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Treatments for Brain Metastases With Poor Prognostic Factors

Conditions
Brain Metastases
Interventions
Procedure: neurosurgical resection
Registration Number
NCT05609162
Lead Sponsor
Sun Yat-sen University
Brief Summary

The goal of this observational study is to learn about treatments in brain metastases with poor prognostic factors. The main questions it aims to answer are:

* What kind of local treatment provides a survival benefit for patients with poor prognostic factors?

* What kind of systemic treatment provides a survival benefit for patients with poor prognostic factors?

* Will the combination of local treatment and systemic treatment provide a survival benefit for patients with poor prognostic factors?

Participants will be asked to provide personal information about their living status, symptoms, and disease control during the follow-up.

Detailed Description

Not available

Recruitment & Eligibility

Status
ENROLLING_BY_INVITATION
Sex
All
Target Recruitment
2000
Inclusion Criteria
  1. Evidence of pathological diagnosis of primary tumor;
  2. Brain metastases confirmed by enhanced magnetic resonance imaging;
  3. Complete clinical information
Exclusion Criteria
  1. Survival time less than 30 days;
  2. If surgical treatment is accepted, the surgical treatment is not tumor resection, but ventricle puncture, biopsy and other non-tumor reducing surgery;
  3. Incomplete clinical data;
  4. Patients with 2 or more types of tumors.

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Arm && Interventions
GroupInterventionDescription
systemic treatment group vs local treatment+systemic treatment groupneurosurgical resectionParticipants underwent systemic treatments such as chemotherapy or target therapy or chemotherapy plus target therapy were divided into systemic treatment group; Participants underwent local treatment plus systemic treatment were divided into local treatment+systemic treatment group
local treatment+systemic treatment group vs non-local treatment+systemic treatment groupneurosurgical resectionParticipants underwent local treatment plus systemic treatment were divided into local treatment+systemic treatment group or otherwise into non-local treatment+systemic treatment group
local treatment group vs systemic treatment groupneurosurgical resectionParticipants underwent local treatments such as surgical resection or radiotherapy or surgical resection plus radiotherapy were divided into local treatment group; Participants underwent systemic treatments such as chemotherapy or target therapy or chemotherapy plus target therapy were divided into systemic treatment group
local treatment group vs local treatment+systemic treatment groupneurosurgical resectionParticipants underwent local treatments such as surgical resection or radiotherapy or surgical resection plus radiotherapy were divided into local treatment group; Participants underwent local treatment plus systemic treatment were divided into local treatment+systemic treatment group
local treatment group vs non-local treatment groupneurosurgical resectionParticipants underwent local treatments such as surgical resection or radiotherapy or surgical resection plus radiotherapy were divided into local treatment group or otherwise into non-local treatment group
Primary Outcome Measures
NameTimeMethod
OSFrom date of first follow-up until the date of documented death from any cause, assessed up to 120 months

Overall survival time

Secondary Outcome Measures
NameTimeMethod
PFSFrom date of first follow-up until the date of first documented progression, assessed up to 120 months

Progression-free survival time

Trial Locations

Locations (1)

Sun Yat-sen University Cancer Center

🇨🇳

Guangzhou, Guangdong, China

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