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Metastatic Neoplasm to the SpinePhase 2SPORTSMENNCT05617716

Spine Radiosurgery for Symptomatic Metastatic Neoplasms

A Phase 2 study testing Conventional external beam radiation therapy dose (EBRT), Spine radiosurgery/stereotactic body radiation therapy standard dose and Spine radiosurgery/stereotactic body radiation therapy high dose in people with Metastatic Neoplasm to the Spine and Metastatic Neoplasm, run by University of Oklahoma at 2 sites in United States.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

The purpose of this study is to compare three types of radiation therapy for cancer that has spread to the spine. The two types of radiation therapy used in this trial are External Beam Radiation Therapy (EBRT) and Stereotactic Body Radiation Therapy (SBRT). Read more about this study

Who is it for?
Ages 18 years and older
What is being tested?
Conventional external beam radiation therapy dose (EBRT), Spine radiosurgery/stereotactic body radiation therapy standard dose and Spine radiosurgery/stereotactic body radiation therapy high dose
Type of treatment
Surgery or procedure
Could I receive a placebo?
No, everyone receives an active treatment
How many people
240 participants
Where
2 sitesUnited States
Study dates
9 Sep 2025to 30 Sep 2029
Phase
Phase 2
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Participant must have histologic confirmation of malignancy. Spinal metastatic disease must be confirmed by imaging.
  • Participant must have received no prior therapies for this disease. Prior therapy includes previous radiation therapy encompassing the anatomic site to be treated with spine SBRT. This includes any previous radiation therapy where the treatment field overlaps with the anatomic site to be treated with spine SBRT (even if that previous radiation therapy was not for treatment of spinal disease). Systemic radiation therapy for metastatic disease such as Pluvicto also counts as previous radiation therapy.
  • Age >18 years. This study requires informed consent by the participant; as children are not able to perform this without parental approval, Participant < age 18 are excluded from this study.
  • Life expectancy of≥ 3 months, in the opinion of and as documented by the investigator.
  • Participant must have a worst pain score < 2 of 10 according to the Brief Pain Inventory
  • Participant must have no intention of changing pain medications on the first day of SBRT
Show all 9Show fewer
  • Participant must have a Spinal Instability score (SINS) ≤ 12
  • Participant must be a spine SBRT candidate per Radiation Oncology
  • Participant must have the ability to understand and the willingness to sign a written informed consent document

Who cannot join

  • Participant receiving any other investigational agents.
  • Participant with prognosis less than 3 months will be excluded from this clinical trial because of their poor prognosis and decreased likelihood to meet the primary endpoint
  • Participant with uncontrolled intercurrent illness including, but not limited to ongoing or active infection, symptomatic congestive heart failure, unstable angina pectoris, cardiac arrhythmia, or psychiatric illness/social situations that would limit compliance with study requirements.
  • Pregnant or nursing Participant are excluded due to toxicity of radiation therapy.
  • Participant is unable to receive MRI of the spine
  • Participant has a Spinal Instability in Neoplasia score (SINS) ≥ 12
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  • Participant has received previous stereotactic radiosurgery where the 50% isodose line overlaps with current treatment field
  • Participant has more than 3 consecutive vertebral bodies in the SBRT treatment volume
  • Participant is not an SBRT candidate per radiation oncology discretion
  • Participant has a known primary and has an estimated median survival≤ 3 months
  • Participant has an unknown primary
  • Participant has a Brief Pain Inventory score > 2
  • Participant has received previous radiation therapy involving the intended SBRT treatment field
  • Participant has received previous spinal surgical procedure involving the SBRT target volume. Biopsy is not considered a previous spinal surgical procedure.
  • Participant has neurological deficits from malignant cauda equina compression or epidural spinal cord compression

Trial locations and contacts

2 sites in 1 country. Contact the study team or a site near you to ask about taking part.

Shearwood McClelland III, MD contact

405-271-3016

Shearwood-McClelland@ouhsc.edu

United States2 sites, 1 recruiting
  • Johns Hopkins University Hospitals

    Baltimore, Maryland, 21287

    Active, not recruiting
  • OU Health Stephenson Cancer Center

    Oklahoma City, Oklahoma, 73117

    Shearwood McClelland III, MD, 405-271-3016, Shearwood-McClelland@ouhsc.edu

    Recruiting

Other trials in United States

About this study

Official title: Spine Patient Optimal Radiosurgery Treatment for Symptomatic Metastatic Neoplasms (SPORTSMEN) Multicenter Randomized Phase II Clinical Trial

The purpose of this study is to compare three types of radiation therapy for cancer that has spread to the spine. The two types of radiation therapy used in this trial are External Beam Radiation Therapy (EBRT) and Stereotactic Body Radiation Therapy (SBRT). EBRT delivers tightly targeted radiation beams from outside the body. SBRT is a specialized type of radiation therapy that allows high doses of radiation to small targets. This study will include standard dose SBRT and higher dose SBRT. Each participant will be randomly assigned to either EBRT, standard dose SBRT, or higher dose SBRT.

Read the detailed description

Metastatic spine cancer incidence is increasing; the primary treatment is radiation therapy. Metastatic spine disease has been historically treated with external beam radiation therapy (EBRT) with conventional fractionation, yielding relatively limited durability in pain control. The increased lifespan of patients with metastatic cancer has resulted in an increase in the incidence of spine metastases, which has led to a need for more durable treatment results. Stereotactic radiosurgery (SRS)/Stereotactic body radiation therapy (SBRT) of the spine has exponentially increased, with the theoretical advantages of higher tumoricidal dose and more rapid fall off between tumor and surrounding normal tissue compared with EBRT. The goal of this study is to compare three types of radiation therapy to draw conclusions on what is an effective treatment to reduce pain and increase pain freedom rates.

Patients in this trial will be randomized in a 1:1:1 ratio into one of three treatment arms: SBRT (24 Gy in 2 fractions), SBRT (19 Gy in 1 fraction), or conventional EBRT (8 Gy in 1 fraction). Participants will complete three questionnaires-the Brief Pain Inventory, COST-FACIT, and EuroQol EQ-5D-at baseline and again during the 3- to 12-month follow-up period.

Being tested
Conventional external beam radiation therapy dose (EBRT), Spine radiosurgery/stereotactic body radiation therapy standard dose, Spine radiosurgery/stereotactic body radiation therapy high dose
Keywords
Radiosurgery, External Beam Radiation Therapy, Stereotactic Body Radiation Therapy, Spine Stereotactic Radiosurgery
Medical subject headings
Neoplasm Metastasis

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Conventional external beam radiation therapy dose (EBRT)Radiation

    Participants will undergo 8 Gray in 1 fraction of EBRT. Questionnaires (brief pain inventory, COST-FACIT, EuroQol EQ-5D) will be administered at baseline, and again at 3,6,9,12 month follow-up.

  • Spine radiosurgery/stereotactic body radiation therapy standard doseRadiation

    Participants will undergo 24 Gray in 2 fractions of SBRT. Questionnaires (brief pain inventory, COST-FACIT, EuroQol EQ-5D) will be administered at baseline, and again at 3,6,9,12 month follow-up.

  • Spine radiosurgery/stereotactic body radiation therapy high doseRadiation

    Participants will undergo 19 Gray in 1 fraction of SBRT. Questionnaires (brief pain inventory, COST-FACIT, EuroQol EQ-5D) will be administered at baseline, and again at 3,6,9,12 month follow-up.

Study groups in NCT05617716
Study groupRoleWhat they receive
Standard SBRTExperimentalParticipants will undergo standard dose Stereotactic Body Radiation Therapy as part of standard of care.
Receives: Radiation: Spine radiosurgery/stereotactic body radiation therapy standard dose
High Dose SBRT (SOC)ExperimentalParticipants will undergo high dose Stereotactic Body Radiation Therapy as part of standard of care.
Receives: Radiation: Spine radiosurgery/stereotactic body radiation therapy high dose
Conventional EBRT (SOC)ExperimentalParticipants will undergo External Beam Radiation Therapy as part of standard of care.
Receives: Radiation: Conventional external beam radiation therapy dose (EBRT)

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Proportion of patients who experience 3-month pain freedom based on BPI score

    Freedom from pain at 3 months defined as pain freedom following spine SBRT/EBRT per the Brief Pain Inventory (BPI), which is a scale of 1-10. The complete response for pain freedom is defined as a "worst" pain score of 0 on the BPI. Partial pain freedom is defined as a "worst" pain score of 2 points on the BPI.

    Measured: 3 months

Secondary outcomes (7)
  1. Proportion of patients who experienced 6-month pain freedom based on the BPI score

    Freedom from pain at 6 months defined as pain freedom following spine SBRT/EBRT per the Brief Pain Inventory (BPI), which is a scale of 1-10. The complete response for pain freedom is defined as a "worst" pain score of 0 on the BPI. Partial pain freedom is defined as a "worst" pain score of 2 points on the BPI.

    Measured: 6 months

  2. Local control actuarial rate at 6-months

    6-month local control, defined as an actuarial 6-month rate of any new, recurrent or progressing (as defined by SPINOcriteria) tumor within the planning target volume on any post-treatment MRI by 6 months. Follow-up MRIs will be fused with the planning scan for this assessment

    Measured: 6 months

  3. Vertebral compression fracture rate at 6-months

    6-month vertebral compression fracture rate, assessed by post-treatment MRI by 6 months

    Measured: 6 months

  4. Proportion of patients who experienced progression-free survival

    Overall participant survival

    Measured: 6 months

  5. Vertebral compression fracture rate at 12-months

    12-month vertebral compression fracture rate, assessed by post-treatment MRI at 12 months

    Measured: 12 months

  6. Perceived demographic disparities in patients at 3-month follow-up

    Demographic disparities (by race, ethnicity, gender identity, sexual orientation, insurance status) following spine SBRT/EBRT access and outcomes at 3 months

    Measured: 3 months

  7. Perceived demographic disparities in patients at 6-month follow-up

    Demographic disparities (by race, ethnicity, gender identity, sexual orientation, insurance status) following spine SBRT/EBRT access and outcomes at 6 months

    Measured: 6 months

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted15 Nov 2022
  2. Study start9 Sep 2025
  3. Primary completion30 Sep 2028 (estimated)
  4. Study completion30 Sep 2029 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Model description
This is a prospective phase II randomized trial to determine the optimal spine SBRT regimen for achieving pain freedom at 3 months.
Masking
None (open label)
Enrolment
240 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05617716
Sponsor's protocol ID
OU-SCC-SPORTSMEN
Acronym
SPORTSMEN
Status last verified
Oct 2025
First submitted
8 Nov 2022
Last updated
20 Oct 2025
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Oboh EC, Anwar M, Perry L, Cleaver N, McClelland S 3rd. Early Economic and Patient-Centered Outcomes Before Spine Metastases Radiation Therapy From an Ongoing Phase II Randomized Controlled Trial. Am J Clin Oncol. 2026 Jun 16. doi: 10.1097/COC.0000000000001346. Online ahead of print.

    PubMed 42302152
  • Gardner UG Jr, Brawley OW, Obi EE, Redmond KJ, McClelland S 3rd. Establishing a Protocol to Increase Racial/Ethnic Under-Represented Minority Enrollment on an Active Radiation Oncology Multicenter Randomized Clinical Trial. Am J Clin Oncol. 2025 Jun 1;48(6):310-313. doi: 10.1097/COC.0000000000001174. Epub 2025 Feb 11.

    PubMed 39930584
  • McClelland S 3rd, Sun Y, Spratt DE. Spine Patient Optimal Radiosurgery Treatment for Symptomatic Metastatic Neoplasms (SPORTSMEN): a randomized phase II study protocol. Rep Pract Oncol Radiother. 2023 Jul 25;28(3):379-388. doi: 10.5603/RPOR.a2023.0037. eCollection 2023.

    PubMed 37795393

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Conventional external beam radiation therapy dose (EBRT), Spine radiosurgery/stereotactic body radiation therapy standard dose and Spine radiosurgery/stereotactic body radiation therapy high dose in people with Metastatic Neoplasm to the Spine and Metastatic Neoplasm, run by University of Oklahoma at 2 sites in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 9 inclusion and 15 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: looking for participants now, as of the sponsor's last update on 20 Oct 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 2 sites in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Lead Onco Nurse (405-271-8777, SCC-IIT-Office@ouhsc.edu), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Proportion of patients who experience 3-month pain freedom based on BPI score (time frame: 3 months). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT05617716, which also lists 3 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 20 Oct 2025.

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