Brain Neoplasms, Neoplasm Metastasis
Conditions
Keywords
Brain Neoplasms/secondary, Brain neoplasms/radiotherapy, Brain metastasis, Neoplasm metastasis, Cranial irradiation, Radiosurgery, Lung Neoplasms, Breast Neoplasms, Kidney Neoplasms, Melanoma, Radiotherapy, Carcinoma, non-small cell lung
Brief summary
The primary purpose of the study is to evaluate if motexafin gadolinium with whole brain radiation therapy followed by a stereotactic radiosurgery boost is a safe and effective treatment.
Detailed description
Patients will receive three weeks of whole brain radiation therapy concurrent with daily motexafin gadolinium during weeks 2 and 3, followed by a stereotactic radiosurgery boost concurrent with motexafin gadolinium. Patients will be followed for radiologic response, neurologic progression, and neurocognitive progression.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* Age ≥ 18 years * Karnofsky performance status (KPS) ≥ 70 * Histologically confirmed malignancy with the presence of one to four intraparenchymal brain metastases * Each patient must sign a study-specific Informed Consent form
Exclusion criteria
* Previous cranial radiation * Complete resection of all known brain metastases * Known leptomeningeal metastases * Known liver metastases * Clinical or radiologic evidence of progression (other than study lesion\[s) within 1 month prior to enrollment * Patients with metastases within 10 mm of the optic apparatus * Patients with metastases in the brainstem, midbrain, pons, or medulla * Planned chemotherapy during WBRT and/or SRS * Uncontrolled hypertension * Women who are pregnant or lactating and Laboratory values as follows: * LDH \> 1.3 x upper limit of normal (ULN) * ANC \< 1500/mm3 * Platelets \< 50,000/mm3 * Creatinine \> 2.0 mg/dL * AST or ALT \> 3 x ULN * Total bilirubin \> 2 x ULN
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Rate of irreversible Grade 3 or any Grade 4 or 5 neurologic radiation toxicities occuring within 3 months following SRS boost | — |
Secondary
| Measure | Time frame |
|---|---|
| Change in lesion size and number between screening MRI and SRS treatment -planning MRI | — |
| Time to neuroligic progression or death with evidence of neurologic progression | — |
| Time to neurocognitive progression | — |
Countries
Canada, United States