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Radiofrequency Ablation in Treating Patients With Bone Metastases



Radiofrequency Ablation in Treating Patients With Bone Metastases

For Condition: bone metastases,unspecified adult solid tumor, protocol specific,Pain
Status: Recruiting
Sponsor(s): American College of Radiology Imaging Network , National Cancer Institute (NCI)
Synopsis: RATIONALE: Radiofrequency ablation may be effective in decreasing pain from bone metastases. PURPOSE: Phase I/II trial to study the effectiveness of radiofrequency ablation in decreasing pain in patients who have bone metastases.
Details: OBJECTIVES: - Determine the side effects of radiofrequency ablation in patients with bone metastases. - Determine the effect of this regimen on pain in these patients. - Determine the effect of this regimen on mood in these patients. - Determine the effects of narcotic usage in patients treated with this regimen. - Determine the relationship between laboratory and imaging features of this treatment and the effects of the treatment in these patients. OUTLINE: This is a multicenter study. Patients undergo percutaneous CT-guided radiofrequency ablation directly to the metastatic lesion over approximately 12 minutes. Pain and mood are assessed at baseline, daily for 14 days after treatment, and at 1 and 3 months after treatment. Patients are followed at 1 week and then at 1 and 3 months. PROJECTED ACCRUAL: Approximately 75 patients will be accrued for this study within 12.5 months.
Eligibility:
Study Type:
  Interventional, Treatment
Minimum Age/Maximum Age: 21 Years/
Genders: Both
Protocol Entry Criteria: DISEASE CHARACTERISTICS: - Histologically or cytologically confirmed malignant disease with a bone lesion that appears to be metastatic disease by clinical and/or imaging techniques - Persistent intractable pain from a solitary site of bone metastases (greater than 5 on pain scale of 0-10) - Bone metastasis must be amenable to radiofrequency ablation using a percutaneous CT-guided approach - Bone metastasis must be no greater than 8 cm - No tumor mass in contact with hollow viscera - No primary musculoskeletal malignancies, lymphoma, or leukemia - No spinal metastases that do not have an intact cortex between the mass and the spinal canal and exiting nerve roots - No tumor involving weight-bearing long bone of lower extremity or impending fracture PATIENT CHARACTERISTICS: Age: - 21 and over Performance status: - Not specified Life expectancy: - Not specified Hematopoietic: - Platelet count at least 70,000/mm^3 - No uncontrolled coagulopathy or bleeding diathesis that cannot be corrected with fresh frozen plasma and platelets Hepatic: - Not specified Renal: - Not specified Cardiovascular: - No pacemaker PRIOR CONCURRENT THERAPY: Biologic therapy: - Not specified Chemotherapy: - At least 14 days since prior chemotherapy for metastatic disease - No concurrent systemic chemotherapy for metastatic disease during and for 14 days after study therapy Endocrine therapy: - Not specified Radiotherapy: - At least 30 days since prior radioisotopes for metastatic disease - No concurrent systemic radioisotopes for metastatic disease Surgery: - No surgical stabilization of tumor site with metallic hardware Other: - Prior aspirin, nonsteroidal anti-inflammatory medications, antiplatelet medications, or warfarin must be discontinued for an appropriate period of time prior to study based on the drug's half-life and known antiplatelet activity (e.g., 7 days for aspirin and 24 hours for ibuprofen) - At least 24 hours since prior low molecular weight heparin
Total Enrollment: 

Location and Contact Information:

Overall Study Official:
DamianDupuy,  Study Chair,  Rhode Island Hospital

St. Elizabeth Cancer Center at St. Elizabeth Health Center - Youngstown *Recruiting*
Youngstown,  Ohio,  44501
United States
Recruiting Richard  Barr 330-480-3341

Rhode Island Hospital *Recruiting*
Providence,  Rhode Island,  02903
United States
Recruiting Damian  Dupuy 401-444-5184

University of California Davis Cancer Center *Recruiting*
Sacramento,  California,  95817
United States
Recruiting John  McGahan 916-734-6533

University of Texas - MD Anderson Cancer Center *Recruiting*
Houston,  Texas,  77030-4009
United States
Recruiting Kamran  Ahrar 713-745-0315

Siteman Cancer Center *Recruiting*
St. Louis,  Missouri,  63110
United States
Recruiting Daniel  Brown 314-362-2900

Abramson Cancer Center at University of Pennsylvania Medical Center *Recruiting*
Philadelphia,  Pennsylvania,  19104-4283
United States
Recruiting S.  Stavropoulos 215-349-6541

Beth Israel Deaconess Medical Center *Recruiting*
Boston,  Massachusetts,  02215
United States
Recruiting Shraga  Goldberg 617-754-2598

Comprehensive Cancer Center at Wake Forest University *Recruiting*
Winston Salem,  North Carolina,  27157-1082
United States
Recruiting Frank  Torti 336-716-7971

Kimmel Cancer Center at Thomas Jefferson University - Philadelphia *Recruiting*
Philadelphia,  Pennsylvania,  19107-5541
United States
Recruiting Adam  Zoga 215-955-8890


Additional Information:
Study ID Numbers:
  CDR0000069012;  ACRIN-6661
Study Start Date: 
Record last reviewed: March 2004
Additional information available at: clinicaltrials.gov
Clinicaltrials.gov Reference link: NCT00026247

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