radiosurgery for Neoplasm Metastasis
Neoadjuvant Radiosurgery for Resectable Brain Metastases: Phase I/II Study
See full descriptionAbout the trial for Neoplasm Metastasis
Treatment Groups
This trial involves 2 different treatments. Radiosurgery is the primary treatment being studied. Participants will all receive the same treatment. There is no placebo group. The treatments being tested are not being studied for commercial purposes.
About The Treatment
Eligibility
This trial is for patients born any sex aged 18 and older. There are 4 eligibility criteria to participate in this trial as listed below.
Approximate Timelines
Measurement Requirements
This trial is evaluating whether radiosurgery will improve 2 primary outcomes and 3 secondary outcomes in patients with Neoplasm Metastasis. Measurement will happen over the course of Day 0.
Patient Q & A Section
Does radiosurgery improve quality of life for those with tumors metastatic to brain?
Radiosurgical treatment of tumors metastatic to brain is associated with meaningful and sustained improvements (p <.01), in most measures, of a patient's health-related quality of life.
What is tumors metastatic to brain?
Metastases of solid tumors to the brain are frequent and often present late, but are treatable with surgical resection or radiotherapy as adjuvant. A specific treatment for the brain is not available but the best treatment for patients with metastases is multidisciplinary treatment.
Can tumors metastatic to brain be cured?
There is no curative treatment for metastatic tumor in brain. There are significant limitations or side effects of standard chemotherapy that result in severe cognitive and psychiatric impairment. At the same time, high brain energy metabolism and increased immune system activity must be carefully assessed from an ethical point of view, considering the severity of their symptoms.
What causes tumors metastatic to brain?
A very small minority of brain metastases are purely primary, which implies some metastatic pathway other than through bronchial spread. The likelihood of having brain nodularity is greater in tumors with more multifocal metastases, tumors of more solid histologic subtypes, tumors arising in the hypothalamus, and tumors that are diagnosed in earlier stages of disease.
What are the signs of tumors metastatic to brain?
In our study there is no significant difference between intracranial and extracranial metastases and the presence of brain metastases do not increase the risk of death from extracranial metastatic tumors. Moreover, the presence of brain metastases does not produce functional manifestations from other organ metastatic tumors.
What are common treatments for tumors metastatic to brain?
Staging, surgical, and other supportive measures are used to manage metastatic [brain tumor](https://www.withpower.com/clinical-trials/brain-tumor)s. Surgery often occurs in combination with chemotherapy, radiation, and/or hormonal therapy. Radiation therapy is used in some cases of brain metastases. Immunotherapy and/or targeted chemotherapeutics are used in a limited number of metastatic brain tumor cases. Glioma is a heterogenous group with varying histology, tumoral grade, and prognosis. Treatment modalities, including surgery, radiation radiochemotherapy (recompression and chemotherapy), anti-vascular endothelial growth factor therapy and gliopeptide chemotherapy are used in most cases to minimize secondary tumor burden.
How many people get tumors metastatic to brain a year in the United States?
Patients with brain metastases or a family history of cancer can be easily and accurately identified. To assess the appropriateness of a new treatment option or to identify more people with CNS metastases, an international panel is needed. With more detailed patient risk assessment, a standardized follow-up schedule may also become more effective.
Does tumors metastatic to brain run in families?
We find that cancer in general is a highly heritable disease, as is metastatic cancer in particular. Tumors in the central nervous system are metastatic tumors that are extremely rare and generally have poor prognoses. Further work is needed to clarify whether the genetic and environmental factors regulating metastatic disease in central nervous system tumors are distinct from those that predispose general cancer susceptibility, to define the nature of genetic and environmental risk for metastatic brain neoplasms, and to identify the underlying mechanisms of the genetic heritability of metastatic brain tumorigenesis.
What are the common side effects of radiosurgery?
We have studied the radiokinesis (radio tolerance response) after SSRS of the whole brain. Results show that the tolerance response is less pronounced than expected and may be associated with increased radiosensitization, which is not considered a side effect of radiosurgery.
What is the average age someone gets tumors metastatic to brain?
[At the Massachusetts Tumor Center] mean brain metastasis age was 65 years old (range 57-70 years). This age is lower than the average age of the patients with brain metastasis reported by previous studies.(https://moffitt.org/cancers/brain-metastases/treatment/chemotherapy/).
Is radiosurgery safe for people?
If GKS is used in selected cases, radiosurgery is a safe modality in the treatment of metastatic brain tumors. However such treatments can cause side effects, therefore it is important to assess the patients before considering such interventions.
How serious can tumors metastatic to brain be?
There can be neurological symptoms resulting from the tumor metastatic to brain. The most common symptoms are headache, sleep disturbances, dizziness, difficulty with balance, confusion, and changes in visual field. Patients must be monitored for cancer metastasis including MRI of brain, imaging, or surgical removal as needed. When cancer metastatic to brain progresses to disseminated tumors, patients will need chemotherapy and radiotherapy. Radiation therapy is an important tool to treat brain metastasis. When cancer metastatic to brain is uncontrolled by radiotherapy, surgery is the best way to treat. Surgery is effective, but is not a cure.