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临床试验/NCT01130766
NCT01130766Unknown3 期

Randomized Phase III Trial of Stereotactic Radiosurgery (SRS) Versus Observation for Patients With Asymptomatic Cerebral Oligo-metastases in Non-small Cell Lung Cancer (NSCLC)

Samsung Medical Center1 个研究点 分布在 1 个国家目标入组 176 人开始时间: 2008年6月最近更新:
适应症

试验速览

阶段
3 期
入组人数
176
试验地点
1
主要终点
Overall survival

研究概览

简要总结

The prognosis of NSCLC patients with asymptomatic brain metastasis, who are not treated with SRS or WBRT has not been fully investigated yet. This randomized phase III trial is conducted to determine the exact role of SRS in NSCLC patients with asymptomatic oligo brain metastases whether early treatment with SRS would improve survival even in patients with asymptomatic brain metastasis.

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Parallel
主要目的
Treatment
盲法
None

入排标准

年龄范围
18 Years 至 —(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • Histologically confirmed non-small cell lung cancer with synchronous brain metastases (diagnosis of brain lesion before or within 2 months from diagnosis of the primary site tumor)
  • One to 4 intraparenchymal brain metastases by contrast-enhanced MRI, meeting the following criteria:
  • Well circumscribed tumor(s) with brain edema Grade 0-1
  • Maximum diameter ≤ 3.0 cm
  • No prior complete resection of all known brain metastases or RT ④ No leptomeningeal metastases by MRI or cerebrospinal fluid evaluation
  • Patients without any symptoms or signs from brain metastases (RTOG neurologic functions status of 0) ⑥ Age, 18 and over ⑦ ECOG performance status 0-1 ⑧ Written informed consent

排除标准

  • severe co-morbid illness and/or active infections ② pregnant or lactating women
  • RTOG neurologic function status of 1~4 ④ Uncontrollable extracranial metastases

结局指标

主要结局

Overall survival

时间窗: 36 months

次要结局

  • time to CNS progression(36 months)
  • time to symptomatic brain metastasis(36 months)
  • quality of life(36 months)
  • cause of death (neurologic vs. others)(36 months)
  • neurocognitive function(36 months)

研究者

申办方类型
Other

研究点 (1)

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