A pilot phase 2 study evaluating dose de-escalation in whole brain radiation therapy with simultaneous integrated boost for patients with brain metastases
Brief description of study
This trial is a pilot, Phase 2, sequential two-cohort study designed to test two de-escalated whole brain radiation therapy (WBRT) dose levels and assess their ability to maintain acceptable in-brain distant control.
Detailed description of study
The purpose of this study is to assess whole brain radiation therapy (known as WBRT) given with simultaneous higher dose radiation (known as SIB) targeted at individual brain tumors and the effects this treatment may have on the following areas: tumor control, memory, and specific thought processes.
Eligibility of study
You may be eligible for this study if you meet the following criteria:
- Conditions: Cancer,Solid Tumor
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Age: 18 years - 100 years
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Gender: All
Inclusion Criteria
Pathological diagnosis of any solid tumor histology (from any site in the body)
Pathological or clinical (i.e., by imaging) diagnosis of brain metastatic tumor lesions
Not a candidate for or eligible for but refused Gamma Knife radiosurgery
Exclusion Criteria
Previous radiation to the brain, including WBRT or brain radiosurgery
Life expectancy 6 months (as estimated per ds-GPA)
Inability to comply with treatment per investigator discretion
Inability to complete neurocognitive assessments per investigator discretion
Of note, tumor lesion number is not an inclusion or exclusion criteria as we are using volume-based criteria instead.
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