A Trial of Postoperative Whole Brain Radiation Therapy vs. Salvage Stereotactic Radiosurgery Therapy for Metastasis

NCT ID: NCT00280475

Last Updated: 2016-09-22

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

270 participants

Study Classification

INTERVENTIONAL

Study Start Date

2006-01-31

Study Completion Date

2013-01-31

Brief Summary

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The aim of this study is to evaluate non-inferiority of salvage stereotactic radiosurgery (SRS) in the patients who received surgical resection for brain metastases in comparison with postoperative whole brain radiation therapy (WBRT).

Detailed Description

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A randomized phase III study is started in Japan to compare postoperative whole brain radiation therapy with salvage stereotactic radiosurgery in patient with one to four brain metastases from lung, breast, and colorectal cancer.

Total of 270 patients will be accrued for this study from 21 institutions within three years. The primary endpoint is overall survival. The secondary endpoints are proportion of performance status (PS) preservation, proportion of mini-mental status examination (MMSE) preservation, and adverse events.

Conditions

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Brain Neoplasms Neoplasm Metastasis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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1

Device: Whole brain radiation therapy arm

Group Type ACTIVE_COMPARATOR

Whole brain radiation therapy arm

Intervention Type DEVICE

Whole brain radiation therapy arm

2

Device: Salvage stereotactic radiosurgery arm

Group Type EXPERIMENTAL

Salvage stereotactic radiosurgery arm

Intervention Type DEVICE

Salvage stereotactic radiosurgery arm

Interventions

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Whole brain radiation therapy arm

Whole brain radiation therapy arm

Intervention Type DEVICE

Salvage stereotactic radiosurgery arm

Salvage stereotactic radiosurgery arm

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

1. one to four brain metastases with a maximum diameter of 3 cm or more for the largest lesion and additional lesions not exceeding 3 cm in diameter
2. all brain metastases localized within cerebrum or cerebellum
3. before surgical resection for brain metastasis, PS is 0-2, or 3 by cerebral nerve compression neurological deficits
4. surgical resection for the largest brain metastases has achieved
5. after surgical resection, four or fewer (0-4) residual lesions with maximum diameter under 3 cm
6. histologically proven non-small cell carcinoma, breast cancer or colorectal cancer
7. primary lesion and the other metastases (i.e. lung, liver, bone metastases except for brain) is consider to be controlled
8. an age of 20-79 years
9. no prior surgery or irradiation for brain
10. adequate organ function
11. written informed consent(If signing in consent form is difficult for the patient due to paralysis, signing by the family in place of the patient is permitted)

Exclusion Criteria

1. synchronous or metachronous (within 5 years) malignancy other than carcinoma in situ or mucosal cancer
2. pregnant or breast-feeding women
3. severe mental disease
4. allergic to gadolinium contained contrast agents
Minimum Eligible Age

20 Years

Maximum Eligible Age

79 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Ministry of Health, Labour and Welfare, Japan

OTHER_GOV

Sponsor Role collaborator

Haruhiko Fukuda

OTHER

Sponsor Role lead

Responsible Party

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Haruhiko Fukuda

JCOG Data Center

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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Takamasa Kayama, MD, PhD

Role: STUDY_CHAIR

Yamagata University Faculty of Medicine

Locations

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Nagoya University School of Medicine

Nagoya,Showa-ku,Tsurumai-cho,65, Aichi-ken, Japan

Site Status

Chiba University, Graduate School of Medicine

Chiba,Chuo-ku,Inohana,1-8-1, Chiba, Japan

Site Status

Ehime University Hospital

Shitsukawa,Toon, Ehime, Japan

Site Status

Kyushu University Hospital

Higashi-ku,Maidashi,3-1-1, Fukuoka, Japan

Site Status

Hokkaido University Hospital

North-14 West-5 Kita-ku,Sapporo, Hokkaido, Japan

Site Status

Nakamura Memorial Hospital

South-1,West-14,Chuou-ku,Sapporo, Hokkaido, Japan

Site Status

Iwate Medical University

Morioka,Uchimaru,19-1, Iwate, Japan

Site Status

St.Marianna University School of Medicine

Kawasaki,Miyamae-ku,Sugao,2-16-1, Kanagawa, Japan

Site Status

Kumamoto University Medical School

Kumamoto,Honjo,1-1-1, Kumamoto, Japan

Site Status

Kyoto University Hospital

Kyoto,Sakyo-ku,Syogoinkawara,54, Kyoto, Japan

Site Status

Tohoku University Hospital

Sendai,Aoba-ku,Seiryo-machi,1-1, Miyagi, Japan

Site Status

Niigata University Medical and Dental Hospital

Niigata,Asahimachi-dori,1-754, Niigata, Japan

Site Status

Saitama Medical School Hospital

Iruma-gun,Moroyama-machi,Morohongo,38, Saitama, Japan

Site Status

The University of Tokyo Hospital

Bunkyo-ku,Hongo,7-3-1, Tokyo, Japan

Site Status

National Cancer Center Hospital

Chuo-ku,Tsukiji,5-1-1, Tokyo, Japan

Site Status

Teikyo University School of Medicine

Itabashi-ku,Kaga,2-11-1, Tokyo, Japan

Site Status

Kyorin University School of Medicine

Mitaka,Shinkawa,6-20-2, Tokyo, Japan

Site Status

Tokyo Women's Medical University

Shinjuku-ku,Kawada-cho,8-1, Tokyo, Japan

Site Status

Keio University Hospital

Shinjuku-ku,Shinanomachi,35, Tokyo, Japan

Site Status

Yamagata University Faculty of Medicine

Yamagata City,Iida-nishi, 2-2-2, Yamagata, Japan

Site Status

University of Yamanashi Faculty of Medicine

Nakakoma,Tamaho,Shimokato,1110, Yamanashi, Japan

Site Status

Countries

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Japan

References

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Simeoli C, Di Paola N, Stigliano A, Lardo P, Kearney T, Mezosi E, Ghigo E, Giordano R, Mariash CN, Donegan DM, Feelders RA, Hand AL, Araque KA, Moraitis AG, Pivonello R. Relacorilant or surgery improved hemostatic markers in Cushing syndrome. J Endocrinol Invest. 2025 Mar;48(3):671-680. doi: 10.1007/s40618-024-02468-2. Epub 2024 Sep 21.

Reference Type DERIVED
PMID: 39305441 (View on PubMed)

Related Links

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Other Identifiers

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C000000307

Identifier Type: REGISTRY

Identifier Source: secondary_id

JCOG0504

Identifier Type: -

Identifier Source: org_study_id

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