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SPINERY™ A Novel Radio-Frequency Tumor Ablation Device Study (SPARTA)

Primary Purpose

Vertebral Metastasis

Status
Recruiting
Phase
Not Applicable
Locations
Italy
Study Type
Interventional
Intervention
SPINERY
Sponsored by
Axon srl
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Vertebral Metastasis

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Patients with painful metastatic malignant lesions involving bone;
  • Patients, candidates to standard therapy, in which the RF ablation can be performed in combination with the Standard Therapy in accordance with the Investigator's indications;
  • Patients who have failed, not candidates or refuse Standard Therapy (chemotherapy or radiotherapy);
  • Patients with metastatic tumor size compatible with the expected ablation dimensions as reported for SPINERY devices in the IFU;
  • Patients with localized pain resulting from not more than two sites of symptomatic metastatic disease
  • Patients that do not have evidence of impending fracture
  • Patients with metastatic lesions targeted for treatment located in the thoracic and/or lumbar vertebral body(ies), peri-acetabulum, iliac crest, and/or sacrum - no restrictions on location of lesion;
  • Patients with BPI-Report worst pain score ≥4/10 at the target treatment site within the past 24 hours
  • Patients with Karnofsky score ≥ 40 at enrollment
  • Patients willing and able to provide a signed and dated informed consent, comply with the study plan, follow up visits and phone calls
  • Patients at least 18 years old at the time of informed consent

Exclusion Criteria:

  • Patients implanted with heart pacemaker or other implanted electronic device
  • Patients with previous mechanical bone stabilization in the vertebral body to be treated
  • Use of SPINERY in vertebral body levels C1-C7
  • Multiple myeloma, solitary plasmacytoma, or primary malignant lesions in the index vertebra or bone.
  • Active or incompletely treated local infection at the planned treatment site(s) and/or systemic infection.
  • Planned treatment site(s) accompanied by objective evidence of secondary radiculopathy or neurologic compromise.
  • Planned treatment site(s) associated with spinal cord compression or canal compromise requiring decompression.
  • Fractures due to prostatic cancer or other osteoblastic metastases to the spine. Metastatic lesions originating in the prostate that are osteolytic or of mixed origin are eligible for the study.
  • Pregnant, breastfeeding, or plan to become pregnant during the study duration.
  • Concurrent participation in another clinical study that may add additional safety risks and/or confound study results.
  • Any condition that would interfere with the subject's ability to comply with study instructions or might confound the study interpretation.

Sites / Locations

  • Ospedale Santissima TrinitàRecruiting
  • Istituto Oncologico del Mediterraneo IOMRecruiting
  • Azienda Ospedaliera di CosenzaRecruiting
  • Azienda Ospedaliera Antonio CardarelliRecruiting
  • Azienda Ospedaliera Universitaria SeneseRecruiting

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

Pain reduction in patients with vertebral metastatic lesions treated with SPINERY System

Arm Description

Outcomes

Primary Outcome Measures

Change of Worst Pain Score of Brief Pain Inventory (BPI) scale performance is being assessed
Change of Worst Pain Score expressed as average reduction of 2 BPI scores: Thoracic/Lumbar/ Peri-acetabulum/Iliac Crest/Sacrum RF Ablation
Completion (%) of the ablation procedure
Completion (%) of the ablation procedure without device-related adverse events including in particular nerve injury

Secondary Outcome Measures

Full Information

First Posted
July 13, 2022
Last Updated
January 31, 2023
Sponsor
Axon srl
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1. Study Identification

Unique Protocol Identification Number
NCT05467540
Brief Title
SPINERY™ A Novel Radio-Frequency Tumor Ablation Device Study
Acronym
SPARTA
Official Title
Clinical Study of SPINERY™ A Novel Radio-Frequency Tumor Ablation Device for Spine Metastatic Tumors
Study Type
Interventional

2. Study Status

Record Verification Date
January 2023
Overall Recruitment Status
Recruiting
Study Start Date
July 11, 2022 (Actual)
Primary Completion Date
February 28, 2023 (Anticipated)
Study Completion Date
November 30, 2023 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Axon srl

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
Yes

5. Study Description

Brief Summary
SPINERY is a Radiofrequency (RF) device designed for palliative treatment of patients with painful metastatic bone tumors involving vertebral bodies, sacrum, iliac crest and peri-acetabulum. In particular, SPINERY is conceived for pain reduction in patients affected by metastatic bone tumors involving the vertebral bodies, sacrum, iliac crest and periacetabulum, in patients with indication for Standard Therapy and in patients who have failed, not candidates or refuse Standard Therapy. Primary objective of the SPARTA Study is to demonstrate that SPINERY RF device is effective in short-term (3 months) pain reduction in patients affected by metastatic bone tumors and to demonstrate that SPINERY RF device is safe in the RF ablation treatment of metastatic bone tumors, without causing device-related adverse events including, in particular, nerve injury. Primary objective hypothesis will be obtained with Brief Pain Inventory (BPI) scale performance questionnaire in terms of palliative treatment. Change of Worst Pain Score expressed as average reduction of 2 BPI (Brief Pain Inventory) scores will be calculated as: μc = worst-pain 3-month - worst-pain baseline A negative average value for change in pain represents a lowering of the subject's pain score (an improvement, or reduction in pain) and a positive value represents an increase in the subject's pain score (a worsening or increase in pain). Worst pain score at the target treatment site will be collected from the BPI in the past 24 hours.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Vertebral Metastasis

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Single Group Assignment
Model Description
Prospective, Multicenter, no control group
Masking
None (Open Label)
Allocation
N/A
Enrollment
52 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Pain reduction in patients with vertebral metastatic lesions treated with SPINERY System
Arm Type
Experimental
Intervention Type
Device
Intervention Name(s)
SPINERY
Intervention Description
Radio-Frequency device designed for palliative treatments of patient with painful metastatic bone tumors involving vertebral bodies, sacrum, iliac crest and peri-acetabulum
Primary Outcome Measure Information:
Title
Change of Worst Pain Score of Brief Pain Inventory (BPI) scale performance is being assessed
Description
Change of Worst Pain Score expressed as average reduction of 2 BPI scores: Thoracic/Lumbar/ Peri-acetabulum/Iliac Crest/Sacrum RF Ablation
Time Frame
Baseline, 3 months
Title
Completion (%) of the ablation procedure
Description
Completion (%) of the ablation procedure without device-related adverse events including in particular nerve injury
Time Frame
Immediately after the procedure, 3 months

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Patients with painful metastatic malignant lesions involving bone; Patients, candidates to standard therapy, in which the RF ablation can be performed in combination with the Standard Therapy in accordance with the Investigator's indications; Patients who have failed, not candidates or refuse Standard Therapy (chemotherapy or radiotherapy); Patients with metastatic tumor size compatible with the expected ablation dimensions as reported for SPINERY devices in the IFU; Patients with localized pain resulting from not more than two sites of symptomatic metastatic disease Patients that do not have evidence of impending fracture Patients with metastatic lesions targeted for treatment located in the thoracic and/or lumbar vertebral body(ies), peri-acetabulum, iliac crest, and/or sacrum - no restrictions on location of lesion; Patients with BPI-Report worst pain score ≥4/10 at the target treatment site within the past 24 hours Patients with Karnofsky score ≥ 40 at enrollment Patients willing and able to provide a signed and dated informed consent, comply with the study plan, follow up visits and phone calls Patients at least 18 years old at the time of informed consent Exclusion Criteria: Patients implanted with heart pacemaker or other implanted electronic device Patients with previous mechanical bone stabilization in the vertebral body to be treated Use of SPINERY in vertebral body levels C1-C7 Multiple myeloma, solitary plasmacytoma, or primary malignant lesions in the index vertebra or bone. Active or incompletely treated local infection at the planned treatment site(s) and/or systemic infection. Planned treatment site(s) accompanied by objective evidence of secondary radiculopathy or neurologic compromise. Planned treatment site(s) associated with spinal cord compression or canal compromise requiring decompression. Fractures due to prostatic cancer or other osteoblastic metastases to the spine. Metastatic lesions originating in the prostate that are osteolytic or of mixed origin are eligible for the study. Pregnant, breastfeeding, or plan to become pregnant during the study duration. Concurrent participation in another clinical study that may add additional safety risks and/or confound study results. Any condition that would interfere with the subject's ability to comply with study instructions or might confound the study interpretation.
Facility Information:
Facility Name
Ospedale Santissima Trinità
City
Cagliari
Country
Italy
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Stefano Marini, Dr.
Phone
0706095941
Email
stefano.marini@atssardegna.it
First Name & Middle Initial & Last Name & Degree
Stefano Marini, Dr.
Facility Name
Istituto Oncologico del Mediterraneo IOM
City
Catania
Country
Italy
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Luigi Manfré, Prof.
Phone
+39 095 789 5000
Email
studiomanfre@icloud.com
First Name & Middle Initial & Last Name & Degree
Luigi Manfré, Prof.
Facility Name
Azienda Ospedaliera di Cosenza
City
Cosenza
Country
Italy
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Francesca Amato, Dr.
Phone
0984681580
Email
f.amato@aocs.it
First Name & Middle Initial & Last Name & Degree
Francesco Amato, Dr.
Facility Name
Azienda Ospedaliera Antonio Cardarelli
City
Naples
Country
Italy
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Mario Muto, Prof
Phone
081-7473838
Email
mario.muto@aocardarelli.it
First Name & Middle Initial & Last Name & Degree
Mario Muto, Prof
Facility Name
Azienda Ospedaliera Universitaria Senese
City
Siena
Country
Italy
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Matteo Bellini, Dr
Phone
0577-585041
Email
matteo.bellini@ao-siena.toscana.it
First Name & Middle Initial & Last Name & Degree
Matteo Bellini, Dr.

12. IPD Sharing Statement

Learn more about this trial

SPINERY™ A Novel Radio-Frequency Tumor Ablation Device Study

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