CClinicalTrials.gg
Status unknownNCT01503827WBRTMelUpdated Jan 7, 2021

Whole Brain Radiotherapy Following Local Treatment of Intracranial Metastases of Melanoma

An interventional study of WBRT in Metastatic Melanoma, sponsored by Melanoma and Skin Cancer Trials Limited. Status unknown at 23 sites in 3 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2021-01-07.

Sponsored by Melanoma and Skin Cancer Trials Limited · Not applicable, Interventional, and Treatment

The sponsor has not verified this record recently (last verified Jan 2021), so the status shown — last known as Active, not recruiting — may be out of date.
Phase
Not applicable
Study type
Interventional
Enrollment
220
Allocation
Randomized
Ages
18 Years and older
Sex
All
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Study summary

People with brain metastases from melanoma are offered different treatment options after local treatment of their brain metastases via surgery or stereotactic irradiation. Depending on the treating institution and the clinician involved a patient may or may not be offered whole brain radiotherapy (WBRT) after their brain metastases are excised or treated with stereotactic irradiation. This trial seeks to determine if WBRT reduces the spread of brain metastases and lengthens the time to recurrence. The trial also examines the effect of WBRT on quality of life and brain functions such as memory, speech and concentration. Participants will be randomised after local treatment of their brain metastases to either WBRT or observation. 220 people will be recruited from sites in Australia, Norway, the UK, the US and other international sites.

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Conditions studied

  • Metastatic Melanoma

Keywords

  • Whole Brain Radiotherapy
  • Brain metastases
  • Melanoma
  • Stage IV Metastatic Melanoma
  • Neurocognitive function
  • Quality of life
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In context

Melanoma

3,006 studies on the registry are indexed under Melanoma; 520 are open to participants now.

This study's planned enrollment of 220 is above the median of 38 across 2,351 interventional studies indexed under Melanoma.

Browse Melanoma studies →

Lead sponsor

Melanoma and Skin Cancer Trials Limited is the lead sponsor of 15 studies on the registry; 3 are open to participants now.

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

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Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • 1-3 intracranial metastases on MRI from melanoma, locally treated with either surgical excision and/or stereotactic irradiation.
  • Life expectancy of at least 6 months
  • Aged 18 years or older
  • WBRT must begin within 8 weeks of completion of localised treatment and within 4 weeks of randomisation
  • Able to have an MRI brain scan with contrast. Estimated Glomerular Filtrate Rate (eGFR) is adequate at the discretion of the radiologist and capable of having gadolinium-containing contrast medium for MRI as per practice guidelines
  • Complete localised treatment of all these metastases no more than 6 weeks prior to randomisation
  • An Eastern Cooperative Oncology Group (ECOG) performance status of 2 or less at randomisation
  • CT scan of chest, abdomen and pelvis as a minimum prior to randomisation. Scans must be within 12 weeks of randomisation
  • Serum Lactate Dehydrogenase (LDH) must be = or \< 2 x upper limit of normal
  • Able to provide written informed consent

Exclusion criteria

Exclusion Criteria:

  • Any untreated intracranial disease
  • Any previous intracranial treatment (surgical excision and/or stereotactic irradiation treatment and/or WBRT) prior to this diagnosis of intracranial melanoma
  • Evidence of leptomeningeal disease on pre-local treatment MRI scan
  • Patients with prior cancers, except:

    • Those diagnosed more than five years ago with no evidence of disease recurrence within this time;
    • Successfully treated basal cell and squamous cell skin carcinoma;
    • Carcinoma in-situ of the cervix
  • A medical or psychiatric condition that compromises ability to give informed consent or complete the protocol
  • Positive urine pregnancy test for women of childbearing potential within a week of registration onto the trial
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Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
220 participants (estimated)

Study arms

  • Experimental
    WBRT

    Patients will receive WBRT after local treatment. A minimum of 30 Gy in 10 fractions given as one fraction per day within 4 weeks of randomisation

    Radiation: WBRT

  • No intervention
    Observation

    No Intervention

Interventions

  • RadiationWBRT

    A minimum of 30 Gy in 10 fractions given as one fraction per day within 4 weeks of randomisation

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What researchers measure

Primary outcomes

  1. Proportion of patients with distant intracranial failure as determined by magnetic resonance imaging (MRI) assessment

    Time frame: 12 months post randomisation

Secondary outcomes

  1. Time to intracranial failure (local, distant and overall) as determined by MRI

    Time frame: Post randomisation to intracranial failure

  2. Quality of life as measured by EORTC QLQ-C30 and BN-20

    Time frame: At baseline and every 2 months post randomisation

  3. Neurocognitive function as measured by Hopkins Verbal Learning Test, Controlled Oral Word Association Test, Trail Making Test Part A & B, Stroop - Colour and Word Test and Digit Span (Forwards and Backwards).

    Time frame: At baseline and every 2 months post randomisation

  4. Overall survival

    Time frame: Post randomisation to death from any cause

  5. Performance status as measured by ECOG

    Time frame: At baseline and every 2 months post randomisation

  6. Incremental cost effectiveness ratio (ICER)

    Time frame: At 12 months from randomisation

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Study locations

23 sites
  • St Vincent's Hospital
    Darlinghurst, New South Wales 2010, Australia
  • Calvary Mater Hospital
    Newcastle, New South Wales 2310, Australia
  • Genesis Cancer Care - Gateshead
    Newcastle, New South Wales, Australia
  • Melanoma Institute Australia / Royal Prince Alfred Hospital
    North Sydney, New South Wales 2060, Australia
  • Nepean Hospital
    Penrith, New South Wales 2751, Australia
  • Westmead Hospital
    Westmead, New South Wales, Australia
  • Darwin Hospital, NT Radiation Oncology
    Darwin, Northern Territory, Australia
  • Royal Brisbane and Women's Hospital
    Herston, Queensland 4029, Australia
  • Radiation Oncology Services - Mater Centre
    South Brisbane, Queensland 4101, Australia
  • Townsville Hospital
    Townsville, Queensland 4812, Australia
  • Genesis Cancer Care - Tugun
    Tugun, Queensland 4224, Australia
  • Princess Alexandra Hospital
    Woolloongabba, Queensland 4102, Australia
  • Royal Adelaide Hospital
    Adelaide, South Australia 5000, Australia
  • Royal Hobart Hospital
    Hobart, Tasmania 7000, Australia
  • Peter MacCallum Cancer Centre
    East Melbourne, Victoria 8006, Australia
  • Alfred Hospital
    Melbourne, Victoria 3004, Australia
  • Sir Charles Gairdner Hospital
    Nedlands, Western Australia 6009, Australia
  • The Norwegian Radium Hospital
    Oslo, 0310, Norway
  • Velindre Hospital
    Whitchurch, Cardiff CF14 2TL, United Kingdom
  • Mount Vernon Cancer Centre
    Northwood, Middlesex HA6 2RN, United Kingdom
  • Churchill Hospital
    Headington, Oxford OX3 7LJ, United Kingdom
  • St. James University Hospital
    Leeds, LS9 7TF, United Kingdom
  • Norfolk & Norwich University Hospital
    Norwich, NR4 7UY, United Kingdom
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References and documents

Publications

  • Fogarty G, Morton RL, Vardy J, Nowak AK, Mandel C, Forder PM, Hong A, Hruby G, Burmeister B, Shivalingam B, Dhillon H, Thompson JF. Whole brain radiotherapy after local treatment of brain metastases in melanoma patients--a randomised phase III trial. BMC Cancer. 2011 Apr 17;11:142. doi: 10.1186/1471-2407-11-142. PubMed 21496312 ↗
  • Hong AM, Fogarty GB, Dolven-Jacobsen K, Burmeister BH, Lo SN, Haydu LE, Vardy JL, Nowak AK, Dhillon HM, Ahmed T, Shivalingam B, Long GV, Menzies AM, Hruby G, Drummond KJ, Mandel C, Middleton MR, Reisse CH, Paton EJ, Steel V, Williams NC, Scolyer RA, Morton RL, Thompson JF. Adjuvant Whole-Brain Radiation Therapy Compared With Observation After Local Treatment of Melanoma Brain Metastases: A Multicenter, Randomized Phase III Trial. J Clin Oncol. 2019 Nov 20;37(33):3132-3141. doi: 10.1200/JCO.19.01414. Epub 2019 Sep 25. PubMed 31553661 ↗
  • Lo SN, Hong AM, Haydu LE, Ahmed T, Paton EJ, Steel V, Hruby G, Tran A, Morton RL, Nowak AK, Vardy JL, Drummond KJ, Dhillon HM, Mandel C, Scolyer RA, Middleton MR, Burmeister BH, Thompson JF, Fogarty GB. Whole brain radiotherapy (WBRT) after local treatment of brain metastases in melanoma patients: Statistical Analysis Plan. Trials. 2019 Aug 5;20(1):477. doi: 10.1186/s13063-019-3555-5. PubMed 31382986 ↗

Individual participant data

Plan to share: No

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jan 7, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT01503827
Lead sponsor
Melanoma and Skin Cancer Trials Limited
Collaborators
Trans Tasman Radiation Oncology Group, University of Oxford
Responsible party
Sponsor
First posted
Jan 4, 2012
Start date
Oct 2007
Primary completion
Sep 2017
Completion
Jun 2022 (estimated)
Last update
Jan 7, 2021

Study contacts

Gerald Fogarty, BSc, MBBS
study chair · Mater Hospital, St Vincent's Hospital, Melanoma Institue Australia

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is status unknown, as verified in Jan 2021. You cannot join it, but the record below documents what was studied.

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