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Clinical Trials/NCT02576522
NCT02576522
Completed
Not Applicable

Tumor Bed Hypofractionated IMRT (VMAT-RA) After Surgical Resection for Patients With Single, Large (≥2.1 cm) Brain Metastases From Solid Tumor

Istituto Clinico Humanitas1 site in 1 country87 target enrollmentJune 29, 2015

Overview

Phase
Not Applicable
Intervention
Not specified
Conditions
Brain Metastases
Sponsor
Istituto Clinico Humanitas
Enrollment
87
Locations
1
Primary Endpoint
Local control rate
Status
Completed
Last Updated
6 years ago

Overview

Brief Summary

Investigators designed a study of a multimodality approach: surgery followed by hypofractionated intensity modulated radiation therapy (IMRT) using VMAT approach for patients with single, large brain metastases from solid primary tumor

Detailed Description

Investigators designed a study to recruit patients with single, large brain metastases from solid primary tumor for a multimodality approach: surgery followed by hypofractionated intensity modulated radiation therapy (IMRT) using VMAT approach. The potential advantage of this treatment is to improve local control and to reduce toxicity compared with WBRT or SRS after surgical resection.

Registry
clinicaltrials.gov
Start Date
June 29, 2015
End Date
January 22, 2019
Last Updated
6 years ago
Study Type
Interventional
Study Design
Single Group
Sex
All

Investigators

Sponsor
Istituto Clinico Humanitas
Responsible Party
Principal Investigator
Principal Investigator

Michele Tedeschi

MD

Istituto Clinico Humanitas

Eligibility Criteria

Inclusion Criteria

  • Age \> 18 years
  • Karnosky performance status (KPS) ≥70
  • All Solid tumor (esclusion SCLC and Germinal tumors)
  • Controlled primary tumor
  • Controlled other metastatic site
  • Single metastatic lesion at diagnosis
  • Lesions ≥ 2.1 cm in maximum diameter (4 cm3), \< 3 cm conditioning mass effect or neurological deficits or massive aedema, unknown primary tumor
  • Estimated survival ≥ 3 months.
  • Written informed consent

Exclusion Criteria

  • Prior WBRT
  • Other primary cancer
  • Pregnant women

Outcomes

Primary Outcomes

Local control rate

Time Frame: 6 months

Secondary Outcomes

  • Distant brain failure(6 months)
  • Overall survival, statistical(6 months)
  • Morbidity/mortality after surgery(1 month)
  • Radionecrosis after treatments(6 months)
  • Neuropsycological alterations after treatments, questionnaire(6 months)

Study Sites (1)

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