Stereotactic Radiotherapy of Resection Cavity For Single Brain Metastasis Versus Whole-Brain Radiotherapy After Resection

NCT ID: NCT01535209

Last Updated: 2012-02-17

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

UNKNOWN

Clinical Phase

PHASE3

Total Enrollment

100 participants

Study Classification

INTERVENTIONAL

Study Start Date

2012-01-31

Study Completion Date

2014-12-31

Brief Summary

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Adjuvant whole-brain radiation therapy (WBRT) after resection of single brain metastasis is considered as a standard associated with side effects leading to decreased neurocognitive function. The Investigators addressed the question whether stereotactic radiotherapy of the resection cavity impairs neurological status and/or cognitive functions in compare to adjuvant WBRT.

Detailed Description

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Patients with surgically removed single brain metastasis are randomly allocated to control or experimental arm. Before treatment the MRC Neurological Status Scale is used for assessing neurological status, the EORTC QLQ-C30 and QLQ-BN20 for quality of life and Mini-Mental State Examination to assess cognitive functioning. The control group receive 30Gy in 10 fractions of 3Gy over 12 days to the whole brain. The patients in the experimental arm are treated with stereotactic radiotherapy to the resection cavity. The dose to the tumor bed is 15-18Gy in one fraction or 25Gy in 5 fractions. The study hypothesis is that the difference in the 5-months failure free survival rate isn't higher than 25% in experimental arm compared to control arm.

Conditions

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Brain Metastases

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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SBRT to resection cavity

18Gy in 1 fraction for resection cavity \<2cm in maximum diameter, 15Gy in 1 fraction for resection cavity 2.1-3cm in maximum diameter, 15Gy in 1 fraction or 25 Gy in 5 fractions over 5 days for resection cavity 3.1-4cm in maximum diameter, 25 Gy in 5 fractions over 5 days for resection cavity \>4cm in maximum diameter

Group Type EXPERIMENTAL

stereotactic body radiotherapy (SBRT)

Intervention Type RADIATION

18Gy in 1 fraction for resection cavity \<2cm in maximum diameter, 15Gy in 1 fraction for resection cavity 2.1-3cm in maximum diameter, 15Gy in 1 fraction or 25 Gy in 5 fractions over 5 days for resection cavity 3.1-4cm in maximum diameter, 25 Gy in 5 fractions over 5 days for resection cavity \>4cm in maximum diameter

WBRT

30Gy in 10 fractions over 12 days to whole brain

Group Type ACTIVE_COMPARATOR

Whole-Brain Radiotherapy (WBRT)

Intervention Type RADIATION

10 x 3 Gy to whole brain

Interventions

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stereotactic body radiotherapy (SBRT)

18Gy in 1 fraction for resection cavity \<2cm in maximum diameter, 15Gy in 1 fraction for resection cavity 2.1-3cm in maximum diameter, 15Gy in 1 fraction or 25 Gy in 5 fractions over 5 days for resection cavity 3.1-4cm in maximum diameter, 25 Gy in 5 fractions over 5 days for resection cavity \>4cm in maximum diameter

Intervention Type RADIATION

Whole-Brain Radiotherapy (WBRT)

10 x 3 Gy to whole brain

Intervention Type RADIATION

Other Intervention Names

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stereotactic body radiotherapy whole brain irradiation adjuvant cranial irradiation

Eligibility Criteria

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Inclusion Criteria

* Patients with surgically removed histologically proven metastatic cancer
* Subtotal or total resection of single brain metastasis
* Presence of single brain metastasis in MRI
* Karnofsky Performance Status ≥ 70
* Life expectancy \> 6 months (minimal extracranial disease or availability of effective oncology treatment)
* No previous history of cranial irradiation
* Availability of MRI
* Starting radiotherapy within six weeks after neurosurgery
* Negative pregnancy test for woman
* Written informed consent

Exclusion Criteria

* Dementia and central nervous system diseases leading to higher risk of radiation toxicity
* Contraindications for MRI and/or no patient's tolerance and acceptance of cranial MRI
* Altered level of consciousness
* Histologically proven metastatic small cell lung cancer
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Lower Silesian Oncology Center

UNKNOWN

Sponsor Role collaborator

Copernicus Memorial Hospital

OTHER

Sponsor Role collaborator

Prof. Franciszek Lukaszczyk Memorial Oncology Center

OTHER

Sponsor Role collaborator

Maria Sklodowska-Curie National Research Institute of Oncology

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Lucyna Kepka, Prof.

Role: PRINCIPAL_INVESTIGATOR

M.Sklodowska-Curie Memorial Cancer Centre, Warsaw, Poland

Locations

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M.Sklodowska-Curie Memorial Cancer Centre

Warsaw, , Poland

Site Status RECRUITING

Countries

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Poland

Central Contacts

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Wojciech Michalski, M.S.

Role: CONTACT

+48226433909

Facility Contacts

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Lucyna Kepka, Prof.

Role: primary

+48226439287

Other Identifiers

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CAVITY

Identifier Type: -

Identifier Source: org_study_id

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