RecruitingPhase 3NCT03697343

Fractionated Stereotactic Radiotherapy vs. Single Session Radiosurgery in Patients With Larger Brain Metastases

Efficacy and Safety of Fractionated Stereotactic Radiotherapy (FSRT) in Comparison to Single Session Radiosurgery in Patients With Larger Brain Metastases (2-4 cm)


Sponsor

University of Erlangen-Nürnberg Medical School

Enrollment

382 participants

Start Date

May 18, 2021

Study Type

INTERVENTIONAL

Conditions

Summary

Phase III trial comparing local control and side effects after fractionated stereotactic radiotherapy and single session radiosurgery in patients with larger brain metastases (2-4 cm)


Eligibility

Min Age: 18 Years

Inclusion Criteria6

  • Age \> 18 years, no upper age limit
  • Karnofsky Performance Score \> 50 points
  • Expected Survival \> 3 months
  • cerebral metastases of metastatic solid cancer
  • Indication for local radiotherapy
  • Patients must be able to understand the protocol and provide informed consent

Exclusion Criteria10

  • Whole Brain radiotherapy no longer than 6 weeks before the start of stereotactic radiotherapy or planned whole brain radiotherapy after stereotactic radiotherapy
  • Prior irradiation of the cerebral metastasis that is to be treated in the study
  • Relevant overlap of prior radiation fields with the metastasis that is to be treated in the study
  • Metastasis in the brainstem
  • Contraindication for cerebral MRI
  • Metastasis that is to be treated in the study can't be visualized in contrast-enhanced T1 MRI sequence
  • Pregnant or lactating women
  • Abuse of illicit drugs, alcohol or medication
  • Patient not able or willing to behave according to protocol
  • Participation in another clinical trial

Interventions

RADIATIONRadiosurgery

Radiosurgery with 1 x 18 Gy (2-3 cm) or 1 x 15 Gy (3-4 cm)

RADIATIONFractionated stereotactic radiotherapy

Fractionated stereotactic radiotherapy with 12 x 4 Gy and 2 mm


Locations(13)

Klinik für Strahlentherapie und Radioonkologie Stuttgart

Stuttgart, Baden-Wurttemberg, Germany

Klinik für Strahlentherapie Bayreuth

Bayreuth, Bavaria, Germany

Strahlentherapie Coburg

Coburg, Bavaria, Germany

Radio-Log Strahlentherapie Hof

Hof, Bavaria, Germany

Strahlentherapie Süd Kempten

Kempten (Allgäu), Bavaria, Germany

Klinik und Poliklinik für RadioOnkologie und Strahlentherapie München (TUM)

München, Bavaria, Germany

Klinik und Poliklinik für Strahlentherapie Regensburg

Regensburg, Bavaria, Germany

Klinik für Strahlentherapie und Radioonkologie

Bonn, North Rhine-Westphalia, Germany

Klink und Praxis für Radioonkologie Chemnitz

Chemnitz, Saxony, Germany

Universitätsklinik und Poliklinik für Strahlentherapie Halle

Halle, Saxony-Anhalt, Germany

Klinik für Strahlentherapie und Radioonkologie Universitätsklinikum Jena

Jena, Thuringia, Germany

Klinik für Radioonkologie und Strahlentherapie Charité Berlin

Berlin, Germany

Erlangen, Universitätsklinikum Strahlenklinik

Erlangen, Germany

View Full Details on ClinicalTrials.gov

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NCT03697343