Preoperative Radiotherapy: Resection of brain mestases following
Intraoperative Radiation: While Resection
Postoperative Radiotherapy: After resection
Study summary
Patients suffering from malignancies in advanced stages often develop brain metastases, which limit both the life span and the quality of life.
Combining surgery and radiotherapy for resectable brain metastases is standard of care but there is a lot of controversy on which kind of radiotherapy is best suitable. Recently, first volumetric in-silico analyses point to theoretical advantages of neoadjuvant stereotactic radiotherapy of brain metastases. Special about this trial is the direct comparison between the three currently discussed radiotherapy options for resectable brain metastases: Neoadjuvant stereotactic radiotherapy, intraoperative radiotherapy and adjuvant stereotactic radiotherapy.
Eligibility
Sex
ALL
Min age
18 Years
Max age
—
Healthy volunteers
No
Inclusion Criteria:
* Histologically confirmed solid malignancy
* Metastatic brain disease (1-10 brain metastases), with at least one brain metastasis in a non-eloquent location (i.e. motor or speech) planned for resection
* Maximum size of the brain metastasis \<5cm
* Eligibility of patients for both stereotactic radiotherapy and resection
* Time interval from resection to adjuvant stereotactic radiosurgery of 2-6 weeks
* Time interval from neoadjuvant stereotactic radiosurgery to resection of 1-7 days
* Possibility to postpone resection for neoadjuvant stereotactic radiosurgery, if applicable
* Karnofsky performance scores \>= 70 or Eastern Cooperative Oncology Group (ECOG) \>= 2 at enrollment
* Age ≥ 18 years of age
* For women with childbearing potential, (and men) adequate contraception.
* Ability of subject to understand character and individual consequences of the clinical trial
* Written informed consent (must be available before enrolment in the trial)
Exclusion Criteria:
Necessity of immediate surgical resection due to life threatening symptoms
* brain metastasis directly located (≤10mm) next to the optic system or brain stem
* Refusal of the patients to take part in the study
* Small-cell lung cancer (SCLC) or hematologic malignancy as primary malignant illness
* Leptomeningeal disease suspected RadCav Trial Protocol Version 1.1, 01.07.2022 18
* Previous radiotherapy of the brain
* Contraindication for contrast-enhanced MRI
* Pregnant or lactating women
* Participation in another competing clinical study or observation period of competing trials, respectively
Primary outcome measure(s)
Assessment of treatment response — through study completion, an avarage of 60 month number of patients without progresion according to RANO-BM
local tumor control — through study completion, an avarage of 60 month events of tumor progression or recurrence in the area of 1cm surrounding the resection cavity and surrounding the surgical access
Trial sites (1)
Facility
City
Region
Status
Department of Radiotherapy, University of Heidelberg
Heidelberg
Germany
More University Hospital Heidelberg trials in Germany
This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.
We use cookies to analyse site traffic and improve your experience. With your consent, we may also use cookies for advertising. You can change your choice at any time.