Comparing Two Kinds of Brain Radiation for Memory and Thinking
Official title: Testing if High Dose Radiation Only to the Sites of Brain Cancer Compared to Whole Brain Radiation That Avoids the Hippocampus is Better at Preventing Loss of Memory and Thinking Ability
Status: Recruiting. It is looking for patients now. Talk to your care team about whether it fits you.
The trial team last updated this record on .
The short version
This trial compares two ways to treat lung cancer that has spread to the brain.
Read our full plain-language summary
What the trial team says
This phase III trial compares the effect of stereotactic radiosurgery to standard of care memantine and whole brain radiation therapy that avoids the hippocampus (the memory zone of the brain) for the treatment of small cell lung cancer that has spread to the brain. Stereotactic radiosurgery is a specialized radiation therapy that delivers a single, high dose of radiation directly to the tumor and may cause less damage to normal tissue. Whole brain radiation therapy delivers a low dose of radiation to the entire brain including the normal brain tissue. Hippocampal avoidance during whole-brain radiation therapy (HA-WBRT) decreases the amount of radiation that is delivered to the hippocampus which is a brain structure that is important for memory. The drug, memantine, is also often given with whole brain radiotherapy because it may decrease the risk of side effects related to thinking and memory. Stereotactic radiosurgery may decrease side effects related to memory and thinking compared to standard of care HA-WBRT plus memantine.
Key facts
- Registry number
- NCT04804644
- Stage of testing
- Phase 3
- Conditions studied
- Metastatic Lung Small Cell Carcinoma, Metastatic Malignant Neoplasm in the Brain, Recurrent Lung Small Cell Carcinoma, Stage IV Lung Cancer AJCC v8
Where it is running
This trial lists 231 sites.
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Arizona
- Mayo Clinic Hospital in Arizona (Phoenix)
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California
- Kaiser Permanente-Anaheim (Anaheim)
- Kaiser Permanente-Bellflower (Bellflower)
- Kaiser Permanente Los Angeles Medical Center (Los Angeles)
- Los Angeles General Medical Center (Los Angeles)
- USC / Norris Comprehensive Cancer Center (Los Angeles)
- Kaiser Permanente-Ontario (Ontario)
-
Colorado
- UCHealth University of Colorado Hospital (Aurora)
- UCHealth Memorial Hospital Central (Colorado Springs)
- Memorial Hospital North (Colorado Springs)
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Connecticut
- Smilow Cancer Hospital Care Center at Greenwich (Greenwich)
- Smilow Cancer Hospital Care Center - Guilford (Guilford)
- Smilow Cancer Center/Yale-New Haven Hospital (New Haven)
- Yale University (New Haven)
- Smilow Cancer Hospital Care Center-Trumbull (Trumbull)
- Smilow Cancer Hospital Care Center - Waterford (Waterford)
-
Delaware
- Beebe Medical Center (Lewes)
- Delaware Clinical and Laboratory Physicians PA (Newark)
- Helen F Graham Cancer Center (Newark)
- Medical Oncology Hematology Consultants PA (Newark)
- Christiana Care Health System-Christiana Hospital (Newark)
- Beebe Health Campus (Rehoboth Beach)
- Christiana Care Health System-Wilmington Hospital (Wilmington)
-
Florida
- UM Sylvester Comprehensive Cancer Center at Coral Gables (Coral Gables)
- UM Sylvester Comprehensive Cancer Center at Deerfield Beach (Deerfield Beach)
- UF Health Cancer Institute - Gainesville (Gainesville)
- University of Miami Miller School of Medicine-Sylvester Cancer Center (Miami)
- Moffitt Cancer Center-International Plaza (Tampa)
- Moffitt Cancer Center - McKinley Campus (Tampa)
- Moffitt Cancer Center (Tampa)
- Moffitt Cancer Center at Wesley Chapel (Wesley Chapel)
-
Georgia
- Emory University Hospital Midtown (Atlanta)
- Emory University Hospital/Winship Cancer Institute (Atlanta)
- Emory Saint Joseph's Hospital (Atlanta)
- Northside Hospital (Atlanta)
- Northside Hospital-Cherokee (Canton)
- Northside Hospital-Forsyth (Cumming)
- Memorial Health University Medical Center (Savannah)
-
Illinois
- Rush-Copley Medical Center (Aurora)
- Centralia Oncology Clinic (Centralia)
- Rush MD Anderson Cancer Center (Chicago)
- University of Chicago Comprehensive Cancer Center (Chicago)
- Carle at The Riverfront (Danville)
- Cancer Care Specialists of Illinois - Decatur (Decatur)
- Decatur Memorial Hospital (Decatur)
- Northwestern Medicine Cancer Center Kishwaukee (DeKalb)
- Carle Physician Group-Effingham (Effingham)
- Crossroads Cancer Center (Effingham)
- Northwestern Medicine Cancer Center Delnor (Geneva)
- Carle Physician Group-Mattoon/Charleston (Mattoon)
- and 7 more in Illinois
-
Indiana
- IU Health West Hospital (Avon)
- IU Health North Hospital (Carmel)
- Goshen Center for Cancer Care (Goshen)
- Indiana University/Melvin and Bren Simon Cancer Center (Indianapolis)
- IU Health Methodist Hospital (Indianapolis)
-
Iowa
- Mary Greeley Medical Center (Ames)
- McFarland Clinic - Ames (Ames)
-
Kentucky
- Baptist Health Lexington (Lexington)
- The James Graham Brown Cancer Center at University of Louisville (Louisville)
- UofL Health Medical Center Northeast (Louisville)
-
Louisiana
- Mary Bird Perkins Cancer Center (Baton Rouge)
-
Maryland
- Luminis Health Anne Arundel Medical Center (Annapolis)
- University of Maryland/Greenebaum Cancer Center (Baltimore)
- MedStar Franklin Square Medical Center/Weinberg Cancer Institute (Baltimore)
- UM Upper Chesapeake Medical Center (Bel Air)
- Central Maryland Radiation Oncology in Howard County (Columbia)
- University of Maryland Shore Medical Center at Easton (Easton)
- UM Baltimore Washington Medical Center/Tate Cancer Center (Glen Burnie)
- TidalHealth Richard A Henson Cancer Institute (Ocean Pines)
- TidalHealth Peninsula Regional (Salisbury)
-
Massachusetts
- Boston Medical Center (Boston)
-
Michigan
- Trinity Health Saint Joseph Mercy Hospital Ann Arbor (Ann Arbor)
- McLaren Cancer Institute-Bay City (Bay City)
- Trinity Health IHA Medical Group Hematology Oncology - Brighton (Brighton)
- Trinity Health Medical Center - Brighton (Brighton)
- Trinity Health IHA Medical Group Hematology Oncology - Canton (Canton)
- Trinity Health Medical Center - Canton (Canton)
- Caro Cancer Center (Caro)
- Chelsea Hospital (Chelsea)
- Trinity Health IHA Medical Group Hematology Oncology - Chelsea Hospital (Chelsea)
- Wayne State University/Karmanos Cancer Institute (Detroit)
- Weisberg Cancer Treatment Center (Farmington Hills)
- McLaren Cancer Institute-Flint (Flint)
- and 13 more in Michigan
-
Minnesota
- Sanford Joe Lueken Cancer Center (Bemidji)
- Minnesota Oncology - Burnsville (Burnsville)
- Mercy Hospital (Coon Rapids)
- Minnesota Oncology - Coon Rapids (Coon Rapids)
- Fairview Southdale Hospital (Edina)
- Minnesota Oncology - Edina (Edina)
- Unity Hospital (Fridley)
- Fairview Clinics and Surgery Center Maple Grove (Maple Grove)
- Minnesota Oncology - Maple Grove (Maple Grove)
- Minnesota Oncology Hematology PA-Maplewood (Maplewood)
- Abbott-Northwestern Hospital (Minneapolis)
- Monticello Cancer Center (Monticello)
- and 5 more in Minnesota
-
Missouri
- Saint Francis Medical Center (Cape Girardeau)
- Parkland Health Center - Farmington (Farmington)
- Freeman Health System (Joplin)
- Sainte Genevieve County Memorial Hospital (Sainte Genevieve)
- Mercy Hospital Springfield (Springfield)
- Missouri Baptist Medical Center (St Louis)
- Missouri Baptist Sullivan Hospital (Sullivan)
- BJC Outpatient Center at Sunset Hills (Sunset Hills)
-
Montana
- Billings Clinic Cancer Center (Billings)
- Benefis Sletten Cancer Institute (Great Falls)
- Logan Health Medical Center (Kalispell)
-
New Jersey
- Cooper Hospital University Medical Center (Camden)
-
New York
- Sands Cancer Center (Canandaigua)
- Northwell Health/Center for Advanced Medicine (Lake Success)
- Northern Westchester Hospital (Mount Kisco)
- NYP/Columbia University Medical Center/Herbert Irving Comprehensive Cancer Center (New York)
- Upstate Cancer Center Radiation Oncology at Oswego (Oswego)
- Wilmot Cancer Institute Radiation Oncology at Greece (Rochester)
- University of Rochester (Rochester)
- State University of New York Upstate Medical University (Syracuse)
- Upstate Cancer Center at Hill Radiation Oncology (Syracuse)
- Montefiore Medical Center-Einstein Campus (The Bronx)
- Montefiore Medical Center-Weiler Hospital (The Bronx)
- Montefiore Medical Center - Moses Campus (The Bronx)
- and 2 more in New York
-
North Carolina
- Wake Forest University Health Sciences (Winston-Salem)
-
North Dakota
- Sanford Bismarck Medical Center (Bismarck)
- Sanford Broadway Medical Center (Fargo)
- Sanford Roger Maris Cancer Center (Fargo)
-
Ohio
- UH Seidman Cancer Center at UH Avon Health Center (Avon)
- University of Cincinnati Cancer Center-UC Medical Center (Cincinnati)
- Case Western Reserve University (Cleveland)
- Ohio State University Comprehensive Cancer Center (Columbus)
- Riverside Methodist Hospital (Columbus)
- Grant Medical Center (Columbus)
- Delaware Health Center-Grady Cancer Center (Delaware)
- Grady Memorial Hospital (Delaware)
- UH Seidman Cancer Center at Lake Health Mentor Campus (Mentor)
- Mercy Health - Perrysburg Hospital (Perrysburg)
- Mercy Health - Saint Anne Hospital (Toledo)
- University of Cincinnati Cancer Center-West Chester (West Chester)
-
Oklahoma
- University of Oklahoma Health Sciences Center (Oklahoma City)
-
Ontario
- University Health Network-Princess Margaret Hospital (Toronto)
-
Pennsylvania
- Saint Luke's Cancer Center - Allentown (Allentown)
- UPMC Altoona (Altoona)
- UPMC-Heritage Valley Health System Beaver (Beaver)
- Saint Luke's University Hospital-Bethlehem Campus (Bethlehem)
- Carlisle Regional Cancer Center (Carlisle)
- Christiana Care Health System-Concord Health Center (Chadds Ford)
- Chambersburg Hospital (Chambersburg)
- Geisinger Medical Center (Danville)
- Saint Luke's Hospital-Anderson Campus (Easton)
- Ephrata Cancer Center (Ephrata)
- UPMC Hillman Cancer Center Erie (Erie)
- Saint Vincent Hospital (Erie)
- and 24 more in Pennsylvania
-
Quebec
- CHU de Quebec-L'Hotel-Dieu de Quebec (HDQ) (Québec)
-
Saskatchewan
- Allan Blair Cancer Centre (Regina)
- Saskatoon Cancer Centre (Saskatoon)
-
South Carolina
- McLeod Regional Medical Center (Florence)
- Gibbs Cancer Center-Gaffney (Gaffney)
- Self Regional Healthcare (Greenwood)
- Gibbs Cancer Center-Pelham (Greer)
- Spartanburg Medical Center (Spartanburg)
- SMC Center for Hematology Oncology Union (Union)
-
South Dakota
- Sanford Cancer Center Oncology Clinic (Sioux Falls)
- Avera Cancer Institute (Sioux Falls)
- Sanford USD Medical Center - Sioux Falls (Sioux Falls)
-
Texas
- MD Anderson in The Woodlands (Conroe)
- UT MD Anderson Cancer Center (Houston)
- MD Anderson West Houston (Houston)
- UT MD Anderson - League City (League City)
- MD Anderson in Sugar Land (Sugar Land)
-
Virginia
- VCU Massey Comprehensive Cancer Center (Richmond)
-
Wisconsin
- Langlade Hospital and Cancer Center (Antigo)
- ThedaCare Regional Cancer Center (Appleton)
- Gundersen Lutheran Medical Center (La Crosse)
- University of Wisconsin Carbone Cancer Center - Eastpark Medical Center (Madison)
- University of Wisconsin Carbone Cancer Center - University Hospital (Madison)
- Froedtert Menomonee Falls Hospital (Menomonee Falls)
- Medical College of Wisconsin (Milwaukee)
- Cancer Center of Western Wisconsin (New Richmond)
- Drexel Town Square Health Center (Oak Creek)
- Aspirus Cancer Care - James Beck Cancer Center (Rhinelander)
- Aspirus Cancer Care - Stevens Point (Stevens Point)
- Aspirus Regional Cancer Center (Wausau)
- and 1 more in Wisconsin
How to use this
Talk to your care team first. They know your history and can tell you whether this trial is worth your time.
Joining a trial is always your choice. A trial is a test, not a proven treatment. Being in one is not a promise that it will help you.
This page is built from the trial's listing on ClinicalTrials.gov, a service of the U.S. National Library of Medicine. That listing is the authority, and it may have changed since we last read it. We do not run this trial and we cannot enroll you in it.