NCT00003563

Brief Summary

RATIONALE: Radiation therapy uses high-energy x-rays to damage tumor cells. Gadolinium texaphyrin may increase the effectiveness of radiation therapy by making tumor cells more sensitive to radiation. It is not yet known whether giving gadolinium texaphyrin with radiation therapy is more effective than radiation therapy alone in treating brain metastases. PURPOSE: Randomized phase III trial to compare the effectiveness of radiation therapy with or without gadolinium texaphyrin in treating patients who have brain metastases.

Trial Health

90
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
430

participants targeted

Target at P50-P75 for phase_3

Timeline
Completed

Started Aug 1998

Longer than P75 for phase_3

Geographic Reach
2 countries

35 active sites

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

August 1, 1998

Completed
1.3 years until next milestone

First Submitted

Initial submission to the registry

November 1, 1999

Completed
1.8 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

September 1, 2001

Completed
2.7 years until next milestone

First Posted

Study publicly available on registry

April 30, 2004

Completed
1.1 years until next milestone

Study Completion

Last participant's last visit for all outcomes

June 1, 2005

Completed
Last Updated

October 31, 2013

Status Verified

June 1, 2008

Enrollment Period

3.1 years

First QC Date

November 1, 1999

Last Update Submit

October 29, 2013

Conditions

Keywords

tumors metastatic to brain

Study Arms (2)

WBRT

EXPERIMENTAL

3 Gy of WBRT daily for a total of 10 days

Radiation: WBRT

MGd

EXPERIMENTAL

IV does of 5.0 mg/kg MGd plus WBRT

Radiation: WBRTDrug: MGd

Interventions

WBRTRADIATION

3 GY of WBRT daily for a total of 10 days

MGdWBRT
MGdDRUG

5.0 mg /kg MGd plus WBRT

Also known as: MGd plus WBRT
MGd

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)
DISEASE CHARACTERISTICS: Histologically proven solid tumor with parenchymal brain metastasis Solitary metastasis eligible only if refused surgery or surgical resection deemed inappropriate No leptomeningeal metastases or subarachnoid spread of tumor No small cell lung cancer, germ cell tumors, lymphoma, or leukemia No liver metastases, unless from breast cancer No more than 1 site of extracranial metastases (multiple bone or lung metastases count as one site), unless from breast cancer Hormone receptor status: Not specified PATIENT CHARACTERISTICS: Age: 18 and over Menopausal status: Not specified Performance status: Karnofsky 70-100% Life expectancy: Not specified Hematopoietic: Absolute neutrophil count at least 1,500/mm3 Platelet count at least 50,000/mm3 Hepatic: Bilirubin no greater than 2 times upper limit of normal (ULN) AST and ALT no greater than 2 times ULN Renal: Creatinine no greater than 2.0 mg/mL Other: No history of porphyria No history of G6PD deficiency HIV negative No other major medical illnesses No major psychiatric impairment Not pregnant or nursing Negative pregnancy test PRIOR CONCURRENT THERAPY: Biologic therapy: Not specified Chemotherapy: No chemotherapy during and for 2 weeks after gadolinium texaphyrin therapy Endocrine therapy: Concurrent hormonal therapy allowed Radiotherapy: No prior cranial radiation, including prior stereotactic radiosurgery No plan for radiosurgery or radiation boost following whole brain radiotherapy Concurrent radiotherapy allowed to other sites, except kidneys and liver Surgery: No prior subtotal or total resection of brain metastases (except biopsies)

Contact the study team to discuss eligibility requirements. They can help determine if this study is right for you.

Sponsors & Collaborators

Study Sites (35)

Marin Oncology Associates, Inc.

Greenbrae, California, 94904, United States

Location

Kaiser Permanente Medical Group

Los Angeles, California, 90027, United States

Location

Jonsson Comprehensive Cancer Center, UCLA

Los Angeles, California, 90095-1781, United States

Location

Beckman Research Institute, City of Hope

Los Angeles, California, 91010, United States

Location

Radiation Oncology Center - Sacramento

Sacramento, California, 95816, United States

Location

University of Colorado Cancer Center

Denver, Colorado, 80262, United States

Location

Charlotte County Radiation Therapy Regional Center

Port Charlotte, Florida, 33952, United States

Location

Emory Clinic

Atlanta, Georgia, 30365, United States

Location

Indiana University Cancer Center

Indianapolis, Indiana, 46202-5265, United States

Location

Hematology and Oncology Services - Metairie

Metairie, Louisiana, 70006, United States

Location

Massachusetts General Hospital Cancer Center

Boston, Massachusetts, 02114, United States

Location

Barbara Ann Karmanos Cancer Institute

Detroit, Michigan, 48201, United States

Location

Harper Hospital and Wayne State University

Detroit, Michigan, 48201, United States

Location

Veterans Affairs Medical Center - Minneapolis

Minneapolis, Minnesota, 55417, United States

Location

North Memorial Research Center

Minneapolis, Minnesota, 55442-2900, United States

Location

Cancer Institute of New Jersey

New Brunswick, New Jersey, 08901, United States

Location

New Mexico Oncology-Hematology

Albuquerque, New Mexico, 87102, United States

Location

Memorial Sloan-Kettering Cancer Center

New York, New York, 10021, United States

Location

Barrett Cancer Center, The University Hospital

Cincinnati, Ohio, 45219, United States

Location

Cleveland Clinic Taussig Cancer Center

Cleveland, Ohio, 44195, United States

Location

Abington Hematology Oncology Associates

Meadowbrook, Pennsylvania, 18974, United States

Location

Kimmel Cancer Center of Thomas Jefferson University - Philadelphia

Philadelphia, Pennsylvania, 19107, United States

Location

Presbyterian-University Hospital

Pittsburgh, Pennsylvania, 15213, United States

Location

Mercy Hospital Cancer Center - Scranton

Scranton, Pennsylvania, 18501, United States

Location

Thompson Cancer Survival Center

Knoxville, Tennessee, 37916, United States

Location

Vanderbilt Cancer Center

Nashville, Tennessee, 37232-6838, United States

Location

University of Texas - MD Anderson Cancer Center

Houston, Texas, 77030-4009, United States

Location

Scott and White Memorial Hospital

Temple, Texas, 76508, United States

Location

Virginia Mason Medical Center

Seattle, Washington, 98111, United States

Location

University of Wisconsin Comprehensive Cancer Center

Madison, Wisconsin, 53792, United States

Location

Medical College of Wisconsin

Milwaukee, Wisconsin, 53226, United States

Location

Cross Cancer Institute

Edmonton, Alberta, T6G 1Z2, Canada

Location

Cancer Care Ontario-Hamilton Regional Cancer Centre

Hamilton, Ontario, L8V 5C2, Canada

Location

Princess Margaret Hospital

Toronto, Ontario, M5G 2M9, Canada

Location

Montreal General Hospital

Montreal, Quebec, H3G 1A4, Canada

Location

Related Publications (2)

  • Li J, Bentzen SM, Li J, Renschler M, Mehta MP. Relationship between neurocognitive function and quality of life after whole-brain radiotherapy in patients with brain metastasis. Int J Radiat Oncol Biol Phys. 2008 May 1;71(1):64-70. doi: 10.1016/j.ijrobp.2007.09.059.

  • Li J, Bentzen SM, Renschler M, Mehta MP. Regression after whole-brain radiation therapy for brain metastases correlates with survival and improved neurocognitive function. J Clin Oncol. 2007 Apr 1;25(10):1260-6. doi: 10.1200/JCO.2006.09.2536.

MeSH Terms

Conditions

Neoplasm MetastasisBrain Neoplasms

Condition Hierarchy (Ancestors)

Neoplastic ProcessesNeoplasmsPathologic ProcessesPathological Conditions, Signs and SymptomsCentral Nervous System NeoplasmsNervous System NeoplasmsNeoplasms by SiteBrain DiseasesCentral Nervous System DiseasesNervous System Diseases

Study Officials

  • Markus Renschler, MD

    Pharmacyclics LLC.

    STUDY CHAIR

Study Design

Study Type
interventional
Phase
phase 3
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
FACTORIAL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

November 1, 1999

First Posted

April 30, 2004

Study Start

August 1, 1998

Primary Completion

September 1, 2001

Study Completion

June 1, 2005

Last Updated

October 31, 2013

Record last verified: 2008-06

Locations