SRT vs GammaTile Therapy for Brain Tumor

Not currently recruiting at 48 trial locations
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Overseen ByJohn Floyd, MD
Age: 18+
Sex: Any
Trial Phase: Phase 3
Sponsor: GT Medical Technologies, Inc.
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)
Pivotal Trial (Near Approval)This treatment is in the last trial phase before FDA approval
Prior Safety DataThis treatment has passed at least one previous human trial

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial aims to compare two types of radiation treatments for brain tumors that have spread from other parts of the body. One group will receive GammaTile Therapy, a type of radiation applied during surgery, while the other group will receive Stereotactic Radiation Therapy (SRT), typically administered a few weeks after surgery. The trial targets individuals with one to six new brain metastases from another primary cancer and a specific tumor planned for surgical removal. Participants should not have had prior radiation or surgery to the targeted tumor and must be able to undergo an MRI scan. As a Phase 3 trial, this study represents the final step before FDA approval, offering participants a chance to contribute to potentially groundbreaking treatment advancements.

Will I have to stop taking my current medications?

The trial allows for previous and concurrent treatment with certain medications, but there are specific timing restrictions around surgery and SRT. You may need to pause some medications around these procedures, so it's best to discuss your specific medications with the trial team.

Is there any evidence suggesting that this trial's treatments are likely to be safe?

Studies have shown that both GammaTile Therapy and Stereotactic Radiation Therapy (SRT) are generally safe for individuals considering a clinical trial.

Research indicates that GammaTile Therapy is usually safe and effective for treating brain tumors. The treatment targets precisely, helping to protect healthy brain tissue. The FDA has approved it for patients with both new and recurring malignant brain tumors, suggesting safety, though individual experiences may vary.

Stereotactic Radiation Therapy is also well-tolerated. Studies have found it effectively controls tumors with few side effects. The treatment focuses on the tumor, minimizing harm to nearby healthy tissue.

In summary, both treatments have demonstrated promising safety records in studies, with targeted approaches that aim to protect healthy tissue. However, as with any medical treatment, risks may exist, and individual experiences can differ.12345

Why are researchers excited about this trial's treatments?

Researchers are excited about GammaTile Therapy for brain tumors because it offers a novel way to deliver radiation directly to the tumor site. Unlike traditional methods where radiation is delivered externally over several sessions, GammaTile involves implanting small, tile-like devices during surgery that emit radiation precisely where it's needed. This targeted approach can help protect healthy brain tissue from radiation exposure, potentially reducing side effects and allowing for a more concentrated dose to the tumor. Meanwhile, Stereotactic Radiation Therapy (SRT) is already known for its precision, but it is delivered externally and requires multiple sessions. By comparing these methods, researchers hope to discover which approach is more effective and safer for patients with brain tumors.

What evidence suggests that this trial's treatments could be effective for brain tumors?

This trial will compare Surgical Resection combined with GammaTile Therapy to Surgical Resection combined with Stereotactic Radiation Therapy (SRT) for treating brain tumors. Research has shown that GammaTile Therapy effectively treats brain tumors. In one study, 80% of patients with brain metastases treated with GammaTile experienced no tumor regrowth within a year. Another study found that patients using GammaTile lived longer without tumor recurrence and had over a 50% lower risk of tumor growth.

Stereotactic Radiation Therapy (SRT) is another strong option in this trial. Research suggests that SRT provides similar survival outcomes for patients with up to 10 brain metastases as it does for those with fewer. SRT precisely targets tumors, helping to protect nearby healthy brain tissue. Both treatments have shown promising results, but GammaTile might offer a better chance of preventing tumor regrowth.56789

Who Is on the Research Team?

Jeffrey Weinberg, M.D. - Neurosurgery ...

Jeffrey Weinberg, MD

Principal Investigator

MD Anderson Cancer Center, Houston, TX

Are You a Good Fit for This Trial?

Adults over 18 with 1-4 new brain metastases from another cancer, where one lesion is set for surgery and measures between 2.5cm to 5cm. Other lesions must be smaller than 4cm and not near critical areas like the optic chiasm or brainstem. Participants need a good performance status (KPS ≥70), expected to live at least six more months, able to undergo MRI with contrast, have proper kidney and liver function, use contraception if of childbearing potential, and understand English or Spanish.

Inclusion Criteria

I have a brain lesion between 2.5 and 5.0 cm or a smaller one needing surgery.
I have 1-4 new brain tumors from cancer that started elsewhere.
I can sign or have someone legally authorized to sign for me the consent forms for this study.
See 9 more

Exclusion Criteria

I am under 18 years old.
Pregnant patients
Patients with >4 newly diagnosed metastases on screening MRI
See 8 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Surgical Resection and Radiation Therapy

Participants undergo surgical resection followed by either GammaTile or Stereotactic Radiation Therapy

3-4 weeks
1 visit (in-person)

Follow-up

Participants are monitored for safety and effectiveness after treatment

up to 3 years
Regular visits as per study protocol

Long-term Follow-up

Participants are assessed for overall survival and quality of life

up to 3 years

What Are the Treatments Tested in This Trial?

Interventions

  • Gamma Tile-Surgically Targeted Radiation Therapy (STaRT)
  • Stereotactic Radiation Therapy
Trial Overview This study compares two treatments after surgical removal of certain brain tumors: GammaTile therapy given during surgery versus standard Stereotactic Radiation Therapy (SRT) done weeks later. It's a randomized trial which means patients are put into groups by chance.
How Is the Trial Designed?
2Treatment groups
Experimental Treatment
Active Control
Group I: Surgical Resection and GammaTile TherapyExperimental Treatment1 Intervention
Group II: Surgical Resection and Stereotactic Radiation TherapyActive Control1 Intervention

Gamma Tile-Surgically Targeted Radiation Therapy (STaRT) is already approved in United States for the following indications:

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Approved in United States as GammaTile Therapy for:

Find a Clinic Near You

Who Is Running the Clinical Trial?

GT Medical Technologies, Inc.

Lead Sponsor

Trials
6
Recruited
1,700+

Published Research Related to This Trial

GammaTiles, which use Cs-131 isotopes embedded in collagen, demonstrated high accuracy in dose calculation for brain tumors, achieving less than 0.5% error in most cases, indicating their reliability for targeted radiation therapy.
The study established a comprehensive workflow for the safe implantation of GammaTiles, emphasizing the need for thorough preplanning and interdisciplinary collaboration to ensure effective treatment delivery.
Comprehensive Commissioning and Clinical Implementation of GammaTiles STaRT for Intracranial Brain Cancer.Penoncello, GP., Gagneur, JD., Vora, SA., et al.[2022]
GammaTile® Surgically Targeted Radiation Therapy (STaRT) offers a novel approach to brain tumor treatment by using a bioresorbable tile that delivers radiation while minimizing direct contact with brain tissue, which helps reduce normal brain toxicity.
This therapy has been FDA approved since 2018 for recurrent brain tumors and expanded in 2020 to include newly-diagnosed malignant tumors, with ongoing trials aimed at comparing its efficacy and safety against standard radiation treatments.
Surgically targeted radiation therapy (STaRT) trials for brain neoplasms: A comprehensive review.Odia, Y., Gutierrez, AN., Kotecha, R.[2023]
In a study of 22 patients with recurrent glioblastoma treated with GammaTile® brachytherapy after surgery, the treatment showed promising local control rates of 86% at six months and 81% at twelve months, indicating its efficacy in managing tumor recurrence.
The safety profile was acceptable, with only one case of 30-day mortality and a low rate of complications, suggesting that GammaTile® can be a viable option in the multi-modality treatment of recurrent glioblastomas.
GammaTile® brachytherapy in the treatment of recurrent glioblastomas.Gessler, DJ., Neil, EC., Shah, R., et al.[2022]

Citations

The role of GammaTile in the treatment of brain tumorsThe estimated 1-year LC of recurrent previously irradiated brain metastases treated with GammaTile was 80%. The single patient that experienced ...
Breakthrough clinical trial confirms that GammaTile ...Patients who received GammaTile lived longer without tumor regrowth, and there was a greater than 50% reduction in risk of either tumor ...
NCT04427384 | Registry of Patients With Brain Tumors ...The objectives of this registry study are to evaluate real-world clinical outcomes and patient reported outcomes that measure the effectiveness and safety of ...
4.gammatile.comgammatile.com/hcp/
GammaTile: Healthcare ProvidersLearn about GammaTile, the first and only tile-based implantable radiation therapy for operable brain tumors. More dose, where you want it, when you need ...
Journal of Neuro-Oncology Publishes New Data ..."These results show that GammaTile can provide durable local control with low toxicity, even in a population that has already received radiation ...
6.gammatile.comgammatile.com/
GammaTile Radiation TherapyImmediate: No radiation treatment delay · Targeted: Designed to protect healthy brain tissue · Controlled: Delivers more radiation dose directly to the tumor site.
GammaTile: Comprehensive Review of a Novel Radioactive ...Based on the findings of this study, GammaTile surgically targeted radiation therapy (STaRT) is safe and effective for treating brain tumors.
GammaTile-Surgically-Targeted-Radiation-Therapy- ...Broad adoption of GammaTile Therapy by neurosurgery centers across the country would expand their brain tumor treatment services, bringing a safe and effective ...
GammaTile Clinical Trials: HCPsGammaTile is FDA-cleared for patients with newly diagnosed malignant (cancerous) brain tumors and patients with recurrent brain tumors, with ongoing ...
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