Status:

RECRUITING

Adjuvant Hypofractionated Stereotactic Radiosurgery for Intermediate-risk Meningioma

Lead Sponsor:

University of California, San Francisco

Collaborating Sponsors:

American Society of Clinical Oncology

Conditions:

Meningioma

Meningioma, Malignant

Eligibility:

All Genders

18+ years

Phase:

NA

Brief Summary

This clinical trial tests the safety and effectiveness of hypofractionated stereotactic radiosurgery for treating patients who have undergone surgical resection for grade II meningiomas or grade I men...

Detailed Description

PRIMARY OBJECTIVE: I. To evaluate the safety of adjuvant hypofractionated stereotactic radiosurgery after gross total resection of intermediate risk meningioma. SECONDARY OBJECTIVES: I. To report t...

Eligibility Criteria

Inclusion

  • Age \>+ 18 years at time of study entry
  • Ability to understand and the willingness to sign a written informed consent document.
  • Histologic diagnosis of newly diagnosed World Health Organization (WHO) grade 2 or recurrent WHO grade 1 meningioma. With regard to recurrent WHO grade 1 meningioma, participants must present with radiographic evidence of recurrence, and have a histologic diagnosis of WHO grade 1 meningioma at the most recent resection.
  • \* Note: For participants diagnosed outside of University of California San Francisco (UCSF), re-review of pathology at UCSF is strongly encouraged. Hematoxylin and eosin (H\&E) slides will be reviewed by UCSF pathologists.
  • Participants must have undergone a gross-total surgical resection as deemed by their neurosurgeon (Simpson grade I-III resection), using all available information which can include post-operative MRI, of a meningioma within 180 days of enrollment.
  • Participants must have a pre-operative MRI.
  • Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1 (Karnofsky score of 70 or higher)
  • Participants must have post-operative MRI indicating anatomy suitable for hypofractionated radiosurgery, as reviewed by the Radiation Oncology co-principal investigators (PIs).

Exclusion

  • Concurrent participation in another clinical study with an investigational product unless it is an observational (non-interventional) study or the follow-up period of an interventional study.
  • Extensive multifocal (3 or more meningiomas) or metastatic disease.
  • Participants with tumors within 2mm of the optic apparatus or brainstem will be excluded.
  • Participants with another active primary malignancy or history of previous malignancy (except non-melanoma skin cancers, low and favourable-intermediate risk prostate cancers, and in situ cancers such as bladder, gastric, colon, cervical/dysplasia, or breast) are excluded unless a complete remission was achieved at least 2 years prior to study entry and no additional therapy is required or anticipated to be required during the study period.
  • Female participants who are pregnant.
  • Any underlying medical or psychiatric condition that, in the opinion of the investigator, would interfere with evaluation of study treatment or interpretation of participant safety or study results.
  • Participants with uncontrolled seizures, defined as greater than 3 disabling seizures per day while on anti-epileptic drugs.
  • Participants who have had previous intracranial radiotherapy overlapping with the area that would be targeted for stereotactic radiosurgery by this study.

Key Trial Info

Start Date :

December 13 2024

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

September 30 2029

Estimated Enrollment :

23 Patients enrolled

Trial Details

Trial ID

NCT06557512

Start Date

December 13 2024

End Date

September 30 2029

Last Update

January 8 2025

Active Locations (1)

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Page 1 of 1 (1 locations)

1

University of California, San Francisco

San Francisco, California, United States, 94143