UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000030296
Receipt number R000034430
Scientific Title A clinical study of Safety and Practicality of Magnetic Resonance-guided Focused Ultrasound Surgery (MRgFUS) treatment for painful bone metastases
Date of disclosure of the study information 2017/12/07
Last modified on 2019/03/12 11:53:20

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Basic information

Public title

A clinical study of Safety and Practicality of Magnetic Resonance-guided Focused Ultrasound Surgery (MRgFUS) treatment for painful bone metastases

Acronym

A study of MRgFUS treatment for painful bone metastases

Scientific Title

A clinical study of Safety and Practicality of Magnetic Resonance-guided Focused Ultrasound Surgery (MRgFUS) treatment for painful bone metastases

Scientific Title:Acronym

A study of MRgFUS treatment for painful bone metastases

Region

Japan


Condition

Condition

metastatic bone tumor

Classification by specialty

Orthopedics Radiology

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

To evaluate safety and practicality of MRgFUS treatment for the palliation of painful bone metastases.
Discussion for appropriate cost of MRgFUS.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1

Exploratory

Trial characteristics_2


Developmental phase

Not applicable


Assessment

Primary outcomes

Improvement of pain score
(Time Frame: within 6 months of treatment)

Key secondary outcomes

Improvement in quality of life
Changes in image findings of the treatment site
(Time Frame: within 6 months of treatment)


Base

Study type

Interventional


Study design

Basic design

Single arm

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Uncontrolled

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

1

Purpose of intervention

Treatment

Type of intervention

Device,equipment

Interventions/Control_1

Magnetic Resonance-guided Focused Ultrasound Surgery (MRgFUS) treatment

Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit


Not applicable

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

1) Patients who are suffuring from symptoms of bone metastases and are not suitable to other accepted available treatments, such as surgery, radiation and chemotherapy, or refuse other altanitive therapy.
2) Patients with persistent distinguishable pain associated with 1 site to be treated (if patient has pain from additional sites, the pain from the additional sites must be evaluated as being less intense by at least 2points on the NRS compared to the site to be treated.)
3) Targeted tumor size under 8cm in diameter.
4) Patient whose targeted tumor is on bone and is deeper than 10-mm from the skin.
5) Targeted tumor clearly visible by non-contrast MRI, and ExAblate MRgFUS device accessible.
6) Able to communicate sensations during the ExAblate treatment.
7) Patients who are able and willing to give consent and able to attend all study visit.

Key exclusion criteria

1) Patients with uncontrolled pain lesion except for targeted tumor.
2) More than 4 painful lesions.
3) Patients with NRS (0-10 scale) pain score <4 irrespective of medication.
4) No radiation therapy or chemotherapy in the past two weeks.
5) Patients with unstability of targeted tumor:
-Pathological fracture
-Need surgical stabilization in impending fracture.
-Patients with surgical stabilization with metallic hard ware.
6) Patients on dialysis.
7) Patients with unstable cardiac status which interfere with daily life.
-Unstable angina pectoris on medication.
-Patients developed myocardial infarction within six months of protocol entry.
-Congestive heart failure requiring medication (other than siuretic).
-Any patients disqualified by a study physician because of their cardiac status.
8) Patients with severe hypertension (diastolic BP > 100 on medication).
9) Patients with standard contraindications for MR imaging such as non-MRI compatible implanted metallic devices including cardiac pacemakers, size limitations (weight > 113kilograms) and claustrophobia.
10) Known hypersensitivity to the MRI contrast agent (e.g. Magnevist etc.) including advanced kidney disease.
11) Karnofsky Performance Status < 60.
12) Severe cerebrovascular disease (multiple CVA or CVA within 6 months).
13) Individuals who are not able to tolerate prolonged stationary position during treatment (approximately 2 hrs).
14) Patients whose targeted tumor is less than 10-mm from nurve bundle, intestine or bladder.
15) Patients who are participating or have participated in another clinical trial in last 30 days.
16) Patients unable to communicate with the investigator and staff.
17) Pain source unidentifiable.
18) Patients who are pregnant or lactating.
19) Conspicuous prolong of coagulation time (limit to INR>1.5).
20) Any patients disqualified by a study physician or any other reason.

Target sample size

10


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Hirotaka Kawano

Organization

Teikyo University School of Medicine

Division name

Department of Orthopedic Surgery

Zip code


Address

2-11-1 Kaga, Itabashi-ku, Tokyo 173-8601, Japan

TEL

03-3964-1211(32660)

Email

hkawano-tky@umin.net


Public contact

Name of contact person

1st name
Middle name
Last name Hirotaka Kawano

Organization

Teikyo University School of Medicine

Division name

Department of Orthopedic Surgery

Zip code


Address

2-11-1 Kaga, Itabashi-ku, Tokyo 173-8601, Japan

TEL

03-3964-1211(32660)

Homepage URL


Email

hkawano-tky@umin.net


Sponsor or person

Institute

Teikyo University School of Medicine

Institute

Department

Personal name



Funding Source

Organization

Shintoshin Musashino clinic

Organization

Division

Category of Funding Organization

Self funding

Nationality of Funding Organization

Japan


Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization


Address


Tel


Email



Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions

帝京大学医学部附属病院(東京都)、新都心むさしのクリニック(埼玉県)


Other administrative information

Date of disclosure of the study information

2017 Year 12 Month 07 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2017 Year 11 Month 30 Day

Date of IRB

2017 Year 11 Month 30 Day

Anticipated trial start date

2018 Year 01 Month 15 Day

Last follow-up date

2020 Year 11 Month 30 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2017 Year 12 Month 07 Day

Last modified on

2019 Year 03 Month 12 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000034430


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name