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CompletedNCT00031967Updated Oct 22, 2020

Melatonin and Radiation Therapy in Treating Patients With Brain Metastases

A Phase 2 interventional study of therapeutic melatonin and radiation therapy in Metastatic Cancer, Radiation Toxicity and Unspecified Adult Solid Tumor, Protocol Specific, sponsored by Radiation Therapy Oncology Group. Completed at 234 sites in 2 countries. Open to participants aged 0 Years to 120 Years. Per ClinicalTrials.gov, last updated 2020-10-22.

Sponsored by Radiation Therapy Oncology Group · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Allocation
Randomized
Ages
0 Years to 120 Years
Sex
All
01

Study summary

RATIONALE: Radiation therapy uses high-energy x-rays to damage tumor cells. Drugs such as melatonin may make tumor cells more sensitive to radiation therapy and may protect normal cells from the side effects of radiation therapy.

PURPOSE: Randomized phase II trial to determine the effectiveness of combining melatonin with radiation therapy in treating patients who have brain metastases.

Read the detailed description

OBJECTIVES:

  • Determine the effect of melatonin, used as radiosensitization/radioprotection, on overall survival and clinical deterioration in patients with brain metastases who are undergoing radiotherapy.

OUTLINE: This is a randomized, multicenter study. Patients are stratified according to planned chemotherapy after whole brain irradiation (yes vs no). Patients are randomized to 1 of 2 treatment arms.

  • Arm I: Patients undergo whole brain irradiation once daily 5 days a week for 2 weeks. Patients receive oral melatonin once daily every morning.
  • Arm II: Patients undergo whole brain irradiation as in arm I. Patients receive oral melatonin once daily every evening.

All patients continue on melatonin for 6 months in the absence of disease progression or unacceptable toxicity.

Patients are followed at months 6 and 12 from start of radiotherapy and then every 6 months thereafter.

PROJECTED ACCRUAL: A total of 128 patients (64 per treatment arm) will be accrued for this study within 5 months.

02

Conditions studied

  • Metastatic Cancer
  • Radiation Toxicity
  • Unspecified Adult Solid Tumor, Protocol Specific

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Keywords

  • unspecified adult solid tumor, protocol specific
  • tumors metastatic to brain
  • radiation toxicity
03

In context

Brain Neoplasms

1,959 studies on the registry are indexed under Brain Neoplasms; 515 are open to participants now.

Browse Brain Neoplasms studies →

Lead sponsor

Radiation Therapy Oncology Group is the lead sponsor of 154 studies on the registry; none are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
0 Years to 120 Years
Sexes eligible
All
Accepts healthy volunteers
No

Eligibility criteria

DISEASE CHARACTERISTICS:

  • Histologically confirmed solid tumor with brain metastasis

    • No germ cell tumors
  • RPA class II with any of the following:

    • At least 65 years of age
    • Extracranial metastases
    • Uncontrolled primary malignancy
  • Ineligible for or unwilling to participate in alternative RTOG stereotactic radiosurgery studies

PATIENT CHARACTERISTICS:

Age:

  • See Disease Characteristics

Performance status:

  • Zubrod 0-1

Life expectancy:

  • Not specified

Hematopoietic:

  • Not specified

Hepatic:

  • Not specified

Renal:

  • Not specified

Other:

  • Able to swallow pills
  • Not pregnant
  • Fertile patients must use effective contraception

PRIOR CONCURRENT THERAPY:

Biologic therapy:

  • Not specified

Chemotherapy:

  • More than 30 days since prior chemotherapy
  • Concurrent chemotherapy after whole brain irradiation allowed

Endocrine therapy:

  • Not specified

Radiotherapy:

  • See Disease Characteristics
  • No prior radiotherapy to the brain

Surgery:

  • Not specified
05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized

Interventions

  • Drugtherapeutic melatonin
  • Radiationradiation therapy
06

Study locations

234 sites
  • University of Alabama at Birmingham Comprehensive Cancer Center
    Birmingham, Alabama 35294-3300, United States
  • Comprehensive Cancer Institute of Huntsville
    Huntsville, Alabama 35801, United States
  • MBCCOP - Gulf Coast
    Mobile, Alabama 36688, United States
  • Alabama Oncology, LLC
    Montgomery, Alabama 36106-3657, United States
  • DCH Cancer Treatment Center
    Tuscaloosa, Alabama 35401, United States
  • Foundation for Cancer Research and Education
    Phoenix, Arizona 85013, United States
  • Mount Diablo Medical Center
    Concord, California 94524-4110, United States
  • City of Hope Comprehensive Cancer Center
    Duarte, California 91010-3000, United States
  • Saint Agnes Cancer Center
    Fresno, California 93720, United States
  • California Cancer Center
    Fresno, California 93729-5100, United States
  • Sutter Health West Cancer Research Group
    Greenbrae, California 94904, United States
  • Loma Linda University Medical Center
    Loma Linda, California 92354, United States
  • Veterans Affairs Medical Center - Long Beach
    Long Beach, California 90822, United States
  • Jonsson Comprehensive Cancer Center, UCLA
    Los Angeles, California 90025-1781, United States
  • USC/Norris Comprehensive Cancer Center and Hospital
    Los Angeles, California 90033-0804, United States
  • CCOP - Bay Area Tumor Institute
    Oakland, California 94609-3305, United States
  • Huntington Cancer Center
    Pasadena, California 91105, United States
  • Robert and Beverly Lewis Family Cancer Care Center
    Pomona, California 91767, United States
  • Radiation Oncology Center - Sacramento
    Sacramento, California 95816, United States
  • Radiation Medical Group, Incorporated
    San Diego, California 92101, United States
  • UCSF Comprehensive Cancer Center
    San Francisco, California 94143-0128, United States
  • O'Connor Hospital
    San Jose, California 95128, United States
  • CCOP - Santa Rosa Memorial Hospital
    Santa Rosa, California 95403, United States
  • David Grant Medical Center
    Travis Air Force Base, California 94535, United States
  • Memorial Hospital Cancer Center
    Colorado Springs, Colorado 80909, United States
  • University of Colorado Cancer Center
    Denver, Colorado 80010, United States
  • Saint Mary's Hospital and Medical Center
    Grand Junction, Colorado 81502-1628, United States
  • Hospital of St. Raphael
    New Haven, Connecticut 06511, United States
  • CCOP - Christiana Care Health Services
    Newark, Delaware 19713, United States
  • University of Florida Health Science Center
    Gainesville, Florida 32610-0385, United States
  • Florida Radiation Oncology Group
    Jacksonville, Florida 32207, United States
  • Health First Holmes Regional Medical Center
    Melbourne, Florida 32901-3276, United States
  • CCOP - Mount Sinai Medical Center
    Miami Beach, Florida 33140, United States
  • Veterans Affairs Medical Center - Miami
    Miami, Florida 33125, United States
  • Sylvester Cancer Center, University of Miami
    Miami, Florida 33136, United States
  • Baptist Hospital of Miami
    Miami, Florida 33256-2110, United States
  • MD Anderson Cancer Center Orlando
    Orlando, Florida 32806-2134, United States
  • Bay Medical Center
    Panama City, Florida 32401, United States
  • Gulf Coast Cancer Treatment Center
    Panama City, Florida 32405-4587, United States
  • Sarasota Radiation and Medical Oncology Center
    Sarasota, Florida 34233, United States
  • Tallahassee Memorial Healthcare
    Tallahassee, Florida 32308, United States
  • H. Lee Moffitt Cancer Center and Research Institute
    Tampa, Florida 33612-9497, United States
  • Emory University Hospital - Atlanta
    Atlanta, Georgia 30322, United States
  • CCOP - Atlanta Regional
    Atlanta, Georgia 30342-1701, United States
  • Medical Center/John B. Amos Community Cancer Center
    Columbus, Georgia 31901, United States
  • Regional Radiation Oncology Center at Rome
    Rome, Georgia 30165, United States
  • MBCCOP - Hawaii
    Honolulu, Hawaii 96813, United States
  • Northwest Community Hospital
    Arlington Heights, Illinois 60005, United States
  • Northwestern Memorial Hospital
    Chicago, Illinois 60611, United States
  • CCOP - Central Illinois
    Decatur, Illinois 62526, United States
  • Ingalls Memorial Hospital
    Harvey, Illinois 60426, United States
  • Loyola University Medical Center
    Maywood, Illinois 60153, United States
  • Lutheran General Cancer Care Center
    Park Ridge, Illinois 60068, United States
  • Methodist Medical Center of Illinois
    Peoria, Illinois 61636, United States
  • St. John's Medical Center
    Anderson, Indiana 46016, United States
  • Bloomington Hospital
    Bloomington, Indiana 47402, United States
  • Veterans Affairs Medical Center - Indianapolis (Roudebush)
    Indianapolis, Indiana 46202, United States
  • Clarian Health Partners Inc.
    Indianapolis, Indiana 46206-1367, United States
  • Regional Cancer Center
    Indianapolis, Indiana 46219, United States
  • Ball Memorial Hospital
    Muncie, Indiana 47303-3499, United States
  • CCOP - Northern Indiana CR Consortium
    South Bend, Indiana 46601, United States
  • Wendt Regional Cancer Center of Finley Hospital
    Dubuque, Iowa 52001, United States
  • Central Baptist Hospital
    Lexington, Kentucky 40503, United States
  • Albert B. Chandler Medical Center, University of Kentucky
    Lexington, Kentucky 40536-0084, United States
  • James Graham Brown Cancer Center
    Louisville, Kentucky 40202, United States
  • Louisville Radiation Oncology
    Louisville, Kentucky 40215, United States
  • Merle M. Mahr Cancer Center
    Madisonville, Kentucky 42431, United States
  • Mary Bird Perkins Cancer Center
    Baton Rouge, Louisiana 70809, United States
  • Tulane University School of Medicine
    New Orleans, Louisiana 70112-2699, United States
  • MBCCOP - LSU Medical Center
    New Orleans, Louisiana 70112, United States
  • CCOP - Ochsner
    New Orleans, Louisiana 70121, United States
  • Maine Medical Center
    Portland, Maine 04102, United States
  • Anne Arundel Oncology Center
    Annapolis, Maryland 21401, United States
  • Marlene and Stewart Greenebaum Cancer Center, University of Maryland
    Baltimore, Maryland 21201, United States
  • Greater Baltimore Medical Center and Cancer Center
    Baltimore, Maryland 21204, United States
  • Harbor Hospital Center
    Baltimore, Maryland 21215-1290, United States
  • Sinai Hospital of Baltimore
    Baltimore, Maryland 21215, United States
  • Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins
    Baltimore, Maryland 21231-2410, United States
  • Peninsula Regional Medical Center
    Salisbury, Maryland 21801, United States
  • Dana-Farber Cancer Institute
    Boston, Massachusetts 02115, United States
  • Cape Cod Hospital
    Hyannis, Massachusetts 02601, United States
  • Veterans Affairs Medical Center - Boston (Jamaica Plain)
    Jamaica Plain, Massachusetts 02130, United States
  • CCOP - Ann Arbor Regional
    Ann Arbor, Michigan 48106, United States
  • University of Michigan Comprehensive Cancer Center
    Ann Arbor, Michigan 48109-0752, United States
  • Barbara Ann Karmanos Cancer Institute
    Detroit, Michigan 48201-1379, United States
  • Henry Ford Hospital
    Detroit, Michigan 48202, United States
  • Hurley Medical Center
    Flint, Michigan 48503, United States
  • McLaren Regional Cancer Center
    Flint, Michigan 48532-3685, United States
  • CCOP - Kalamazoo
    Kalamazoo, Michigan 49007-3731, United States
  • Marquette General Hospital
    Marquette, Michigan 49855, United States
  • MidMichigan Medical Center - Midland
    Midland, Michigan 48670, United States
  • CCOP - Beaumont
    Royal Oak, Michigan 48073-6769, United States
  • William Beaumont Hospital
    Royal Oak, Michigan 48073, United States
  • William Beaumont Hospital - Troy
    Troy, Michigan 48098, United States
  • Mayo Clinic Cancer Center
    Rochester, Minnesota 55905, United States
  • CCOP - Metro-Minnesota
    Saint Louis Park, Minnesota 55416, United States
  • Ellis Fischel Cancer Center - Columbia
    Columbia, Missouri 65203, United States
  • CCOP - Kansas City
    Kansas City, Missouri 64131, United States
  • Mallinckrodt Institute of Radiology
    Saint Louis, Missouri 63108, United States
  • St. Louis University Health Sciences Center
    Saint Louis, Missouri 63110-0250, United States

Showing the first 100 of 234 sites across 2 countries.

07

References and documents

Publications

  • Berk L, Berkey B, Rich T, Hrushesky W, Blask D, Gallagher M, Kudrimoti M, McGarry RC, Suh J, Mehta M. Randomized phase II trial of high-dose melatonin and radiation therapy for RPA class 2 patients with brain metastases (RTOG 0119). Int J Radiat Oncol Biol Phys. 2007 Jul 1;68(3):852-7. doi: 10.1016/j.ijrobp.2007.01.012. Epub 2007 Apr 6. PubMed 17418968 ↗
  • Berk L, Seiferheld W, Rich T, et al.: RTOG BR-0119: Chronobiological study of the addition of melatonin to radiotherapy for brain metastases. [Abstract] Neuro-Oncology 6 (4): RT-01, 359, 2004.
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Oct 22, 2020, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT00031967
Lead sponsor
Radiation Therapy Oncology Group
Collaborators
National Cancer Institute (NCI)
Responsible party
Sponsor
First posted
Jan 27, 2003
Start date
May 2002
Primary completion
Mar 2004
Last update
Oct 22, 2020

Study contacts

Lawrence B. Berk, MD, PhD
study chair · Newark Radiation Oncology

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Nov 2013. You cannot join it, but the record below documents what was studied.

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