Timing of brain radiation could change outcomes for cancer patients

NCT ID NCT05545007

First seen Jun 26, 2026 · Last updated Jun 27, 2026 · Updated 1 time

Summary

This study tests whether giving focused radiation before surgery for large brain metastases works better than giving it after surgery. About 146 adults with solid tumors and one large brain metastasis will be randomly assigned to one of the two timing schedules. The main goal is to see if preoperative radiation reduces the chance of cancer spreading in the lining of the brain.

What this could mean

Our plain-language read of the trial. This is informational only — not medical advice or a prediction.

Active substance
Hypofractionated Radiosurgery (HSRS)
What this could lead to
If this trial succeeds, it could establish a better timing for radiation to reduce the spread of cancer cells in the brain lining and improve local control.
What could go wrong
This is a mid-stage trial with only 146 participants, so results may not apply to all patients. Radiation before surgery may carry unknown risks like impaired wound healing.

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Conditions

The condition(s) this trial relates to.

As listed by the trial registrant

The condition terms exactly as the trial's registrant entered them.

Contacts and locations

Study contacts

  • Contact

    Phone: •••-•••-•••• Email: •••••@•••••

  • Contact

    Phone: •••-•••-•••• Email: •••••@•••••

Locations

  • AOU Sant'Andrea

    RECRUITING

    Rome, Rome, 00189, Italy

    Contact Email: •••••@•••••

    Contact

  • AOUC Azienda Ospedaliero-Universitaria Careggi

    RECRUITING

    Florence, Florence, 50134, Italy

    Contact Email: •••••@•••••

    Contact

  • ASST Spedali Civili di Brescia

    RECRUITING

    Brescia, Brescia, 25123, Italy

    Contact Email: •••••@•••••

    Contact

  • Azienda Ospedaliera Santa Maria di Terni

    RECRUITING

    Terni, Terni, 05100, Italy

    Contact

    Contact Email: •••••@•••••

  • Fondazione IRCCS Istituto Neurologico Carlo Besta

    RECRUITING

    Milan, Milan, 20133, Italy

    Contact Email: •••••@•••••

    Contact

  • Fondazione Policlinico Universitario Agostino Gemelli

    RECRUITING

    Rome, Rome, 00168, Italy

    Contact Email: •••••@•••••

    Contact

  • IRCCS Istituto Clinico Humanitas

    RECRUITING

    Rozzano, Milano, 20089, Italy

    Contact Phone: •••-•••-•••• Email: •••••@•••••

    Contact

  • Ospedale del Mare

    RECRUITING

    Naples, Naples, 80147, Italy

    Contact Email: •••••@•••••

    Contact

  • Policlinico Umberto I

    ACTIVE_NOT_RECRUITING

    Rome, Rome, 00161, Italy

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