Actively Recruiting

Phase 2
Age: 18Years +
All Genders
NCT07132190

Stereotactic Radiation for Growing/Changing Brain Metastases With Same-Day Radiation Planning and Treatment With Margin Reduction

Led by Ayal A. Aizer, MD · Updated on 2026-03-19

60

Participants Needed

1

Research Sites

191 weeks

Total Duration

On this page

Sponsors

A

Ayal A. Aizer, MD

Lead Sponsor

V

Varian, a Siemens Healthineers Company

Collaborating Sponsor

AI-Summary

What this Trial Is About

The goal of this study is to evaluate the feasibility and effectiveness of same-day radiation planning and treatment. The study will shorten the time interval between radiation planning (radiation mapping) and radiation treatment. The intent of this shorter time interval is to increase the likelihood that the brain metastases being treated remain fully within the high-dose radiation fields. Participants will be randomized to receive brain-directed stereotactic radiation with a 1mm margin or 0mm margin, have their simulation/radiation planning imaging on the same day that brain-directed stereotactic radiation is delivered, and have repeat simulation/radiation planning scans during the course of treatment if more than 2-3 days have elapsed since the most recent scans.

CONDITIONS

Official Title

Stereotactic Radiation for Growing/Changing Brain Metastases With Same-Day Radiation Planning and Treatment With Margin Reduction

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Participants must have a biopsy confirmed solid cancer with at least one brain metastasis that shows growth of 1.0mm per week or more on recent MRIs, or is close to edema, a recent surgical cavity, or another source of displacement
  • Age at least 18 years
  • Karnofsky performance status of at least 60
  • Estimated survival of at least 3 to 6 months according to the enrolling clinician
  • Ability and willingness to provide written informed consent by paper or approved electronic methods
Not Eligible

You will not qualify if you...

  • Inability to tolerate a brain MRI
  • Inability to receive gadolinium contrast
  • End stage renal disease
  • Widespread definitive leptomeningeal disease
  • Pregnant women or breastfeeding women

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

Brigham and Women's Hospital / Dana-Farber Cancer Institute

Boston, Massachusetts, United States, 02115

Actively Recruiting

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Research Team

A

Ayal A Aizer, MD, MHS

CONTACT

I

Ivy B Ricca, BA

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

QUADRUPLE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

2

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