Fractionated Stereotactic Radiotherapy vs. Single Session Radiosurgery in Patients With Larger Brain Metastases

NCT ID: NCT03697343

Last Updated: 2022-12-13

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

RECRUITING

Clinical Phase

PHASE3

Total Enrollment

382 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-05-18

Study Completion Date

2026-05-31

Brief Summary

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Phase III trial comparing local control and side effects after fractionated stereotactic radiotherapy and single session radiosurgery in patients with larger brain metastases (2-4 cm)

Detailed Description

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This is a prospective, multicenter randomized trial comparing local control and side effects after fractionated stereotactic radiotherapy with 12 x 4 Gy and single session radiosurgery according to RTOG 9005 in patients with larger brain metastases (2-4 cm). Patients will be randomized to either fractionated stereotactic radiotherapy with 12 x 4 Gy or radiosurgery with 1 x 18 Gy (2-3 cm) or 1 x 15 Gy (3-4 cm) as defined by the RTOG 9005. Randomization will be stratified by metastasis volume and histology.

Conditions

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Cerebral Metastases of Solid Cancers

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Prospective, multicenter, Open-Label, randomized
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Radiosurgery with 1 x 18 Gy (2-3 cm) or 1 x 15 Gy (3-4 cm) and

Radiosurgery with 1 x 18 Gy (2-3 cm) or 1 x 15 Gy (3-4 cm) and no margin as defined by the RTOG 9005

Group Type OTHER

Radiosurgery

Intervention Type RADIATION

Radiosurgery with 1 x 18 Gy (2-3 cm) or 1 x 15 Gy (3-4 cm)

Fractionated stereotactic radiotherapy with 12 x 4 Gy and 2 mm

Fractionated stereotactic radiotherapy with 12 x 4 Gy and 2 mm margin

Group Type OTHER

Fractionated stereotactic radiotherapy

Intervention Type RADIATION

Fractionated stereotactic radiotherapy with 12 x 4 Gy and 2 mm

Interventions

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Radiosurgery

Radiosurgery with 1 x 18 Gy (2-3 cm) or 1 x 15 Gy (3-4 cm)

Intervention Type RADIATION

Fractionated stereotactic radiotherapy

Fractionated stereotactic radiotherapy with 12 x 4 Gy and 2 mm

Intervention Type RADIATION

Eligibility Criteria

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Inclusion Criteria

* Age \> 18 years, no upper age limit
* Karnofsky Performance Score \> 50 points
* Expected Survival \> 3 months
* 1-10 cerebral metastases of metastatic solid cancer
* Indication for local radiotherapy
* Patients must be able to understand the protocol and provide informed consent

Exclusion Criteria

* Whole Brain radiotherapy no longer than 6 weeks before the start of stereotactic radiotherapy or planned whole brain radiotherapy after stereotactic radiotherapy
* Prior irradiation of the cerebral metastasis that is to be treated in the study
* Relevant overlap of prior radiation fields with the metastasis that is to be treated in the study
* Metastasis in the brainstem
* Contraindication for cerebral MRI
* Metastasis that is to be treated in the study can't be visualized in contrast-enhanced T1 MRI sequence
* Pregnant or lactating women
* Abuse of illicit drugs, alcohol or medication
* Patient not able or willing to behave according to protocol
* Participation in another clinical trial
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University of Erlangen-Nürnberg Medical School

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Rainer Fietkau, Prof.

Role: PRINCIPAL_INVESTIGATOR

Universitätsklinikum Erlangen, Strahlenklinik

Florian Putz, PD Dr.med.

Role: PRINCIPAL_INVESTIGATOR

Universitätsklinikum Erlangen, Strahlenklinik

Locations

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Klinik für Strahlentherapie und Radioonkologie Stuttgart

Stuttgart, Baden-Wurttemberg, Germany

Site Status RECRUITING

Klinik für Strahlentherapie Bayreuth

Bayreuth, Bavaria, Germany

Site Status RECRUITING

Strahlentherapie Coburg

Coburg, Bavaria, Germany

Site Status RECRUITING

Radio-Log Strahlentherapie Hof

Hof, Bavaria, Germany

Site Status RECRUITING

Strahlentherapie Süd Kempten

Kempten (Allgäu), Bavaria, Germany

Site Status RECRUITING

Klinik und Poliklinik für RadioOnkologie und Strahlentherapie München (TUM)

München, Bavaria, Germany

Site Status RECRUITING

Klinik und Poliklinik für Strahlentherapie Regensburg

Regensburg, Bavaria, Germany

Site Status RECRUITING

Klinik für Strahlentherapie und Radioonkologie

Bonn, North Rhine-Westphalia, Germany

Site Status RECRUITING

Klink und Praxis für Radioonkologie Chemnitz

Chemnitz, Saxony, Germany

Site Status RECRUITING

Universitätsklinik und Poliklinik für Strahlentherapie Halle

Halle, Saxony-Anhalt, Germany

Site Status RECRUITING

Klinik für Strahlentherapie und Radioonkologie Universitätsklinikum Jena

Jena, Thuringia, Germany

Site Status RECRUITING

Klinik für Radioonkologie und Strahlentherapie Charité Berlin

Berlin, , Germany

Site Status RECRUITING

Erlangen, Universitätsklinikum Strahlenklinik

Erlangen, , Germany

Site Status RECRUITING

Countries

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Germany

Central Contacts

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Florian Putz, PD Dr. med.

Role: CONTACT

Phone: ++49(0)9131-85-33405

Email: [email protected]

Facility Contacts

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Marc Münter, Prof. Dr.

Role: primary

Ludwig Keilholz, Prof. Dr.

Role: primary

Gerhard Grabenbauer, Prof. Dr.

Role: primary

Christoph Straube, PD Dr.

Role: primary

Sterzing, Prof. Dr.

Role: primary

Denise Bernhardt, PD Dr.

Role: primary

Oliver Kölbl, Prof. Dr.

Role: primary

Christopher Schmeel, PD Dr.

Role: primary

Gunther Klautke, PD Dr. med.

Role: primary

Christian Dietzel, Dr. med.

Role: primary

Andrea Wittig, Prof. Dr.

Role: primary

Felix Ehret, Dr. med.

Role: primary

Rainer Fietkau, Prof.

Role: primary

Other Identifiers

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FSRT-Trial

Identifier Type: -

Identifier Source: org_study_id