SUPR-3D: A randomized phase iii trial comparing simple unplanned palliative radiotherapy versus 3d conformal radiotherapy for patients with bone metastases: study protocol

BMC Cancer. 2019 Oct 28;19(1):1011. doi: 10.1186/s12885-019-6259-z.

Abstract

Background: Bone metastases in the lower spine and pelvis are effectively palliated with radiotherapy (RT), though this can come with side effects such as radiation induced nausea and vomiting (RINV). We hypothesize that high rates of RINV occur in part because of the widespread use of inexpensive simple unplanned palliative radiotherapy (SUPR), over more complex and resource intensive 3D conformal RT, such as volumetric modulated arc therapy (VMAT).

Methods: This is a randomized, multi-centre phase III trial of SUPR versus VMAT. We will accrue 250 patients to assess the difference in patient-reported RINV. This study is powered to detect a difference in quality of life between patients treated with VMAT vs. SUPR.

Discussion: This trial will determine if VMAT reduces early toxicity compared to SUPR and may provide justification for this more resource-intensive and costly form of RT.

Trial registration: Clinicaltrials.gov identifier: NCT03694015 . Date of registration: October 3, 2018.

Keywords: Bone metastases; Quality of life; Radiation-induced nausea and vomiting; Radiotherapy.

Publication types

  • Clinical Trial, Phase III
  • Comparative Study
  • Multicenter Study
  • Randomized Controlled Trial

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Bone Neoplasms / radiotherapy*
  • Bone Neoplasms / secondary*
  • Female
  • Follow-Up Studies
  • Humans
  • Male
  • Middle Aged
  • Nausea / etiology
  • Palliative Care / methods*
  • Quality of Life
  • Radiotherapy Dosage
  • Radiotherapy Planning, Computer-Assisted / economics
  • Radiotherapy Planning, Computer-Assisted / methods*
  • Radiotherapy, Intensity-Modulated / adverse effects
  • Radiotherapy, Intensity-Modulated / economics
  • Radiotherapy, Intensity-Modulated / methods*
  • Treatment Outcome
  • Vomiting / etiology
  • Young Adult

Associated data

  • ClinicalTrials.gov/NCT03694015