Pain Relief in Symptomatic Bone Metastases With Adjuvant Hyperthermia MR Guided HIFU

Last updated: March 28, 2025
Sponsor: Sana Boudabbous
Overall Status: Completed

Phase

N/A

Condition

Pain

Bone Metastases

Neoplasm Metastasis

Treatment

HIFU-MRI guided

Clinical Study ID

NCT05167669
2020-02998
  • Ages > 18
  • All Genders

Study Summary

Metastatic disease to the bone is a common cause of pain. External beam radiation therapy (EBRT) is the standard palliative treatment BUT pain improvement is observed in 60% to 80%. Combination of hyperthermia (HT) with radiation is strongly compelling. MR is providing accurate, tissue-independent thermometry for intra-procedural guidance of thermal therapy. In this project we aim to combine in an adjuvant setting mild hyperthermia to EBRT for sustained relief of pain in patients with symptomatic bone metastases.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  • • Histologically proven cancer;

  • cancer-related pain corresponding to a site (or sites) of radiologicallyconfirmed bone metastases with a severity score of at least 2 out of 10according to the Brief Pain Inventory (NRS scale);

  • age ≥ 18 years;

  • indication for a palliative course of EBRT;

  • osteolytic or mixed (osteoblastic/osteolytic) bone metastases ≤ 5 cm in thelargest diameter; target tumours accessibility for device (ribs, extremities,pelvis, shoulders or posterior aspects of spinal vertebra) and at least 1 cmfrom skin and major nerve bundles;

Exclusion

Exclusion Criteria:

  • Inability to provide a written informed consent;

  • Karnofsky performance status (KPS) < 60; presence of clinical or radiologicalevidence of spinal cord compression, a pathological fracture, or an impendingfracture needing surgical fixation;

  • previous EBRT to study site (or sites);

  • participation in another clinical trial and any concurrent treatment with anyinvestigational drug within 4 weeks prior to trial entry;

  • inability to comply with study and follow up procedures;

  • patients having metal implants, pacemakers or clustered markers non-MR compatible

Study Design

Total Participants: 10
Treatment Group(s): 1
Primary Treatment: HIFU-MRI guided
Phase:
Study Start date:
October 01, 2022
Estimated Completion Date:
January 01, 2025

Study Description

Metastatic disease to the bone is a common cause of pain and other significant symptoms with a detrimental impact into quality of life. Up to 85% of the patients dying from breast, prostate, or lung cancer present bone metastases. External beam radiation therapy (EBRT) is one of the standard palliative treatment modalities effective in palliating painful bone metastases. Using patient-based evaluation method, pain improvement is observed in 60% to 80% of the patients, with 15% to 40% complete pain relief. Combination of hyperthermia (HT) with radiation is strongly compelling as it is based on principles of classic radiobiology, molecular biology, and tumor physiology. Elevating temperature to a supra-physiological level (between 41° and 43°) shows a complementary action when combined with RT with regard to cell killing. Magnetic resonance (MR) imaging is commonly used in clinical routine for radiological diagnostic and staging. Moreover, MR is providing accurate, tissue-independent thermometry for intra-procedural guidance of thermal therapy. In this project we aim to combine in an adjuvant setting mild hyperthermia to EBRT for sustained relief of pain in patients with symptomatic bone metastases. Ex vivo studies for the adaptation of existing MR-guided focused ultrasound (MRgFUS) device were already conducted at University Hospitals of Geneva to the current application demonstrating the high accuracy of the technique for mild hyperthermia treatments. A clinical prospective, interventional, single-center pilot feasibility study will be conducted to assess the clinical application of this technique.

Primary objective

  1. Accurate control of spatio-temporal pixel-wise MR thermometry (several hundred pixels): spatial homogeneity of temperature elevation within the tumour and inter-patient reproducibility (expected standard deviation of 0.5°C).

  2. Safety and patient tolerance: no adverse effects in surrounding bone and soft tissues, compliance with one-day dual treatment during the first month.

Secondary objectives

  1. Complete pain response at 28 days after EBRT + HT based on the International Bone Metastases Consensus Endpoint definition.

  2. Pain assessment for the worst pain related to the treated lesion using the Brief Pain Inventory score at baseline, at day 1, day 7, and 28 days after treatment after EBRT + hyperthermia.

  3. Health-related quality of life evaluated using self-administered EORTC QLQ-C15-PAL and EORTC QLQ-BM22 (bone metastases module) questionnaires at baseline, day 7, and day 28 after EBRT + hyperthermia.

Connect with a study center

  • University Hospitals of Geneva

    Geneva, 1205
    Switzerland

    Site Not Available

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