Can multiple radiation doses tame large brain tumors?
NCT ID NCT02974127
First seen Aug 31, 2026 · Last updated Sep 01, 2026 · Updated 1 time
Summary
This trial follows 178 adults with benign meningiomas that are large, medium-sized, or located near critical brain areas. Researchers use a robotic system called CyberKnife to deliver radiation in multiple sessions, aiming to control tumor growth while limiting damage to nearby healthy tissue. Over five years, they track side effects, tumor size on MRI scans, and neurological symptoms like facial pain or hearing issues. The study asks whether this precise, staged radiation approach can be a safe and effective option for tumors that are hard to treat with surgery or single-dose radiation.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Multisession radiosurgery (CyberKnife) - a precise form of radiation therapy delivered in multiple sessions
- What this could lead to
- If it works, this approach could offer a non-invasive way to control large or tricky-to-reach meningiomas with fewer side effects than traditional surgery or single-dose radiation.
- What could go wrong
- This is an observational study, not a randomized trial, so it cannot prove the treatment is better than alternatives. Radiation can still cause side effects, and tumor control may not be permanent.
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Study facts
What this study's own registry entry says, in plain language.
- Participants
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178 people
The number who actually took part.
- Started
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Aug 2011
- Finished
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Apr 2021
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
Who is studied
Patients with large or in critical site benign intracranial meningioma diagnosis
- Ages
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18 to 80 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * either histologically confirmed or imaging-defined benign meningioma diagnosis; * large or medium lesion size and/or in critical area (e.i. perichiasmatic area); * signed specific informed consent; * age ≥ 18 years; * for female patients, execution of pregnancy blood test; * Karnofsky Performance Status (KPS) ≥ 70. Exclusion Criteria: * histologically confirmed diagnosis of atypical or malignant meningiomas; * patients who had received prior radiotherapy in the same site; * pregnancy; * allergy for contrast medium; * neurofibromatosis diagnosis.
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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
Locations
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Fondazione IRCCS Istituto Neurologico C. Besta, Unit of Radiotherapy
Milan, 20133, Italy
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Other studies related to the condition(s) this trial covers.
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