Unspecified Adult Solid Tumor, Protocol Specific Clinical Trial
Official title:
A Phase I Trial of Stereotactic Radiosurgery for Patients With Hepatic Metastases (SBRT Liver)
RATIONALE: Stereotactic radiosurgery may be able to send x-rays directly to the tumor and
cause less damage to normal tissue.
PURPOSE: This phase I trial is studying the side effects and best dose of stereotactic
radiosurgery in treating patients with liver metastases.
OBJECTIVES:
- To determine the maximum tolerated dose of fractionated stereotactic radiosurgery in
patients with hepatic metastases.
- To determine the dose-limiting toxicity of stereotactic radiosurgery in these patients.
- To assess the tumor response in these patients.
OUTLINE: This is a multicenter study.
Patients receive 3-5 fractions of stereotactic radiosurgery over 14 days in the absence of
disease progression or unacceptable toxicity.
Cohorts of 9-13 patients receive escalating doses of stereotactic radiosurgery until 60 Gy is
reached or the maximum tolerated dose (MTD) is determined. The MTD is defined as the dose
preceding that at which > 33% of patients experience dose-limiting toxicity.
After completion of study therapy, patients are followed at 6 weeks, every 3 months for 1
year, every 6 months for 2 years, and then annually for 2 years.
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