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