Brain Metastases Clinical Trial
Official title:
RAD 1002: Phase I Dose Escalation/De-escalation Study of Pre-operative Stereotactic Radiosurgery for Brain Metastases
This study will investigate the safety, tolerability, and effectiveness of changing the order of receiving radiation therapy for treating brain cancer. The investigators hope that changing the sequence of radiation therapy will lower the risk of cancer spreading throughout your spinal fluid, which covers your brain and spinal cord.
This study will attempt to determine the maximum tolerated dose of pre-operative stereotactic
radiosurgery (SRS) in the treatment of brain metastases. Patients will be placed in one of
two dose groups based on index tumor size, and dose will be adjusted according to presence or
absence of dose limiting toxicity (DLT).
Group A: Index Tumor > 2 cm and up to 4 cm in maximum diameter Group B: Index Tumor > 4 cm
and up to 6 cm in maximum diameter
Dose escalation or de-escalation will be conducted via a modified 3+3 method at the following
levels. Group A will start at dose level II. Group B will start at dose level I.
Dose Level I: 12 Gy Dose Level II: 15 Gy
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