Immunotherapy or Targeted Therapy With or Without Stereotactic Radiosurgery for Patients With Brain Metastases From Melanoma or Non-small Cell Lung Cancer
This study is for people with brain tumours (called brain metastases) that have spread from melanoma or non-small cell lung cancer. Researchers want to find out the best way to treat these brain tumours. They're comparing two approaches: one group will receive their usual treatment (like immunotherapy or targeted therapy) along with a special type of focused radiation called stereotactic radiosurgery (SRS). The other group will receive only their usual treatment. The main goal is to see if adding SRS helps control the brain tumours for longer and improves quality of life, without causing too many side effects. This could help doctors decide the best timing for different treatments.
At a glance
What is this study about?
When cancer spreads to the brain, it's called a brain metastasis. This study focuses on people who have brain metastases from either melanoma (a type of skin cancer) or non-small cell lung cancer.
Doctors are trying to understand the best way to treat these brain tumours alongside standard treatments like immunotherapy or targeted therapy. These standard treatments work by either boosting your body's own immune system to fight the cancer or by targeting specific features of the cancer cells. This study wants to see if adding a treatment called stereotactic radiosurgery (SRS) makes a difference. SRS is a highly focused type of radiation that targets the brain tumours very precisely, usually in one or a few sessions.
The main aim is to find out if combining your usual cancer treatment with SRS helps to keep the brain tumours under control for longer. Researchers also want to see if this combination improves your overall quality of life and how long you live, without causing too many unwanted side effects. The results of this study could help doctors make better decisions about when to use SRS for people with brain metastases, finding a good balance between effective treatment and maintaining a good quality of life.
Key takeaways
- This study compares two ways to treat brain tumours from melanoma or lung cancer.
- It investigates adding focused radiation (SRS) to standard treatments.
- The goal is to find the best approach for controlling tumours and improving quality of life.
- It's for people with newly diagnosed brain tumours, not yet treated (except by surgery).
- Results could help doctors choose the best treatment timing for future patients.
Who may be eligible?
To join this study, you would need to have new brain tumours (metastases) that haven't been treated yet, apart from surgery. These tumours would need to have come from either melanoma or non-small cell lung cancer. You should not be experiencing severe symptoms from your brain tumours that require strong medication for more than a week.
There are also specific requirements about the number and size of your brain tumours. Generally, you can have between 1 and 10 brain tumours, and they must be a certain size to qualify. If you've had surgery to remove a brain tumour, that's usually allowed, as long as the other criteria are met. Your doctor will carefully check all these details to see if this study could be right for you.
Could this study suit you?
Answer these quick questions to see if you may be eligible. This is a guide only — the research team makes the final call.
- Do I have new brain tumours from melanoma or non-small cell lung cancer?
- Have my brain tumours been untreated, except possibly for surgery?
- Am I experiencing only mild or no symptoms from my brain tumours?
- Does my doctor think the number and size of my brain tumours fit the study criteria?
What does participation involve?
If you join this study, you would be randomly put into one of two groups. One group would receive your standard cancer treatment (like immunotherapy or targeted therapy) plus stereotactic radiosurgery (SRS) for your brain tumours. The other group would receive only your standard cancer treatment. You would have regular check-ups, scans (like MRI scans of your brain), and tests to monitor your health and how the treatment is working. Doctors and study staff would guide you through each step. The total duration of your participation would depend on how your treatment progresses, but you would be followed up regularly.
Potential risks and benefits
Locations (15)
- Istituto Nazionale Tumori IRCCS "Fondazione G. Pascale"Verified postcodeNaples, Italy· Recruiting
- Instituto Oncologico Veneto IRCCSVerified postcodePadova, Italy· Not yet recruiting
- Santa Maria della Misericordia HospitalVerified postcodePerugia, Italy· Recruiting
- Istituto Nazionale Tumori "Regina Elena"Verified postcodeRoma, Italy· Recruiting
- Policlinico Umberto 1Verified postcodeRome, Italy· Recruiting
- Azienda ospedaliero-universitaria Senese SienaVerified postcodeSiena, Italy· Recruiting
- NKI-AVLVerified postcodeAmsterdam, Netherlands· Recruiting
- Vall Hebron Institute of Oncology (VHIO)Verified postcodeBarcelona, Spain· Recruiting
- Hospital Puerta de HierroVerified postcodeMajadahonda, Spain· Recruiting
- Hospital La FeVerified postcodeValencia, Spain· Recruiting
- InselspitalVerified postcodeBern, Switzerland· Recruiting
- Kantonsspital WinterthurVerified postcodeWinterthur, Switzerland· Recruiting
Common questions
What are brain metastases?
Brain metastases are tumours in the brain that have spread from a cancer somewhere else in the body, in this case, melanoma or lung cancer.
What is stereotactic radiosurgery (SRS)?
SRS is a very precise type of radiation therapy that delivers high doses of radiation directly to the tumour, aiming to protect healthy brain tissue.
What is immunotherapy?
Immunotherapy is a treatment that helps your body's own immune system fight cancer.
What are targeted therapies?
Targeted therapies are medicines that specifically attack certain features of cancer cells, often with fewer side effects than traditional chemotherapy.
Why is timing of SRS important?
Doctors want to find out if giving SRS at a particular time alongside other treatments is better for controlling the tumours and for your quality of life.
How to find out more
Heidi Roschitzki-Voser, Dr.
Always speak to your GP or specialist before deciding to take part in a study.
Interested in taking part?
Discussion
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