Comparing Single- Vs Multi-Fraction Spine Stereotactic Radiosurgery in Spinal Metastases

This study is comparing two ways of giving radiation therapy for spinal metastases (cancer that has spread to the spine). You would receive either a single treatment of 22 Gy (gray, a unit of radiation dose) called single-fraction spine SRS, or two treatments of 14 Gy each (totaling 28 Gy) called multi-fraction spine SRS. The main goal is to see if multi-fraction SRS is better at controlling the tumor in your spine after one year. To join, you must be at least 18 years old and have 1 to 3 spinal tumors that need treatment. The current status of this study is unclear.

Study design
This study is designed to enroll 274 participants. You would be randomly assigned to one of two treatment groups.
What's involved
Not specified in the trial record.
Compensation
Not stated in the trial record.
Follow-up
Your tumor control will be measured at 1 year after treatment.

AI-generated from the public study record. Only the study team can confirm whether you're eligible — confirm details with them before making decisions.

NCT06173401

Comparing SingLe- Vs Multi-Fraction Spine STereotActic Radiosurgery in Spinal Metastases

Recruiting
PHASE3Ages 18+InterventionalTreatment
Stanford University
~274 participants
Updated 2026-07-27 on ClinicalTrials.gov
What's tested:Single-fraction spine SRSMulti-fraction spine SRS

At a glance

Recruiting sites
1 of 1 listed site is recruiting right now
RecruitingSuspended, closed, or not yet open
What they're measuring
Tumor control
Measured over 1 year
Spinal Metastases

NCT06173401

Where you'd take part

This study runs at 1 site. They're the same protocol — you choose where, and that choice sets who your contact draft is addressed to.

  • Stanford University School of Medicine

    Palo Alto, Californiastudy coordinator listed

    Recruiting

Sites open and close at different times, so the status above is per site — it can differ from the study's overall status.

  • Erqi Pollom, MD · PRINCIPAL_INVESTIGATOR · Stanford University

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Eligibility criteria

Inclusion

Histologically, cytologically, or radiographically confirmed diagnosis of metastatic cancer Age ≥ 18 years
Patients who have cervical, thoracic, or lumbar spine metastasis that need treatment.
Patients will have 1 to 3 separate spinal sites that require treatment.
Each spinal site to be treated on trial will span 1-2 contiguous vertebral levels
ECOG 0-2
Negative serum or urine pregnancy test within 14 days prior to enrollment for people of childbearing potential or who are not postmenopausal
people of childbearing potential and male participants who are sexually active must agree to use a medically effective means of birth control
Ability to understand and the willingness to sign (personally or by a legal authorized representative) the written IRB approved informed consent document

Exclusion

Prior or planned radiation off study within or overlapping with study treatment site
Inability to have either an MRI or a CT scan. Patients with pacemaker will be allowed to undergo CT instead of MRI
Pediatric patients (age \<18 years old), pregnant women, and nursing patients will be excluded
Histology's of myeloma or lymphoma
Patients with strength 1-3 (of 5), bladder incontinence, bowel incontinence, and/or bladder retention that is associated with spinal site to be treated
Prior surgery to spinal site intended to be treated with protocol SRS
Excluded those with SINS 13-18
  • Tumor control1 year

    To determine whether fractionated Stereotactic Radiosurgery (SRS) for spine metastases is associated with improved local tumor control at 1 year following SRS compared to single-fraction SRS.