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CompletedNCT03338075Updated Nov 9, 2017

FSRT Combined With TMZ for Large BMs: a PSM Study

An observational study in Brain Metastases, Radiotherapy and Chemotherapy, sponsored by Chinese Academy of Medical Sciences. Completed. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2017-11-09.

Sponsored by Chinese Academy of Medical Sciences · Observational

Study type
Observational
Model
Cohort
Time perspective
Retrospective
Enrollment
72
Ages
18 Years and older
Sex
All
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Study summary

A propensity- matched study was conducted to investigate the feasibility and safety of adding temozolomide to hypofractionated stereotactic radiotherapy for large brain metastases.

Read the detailed description

A previous single arm phase II trial of our institution has shown that HFSRT combined with concurrent TMZ was safe and efficient for patients with BMs of ≥ 6cc in volume. The 1-year local control and overall survival rate was better than the results of a retrospective study using HFSRT alone in treating BMs of ≥ 3cm in diameter. Thus, we hypothesized that adding TMZ to HFSRT should translate to substantive benefits in clinical outcomes compared to HFSRT alone. Propensity score matching method was adopted to decrease potential bias in this retrospective study.

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Conditions studied

  • Brain Metastases
  • Radiotherapy
  • Chemotherapy
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Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

patients with large brain metastases of more than 6 cc.

Inclusion criteria

  • (1) primary tumor was pathologically diagnosed and brain metastases were confirmed by gadolinium-enhanced magnetic resonance imaging (MRI) ; (2) age 18 years or older (3) KPS ≥60, or KPS ≥50 but symptomatically caused by BMs; (4) the large lesions haven't treated with surgery or SRT.

Exclusion criteria

Exclusion Criteria:

  • (1) KPS \<60 but not caused by BMs; (2) the large lesions have been treated with surgery or SRT.
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Study design

Observational model
Cohort
Time perspective
Retrospective
Enrollment
72 participants (actual)
Patient registry
No

Groups and cohorts

  • CRT group

    patients with brain metastases of more than 6 cc and treated with fractionated stereotactic radiotherapy plus concomitant Temozolomide.

    Radiation: fractionated stereotactic radiotherapy

  • RT group

    patients with brain metastases of more than 6 cc and treated with fractionated stereotactic radiotherapy alone.

    Radiation: fractionated stereotactic radiotherapy

Interventions

  • Radiationfractionated stereotactic radiotherapy

    The regular prescription doses were 52 Gy in 13 fractions or 52.5 Gy in 15 fractions.

    Also known as: drugs

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What researchers measure

Primary outcomes

  1. Local tumor control rate (LTCR)

    the control rate of treated lesions

    Time frame: 3 months after radiation

Secondary outcomes

  1. Intracranial progression- free survival (IPFS)

    the interval from the beginning of radiation to any intracranial progression

    Time frame: up to 1 year

  2. Local recurrence- free survival (LRFS)

    the time from the beginning of radiation to local faliure.

    Time frame: up to 1 year

  3. Overall survival (OS)

    the time from the beginning of radiation to follow-up or death

    Time frame: up to 3 years

  4. Progression- free survival (PFS)

    the interval from the beginning of HFSRT to any progression of tumor.

    Time frame: up to 1 year

  5. Brain metastasis-specific survival (BMSS)

    the internal from the beginning of radiation to death that caused by brain metastases.

    Time frame: up to 1 year

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Study locations

No study locations are listed for this record.

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References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

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Registry details

Key details

Study ID
NCT03338075
Lead sponsor
Chinese Academy of Medical Sciences
Responsible party
Jianping Xiao (Dr, Chinese Academy of Medical Sciences) — Principal investigator
First posted
Nov 9, 2017
Start date
Jan 1, 2016
Primary completion
Aug 1, 2017
Completion
Aug 1, 2017
Last update
Nov 9, 2017

Study contacts

Jianping Xiao, Dr
principal investigator · Cancer Institute and Hospital, Chinese Academy of Medical Sciences

Oversight

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

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This study is completed, as verified in Nov 2017. You cannot join it, but the record below documents what was studied.

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