Actively Recruiting

Phase Not Applicable
Age: 18Years +
All Genders
NCT07044557

MeDex: No Perioperative Dexamethasone in Brain Metastases

Led by University of Louisville · Updated on 2026-05-11

35

Participants Needed

1

Research Sites

74 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

Perioperative treatment of newly diagnosed cancer patients with brain metastasis without dexamethasone (Dex).

CONDITIONS

Official Title

MeDex: No Perioperative Dexamethasone in Brain Metastases

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • New brain tumor(s) detected on imaging
  • Suspicious or confirmed visceral mass(es) for cancer
  • Patients with suspicious lung mass and no prior diagnosis must have lung biopsy before brain metastasis surgery
  • No contraindications for brain surgery (craniotomy)
  • Age 18 years or older
  • ECOG performance status of 2 or less (ambulatory more than 50% of waking hours)
  • Midline brain shift on MRI 10 mm or less
  • Planned craniotomy to remove more than 75% of the enhancing tumor mass (surgeon's judgment)
Not Eligible

You will not qualify if you...

  • Presence of brain metastases not suitable for removal that are larger than 2 cm each
  • More than 4 brain metastases not suitable for removal that are larger than 2 cm each
  • Prior treatment with laser interstitial thermal therapy (LITT)
  • High suspicion of primary CNS lymphoma
  • Diagnosis of small cell lung carcinoma
  • Any prior use of dexamethasone
  • Steroid use within the past month
  • Medical condition requiring steroid treatment
  • Stage 4 chronic kidney disease (glomerular filtration rate less than 30)
  • Pregnant or breastfeeding

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Trial Site Locations

Total: 1 location

1

University of Louisville Hospital

Louisville, Kentucky, United States, 40202

Actively Recruiting

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Research Team

A

A Mistry, MD

CONTACT

M

M Kaufman, BSN

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

NA

Model

SINGLE_GROUP

Primary Purpose

OTHER

Number of Arms

1

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