- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT02618369
MR-Guided High Intensity Focused Ultrasound for Pain Management Of Osteoid Osteoma & Benign Bone Tumors in Children and Adults
November 15, 2019 updated by: James Drake, The Hospital for Sick Children
Magnetic Resonance-Guided High Intensity Focused Ultrasound for Pain Management of Osteoid Osteoma and Benign Bone Tumors in Children and Young Adults
The Philips Sonalleve HIFU system is expected to be efficacious in reducing pain scores in patients with painful osteoid osteoma and other benign bone tumors, and in reducing their pain medication usage.
No serious adverse effects are expected to result from this treatment.
Study Overview
Status
Completed
Conditions
Intervention / Treatment
Detailed Description
The objective of this study is to determine if MR-guided high-intensity focused ultrasound (MR-HIFU) is safe and effective technique for alleviating the pain associated with osteoid osteoma and other benign bone tumors in paediatric patients and adults(up to age 40 yrs).
This technique meant to be an alternative to the standard-of-care, radiofrequency and laser-based percutaneous ablation.
Safety of the technique will be assessed through evaluating non-targeted heating using MRI based temperature mapping.
and inspecting patients post treatment for skin burns or other signs of serious adverse events.
Efficacy of the technique will be assessed by evaluating/recording patients observed pain, quality of life, and pain medication usage both before and up to 6 months following treatment.
Study Type
Interventional
Enrollment (Anticipated)
10
Phase
- Not Applicable
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Locations
-
-
Ontario
-
Toronto, Ontario, Canada, M5G 1X8
- The Hospital For Sick Children
-
-
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
5 years to 40 years (ADULT, CHILD)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Description
Inclusion Criteria:
- Age 5-40 years.
- Able to give informed consent and have parent or guardian give informed consent if applicable.
- Weight <140 kg (requirement to fit safely on top of the HIFU table and inside the MRI).
- Definitive radiographic & clinical presentation of osteoid osteoma or other benign tumor lesion(avoiding need for biopsy).
- Pain specifically at the site of interest target lesion.
- Pain score for target lesion >/= 4 (indicating at least moderate pain) or an age-appropriate pain scale.
- Target lesion is uncomplicated (i.e. no fracture/spinal cord compression/cauda equina syndrome/soft tissue component).
- MR-HIFU treatment date >/= 2 weeks from most recent surgical treatment of lesion.
Exclusion Criteria:
- Unable to characterize pain specifically at the site of interest (target lesion).
- Pregnant/nursing females.
- Target lesion is complicated (i.e. presence of one of fracture/spinal cord compression/cauda equina syndrome/soft tissue component).
- Target lesion < 1cm from neurovascular bundles/bowel/hollow viscera or regions of cartilage/ bone growth).
- Target lesion located in skull, spine (excluding sacrum, which is allowed) or sternum.
- Scar along proposed HIFU beam path.
- Orthopaedic implant along proposed HIFU beam path or at site of target tissue.
- Serious cardiovascular, neurological, renal or haematological chronic disease.
- Active infection.
- Contraindication to general anaesthetic or gadolinium MRI contrast agent.
- Requirement for general anesthesia for non-HIFU related MRI's.
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: TREATMENT
- Allocation: NA
- Interventional Model: SINGLE_GROUP
- Masking: NONE
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
OTHER: MR-HIFU treatment
The interventional radiologist will locate the target lesion and mark the volume to be treated using MRI images. The operator starts the treatment and monitors the progress of the treatment with MR thermal and dose maps to ensure adherence to treatment plan. |
Target treatment of bone lesion using High Intensity Focused Ultrasound
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Change in pain intensity scores from baseline related to the site treated target lesion.
Time Frame: 2, 7, 14, 30 and 90 days following treatment.
|
As measured on the pain diaries before and at day 2, 7, 14, 30 and 90 days after treatment.
|
2, 7, 14, 30 and 90 days following treatment.
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Reduction in in pain medication usage (NSAIDS, Opioids).
Time Frame: 2, 7, 14, 30 and 90 days following treatment.
|
As noted in pain diaries by patient before and day 2, 7. 14, 30 and 90 days after treatment.
|
2, 7, 14, 30 and 90 days following treatment.
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Collaborators
Investigators
- Principal Investigator: James M Drake, FRCSC, FACS, The Hospital For Sick Children
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start
April 1, 2014
Primary Completion (ACTUAL)
April 1, 2018
Study Completion (ACTUAL)
October 1, 2018
Study Registration Dates
First Submitted
November 23, 2015
First Submitted That Met QC Criteria
November 25, 2015
First Posted (ESTIMATE)
December 1, 2015
Study Record Updates
Last Update Posted (ACTUAL)
November 19, 2019
Last Update Submitted That Met QC Criteria
November 15, 2019
Last Verified
November 1, 2019
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- 1000040583
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
NO
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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