I've used ruby window cameras since the late 1960s, with panchromatic films ranging from ASA (ISO wasn't a term in use then) 120 to 400, and color negative and slide films from ASA 80 to 160. I don't recall ever having a spot, even with cameras sitting in direct sunlight on the ruby window. These were old box cameras that didn't have a means to close off the ruby window, and the very idea of doing so was outside my experience at the time.
I've also used always-open ruby windows in more recent years, and still never had a problem (though I don't believe I've ever gone above 400 speed in one). As noted by others, in modern films, the backing paper is opaque enough to trust. I've also used cameras where the filter was missing from the frame number window -- still without problems. It surely is possible to get a leak around the edge of the backing on 6x9. I've never had such a problem, but I've seen images on line with light leakage that would match up with the window.