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Stereotactic Radiosurgery Compared to Observation in Treating Patients With Brain Metastases

Phase 3
Active, not recruiting
Conditions
Metastatic Malignant Neoplasm in the Brain
Registration Number
NCT00950001
Lead Sponsor
M.D. Anderson Cancer Center
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Active, not recruiting
Sex
All
Target Recruitment
132
Inclusion Criteria

Inclusion Criteria:<br><br> 1. Patients must be older than 3 years of age (radiosurgical frames cannot be placed on<br> children younger than age 3).<br><br> 2. Patients must have 3 or fewer newly diagnosed metastatic lesions in the brain with a<br> complete resection of at least one lesion as determined the study neuroradiologist.<br><br> 3. The resection cavity must have a maximum diameter of less than or equal to 4cm. This<br> criteria will be determined by the study radiologist.<br><br> 4. Additional unresected brain metastases (up to 2) must have a maximum diameter of<br> less than or equal to 3 cm.<br><br> 5. Patients must be considered candidates for SRS within 30 days of surgical resection.<br><br> 6. Patients must have a Karnofsky Performance Scores (KPS) of at least 70 at the first<br> post operative visit. Patients under 18 years of age must have a Lansky Performance<br> Score of of at least 70.<br><br> 7. Patients must be able to undergo an MRI scan.<br><br> 8. Patients must agree to randomization as documented by signing the Institutional<br> Review Board (IRB) approved consent form.<br><br>Exclusion Criteria:<br><br> 1. Patients who have received prior radiation therapy to the brain for any reason.<br><br> 2. There is radiographic evidence of leptomeningeal disease prior to study entry.<br><br> 3. The primary tumor is small-cell lung cancer, lymphoma, leukemia, or multiple<br> myeloma.<br><br> 4. For females, if they are pregnant or breast-feeding (The exclusion is made because<br> gadolinium may be teratogenic in pregnancy).

Exclusion Criteria

Not provided

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Time to local recurrence
Secondary Outcome Measures
NameTimeMethod
Overall survival;Development of distant brain metastases;Incidence of complications related to treatment;Proportion of patients experiencing neurological complications;Proportion of complications resulting in prolongation of hospital stay;Time to first neurological complication
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