Status:

RECRUITING

Observation or Upfront Cranial RT in Oncogene Mutated NSCLC With Asymptomatic BM: A Phase III RCT

Lead Sponsor:

Tata Memorial Hospital

Conditions:

Asymptomatic Brain Metastases

Driver Mutation Positive Non-small Cell Lung Cancer

Eligibility:

All Genders

18-99 years

Phase:

PHASE3

Brief Summary

Tyrosine Kinase Inhibitors (TKIs) especially higher generation TKI have higher CNS penetration rates and have shown favorable response rates in brain metastases. Brain radiotherapy/surgery is the stan...

Eligibility Criteria

Inclusion

  • Age ≥ 18 years
  • Patients with ECOG performance status of 0-2
  • Patients with pathologically proven diagnosis of NSCLC
  • Patients with positive oncogene mutation status (EGFR/ALK)
  • Patients with radiologically confirmed parenchymal brain metastases
  • Patients with asymptomatic Synchronous or Metachronous brain metastases
  • Patients willing for written informed consent and must be willing to comply with the specified follow-up schedule

Exclusion

  • Patients with CSF dissemination only without any parenchymal brain metastases
  • Patients with brain metastases in the brain stem
  • Patients with prior history of radiation therapy to the brain
  • Patient not suitable for TKI therapy as per the medical oncologist
  • Pregnant or lactating females

Key Trial Info

Start Date :

November 10 2020

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

December 1 2026

Estimated Enrollment :

190 Patients enrolled

Trial Details

Trial ID

NCT05236946

Start Date

November 10 2020

End Date

December 1 2026

Last Update

September 10 2025

Active Locations (1)

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Tata Memorial Hospital

Mumbai, Maharashtra, India, 400012