Spinal Cord Compression From Neoplasm Metastasis Clinical Trial
Official title:
A Pilot Randomised Comparison of Dexamethasone 96 mg Versus 16 mg Per Day for Malignant Spinal Cord Compression Treated by Radiotherapy
The study aimed to pilot the viability of a full scale randomised comparison of 2 steroid doses in malignant spinal cord compression, to establish safety of high dose dexamethasone in this setting in Australia, to test web registration and randomisation and to compare different functional outcome measures.
Status | Completed |
Enrollment | 20 |
Est. completion date | December 2003 |
Est. primary completion date | |
Accepts healthy volunteers | No |
Gender | Both |
Age group | 17 Years and older |
Eligibility |
Inclusion Criteria: - Malignant spinal cord compression with at least one of pain, weakness, sensory disturbance or sphincter disturbance - Histology not required if prior biopsy proven malignancy - Any stage - Age >16 years - ECOG 1-3 prior to cord compression event - Minimum power 1 of 5 point scale Must not be paraplegic - Minimum expected survival 2 months - Relevant minimum lab values - Patients capable of childbearing using adequate contraception - Written informed consent Exclusion Criteria: - Prior radiotherapy to within vertebral±one level affected by cord compression - Prior treatment for spinal cord compression at the current level - Histology is lymphoma or myeloma - Power less than 1 of 5 - More than 12 hours after initiation of dexamethasone>4mg/24hr - Pre-existing co-morbid conditions – peptic ulceration or cardiac failure - Allergy to study medications - Multilevel cord compression or meningeal carcinomatosis - Pregnant or lactating |
Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Treatment
Country | Name | City | State |
---|---|---|---|
Australia | St George Hospital | Kogarah | New South Wales |
Lead Sponsor | Collaborator |
---|---|
Trans-Tasman Radiation Oncology Group (TROG) | Cancer Council New South Wales |
Australia,
Graham PH, Capp A, Delaney G, Goozee G, Hickey B, Turner S, Browne L, Milross C, Wirth A. A pilot randomised comparison of dexamethasone 96 mg vs 16 mg per day for malignant spinal-cord compression treated by radiotherapy: TROG 01.05 Superdex study. Clin — View Citation
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Satisfactory recruitment | Failure to accrue 30 patients in 15 months will initiate early closure of this study. | ||
Primary | Acceptable steroid toxicity rate at 28 days with reference to baseline. | 28 days | ||
Secondary | Ambulation rates at 1 month | 1 month | ||
Secondary | Barthel Index | Final analysis when all patients have been followed for 1 month | ||
Secondary | Functional Independence (FIM) | Final analysis when all patients have been followed for 1 month | ||
Secondary | Functional Improvement Score (FIS)within 2 weeks with reference to baseline | 2 weeks | ||
Secondary | Pain | Final analysis when all patients have been followed for 1 month |