The Epidemiology, Process and Outcomes of Spine Oncology (EPOSO)
EPOSO
1 other identifier
observational
454
3 countries
10
Brief Summary
The main purpose of this study is to utilize a comprehensive, prospective clinical database to collect patient, diagnostic and treatment variables along with disease specific and generic health related quality of life (HRQOL) data on consecutively treated patients with metastatic spine tumors. The objectives are to determine the validity and reliability of the Spine Cancer Outcomes Questionnaire (SCOQ) for use in the assessment of spine tumor outcomes, to determine if the Spine Instability Neoplastic Score (SINS) Classification is a valid tool for predicting the stability of spine in metastatic spine disease, and to determine the efficacy of surgery versus radiotherapy for the treatment of impending instability secondary to metastatic disease of the spine.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for all trials
Started Aug 2013
Longer than P75 for all trials
10 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
March 28, 2013
CompletedFirst Posted
Study publicly available on registry
April 5, 2013
CompletedStudy Start
First participant enrolled
August 1, 2013
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 1, 2019
CompletedStudy Completion
Last participant's last visit for all outcomes
December 1, 2019
CompletedSeptember 13, 2022
September 1, 2022
6.3 years
March 28, 2013
September 12, 2022
Conditions
Outcome Measures
Primary Outcomes (1)
Change in Spine Cancer Outcomes Questionnaire (SCOQ)
This is a new questionnaire, also referred to as the Spine Oncology Self-Assessment, developed by members of the SOSG. It is made up of 5 domains: physical function, neural function, pain, mental health and social function. It was developed as a comparison to the SF-36 for patients with spine tumors. The reliability and validity of this questionnaire will be compared with the SF-36v2.
0, 6, 12, 26, 52 and 104 weeks
Secondary Outcomes (4)
Change in Pain Numeric Rating Scale (NRS)
0, 6, 12, 26, 52 and 104 weeks
Change in EuroQoL 5D (EQ-5D)
0, 6, 12, 26, 52 and 104 weeks
Change in Short Form 36 version 2 (SF-36 v2)
0, 6, 12, 26, 52 and 104 weeks
Change in International Standards for Neurological Classification of Spinal Cord Injury (ISNCSCI)
0, 6, 12, 26, 52 and 104 weeks
Eligibility Criteria
Patients with metastatic spine disease
You may qualify if:
- Signed informed consent
- Age between 18 and 75 years
- Able to read and write English at an elementary level
- Diagnosis of metastatic tumor of the spine
You may not qualify if:
- The primary cancer site is central nervous system or spine
- History of substance abuse (recreational drugs, alcohol) within 12 months prior to screening
- Is a prisoner
- A disease or condition that would, in opinion of the investigator, preclude accurate evaluation (e.g. significant psychiatric disease)
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- AO Foundation, AO Spinelead
- Orthopaedic Research Foundationcollaborator
Study Sites (10)
Kansas University Medical Center
Kansas City, Kansas, 66160, United States
Johns Hopkins University
Baltimore, Maryland, 21218, United States
Mayo Clinic
Rochester, Minnesota, 55905, United States
Hospital of the University of Pennsylvania
Philadelphia, Pennsylvania, 19104, United States
MD Anderson Cancer Center
Houston, Texas, 77030, United States
Vancouver General Hospital
Vancouver, British Columbia, V5Z 1M9, Canada
Sunnybrook Health Sciences Center
Toronto, Ontario, M4N 3M5, Canada
University of Toronto Hospital
Toronto, Ontario, M5T 2S8, Canada
Montreal General Hospital
Montreal, Quebec, H3G 1A4, Canada
National Center for Spinal Disorders
Budapest, 1126, Hungary
Related Publications (1)
Barzilai O, Sahgal A, Rhines LD, Versteeg AL, Sciubba DM, Lazary A, Weber MH, Schuster JM, Boriani S, Bettegowda C, Arnold PM, Clarke MJ, Laufer I, Fehlings MG, Gokaslan ZL, Fisher CG; AO Spine Knowledge Forum Tumor. Patient-Reported and Clinical Outcomes of Surgically Treated Patients With Symptomatic Spinal Metastases: Results From Epidemiology, Process, and Outcomes of Spine Oncology (EPOSO), a Prospective, Multi-Institutional and International Study. Neurosurgery. 2024 Nov 1;95(5):1148-1157. doi: 10.1227/neu.0000000000002989. Epub 2024 Jun 4.
PMID: 38832791DERIVED
Related Links
Study Officials
- PRINCIPAL INVESTIGATOR
Charles G Fisher, MD
Vancouver General Hospital and the University of British Columbia
Study Design
- Study Type
- observational
- Observational Model
- COHORT
- Time Perspective
- PROSPECTIVE
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
March 28, 2013
First Posted
April 5, 2013
Study Start
August 1, 2013
Primary Completion
December 1, 2019
Study Completion
December 1, 2019
Last Updated
September 13, 2022
Record last verified: 2022-09