6 months post-treatment to determine the effectiveness of the interventions.

Who should consider this trial

Good fit: Ideal candidates include adults aged 18 and older with a confirmed malignancy and femoral metastases at high risk of fracture.

Not a fit: Patients with lymphoma or those seeking surgical consultation solely for diagnosis will not benefit from this study.

Why it matters

Potential benefit: If successful, this study could improve treatment strategies and outcomes for patients with femoral bone metastases, potentially reducing pain and enhancing mobility.

How similar studies have performed: Previous studies have indicated that surgical intervention for bone metastases can lead to significant improvements in patient outcomes, suggesting a promising approach.

Eligibility criteria

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Histologically confirmed diagnosis of malignancy other than lymphoma
* Presence of femoral metastases at high risk of pathologic fracture (Mirels' score 8 or more)
* At least 18 years of age
* Able to provide written informed consent
* Able to participate in follow-up

Exclusion Criteria:

* Surgical consultation for the purpose of obtaining a tissue/histological diagnosis only, not for treatment
* Histological diagnosis of lymphoma

Where this trial is running

Toronto, Ontario and 1 other locations

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 CancerMetastatic Malignant Neoplasm to FemurRisk of FractureBone MetastasesFemoral Metastases
Last reviewed 2026-06-10 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.