Actively Recruiting

Phase Not Applicable
Age: 18Years +
All Genders
ID03858205

Phase II Multi-Institutional Study of Low-Dose (2Gy) Palliative Radiotherapy for Painful Bone Metastases in Multiple Myeloma

Led by University of Southern California ยท Updated on 2026-06-05

100

Participants Needed

9

Research Sites

10 weeks

Total Duration

On this page

Sponsors

U

University of Southern California

Lead Sponsor

N

National Cancer Institute (NCI)

Collaborating Sponsor

AI-Summary

What this Trial Is About

Researchers are evaluating low-dose radiotherapy to treat bone pain in patients with multiple myeloma that has spread to the bones. This Phase II trial aims to see if a lower dose radiation treatment can reduce pain as effectively as the current standard care, while potentially being more convenient and causing fewer short- or long-term side effects. The study also looks at quality of life and pain medication use after treatment. Participants receive low-dose radiation therapy of 2 Gy on two consecutive business days. If patients do not experience pain relief, they may receive additional radiotherapy four weeks later. After treatment, patients are followed up at 2, 4, and 8 weeks, and again at 6 months to monitor outcomes and any changes. During the study, patients will be assessed for pain relief using patient reports and questionnaires that measure quality of life. Researchers will also track pain medication use and monitor any side effects or disease progression. The main outcome is pain response up to six months after radiation therapy. The total participation duration includes treatment and follow-up visits over six months.

CONDITIONS

Brief Title

Low-Dose Radiotherapy in Treating Painful Bone Metastases in Patients With Multiple Myeloma

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Histologic diagnosis of multiple myeloma
  • Painful bone metastasis with a radiographic correlate
  • Any number of prior chemotherapy or immunotherapy treatments allowed
  • ECOG performance status of 0 to 2
  • Brief Pain Inventory score of 2 or higher
  • Ability and willingness to provide written informed consent
Not Eligible

You will not qualify if you...

  • Prior radiation therapy or palliative surgery at the index lesion
  • Pathologic or impending fracture at the index lesion site or planned surgical fixation
  • Evidence of spinal cord or cauda equina compression from the index lesion
  • Index lesions located at the skull base or orbital areas
  • Pregnancy

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 visit (in-person)

Treatment

Duration - Initial treatment over 2 consecutive days; additional treatment possible at 4 weeks

Participants receive low-dose radiation therapy at consecutive business days 1 and 2. If pain relief is not achieved, additional radiotherapy may be given at 4 weeks after initial treatment.

2 consecutive visits followed by 1 additional visit at 4 weeks if needed

Follow-up

Duration - Up to 6 months

Participants are followed up to monitor pain response, quality of life, and analgesia use at 2, 4, and 8 weeks and 6 months after radiation therapy completion.

Visits at 2, 4, and 8 weeks and at 6 months

Trial Site Locations

Total: 9 locations

1

City of Hope

Duarte, California, United States, 91010

Actively Recruiting

2

Los Angeles General Medical Center

Los Angeles, California, United States, 90033

Actively Recruiting

3

USC / Norris Comprehensive Cancer Center

Los Angeles, California, United States, 90033

Actively Recruiting

4

Cedars Sinai Medical Center

Los Angeles, California, United States, 90048

Actively Recruiting

5

Emory University Hospital/Winship Cancer Institute

Atlanta, Georgia, United States, 30322

Actively Recruiting

6

Dana-Farber Cancer Institute

Boston, Massachusetts, United States, 02215

Actively Recruiting

7

University of Minnesota - Masonic Cancer Center

Minneapolis, Minnesota, United States, 55455

Actively Recruiting

8

Icahn School of Medicine at Mount Sinai

New York, New York, United States, 10029

Actively Recruiting

9

University of Pennsylvania/Abramson Cancer Center

Philadelphia, Pennsylvania, United States, 19104

Actively Recruiting

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Research Team

C

Christine Duran

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

NA

Model

SINGLE_GROUP

Primary Purpose

TREATMENT

Number of Arms

1

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