Stereotactic Radiation Therapy in Treating Patients With Brain Metastases

NCT ID: NCT00983359

Last Updated: 2017-06-06

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

40 participants

Study Classification

INTERVENTIONAL

Study Start Date

2007-04-30

Study Completion Date

2012-08-31

Brief Summary

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RATIONALE: Stereotactic radiation therapy may be able to send x-rays directly to the tumor and cause less damage to normal tissue.

PURPOSE: This phase II trial is study how well stereotactic radiation therapy works in treating patients with brain metastases

Detailed Description

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OBJECTIVES:

Primary

* To determine the neurological death rate following the initiation of conformal stereotactic radiotherapy in patients with 1-3 brain metastases.

Secondary

* To determine the overall survival rate at 6 months.
* To determine the progression-free survival rate or brain metastases recurrence rate at 6 months.
* To determine the time to neurological death, time to systemic death, and Karnofsky decay time.
* To determine the frequency and severity of adverse events associated with conformal stereotactic radiotherapy.

OUTLINE: Patients undergo conformal stereotactic radiotherapy over 5 days to an area including 3 mm around the metastases or the surgical cavity. Patients may receive additional radiotherapy if symptomatic metastases emerge at different sites.

After completion of study treatment, patients are followed up at 1 and 2 months and then every 3 months thereafter.

Conditions

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Metastatic Cancer Unspecified Adult Solid Tumor, Protocol Specific

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Treatment (conformal stereotactic radiation therapy)

Patients undergo conformal stereotatic radiation

Group Type EXPERIMENTAL

Radiation Therapy

Intervention Type RADIATION

Patients undergo conformal stereotatic radiation therapy QD (every day) over 5 days.

Interventions

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Radiation Therapy

Patients undergo conformal stereotatic radiation therapy QD (every day) over 5 days.

Intervention Type RADIATION

Other Intervention Names

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Radiation

Eligibility Criteria

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Inclusion Criteria

* Histology-confirmed cancer with 1 to 3 symptomatic brain metastases imaged by MRI/CT scans.
* Have cancer not originating in central nervous system (CNS)
* Karnofsky score of at least 60
* Given written consent
* At least 18 years of age

Exclusion Criteria

* Prior whole brain radiotherapy or prior focal radiotherapy of the metastasis/es considered for this trial.
* Certain radiosensitive primary tumors such as small cell lung cancer, germ cell tumors, lymphoma, leukemia or multiple myeloma.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Ohio State University Comprehensive Cancer Center

OTHER

Sponsor Role lead

Responsible Party

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Mario Ammirati

Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Mario Ammirati, MD

Role: PRINCIPAL_INVESTIGATOR

Ohio State University Comprehensive Cancer Center

Locations

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Arthur G. James Cancer Hospital and Richard J. Solove Research Institute at Ohio State University Comprehensive Cancer Center

Columbus, Ohio, United States

Site Status

Countries

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United States

References

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Ammirati M, Kshettry VR, Lamki T, Wei L, Grecula JC. A prospective phase II trial of fractionated stereotactic intensity modulated radiotherapy with or without surgery in the treatment of patients with 1 to 3 newly diagnosed symptomatic brain metastases. Neurosurgery. 2014 Jun;74(6):586-94; discussion 594. doi: 10.1227/NEU.0000000000000325.

Reference Type RESULT
PMID: 24589560 (View on PubMed)

Related Links

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Other Identifiers

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NCI-2011-03139

Identifier Type: REGISTRY

Identifier Source: secondary_id

OSU-06138

Identifier Type: -

Identifier Source: org_study_id

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