A Double-blind, Phase II Randomized Study of Brain-directed Stereotactic Radiation With or Without AGuIX Gadolinium-based Nanoparticles in the Management of Brain Metastases at Higher Risk of Local Recurrence With Radiation Alone

Who is this study for? Patients with brain metastases
Status: Recruiting
Location: See all (2) locations...
Intervention Type: Radiation, Other, Drug
Study Type: Interventional
Study Phase: Phase 2
SUMMARY

The purpose of this study is to determine whether AGuIX (Activation and Guidance of Irradiation by X-ray) gadolinium-based nanoparticles make radiation work more effectively in the treatment of patients with brain metastases that are more difficult to control with stereotactic radiation alone.

Eligibility
Participation Requirements
Sex: All
Minimum Age: 18
Healthy Volunteers: f
View:

• Participants must have a biopsy proven solid malignancy and at least one intracranial measurable lesion spanning ≥5mm in maximal unidimensional size and radiographically consistent with or pathologically proven to be a brain metastasis AND meet one of the following additional criteria regarding the primary site or nature of the intracranial disease:

‣ Melanoma with intracranial growth consistent with tumor progression despite immunotherapy

⁃ Gastrointestinal primary

⁃ HER2 positive breast cancer (subtype assessed using most representative tissue available in opinion of enrolling clinician and/or study PI)

⁃ Cystic metastases

⁃ Metastases ≥2cm in maximal unidimensional size

⁃ Locally recurrent metastases after prior stereotactic radiation

⁃ Locally recurrent metastases after prior whole brain radiation \*Patients with metastases from melanoma, GI primaries, or HER2+ breast cancer, as well as those with cystic metastases or metastases ≥2cm in maximal unidimensional size, who have local recurrences after prior brain-directed radiation can only be treated in the strata permitting prior radiation (last two strata above)

• Age ≥18 years at diagnosis of brain metastases

• Estimated glomerular filtration rate of ≥ 60 mL/min/1.73m2

• Karnofsky performance status of at least 70 (i.e. at minimum, cares for self but unable to carry on normal activity or do active work)

• Estimated survival based on extracranial disease of at least 3 months in the opinion of the enrolling clinician and/or study PI

• Ability to understand and the willingness to sign a written informed consent document

• The effects of AGuIX on the developing human fetus are unknown. For this reason, women of child-bearing potential must agree to use adequate contraception prior to study entry and for the duration of the therapeutic component of study participation

Locations
United States
Massachusetts
Brigham and Women's Hospital
RECRUITING
Boston
Dana Farber Cancer Institute
RECRUITING
Boston
Contact Information
Primary
Ayal Aizer, MD, MHS
aaaizer@partners.org
(617) 732-7560
Backup
Ivy Ricca, BA
iricca@mgb.org
6175828927
Time Frame
Start Date: 2021-09-15
Estimated Completion Date: 2026-02
Participants
Target number of participants: 134
Treatments
Experimental: Stereotactic Radiation plus AGuIX gadolinium-based nanoparticles
Randomly assigned participants will receive:~* AGuIX gadolinium-based nanoparticles 3-5 days before radiation is initiated~* AGuIX gadolinium-based up to 2x during radiation, depending on standard of care radiation treatment.~ * If standard of care radiation treatment involves only one day of radiation, participant will receive AGuIX gadolinium-based nanoparticles on the day of radiation.~ * If standard of care radiation treatment involves 5 or 6 days of radiation, participant will receive AGuIX gadolinium-based nanoparticles two-times (2x) in total, on the first and third day of radiation.
Experimental: Stereotactic Radiation plus placebo
Randomly assigned participants will receive:~* Placebo 3-5 days before radiation is initiated~* Placebo up to 2x during radiation, depending on standard of care radiation treatment.~ * If standard of care radiation treatment involves only one day of radiation participant will receive Placebo on the day of radiation.~ * If standard of care radiation treatment involves 5 or 6 days of radiation participant will receive Placebo two-times (2x) in total, on the first and third day of radiation.
Sponsors
Leads: Dana-Farber Cancer Institute
Collaborators: NH TherAguix SAS

This content was sourced from clinicaltrials.gov

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