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Whole Brain Radiotherapy Following Local Treatment of Intracranial Metastases of Melanoma (WBRTMel)

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ClinicalTrials.gov Identifier: NCT01503827
Recruitment Status : Recruiting
First Posted : January 4, 2012
Last Update Posted : February 17, 2017
Trans-Tasman Radiation Oncology Group (TROG)
University of Oxford
Information provided by (Responsible Party):
Australia and New Zealand Melanoma Trials Group

Brief Summary:
People with brain metastases from melanoma are offered different treatment options after local treatment of their brain metastases via surgery or stereotactic irradiation. Depending on the treating institution and the clinician involved a patient may or may not be offered whole brain radiotherapy (WBRT) after their brain metastases are excised or treated with stereotactic irradiation. This trial seeks to determine if WBRT reduces the spread of brain metastases and lengthens the time to recurrence. The trial also examines the effect of WBRT on quality of life and brain functions such as memory, speech and concentration. Participants will be randomised after local treatment of their brain metastases to either WBRT or observation. 220 people will be recruited from sites in Australia, Norway, the UK, the US and other international sites.

Condition or disease Intervention/treatment
Metastatic Melanoma Radiation: WBRT

Study Type : Interventional  (Clinical Trial)
Estimated Enrollment : 220 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
Official Title: Whole Brain Radiotherapy Following Local Treatment of Intracranial Metastases of Melanoma - A Randomised Phase III Trial
Study Start Date : October 2007
Estimated Primary Completion Date : January 2018
Estimated Study Completion Date : June 2022

Resource links provided by the National Library of Medicine

MedlinePlus related topics: Melanoma
U.S. FDA Resources

Arm Intervention/treatment
Experimental: WBRT
Patients will receive WBRT after local treatment. A minimum of 30 Gy in 10 fractions given as one fraction per day within 4 weeks of randomisation
Radiation: WBRT
A minimum of 30 Gy in 10 fractions given as one fraction per day within 4 weeks of randomisation
No Intervention: Observation
No Intervention

Primary Outcome Measures :
  1. Proportion of patients with distant intracranial failure as determined by magnetic resonance imaging (MRI) assessment [ Time Frame: 12 months post randomisation ]

Secondary Outcome Measures :
  1. Time to intracranial failure (local, distant and overall) as determined by MRI [ Time Frame: Post randomisation to intracranial failure ]
  2. Quality of life as measured by EORTC QLQ-C30 and BN-20 [ Time Frame: At baseline and every 2 months post randomisation ]
  3. Neurocognitive function as measured by Hopkins Verbal Learning Test, Controlled Oral Word Association Test, Trail Making Test Part A & B, Stroop - Colour and Word Test and Digit Span (Forwards and Backwards). [ Time Frame: At baseline and every 2 months post randomisation ]
  4. Overall survival [ Time Frame: Post randomisation to death from any cause ]
  5. Performance status as measured by ECOG [ Time Frame: At baseline and every 2 months post randomisation ]
  6. Incremental cost effectiveness ratio (ICER) [ Time Frame: At 12 months from randomisation ]

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Ages Eligible for Study:   18 Years and older   (Adult, Senior)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • 1-3 intracranial metastases on MRI from melanoma, locally treated with either surgical excision and/or stereotactic irradiation.
  • Life expectancy of at least 6 months
  • Aged 18 years or older
  • WBRT must begin within 8 weeks of completion of localised treatment and within 4 weeks of randomisation
  • Able to have an MRI brain scan with contrast. Estimated Glomerular Filtrate Rate (eGFR) is adequate at the discretion of the radiologist and capable of having gadolinium-containing contrast medium for MRI as per practice guidelines
  • Complete localised treatment of all these metastases no more than 6 weeks prior to randomisation
  • An Eastern Cooperative Oncology Group (ECOG) performance status of 2 or less at randomisation
  • CT scan of chest, abdomen and pelvis as a minimum prior to randomisation. Scans must be within 12 weeks of randomisation
  • Serum Lactate Dehydrogenase (LDH) must be = or < 2 x upper limit of normal
  • Able to provide written informed consent

Exclusion Criteria:

  • Any untreated intracranial disease
  • Any previous intracranial treatment (surgical excision and/or stereotactic irradiation treatment and/or WBRT) prior to this diagnosis of intracranial melanoma
  • Evidence of leptomeningeal disease on pre-local treatment MRI scan
  • Patients with prior cancers, except:

    • Those diagnosed more than five years ago with no evidence of disease recurrence within this time;
    • Successfully treated basal cell and squamous cell skin carcinoma;
    • Carcinoma in-situ of the cervix
  • A medical or psychiatric condition that compromises ability to give informed consent or complete the protocol
  • Positive urine pregnancy test for women of childbearing potential within a week of registration onto the trial

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT01503827

Contact: Victoria Steel +61 2 9911 7386 victoria.steel@melanoma.org.au
Contact: Elizabeth Paton +61 2 9911 7354 elizabeth.paton@melanoma.org.au

Australia, New South Wales
St Vincent's Hospital Recruiting
Darlinghurst, New South Wales, Australia, 2010
Contact: Lynn Jolly    +61 2 9355 5618    lynne.Jolly@svha.org.au   
Principal Investigator: Gerald Fogarty         
Calvary Mater Hospital Recruiting
Newcastle, New South Wales, Australia, 2310
Contact: Joanne Smart    +61 2 4014 3947    Joanne.smart@calvarymater.org.au   
Principal Investigator: Chris Wratten         
Genesis Cancer Care - Gateshead Recruiting
Newcastle, New South Wales, Australia
Contact: Vicki Sproule       vicki.sproule@cancer.com.au   
Principal Investigator: Michael Fay         
Melanoma Institute Australia / Royal Prince Alfred Hospital Recruiting
North Sydney, New South Wales, Australia, 2060
Contact: Maria Gonzalez    +61 2 9911 7200    maria.gonzalez@melanoma.org.au   
Principal Investigator: Angela Hong, MBBS PhD         
Nepean Hospital Recruiting
Penrith, New South Wales, Australia, 2751
Contact: Clinical Trials Team    +61 2 4734 3500      
Principal Investigator: Wei Wang         
Westmead Hospital Recruiting
Westmead, New South Wales, Australia
Contact: Clinical Trials Team    +61 2 9845 5200      
Principal Investigator: Wei Wang         
Australia, Northern Territory
Darwin Hospital, NT Radiation Oncology Recruiting
Darwin, Northern Territory, Australia
Contact: Lisa Smith       lisag.smith@nt.gov.au   
Principal Investigator: Thanuja Thachil         
Australia, Queensland
Royal Brisbane and Women's Hospital Recruiting
Herston, Queensland, Australia, 4029
Contact: Jennifer Edmunds    +61 7 3646 3465    Jennifer_Edmunds@health.qld.gov.au   
Principal Investigator: Michael Fay         
Radiation Oncology Services - Mater Centre Recruiting
South Brisbane, Queensland, Australia, 4101
Contact: Kacy Bauman    +61 7 3840 3219    Kacy_Baumann@health.qld.gov.au   
Principal Investigator: Andrew Pullar         
Townsville Hospital Recruiting
Townsville, Queensland, Australia, 4812
Contact: Wilna van der Watt    +61 7 4433 4281    TSV-Oncology-Clinical-Trials@health.qld.gov.au   
Principal Investigator: Sean Brennan         
Genesis Cancer Care - Tugun Recruiting
Tugun, Queensland, Australia, 4224
Contact: Corinne Malligan       corinne.malligan@genesiscare.com.au   
Principal Investigator: David Christie         
Princess Alexandra Hospital Recruiting
Woolloongabba, Queensland, Australia, 4102
Contact: Jennifer Suffolk    +61 7 31767825    Jennifer_M_Suffolk@health.qld.gov.au   
Principal Investigator: Bryan Burmeister         
Australia, South Australia
Royal Adelaide Hospital Recruiting
Adelaide, South Australia, Australia, 5000
Contact: Sonya Stephens    +61 8 8222 5024    sonya.stephens@health.sa.gov.au   
Principal Investigator: Daniel Roos         
Australia, Tasmania
Royal Hobart Hospital Recruiting
Hobart, Tasmania, Australia, 7000
Contact: Elizabeth Campbell-Taylor    +61 3 6222 7890    elizabeth.campbell-t@dhhs.tas.gov.au   
Principal Investigator: Raef Awad         
Australia, Victoria
Peter MacCallum Cancer Centre Active, not recruiting
East Melbourne, Victoria, Australia, 8006
Alfred Hospital Recruiting
Melbourne, Victoria, Australia, 3004
Contact: Robin Smith    +61 3 9076 2360    r.smith@alfred.org.au   
Contact: Rachel Ward    +61 3 9076 2337    rachel.ward@alfred.org.au   
Principal Investigator: Jeremy Ruben         
Australia, Western Australia
Sir Charles Gairdner Hospital Completed
Nedlands, Western Australia, Australia, 6009
The Norwegian Radium Hospital Recruiting
Montebello, Oslo, Norway, 0310
Contact: Kari D Jacobsen    +47 22934000    kari.dolven.jacobsen@radiumhospitalet.no   
Principal Investigator: Kari D Jacobsen         
United Kingdom
Velindre Hospital Recruiting
Whitchurch, Cardiff, United Kingdom, CF14 2TL
Contact: Hana Wilbraham       hana.wilbraham@wales.nhs.uk   
Principal Investigator: Satish Kumar         
Mount Vernon Cancer Centre Recruiting
Northwood, Middlesex, United Kingdom, HA6 2RN
Contact: Sara Abbassi       sara.abbassi@nhs.net   
Principal Investigator: Carie Corner         
Churchill Hospital Recruiting
Headington, Oxford, United Kingdom, OX3 7LJ
Contact: Kathryn Room       earlyphasehub@oncology.ox.ac.uk   
Principal Investigator: Mark Middleton         
Clatterbridge Cancer Centre Withdrawn
Bebington, Wirral, United Kingdom, CH63 4JY
St. James University Hospital Recruiting
Leeds, United Kingdom, LS9 7TF
Contact: Tracey Rose       tracey.rose@leedsth.nhs.uk   
Principal Investigator: Maria Marples         
Norfolk & Norwich University Hospital Recruiting
Norwich, United Kingdom, NR4 7UY
Contact: Adele Cooper       adele.cooper@nnuh.nhs.uk   
Principal Investigator: Jenny Nobes         
Sponsors and Collaborators
Australia and New Zealand Melanoma Trials Group
Trans-Tasman Radiation Oncology Group (TROG)
University of Oxford
Study Chair: Gerald Fogarty, BSc, MBBS Mater Hospital, St Vincent's Hospital, Melanoma Institue Australia

Additional Information:
Responsible Party: Australia and New Zealand Melanoma Trials Group
ClinicalTrials.gov Identifier: NCT01503827     History of Changes
Other Study ID Numbers: ANZMTG 01-07
ACTRN12607000512426 ( Registry Identifier: ANZCTR )
First Posted: January 4, 2012    Key Record Dates
Last Update Posted: February 17, 2017
Last Verified: February 2017
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: No

Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No

Keywords provided by Australia and New Zealand Melanoma Trials Group:
Whole Brain Radiotherapy
Brain metastases
Stage IV Metastatic Melanoma
Neurocognitive function
Quality of life

Additional relevant MeSH terms:
Nevi and Melanomas
Neoplasm Metastasis
Neuroendocrine Tumors
Neuroectodermal Tumors
Neoplasms, Germ Cell and Embryonal
Neoplasms by Histologic Type
Neoplasms, Nerve Tissue
Neoplastic Processes
Pathologic Processes