Status:

RECRUITING

Efficacy of the Association of Fractionated SRS and Subsequent Surgery in Patients With Brain Metastases

Lead Sponsor:

Regina Elena Cancer Institute

Conditions:

Brain Metastases

Eligibility:

All Genders

18+ years

Phase:

NA

Brief Summary

In this study, the possibility of performing a preoperative neoadjuvant radiotherapy dose of 27 Gy fractionated in 3 sessions is explored, to maximize the biological effect of the treatment, in patien...

Detailed Description

The treatment of potentially resectable brain metastases in association with preoperative fractionated stereotactic radiotherapy (FSRT) involves the administration of radiation therapy to an intact le...

Eligibility Criteria

Inclusion

  • patients with single metastatic brain lesions with a diameter of ≥ 3 cm symptomatic / asymptomatic or with symptomatic brain lesions ≥ 2 cm \< 3 cm that are surgically resectable, without or in the presence of max 3 small synchronous lesions amenable to radiosurgery treatment;
  • no urgent surgical indication for neurological symptoms or worsening intracranial hypertension;
  • age ≥ 18 years;
  • performance status according to the Eastern Cooperative Oncology Group (ECOG) scales ≤ 2;
  • Karnfosky Performance Status ≥ 60;
  • life expectancy greater than 3 months;
  • patients assessed as suitable for surgery (ASA score ≤ 3) and in the absence of contraindications to undergoing brain MRI examination without and with contrast medium;
  • ability to understand and willingness to sign a written informed consent document.

Exclusion

  • contraindications to radiotherapy treatment;
  • pregnancy;
  • inability to follow the procedures, to fill out the questionnaires;

Key Trial Info

Start Date :

September 26 2024

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

September 26 2029

Estimated Enrollment :

98 Patients enrolled

Trial Details

Trial ID

NCT06992973

Start Date

September 26 2024

End Date

September 26 2029

Last Update

May 28 2025

Active Locations (1)

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1

"Regina Elena" National Cancer Institute

Rome, Italy, 00144