Actively Recruiting

Phase 2
Age: 18Years +
All Genders
NCT05222620

SRS Compared With FSRS for Treatment of Intact Metastatic Brain Disease, FRACTIONATE Trial

Led by Mayo Clinic · Updated on 2026-04-13

90

Participants Needed

7

Research Sites

309 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

This phase II trial compares the effect of single fraction stereotactic radiosurgery to fractionated stereotactic radiosurgery for the treatment of patients with cancer that has spread to the brain (metastatic brain disease). Stereotactic radiosurgery (SRS) is a form of radiation therapy that focuses high-power energy on a small area of the body. This trial is being done to determine if single (one) fraction stereotactic radiosurgery is better than fractionated stereotactic radiosurgery or vice versa in controlling tumor and side effects in patients with tumors that have spread to the brain.

CONDITIONS

Official Title

SRS Compared With FSRS for Treatment of Intact Metastatic Brain Disease, FRACTIONATE Trial

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Age �3B 18 years old
  • Presence of presumed brain metastases from an extra-cerebral tumor site (e.g. lung, breast, prostate, etc.)
  • At least one intact metastasis not previously treated with radiosurgery measuring �3B 2.0 cm and �3C 4.0 cm on contrast MRI obtained within 28 days prior to registration
  • Able to undergo contrast enhanced MRI brain
  • Negative urine or serum pregnancy test within 7 days prior to registration for women of childbearing potential
  • Willing and able to provide written informed consent or have a legally Authorized Representative provide consent
  • Karnofsky performance status (KPS) �3B= 50
  • Eastern Cooperative Oncology Group (ECOG) performance score (PS) �3B= 2
  • Past radiosurgery or resection allowed if no progression in those locations
  • Repeat radiosurgery to the same lesion is not allowed
Not Eligible

You will not qualify if you...

  • Any patient who has received previous whole brain radiation
  • Any brain metastasis located in the brainstem measuring �3B 2.0 cm
  • Definitive evidence of leptomeningeal metastasis (LMD) by clinical diagnosis, CSF cytology, or radiologic evidence
  • Intact brain metastasis measuring greater than 4.0 cm

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Trial Site Locations

Total: 7 locations

1

Mayo Clinic in Arizona

Scottsdale, Arizona, United States, 85259

Actively Recruiting

2

Mayo Clinic in Florida

Jacksonville, Florida, United States, 32224

Actively Recruiting

3

Mayo Clinic Health System in Albert Lea

Albert Lea, Minnesota, United States, 56007

Not Yet Recruiting

4

Mayo Clinic Health Systems-Mankato

Mankato, Minnesota, United States, 56001

Actively Recruiting

5

Mayo Clinic in Rochester

Rochester, Minnesota, United States, 55905

Actively Recruiting

6

Mayo Clinic Health System-Eau Claire Clinic

Eau Claire, Wisconsin, United States, 54701

Actively Recruiting

7

Mayo Clinic Health System-Franciscan Healthcare

La Crosse, Wisconsin, United States, 54601

Actively Recruiting

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Research Team

C

Clinical Trials Referral Office

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

2

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