Stereotactic Radiosurgery for Brain Cancer
What You Need to Know Before You Apply
What is the purpose of this trial?
This trial examines a new approach to treating brain tumors in individuals with certain cancers, such as breast, lung, or melanoma. Researchers aim to determine if using stereotactic radiosurgery—a precise form of radiation therapy—before surgically removing a tumor can prevent cancer from spreading during the operation and improve recovery. Suitable candidates have a brain tumor that has not received this specific radiation treatment and is scheduled for surgical removal. As an unphased trial, this study provides patients the chance to contribute to groundbreaking research that could enhance future treatment options.
What prior data suggests that stereotactic radiosurgery is safe for treating brain tumors?
Research has shown that stereotactic radiosurgery (SRS) is generally a safe treatment with low rates of serious side effects. Studies have found that only about 5% of patients experienced major problems after receiving SRS. Since this treatment doesn't require cuts or incisions, it poses fewer risks than traditional surgery. Most people report mild side effects.
One study found that only a small number of patients developed issues like tissue damage or problems with the brain lining within two years, indicating that serious complications are uncommon.
In summary, SRS has been widely studied and is considered safe, with most patients handling it well.12345Why are researchers excited about this trial?
Stereotactic radiosurgery (SRS) is unique because it delivers highly precise radiation beams to target brain tumors, minimizing damage to surrounding healthy tissue. Unlike traditional whole-brain radiation therapy, which can affect large areas of the brain, SRS focuses only on the tumor, potentially reducing side effects and improving recovery times. Researchers are excited about SRS because it can be combined with surgical resection to potentially enhance treatment effectiveness, offering a more targeted and less invasive option for brain cancer patients.
What evidence suggests that stereotactic radiosurgery is effective for brain cancer?
Research has shown that stereotactic radiosurgery (SRS), a treatment under study in this trial, effectively treats brain tumors. Studies have found that SRS stops tumor growth in about 90% of cases within six months. It is safer than traditional surgery because it involves no cutting. Patients often experience mild side effects, such as tiredness, which usually peak within a couple of weeks. Importantly, SRS has been linked to better tumor control in the treated area compared to whole-brain radiation therapy. This suggests that SRS can be a strong option for effectively managing brain tumors.12467
Who Is on the Research Team?
Luke Pike, MD, PhD
Principal Investigator
Memorial Sloan Kettering Cancer Center
Are You a Good Fit for This Trial?
This trial is for people with brain cancer who have a single brain tumor that can be removed by surgery. Participants should be healthy enough for both radiosurgery and surgery. People with multiple tumors may join, but only one tumor will be treated in this study.Inclusion Criteria
Exclusion Criteria
Timeline for a Trial Participant
Screening
Participants are screened for eligibility to participate in the trial
Stereotactic Radiosurgery
Participants receive stereotactic radiosurgery (SRS) before tumor resection surgery
Surgery
Surgical resection of the index lesion is performed
Follow-up
Participants are monitored for safety and effectiveness after treatment
What Are the Treatments Tested in This Trial?
Interventions
- Stereotactic Radiosurgery (SRS)
- Surgical Resection
Trial Overview
The study tests if giving focused radiation (stereotactic radiosurgery) to a brain tumor before surgical removal helps prevent the spread of cancer cells during surgery and leads to better recovery compared to standard approaches.
How Is the Trial Designed?
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Treatment groups
Experimental Treatment
Patients will be seen by an attending radiation oncologist before receiving SRS. Standard of are history and physical will be obtained. An MRI brain with contrast will be performed within seven days of the CT simulation for SRS planning. Surgical resection of the index lesion is to be performed within 10 days of SRS, and no later than 21 days to accommodate operating room availability.
Find a Clinic Near You
Who Is Running the Clinical Trial?
Memorial Sloan Kettering Cancer Center
Lead Sponsor
Citations
Stereotactic Radiosurgery as Treatment for Brain Metastases
The actuarial freedom from progression of the retreated tumors at 52 weeks is 92.4% 74 and local control rate at 6 months after salvage SRS is 90.7%.
Stereotactic Radiosurgery (SRS)
Stereotactic radiosurgery can destroy or shrink tumors. As there aren't any incisions, it has fewer risks than surgery. It causes milder side ...
Brain stereotactic radiosurgery
Brain SRS is generally safe and effective. Fatigue is common after radiation and may peak within 1 to 2 weeks after treatment. It typically ...
4.
oncology-central.com
oncology-central.com/better-outcomes-observed-targeted-radiosurgery-versus-whole-brain-radiation-metastatic-brain-tumors/Better outcomes observed with targeted radiosurgery ...
Among many outcomes described in the paper, 34% of SRS patients experienced local recurrence versus 53% of WBRT patients, with median survival ...
Efficacy of stereotactic radiosurgery as single or combined ...
1. WBRT+SRS demonstrated increased LBC and DBC when compared to SRS alone, however it had a poor survival effect. · 2. WBRT+SRS showed a prolonged survival time ...
Safety and Feasibility of Stereotactic Radiosurgery for ...
Our results demonstrate that SRS for this patient population is safe, with low rates of grade 3 or higher adverse events. Only 5% patients experienced grade 3 ...
The safety and efficacy of stereotactic radiosurgery in ...
Survival outcomes showed a 6-month overall survival (OS) rate of 47% The 6-month progression-free survival (PFS) rate was 67% The overall ...
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