Status:

COMPLETED

SuperDEX Trial (Comparison of Two Doses of Dexamethasone for Malignant Spinal Cord Compression Treated by Radiotherapy).

Lead Sponsor:

Trans Tasman Radiation Oncology Group

Collaborating Sponsors:

Cancer Council New South Wales

Conditions:

Spinal Cord Compression From Neoplasm Metastasis

Eligibility:

All Genders

17+ years

Phase:

PHASE2

Brief Summary

The study aimed to pilot the viability of a full scale randomised comparison of 2 steroid doses in malignant spinal cord compression, to establish safety of high dose dexamethasone in this setting in ...

Detailed Description

Malignant spinal cord compression (MSCC) is an uncommon condition with an estimated annual incidence of 2.5 per 100,000. It is a dreaded complication of malignancy because of the severe impact paralys...

Eligibility Criteria

Inclusion

  • Malignant spinal cord compression with at least one of pain, weakness, sensory disturbance or sphincter disturbance
  • Histology not required if prior biopsy proven malignancy
  • Any stage
  • Age \>16 years
  • ECOG 1-3 prior to cord compression event
  • Minimum power 1 of 5 point scale Must not be paraplegic
  • Minimum expected survival 2 months
  • Relevant minimum lab values
  • Patients capable of childbearing using adequate contraception
  • Written informed consent

Exclusion

  • Prior radiotherapy to within vertebral±one level affected by cord compression
  • Prior treatment for spinal cord compression at the current level
  • Histology is lymphoma or myeloma
  • Power less than 1 of 5
  • More than 12 hours after initiation of dexamethasone\>4mg/24hr
  • Pre-existing co-morbid conditions - peptic ulceration or cardiac failure
  • Allergy to study medications
  • Multilevel cord compression or meningeal carcinomatosis
  • Pregnant or lactating

Key Trial Info

Start Date :

September 1 2001

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

December 1 2003

Estimated Enrollment :

20 Patients enrolled

Trial Details

Trial ID

NCT00193869

Start Date

September 1 2001

End Date

December 1 2003

Last Update

May 10 2007

Active Locations (1)

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1

St George Hospital

Kogarah, New South Wales, Australia, 2217