Status:
COMPLETED
Pre-operative Stereotactic Radiosurgery Followed by Resection for Patients With Brain Metastases
Lead Sponsor:
Indiana University
Conditions:
Brain Metastases
Eligibility:
All Genders
18+ years
Phase:
NA
Brief Summary
This is a prospective, single arm, phase II trial to determine the local control at 6 months utilizing pre-operative stereotactic radiosurgery followed by surgery within 1 - 4 days in subjects with a ...
Detailed Description
Primary Objective To evaluate 6 month in-brain local control utilizing pre-operative stereotactic radiosurgery followed by surgical resection for brain metastases. Secondary Objectives * Overall sur...
Eligibility Criteria
Inclusion
- Inclusion Criteria
- Radiographically confirmed solid tumor brain metastases
- Criteria for surgical resection of at least one metastasis per neurosurgeon discretion
- A diagnostic MRI Brain or CT Head demonstrating the presence of 1-4 solid tumor brain metastases and lesion to be resected no more than 5 cm in any direction, performed within 30 days prior to stereotactic radiosurgery. If multiple lesions are present, then the total brain metastases volume can be no more than 30 cm3 excluding the lesion to be resected.
- For known primary included in brainmetgpa.com, an estimated median survival no less than 6 months per brainmetgpa.com
- For unknown primary or known primary not included within brainmetgpa.com, an estimated median survival no less than 6 months per PI discretion Note: If patient's estimated median survival is calculated using a histology that is different than the histology demonstrated in final pathology, the patient may remain eligible for all study endpoints per PI discretion
- Surgical candidate per neurosurgeon discretion
- Surgical resection able to be performed within 1 - 4 days after radiosurgery
- Stereotactic radiosurgery candidate per radiation oncologist
- ≥ 18 years old at the time of informed consent
- Ability to provide written informed consent and HIPAA authorization. This will be assessed by the consenting physician using general questions to determine the patient's ability to understand the medical problem, proposed treatment, alternatives to proposed treatment, and understand the consequences of the medical choices.
- Platelet count \> 100 k/cumm, Hgb \> 7.5 gm/dL, INR \< 1.3, ANC \> 1.5 k/cumm
- Patients currently on cytotoxic chemotherapy or immunotherapy are eligible, not including anti-VEGF therapy
- If a patient who meets all stated eligibility criteria is enrolled on study and then discovered to be ineligible, the tissue obtained will still be deemed eligible to remain in study for evaluation.
- Exclusion Criteria
- Patients who received anti-VEGF therapy within 6 weeks prior to enrollment, as there is increased risk of fatal brain hemorrhage with surgical resection
- Major medical illnesses or psychiatric impairments, which in the investigator's opinion will prevent administration or completion of the protocol therapy and/or interfere with follow-up
- Patients with more than 4 brain metastases on MRI Brain or CT Head
- Lesion to be resected is more than 5 cm
- Total volume of metastatic disease more than 30 cm3 excluding lesion to be resected
- Patients with leptomeningeal metastases documented by MRI or CSF evaluation
- Previous whole brain radiation therapy
- Previous radiation therapy to lesion to be resected
- Planned adjuvant focal therapy including additional radiation therapy to the brain
- Not a surgical candidate per neurosurgeon's discretion
- Not a radiosurgical candidate per radiation oncologist's discretion
- Surgery unable to be performed between 1 - 4 days after radiosurgery
- Women who are pregnant or nursing are not eligible as treatment involves unforeseeable risks to the fetus or child
Exclusion
Key Trial Info
Start Date :
March 26 2018
Trial Type :
INTERVENTIONAL
Allocation :
ACTUAL
End Date :
May 21 2024
Estimated Enrollment :
50 Patients enrolled
Trial Details
Trial ID
NCT03398694
Start Date
March 26 2018
End Date
May 21 2024
Last Update
July 16 2024
Active Locations (3)
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1
Indiana University Health Hospital
Indianapolis, Indiana, United States, 46202
2
Indiana University Health Methodist Hospital
Indianapolis, Indiana, United States, 46202
3
Indiana University Melvin and Bren Simon Comprehensive Cancer Center
Indianapolis, Indiana, United States, 46202