Stereotactic Radiosurgery and Fractionated Whole-Brain Radiotherapy for Multiple Primary or Metastatic Brain Tumors
irradiation
+ radiosurgery
Brain Diseases+11
+ Central Nervous System Diseases
+ Congenital, Hereditary, and Neonatal Diseases and Abnormalities
Treatment Study
Summary
Study start date: November 1, 1994
Actual date on which the first participant was enrolled.PROTOCOL OUTLINE: This is a randomized study. Tumor size and number are confirmed prior to randomization. Patients are stratified by participating institution. Patients are randomly assigned to 1 of 2 treatment groups. One group is treated with fractionated whole-brain irradiation using megavoltage equipment. The second group receives stereotactic radiosurgery plus fractionated whole-brain radiotherapy. Stereotactic radiosurgery involves irradiation of all tumors to the margins on stereotactic computerized tomography or magnetic resonance imaging. Either treatment may be administered first; the second treatment begins within 1 month of the first. Concurrent anticonvulsants and steroids are allowed. Patients are followed for change in size and number of tumors at 1, 3, and 6 months; follow-up clinical exams are performed at least every 2 months.
Protocol
This section provides details of the study plan, including how the study is designed and what the study is measuring.40 patients to be enrolled
Total number of participants that the clinical trial aims to recruit.Treatment Study
Eligibility
Researchers look for people who fit a certain description, called eligibility criteria: person's general health condition or prior treatments.Any sex
Biological sex of participants that are eligible to enroll.Healthy volunteers not allowed
If individuals who are healthy and do not have the condition being studied can participate.Conditions
Pathology
Criteria
Multiple newly diagnosed brain tumors Histologic confirmation of carcinoma at primary or metastatic site Tumors less than 25 mm mean diameter and more than 5 mm from optic chiasm No more than 4 tumors on magnetic resonance imaging Systemic disease controlled Neurologic function preserved Radiographic staging within 2 months of randomization required Performance status: Karnofsky 70%-100%