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Trial registered on ANZCTR
Registration number
ACTRN12607000064404
Ethics application status
Approved
Date submitted
28/07/2004
Date registered
28/07/2004
Date last updated
27/11/2015
Type of registration
Retrospectively registered
Titles & IDs
Public title
A phase III international randomized trial of single versus multiple fractions for re-irradiation of painful bone metastases
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Scientific title
Trans Tasman Radiation Oncology Group (TROG) 03.08 - A phase III international randomized trial of single versus multiple fractions for re-irradiation of painful bone metastases from any cancer to increase pain relief
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Secondary ID [1]
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National Clinical Trials Registry: NCTR579
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Secondary ID [2]
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Clinicaltrials.gov: NCT00080912
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Universal Trial Number (UTN)
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Trial acronym
TROG 03.08
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Painful bone metastates from any cancer after previous palliative radiotherapy.
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Condition category
Condition code
Cancer
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0
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Bone
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Arm 2: Multiple fractionation (20 Gy, 5 fractions - 4Gy x 5 daily fractions, eight fractions (for spine and/or whole pelvis only))
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Intervention code [1]
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Treatment: Other
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Comparator / control treatment
Arm 1: Single fractionation (8Gy, one fraction)
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Control group
Dose comparison
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Outcomes
Primary outcome [1]
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Overall response rates
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Assessment method [1]
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Timepoint [1]
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At 2 months from the start of treatment
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Secondary outcome [1]
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1. Incidence of acute radiation related side effects
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Assessment method [1]
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Timepoint [1]
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Day 7 and 14 from the first fraction of radiation.
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Secondary outcome [2]
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2. Freedom from progression
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Assessment method [2]
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Timepoint [2]
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Measured at each follow up visit until progression. Follow up for every month for 6 months starting one month from the first day re-irrradiation, then at months 9 and 12.
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Secondary outcome [3]
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3. European Organisation for Research and Treatment for Cancer Qulaity of life questionnaire (EORTC QLQ-C30).
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Assessment method [3]
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Timepoint [3]
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Months 1, 2, 3, 4, 5 and 6 after radiation.
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Eligibility
Key inclusion criteria
1. Patient must have histologically or cytologically proven malignancy. Histological diagnosis may be established from needle biopsy, bone marrow biopsy, cytology, or a surgical biopsy or resection. All malignant histologies/cytologies are eligible. 2. Plain radigraphs, radionuclide bone scans, CT scans and/or magnetic resonance imaging confirm the presence of bone metastatses corresponding to clinically painful area.
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
1. Clinical or radiological evidence of spinal cord compression at the time of assessment for this study.2. Clinical or radiological evidence of pathological fractures of extremities in the area to be re-irradiated.3. The treatment area has received prior palliative surgery.4. There is planned surgical intervention on the treated bone.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
central randomisation by phone
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Computer generated
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 3
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Type of endpoint/s
Safety/efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
3/09/2004
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Actual
2/03/2004
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Date of last participant enrolment
Anticipated
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Actual
28/05/2012
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
850
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Accrual to date
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Final
850
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Recruitment in Australia
Recruitment state(s)
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Recruitment hospital [1]
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The Royal Adelaide Hospital - Adelaide
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Recruitment hospital [2]
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Westmead Private Hospital - Westmead
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Recruitment hospital [3]
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Mater Adult Hospital - South Brisbane
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Recruitment hospital [4]
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Royal Prince Alfred Hospital - Camperdown
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Recruitment hospital [5]
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Liverpool Hospital - Liverpool
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Recruitment hospital [6]
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Peter MacCallum Cancer Institute - East Melbourne
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Recruitment hospital [7]
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Wesley Hospital Kogarah - Kogarah
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Recruitment hospital [8]
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The Alfred - Prahran
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Recruitment hospital [9]
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Royal Brisbane & Womens Hospital - Herston
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Recruitment hospital [10]
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Princess Alexandra Hospital - Woolloongabba
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Recruitment outside Australia
Country [1]
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Canada
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State/province [1]
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Country [2]
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New Zealand
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State/province [2]
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Country [3]
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Singapore
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State/province [3]
7384
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Funding & Sponsors
Funding source category [1]
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Government body
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Name [1]
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National Health & Medical Research Council Project Grant
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Address [1]
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Level 5, 20 Allara St Canberra ACT 2601
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Country [1]
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Australia
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Funding source category [2]
90
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Government body
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Name [2]
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Multistate cancer council grant
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Address [2]
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Level 5, 20 Allara St Canberra ACT 2601
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Country [2]
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Australia
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Funding source category [3]
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Commercial sector/Industry
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Name [3]
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Mayne Pharma
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Address [3]
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Mayne Pharma
55 New Oxford Street
London
WC1A 1BS
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Country [3]
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United Kingdom
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Primary sponsor type
Other Collaborative groups
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Name
National Cancer Insitute of Canada
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Address
10 Alcorn Avenue, Suite 200
Toronto, Ontario M4V 3B1
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Country
Canada
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Secondary sponsor category [1]
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Other Collaborative groups
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Name [1]
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Trans Tasman Radiation Oncology Group (TROG)
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Address [1]
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Edith St Waratah NSW 2298
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Country [1]
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Australia
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Other collaborator category [1]
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Other Collaborative groups
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Name [1]
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Radiation Therapy Oncology Group
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Address [1]
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RTOG Headquarters
1818 Market Street, Suite 1600
Philadelphia, PA 19103
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Country [1]
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United States of America
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Other collaborator category [2]
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Other Collaborative groups
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Name [2]
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Cancer Research UK
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Address [2]
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Angel Building, 407 St John Street, London EC1V 4AD
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Country [2]
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United Kingdom
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Other collaborator category [3]
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Other Collaborative groups
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Name [3]
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Assistance Publique - Hopitaux de Paris
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Address [3]
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3 Victoria Avenue 75004 Paris
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Country [3]
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France
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Alfred Hospital
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Ethics committee address [1]
594
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
594
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Approval date [1]
594
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Ethics approval number [1]
594
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Ethics committee name [2]
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Christchurch Hospital
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Ethics committee address [2]
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Ethics committee country [2]
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New Zealand
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Date submitted for ethics approval [2]
595
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Approval date [2]
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Ethics approval number [2]
595
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Ethics committee name [3]
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Liverpool Hospital
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Ethics committee address [3]
596
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Ethics committee country [3]
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Australia
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Date submitted for ethics approval [3]
596
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Approval date [3]
596
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Ethics approval number [3]
596
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Ethics committee name [4]
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Mater QRI
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Ethics committee address [4]
597
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Ethics committee country [4]
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Australia
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Date submitted for ethics approval [4]
597
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Approval date [4]
597
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11/11/2011
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Ethics approval number [4]
597
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Ethics committee name [5]
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MacArthur Cancer Therapy Centre
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Ethics committee address [5]
598
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Ethics committee country [5]
598
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Australia
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Date submitted for ethics approval [5]
598
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Approval date [5]
598
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Ethics approval number [5]
598
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Ethics committee name [6]
599
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Newcastle Mater Hospital
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Ethics committee address [6]
599
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Ethics committee country [6]
599
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Australia
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Date submitted for ethics approval [6]
599
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Approval date [6]
599
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Ethics approval number [6]
599
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Ethics committee name [7]
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Peter MacCallum Cancer Centre
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Ethics committee address [7]
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Ethics committee country [7]
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Australia
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Date submitted for ethics approval [7]
600
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Approval date [7]
600
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Ethics approval number [7]
600
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Ethics committee name [8]
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Princess Alexandra Hospital
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Ethics committee address [8]
601
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Ethics committee country [8]
601
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Australia
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Date submitted for ethics approval [8]
601
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Approval date [8]
601
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Ethics approval number [8]
601
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Ethics committee name [9]
602
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Royal Adelaide Hospital
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Ethics committee address [9]
602
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Ethics committee country [9]
602
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Australia
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Date submitted for ethics approval [9]
602
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Approval date [9]
602
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Ethics approval number [9]
602
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Ethics committee name [10]
603
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Royal Brisbane Hospital
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Ethics committee address [10]
603
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Ethics committee country [10]
603
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Australia
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Date submitted for ethics approval [10]
603
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Approval date [10]
603
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Ethics approval number [10]
603
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Ethics committee name [11]
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Royal North Shore Hospital
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Ethics committee address [11]
604
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Ethics committee country [11]
604
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Australia
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Date submitted for ethics approval [11]
604
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Approval date [11]
604
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Ethics approval number [11]
604
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Ethics committee name [12]
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Royal Prince Alfred
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Ethics committee address [12]
605
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Ethics committee country [12]
605
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Australia
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Date submitted for ethics approval [12]
605
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Approval date [12]
605
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Ethics approval number [12]
605
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Ethics committee name [13]
606
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W.P Holman Clinic
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Ethics committee address [13]
606
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Ethics committee country [13]
606
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Australia
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Date submitted for ethics approval [13]
606
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Approval date [13]
606
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Ethics approval number [13]
606
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Ethics committee name [14]
607
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Wesley Radiation Oncology
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Ethics committee address [14]
607
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Ethics committee country [14]
607
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Australia
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Date submitted for ethics approval [14]
607
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Approval date [14]
607
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Ethics approval number [14]
607
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Ethics committee name [15]
608
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Westmead Hospital
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Ethics committee address [15]
608
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Ethics committee country [15]
608
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Australia
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Date submitted for ethics approval [15]
608
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Approval date [15]
608
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Ethics approval number [15]
608
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Summary
Brief summary
Radiotherapy is an effective treatment for people with cancer that has spread to their bones and is causing problems. Sometimes, a second course of radiation is required. This international randomised trial will determine if it is better for a second course of radiation to be done as one large treatment, or as several smaller treatments.
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Trial website
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Trial related presentations / publications
Chow E, Hoskin P, Wuz J, Roos D, van der Linden Y, Hartsell W, Vieth R, Wilson C, Pater J. A Phase III International Randomised Trial Comparing Single with Multiple Fractions for Re-irradiation of Painful Bone Metastases: National Cancer Institute of Canada Clinical Trials Group (NCIC CTG) SC 20. J Clin Oncol. 2006; 18 (2):125-128. (Editorial) Roos D. Response to “Determining the incidence of pain flare following palliative radiotherapy for symptomatic bone metastases: results from three Canadian centers”. Int J Rad Onc Biol Phys. 2010; 78 (2): 637-637. Chow E, van der Linden Y, Roos DE, Hartsell WF, Hoskin P, Wu Jackson S, Brundage M, Nabid A, Tissing-Tan C, Oei B, Babington S, Demas W, Wilson F, Meyer R, Chen B, Wong R. Single versus multiple fractions of repeat radiation for painful bone metastases: a randomised, controlled, non-inferiority trial. Lancet Oncol, 2014 Feb15; (2):164-171.
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Public notes
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Contacts
Principal investigator
Name
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Dr EDWARD CHOW
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Address
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Department of Radiation Oncology,
Odette Cancer Centre,
Sunnybrook Health Sciences Centre,
2075 Bayview Avenue,
Toronto, ON
M4N 3M5
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Country
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Canada
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Phone
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+1 416 480-4998
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
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Daniel Roos
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Address
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Royal Adelaide Hospital
North Terrace
Adelaide SA 5000
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Country
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Australia
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Phone
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+61 8 8222 4000
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Fax
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+61 8 8222 2016
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Email
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[email protected]
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Contact person for scientific queries
Name
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Daniel Roos
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Address
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Royal Adelaide Hospital
North Terrace
Adelaide SA 5000
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Country
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Australia
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Phone
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+61 8 8222 4000
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Fax
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+61 8 8222 2016
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Email
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
Download to PDF