Clinical trial Recruiting at 1 site Interventional Ages 18 and up

Using carbon fiber screws to treat spinal metastatic disease

Official title: Carbon Fiber Transpedicular Screws in Treatment of Spinal Metastatic Disease and Stereotactic Radiotherapy - a Prospective, Randomized Trial

Run by Copernicus Memorial Hospital · NCT06293157 · Data updated 2026-11-12

This study is testing if carbon fiber screws can better stabilize the spine for people with metastatic spinal disease compared to traditional titanium screws, while also improving imaging quality for treatment planning.

More Spinal Cord Compression trials

Quick facts

Study typeInterventional
Ages18 Years and up
SexAll
Enrollment226 (estimated)
SponsorCopernicus Memorial Hospital
Academic / other
Locations5 sites (Bydgoszcz and 4 other locations)
StatusRecruiting
StartedDecember 1, 2023
Main results expectedDecember 31, 2028
Study endsDecember 31, 2033
Registry record updatedDecember 16, 2025
Trial IDNCT06293157 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates for this study are adults with metastatic spinal disease who have a good performance status and are eligible for stereotactic body radiotherapy.

Probably not a fit

Patients with primary spinal tumors, those with a life expectancy of less than three months, or those who cannot provide informed consent 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 clinical trial investigates the use of carbon fiber transpedicular screws for stabilizing the spine in patients with metastatic spinal disease. The study compares the effectiveness of these carbon fiber implants against traditional titanium implants, particularly focusing on their impact on diagnostic imaging quality and treatment planning for stereotactic body radiotherapy. Eligible participants will have metastatic spinal disease and will be assessed for their ability to undergo surgical intervention. The trial aims to improve surgical outcomes and reduce complications associated with imaging artifacts caused by metal implants.

Why it matters

Potential benefit: If successful, this approach could enhance surgical treatment outcomes and improve the quality of life for patients with metastatic spinal disease.

How similar studies have gone: While the use of carbon fiber implants is a novel approach in this context, similar studies have shown promise in reducing imaging artifacts with non-metallic materials.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Metastatic spinal disease,
* ECOG quality of life of 0-2,
* Eligibility for SBRT treatment,
* Expected survival time \>3 months,
* Signed informed consent to participate in the study,
* Sufficient organ capacity allowing to survive the perioperative period.

Exclusion Criteria:

* Primary tumor of the spine,
* Age \<18 years old,
* Expected survival time \<3 months,
* Eligibility for palliative radiotherapy,
* No informed consent to participate in the study,
* Pregnancy or breastfeeding,
* The advancement of the disease preventing the technical use of implants.

Where it's running

  • Copernicus Memorial Hospital in Łódź, Poland
    Lodz, Łódź Voivodeship, Poland
    Recruiting
  • Department of Neurosurgery, Functional Neurosurgery and Stereotaxy, Dr. Jan Biziel University Hospital No. 2 in Bydgoszcz
    Bydgoszcz, Poland
    Active not recruiting
  • Professor Franciszek Łukaszczyk Oncology Center in Bydgoszcz - National Research Institute
    Bydgoszcz, Poland
    Active not recruiting
  • Department of Teleradiotherapy, Lower Silesian Center of Oncology, Pulmonology and Hematology
    Wroclaw, Poland
    Active not recruiting
  • University Center of Neurology and Neurosurgery, Jan Mikulicz-Radecki University Clinical Hospital in Wrocław
    Wroclaw, Poland
    Active not recruiting

Study contacts

  • Principal investigator: Kamil Krystkiewicz, PhD — Department of Neurosurgery and Neurooncology, Copernicus Memoriał Hospital in Łódź
  • Study coordinator: Kamil Krystkiewicz, PhD
  • Email: kamil.krystkiewicz@gmail.com
  • Phone: +48426895341

Similar studies

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

  • One-stop MR-guided radiotherapy for urgent metastatic spinal cord compression

    This study will test whether an MR linear accelerator can deliver urgent single-appointment radiotherapy for people with metastatic spinal cord compression so they do not need a separate planning CT.

    Recruiting The Christie NHS Foundation Trust · Manchester · NCT06965101

  • New approach to treat localized spine metastases with radiation therapy

    This study is testing a new way to use radiation therapy over five sessions to see if it can help people with spine metastases manage pain better and improve their overall function.

    Recruiting Baptist Health South Florida · Miami, Florida · NCT04802603

  • Postoperative Edge SBRT for Spinal Metastases

    This observational study tests whether high-precision postoperative SBRT with the Edge system can improve local control and neurological outcomes in patients with spinal metastases after surgery.

    Recruiting Tianjin Medical University Cancer Institute and Hospital · Tianjin, Tianjin Municipality · NCT07801274

  • Radiation boost for painful spinal metastases

    This study will try adding an extra focused radiation boost to standard spine SBRT for adults with painful spinal metastases to see if it improves long-term tumor control and reduces pain.

    Recruiting Phase 2 Sunnybrook Health Sciences Centre · Toronto, Ontario · NCT07478289

  • Turkish translation of the Modified JOA for cervical myelopathy

    This project will test whether a Turkish version of the Modified Japanese Orthopaedic Association (mJOA) score reliably measures neurologic function in adults with degenerative cervical myelopathy.

    Recruiting Izmir Democracy University · Buca, İzmir · NCT07448883

  • Combining laser treatment and radiosurgery for spinal tumors

    This study is testing if using both laser treatment and targeted radiation can help people with spinal tumors feel better and improve their quality of life compared to just using radiation alone.

    Recruiting Henry Ford Health System · Detroit, Michigan · NCT05023772

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.