Status:

SUSPENDED

Supportive Care With or Without Repeated Whole Brain Radiotherapy in Patients With Recurrent Brain Metastases

Lead Sponsor:

University Hospital Heidelberg

Conditions:

Brain Metastases

Eligibility:

All Genders

18+ years

Phase:

NA

Brief Summary

Patients with solid cancers may develop cerebral metastases, requiring whole brain radiotherapy (WBRT). Furthermore, in several cases, a secondary course of WBRT might be required due to intracerebral...

Detailed Description

According to Nussbaum et al., 24-45% of cancer patients develop cerebral metastases during their disease. Brain metastases are generally associated with a poor prognosis and high morbidity2. Published...

Eligibility Criteria

Inclusion

  • histologically confirmed malignancy
  • previous WBRT or prophylactic whole brain irradiation (PCI)
  • MR- or CT-imaging confirmed recurrent cerebral metastases (\>10)
  • Or: MR- or CT-imaging confirmed recurrent cerebral metastases (1-10) and inability to perform SRS or surgery (e.g. meningeal carcinomatosis), concluded by interdisciplinary conference
  • age ≥ 18 years
  • Time between initial WBRT/PCI and recurrent WBRT \>3 months
  • WHO performance score ≤3
  • For women with childbearing potential, (and men) adequate contraception.
  • Ability of subject to understand character and individual consequences of the clinical trial
  • Written informed consent (must be available before enrolment in the trial)

Exclusion

  • • refusal to take part in the study
  • Pregnant or lactating women
  • Participation in another competing clinical study or observation period of competing trials, respectively
  • Ability to perform SRS or surgery on brain metastases as a treatment alternative
  • Systemic anticancer treatment \<4 weeks for chemotherapy and \<1 week for TKIs and targeted therapies before randomisation.
  • Persons who are in a relationship of dependence/employment with the investigators
  • Cerebral lymphomas, metastases of germ cell tumours

Key Trial Info

Start Date :

July 1 2019

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

July 1 2025

Estimated Enrollment :

40 Patients enrolled

Trial Details

Trial ID

NCT04084431

Start Date

July 1 2019

End Date

July 1 2025

Last Update

January 5 2024

Active Locations (1)

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1

University Hospital

Heidelberg, Germany, 69120