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 |
A clinical study of Safety and Practicality of Magnetic Resonance-guided Focused Ultrasound Surgery (MRgFUS) treatment for painful bone metastases
A study of MRgFUS treatment for painful bone metastases
A clinical study of Safety and Practicality of Magnetic Resonance-guided Focused Ultrasound Surgery (MRgFUS) treatment for painful bone metastases
A study of MRgFUS treatment for painful bone metastases
Japan |
metastatic bone tumor
Orthopedics | Radiology |
Malignancy
NO
To evaluate safety and practicality of MRgFUS treatment for the palliation of painful bone metastases.
Discussion for appropriate cost of MRgFUS.
Safety,Efficacy
Exploratory
Not applicable
Improvement of pain score
(Time Frame: within 6 months of treatment)
Improvement in quality of life
Changes in image findings of the treatment site
(Time Frame: within 6 months of treatment)
Interventional
Single arm
Non-randomized
Open -no one is blinded
Uncontrolled
1
Treatment
Device,equipment |
Magnetic Resonance-guided Focused Ultrasound Surgery (MRgFUS) treatment
Not applicable |
Not applicable |
Male and Female
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.
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.
10
1st name | |
Middle name | |
Last name | Hirotaka Kawano |
Teikyo University School of Medicine
Department of Orthopedic Surgery
2-11-1 Kaga, Itabashi-ku, Tokyo 173-8601, Japan
03-3964-1211(32660)
hkawano-tky@umin.net
1st name | |
Middle name | |
Last name | Hirotaka Kawano |
Teikyo University School of Medicine
Department of Orthopedic Surgery
2-11-1 Kaga, Itabashi-ku, Tokyo 173-8601, Japan
03-3964-1211(32660)
hkawano-tky@umin.net
Teikyo University School of Medicine
Shintoshin Musashino clinic
Self funding
Japan
NO
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)
2017 | Year | 12 | Month | 07 | Day |
Unpublished
Completed
2017 | Year | 11 | Month | 30 | Day |
2017 | Year | 11 | Month | 30 | Day |
2018 | Year | 01 | Month | 15 | Day |
2020 | Year | 11 | Month | 30 | Day |
2017 | Year | 12 | Month | 07 | Day |
2019 | Year | 03 | Month | 12 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000034430