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Bone Neoplasms clinical trials

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NCT ID: NCT06065449 Recruiting - Bone Metastases Clinical Trials

A Phase III Randomized Trial Comparing Stereotactic Body Radiation Therapy (SBRT) vs Conventional Palliative Radiation Therapy for Painful Bone Metastases

Start date: January 24, 2024
Phase: Phase 3
Study type: Interventional

To compare increasing doses and different treatment schedules of stereotactic body radiation therapy (SBRT) against standard treatment scheduling.

NCT ID: NCT06008483 Recruiting - Solid Tumor Clinical Trials

A Dose Finding Study to Treat Bone Tumor(s)

Start date: April 5, 2022
Phase: Phase 1
Study type: Interventional

To determine the Maximum Tolerated Dose (MTD) of CycloSam®, Samarium-153-DOTMP (Sm-153-DOTMP), a radiopharmaceutical that delivers radiation to the bone when injected, given as a tandemly administered pair of doses to subjects with one or more solid tumor(s) in the bone or metastatic solid tumors to the bone that are visible on bone scan.

NCT ID: NCT05847868 Recruiting - Clinical trials for Primary and Secondary Bone Tumor in the Proximal Femur Region

Clinical Evaluation of Moment Tumor Hip Replacement Products

KRIOS
Start date: March 16, 2023
Phase: N/A
Study type: Interventional

The aim is to ensure that the patients are functionally adequately and painlessly mobilized with the proximal femoral tumor resection prosthesis used, to increase the survival of patients who underwent wide resection, and to determine the complications of the treatment applied and the clinical performance of the Moment Tumor Hip Replacement Products used.

NCT ID: NCT05830084 Recruiting - Bone Cancer Clinical Trials

Phase Ib / Regorafenib With Conventional Chemotherapy/Newly Diagnosed Patients/ Multimetastatic Ewing Sarcoma

REGO-EWING
Start date: March 27, 2023
Phase: Phase 1
Study type: Interventional

New drug efficacy in ES has been disappointing in the last decades and no new drugs have been successfully introduced up to now in front line treatment. Among the tested drugs, early clinical data suggest that strategies using multi-targeted tyrosine kinase inhibitors (TKI) with anti-angiogenic activities are among the most efficient and may be beneficial in the treatment of patients with ES. Several TKI have been and are currently being tested as single-agent in patients with relapsed/refractory ES with encouraging results in phase II trials. Regorafenib has shown promising activity in Ewing sarcoma relapse setting, Nevertheless, regorafenib has never been combined with the intensive chemotherapy VDC/IE schedule and therefore this combination needs to be evaluated in order to avoid dose reduction of the current standard treatment and hence its efficacy. The current clinical trial has been therefore designed to test the feasibility of regorafenib with ES conventional chemotherapy. It consists of a phase Ib that will only recruit patients with multi-metastatic (other than lungs/pleura only) ES, that present the highest unmet medical need (2 year EFS: 33%, similar to patients with relapse/refractory ES).

NCT ID: NCT05779670 Recruiting - Osteosarcoma Clinical Trials

Adherence to a Personalized Home Exercise Program in Patients With Bone Tumor Undergoing Lower Extremity Salvage Surgery

ADER
Start date: January 1, 2023
Phase:
Study type: Observational

The objective of this study is to describe adherence to a personalised home exercise program in patients undergoing resection and reconstruction of lower limb for bone tumor and neoadjuvant chemotherapy treatment in the first six months after surgery intervention and investigate possible prognostic factors.

NCT ID: NCT05746910 Recruiting - Bone Cancer Tumor Clinical Trials

Patient's Perception of Exercise After Bone Tumor Resection-A Qualitative Study

Start date: December 5, 2022
Phase:
Study type: Observational

The aim of this study is to investigate the opinions of patients who have undergone bone tumor resection surgery about post-op exercises.

NCT ID: NCT05740488 Recruiting - Clinical trials for Prostate Cancer With =10 Bone Metastases

Efficacy and Safety of Apalutamide in Combination With 89Sr as Neoadjuvant Therapy in Prostate Cancer With ≤10 Bone Metastases

Start date: January 7, 2022
Phase: N/A
Study type: Interventional

The aim of this study is to evaluate the efficacy and safety of apalutamide in combination with 89Sr as neoadjuvant therapy in prostate cancer with ≤10 bone metastases. The primary endpoint is PFS and the second endpoints are pCR, rPFS, PSA response, pain score, number and extent of bone metastases.

NCT ID: NCT05595603 Recruiting - Clinical trials for Giant Cell Tumor of Bone

Zoledronic Acid-loaded Bone Cement as a Local Adjuvant Therapy for Giant Cell Bone Tumor After Intralesional Curettage

Start date: March 2023
Phase: Phase 2
Study type: Interventional

The purpose of this study is to investigate whether zoledronic acid-loaded bone cement (4mg ZOL+ gentamicin PMMA ) as adjuvant method can decrease local recurrence in patients with giant cell bone tumor following intralesional curettage surgery. The hypothesis is that patients with local administration of zoledronic acid to the bone cement has lower relapse rate compared those with traditional bone cement(gentamicin PMMA ).

NCT ID: NCT05524064 Recruiting - Clinical trials for Bone Metastases in the Thorax

FLASH Radiotherapy for the Treatment of Symptomatic Bone Metastases in the Thorax

FAST-02
Start date: March 8, 2023
Phase: N/A
Study type: Interventional

The purpose of this study is to assess toxicities of FLASH radiotherapy treatment and pain relief in subjects with painful thoracic bone metastases. FLASH radiotherapy is radiation treatment delivered at ultra-high dose rates compared to conventional radiation treatment.

NCT ID: NCT05427825 Recruiting - Clinical trials for Metastatic Bone Tumor

ERAS Anesthetic Care for Metastatic Spine Cancer Resection

Start date: July 2022
Phase: N/A
Study type: Interventional

Spinal metastases account for 60% of all malignant bone metastases and represent a medically important treatment goal. For patients with malignant tumors diagnosed at this stage, performing En bloc spondylectomy with wide margin of resection facilitate the improvement in quality of life including ambulatory ability, daily activities independence and attenuation of bone pain. However, En bloc spondylectomy is a major operation with long operation time and frequent hemodynamic instability during the operation. Therefore, the anesthetic care plays an important role and an enhanced recovery after surgery (ERAS) is the goal. For the ERAS anesthesia protocol for En bloc spondylectomy, we propose two major components to achieve this goal: (1) an encephalographic spectrum guided multimodal anesthesia combined with ultrasound-guided nerve block and (2) the advanced machine-learning algorithm index, namely the hypotension predictive index (HPI) guided hemodynamic protocol.