Actively Recruiting

Phase 2
Age: 18Years +
All Genders
NCT06856603

OLIGO-10: Stereotactic Ablative Radiation Therapy for Metastatic Patients With 6 to 10 Metastatic Sites

Led by National Medical Research Radiological Centre of the Ministry of Health of Russia · Updated on 2025-03-04

50

Participants Needed

1

Research Sites

307 weeks

Total Duration

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AI-Summary

What this Trial Is About

Currently, the standard of care for patients with diagnosed metastatic cancer is drug therapy (chemotherapy, targeted therapy, or immunotherapy). However, the approach to oligometastatic disease (1-5 metastases) is evolving. An increasing number of de novo, persistent, and progressive oligometastatic tumors are now being treated with curative intent, with radiation therapy among the most effective treatment options, applied to metastatic sites in ablative doses. Emerging results from the SABR-COMET 3 and 5 trials, which investigate stereotactic ablative radiotherapy for patients with 1-3 and 1-5 metastatic sites, demonstrate a clear improvement in overall survival. However, patients with more than five metastases remain in a gray area. The aim of our study is to assess the safety and effectiveness of radiation treatment for patients with tumors of various localizations and 6 to 10 metastases in the bones and internal organs. Stereotactic radiation therapy will be applied to patients with persistent or progressive metastatic forms of tumors, without changing their ongoing drug therapy regimen.

CONDITIONS

Official Title

OLIGO-10: Stereotactic Ablative Radiation Therapy for Metastatic Patients With 6 to 10 Metastatic Sites

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • ECOG status 0-3
  • Persistent or progressive cancer disease with 6 to 10 metastases
  • Five or fewer metastases in any single organ
  • Life expectancy greater than 6 months for intracranial lesions
  • Unable to surgically remove all metastatic lesions
  • Positive tumor board decision for trial inclusion
  • Signed informed consent
Not Eligible

You will not qualify if you...

  • ECOG status 4
  • Newly diagnosed metastatic disease (de novo)
  • Complete response on imaging after drug therapy
  • Only brain metastases present
  • Brain metastasis larger than 3 cm requiring neurosurgery
  • Any metastasis larger than 5 cm
  • Previous radiation therapy for metastatic sites
  • Presence of leptomeningeal, pleural, or peritoneal carcinomatosis
  • Spinal cord compression requiring neurosurgery
  • Invasion of major blood vessels, skin, or gastrointestinal tract
  • Negative tumor board decision for trial inclusion
  • Lack of signed informed consent

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Trial Site Locations

Total: 1 location

1

A. Tsyb Medical Radiological Research Center

Obninsk, Kaluga Oblast, Russia, 249033

Actively Recruiting

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Research Team

K

Konstantin gordon, PhD

CONTACT

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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