Study of Resection Combined With Stereotactic Radiosurgery for 1 to 3 Brain Metastases
Pilot Study of Resection Combined With Stereotactic Radiosurgery in Patients With Limited (1-3) Brain Metastases
2 other identifiers
observational
25
1 country
1
Brief Summary
This study is to look more closely at the tumor removed during your surgery, and to follow your condition after your treatment. The purpose of this study is to determine what side effects are common or more rare from this treatment, how well the treatment has worked for you, and to track whether you develop other brain metastases.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for all trials
Started Jan 2009
Longer than P75 for all trials
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
January 14, 2009
CompletedFirst Submitted
Initial submission to the registry
May 15, 2009
CompletedFirst Posted
Study publicly available on registry
May 19, 2009
CompletedPrimary Completion
Last participant's last visit for primary outcome
March 28, 2022
CompletedStudy Completion
Last participant's last visit for all outcomes
March 28, 2022
CompletedMay 9, 2022
May 1, 2022
13.2 years
May 15, 2009
May 5, 2022
Conditions
Keywords
Outcome Measures
Primary Outcomes (2)
Determine toxicity of treatment with cranial SRS and resection
During treatment and long term follow-up
Determine the local control of the treated lesion(s), distant brain control and overall patient survival.
During treatment and long term follow-up
Secondary Outcomes (1)
Tissue from the resected brain metastases will be evaluated with immunohistochemistry and/or comparative genomic hybridization to assess for potential markers for clinical outcome as well as potential markers of radiation response.
Following surgical resection
Study Arms (1)
Novalis Shaped Beam Surgery
Patients with limited brain metastases (mostly solitary brain metastasis) treated with Novalis Shaped Beam Surgery followed by planned craniotomy and resection of the metastases.
Interventions
Eligibility Criteria
Patients treated at the University of Rochester Medical Center
You may qualify if:
- Patients must have a previously histopathologically proven diagnosis of malignancy.
- Patients must be evaluated by Neurosurgery and Radiation Oncology
- Patients must have 1-3 brain metastases seen on MRI or CT imaging. At least one brain metastases must be considered resectable by craniotomy as determined by the treating neurosurgeon. Brain lesion resection must be considered standard of care. A not uncommon situation is for a patient to undergo resection of a solitary metastasis, but prove to have more lesions on subsequent MRIs (perhaps too small to be seen on a pre-operative MRI). These patients will be eligible if the total number of lesions is 1-3.
- All lesions must be treatable by SRS as determined by the treating neurosurgeon and radiation oncologist.
- All lesions must be \<4 cm in greatest dimension. For patients with more than 1 brain metastases, only 1 lesion can exceed 3 cm in greatest dimension.
- In patients treated to the post-op surgical cavity, this cavity must be encompassed by a CTV of \<5 cm.
- Patients must have a Karnofsky performance status ≥60.
- Extracranial disease must not be considered imminently life threatening (\<2 month anticipated survival from extracranial disease).
- Patients must be informed of the investigational nature of this study and must sign and give written informed consent in accordance with institutional and federal guidelines.
You may not qualify if:
- KPS\<60
- life expectancy \> 2 months
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Department of Radiation Oncology, University of Rochester Medical Center
Rochester, New York, 14642, United States
Biospecimen
brain tissue
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Michael Milano, MD PhD
Department of Radiation Oncology, University of Rochester Medical Center
Study Design
- Study Type
- observational
- Observational Model
- CASE ONLY
- Time Perspective
- PROSPECTIVE
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Associate Professor
Study Record Dates
First Submitted
May 15, 2009
First Posted
May 19, 2009
Study Start
January 14, 2009
Primary Completion
March 28, 2022
Study Completion
March 28, 2022
Last Updated
May 9, 2022
Record last verified: 2022-05
Data Sharing
- IPD Sharing
- Will not share