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NCT02514915

Pre-operative Stereotactic Radiosurgery Followed by Resection for Brain Metastases

Completed NA Results posted Last updated 26 June 2025
What this trial tests

NA trial testing Stereotactic Radiosurgery in Malignant Neoplasm Brain in 24 participants. Completed in 22 July 2021.

Timeline
1 December 2016
Primary endpoint
22 July 2021
22 July 2021

Quick facts

Lead sponsorChristopher Wilke
PhaseNA
StatusCompleted
Study typeINTERVENTIONAL
Allocationna
Designsingle group
Maskingnone
Primary purposetreatment
Enrollment24
Start date1 December 2016
Primary completion22 July 2021
Estimated completion22 July 2021
Sites1 location across United States

Drugs / interventions tested

Conditions studied

Sponsor

Christopher Wilke

Who can join

18 and older, any sex, with Malignant Neoplasm Brain. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Local Control Rate (LCR) at 6 Months Primary · At 6 months

The probability that patients experience a change in size of a tumor (measured by the amount of space taken up by the tumor). Tumor volume was measured at 6 months compared to the tumor volume at the start of radiotherapy.

GroupValue95% CI
Stereotactic Radiosurgery0.8170.669 – 0.997
Local Control Rate (LCR) at 12 Months Primary · At 12 months

The probability that patients experience a change in size of a tumor (measured by the amount of space taken up by the tumor). Tumor volume was measured at 12 months compared to the tumor volume at the start of radiotherapy.

GroupValue95% CI
Stereotactic Radiosurgery0.8170.669 – 0.997
Local Control Rate (LCR) at 24 Months Primary · At 24 months

The probability that patients experience a change in size of a tumor (measured by the amount of space taken up by the tumor). Tumor volume was measured at 24 months compared to the tumor volume at the start of radiotherapy.

GroupValue95% CI
Stereotactic Radiosurgery0.7490.579 – 0.973
6-month Overall Survival (OS) Secondary · At 6 months

The probability of patients being alive at 6 months after the beginning of treatment.

GroupValue95% CI
Stereotactic Radiosurgery0.7080.548 – 0.916
12-month Overall Survival (OS) Secondary · At 12 months

The probability of patients being alive at 12 months after the beginning of treatment.

GroupValue95% CI
Stereotactic Radiosurgery0.6250.458 – 0.852
24-month Overall Survival (OS) Secondary · At 24 months

The probability of patients being alive at 24 months after the beginning of treatment.

GroupValue95% CI
Stereotactic Radiosurgery0.5000.335 – 0.746
Distant Intracranial Failure Secondary · At 6 months

The probability of new brain metastases at 6 months identified via magnetic resonance imaging.

GroupValue95% CI
Stereotactic Radiosurgery0.6890.521 – 0.912
Distant Intracranial Failure Secondary · At 12 months

The probability of new brain metastases at 12 months identified via magnetic resonance imaging.

GroupValue95% CI
Stereotactic Radiosurgery0.6320.455 – 0.877
Distant Intracranial Failure Secondary · At 24 months

The probability of new brain metastases at 24 months identified via magnetic resonance imaging.

GroupValue95% CI
Stereotactic Radiosurgery0.5020.317 – 0.796
Health Related Quality of Life (HRQL) - FACT - BR (FACT - BRAIN) Secondary · At 6 months (1.5-month window)

The Functional Assessment of Cancer Therapy - Brain (FACT-Br) (23 questions that assess brain-tumor related issues) including the FACT-General (FACT-G), a core questionnaire used to determine the more general domains of QOL among all cancer patients was administered. This assessment is a 50 item, self-administered questionnaire used to assess Quality of Life, including, Physical Well-Being, Social/Family Well-Being, Emotional Well-Being, and Functional Well-Being. Subscale scores range from 0-4. FACT-G = (PWB - 7 items, score range 0-28) + (SWB - 7 items, score range 0-28) + (EWB - 6 items, sc

GroupValue95% CI
Stereotactic Radiosurgery139.878± 20.59528024
Health Related Quality of Life (HRQL) - FACT - BR (FACT - BRAIN) Secondary · At 6 months (3-month window)

The Functional Assessment of Cancer Therapy - Brain (FACT-Br) (23 questions that assess brain-tumor related issues) including the FACT-General (FACT-G), a core questionnaire used to determine the more general domains of QOL among all cancer patients was administered. This assessment is a 50 item, self-administered questionnaire used to assess Quality of Life, including, Physical Well-Being, Social/Family Well-Being, Emotional Well-Being, and Functional Well-Being. Subscale scores range from 0-4. FACT-G = (PWB - 7 items, score range 0-28) + (SWB - 7 items, score range 0-28) + (EWB - 6 items, sc

GroupValue95% CI
Stereotactic Radiosurgery142.1581538± 23.8429411
Health Related Quality of Life (HRQL) - FACT - BR (FACT - BRAIN) Secondary · At 12 months (1.5-month window)

The Functional Assessment of Cancer Therapy - Brain (FACT-Br) (23 questions that assess brain-tumor related issues) including the FACT-General (FACT-G), a core questionnaire used to determine the more general domains of QOL among all cancer patients was administered. This assessment is a 50 item, self-administered questionnaire used to assess Quality of Life, including, Physical Well-Being, Social/Family Well-Being, Emotional Well-Being, and Functional Well-Being. Subscale scores range from 0-4. FACT-G = (PWB - 7 items, score range 0-28) + (SWB - 7 items, score range 0-28) + (EWB - 6 items, sc

GroupValue95% CI
Stereotactic Radiosurgery141.0952857± 26.95376082

Sponsor's own description

The primary goal of this research study is to determine the efficacy of giving pre-operative radiosurgery to patients pending resection of a brain metastasis.

Publications & conference data

5 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Association of Neurosurgical Resection With Development of Pachymeningeal Seeding in Patients With Brain Metastases.
    Cagney DN, Lamba N, Sinha S, Catalano PJ, et al · · 2019 · cited 68× · PMID 30844036 · DOI 10.1001/jamaoncol.2018.7204
  2. Predictors of leptomeningeal disease following hypofractionated stereotactic radiotherapy for intact and resected brain metastases.
    Nguyen TK, Sahgal A, Detsky J, Atenafu EG, et al · · 2020 · cited 37× · PMID 31412120 · DOI 10.1093/neuonc/noz144
  3. Outcome comparison of patients who develop leptomeningeal disease or distant brain recurrence after brain metastases resection cavity radiosurgery.
    Teyateeti A, Brown PD, Mahajan A, Laack NN, et al · · 2021 · cited 9× · PMID 33860228 · DOI 10.1093/noajnl/vdab036
  4. Neoadjuvant stereotactic radiotherapy for brain metastasis: a review of ongoing clinical trials.
    Amirkhani N, Saraee E, Zeinalizadeh M, Fiorentino A, et al · · 2025 · PMID 40721673 · DOI 10.1007/s12672-025-03290-9
  5. 13<sup>th</sup> International Stereotactic Radiosurgery Society Congress (ISRS 2017).
    · 2017 · PMID 29296468

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