Can more radiation sessions tame large brain tumors safely?
NCT ID NCT03412812
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tested whether giving higher doses of radiation over five sessions is safe for people with brain metastases that are 2 to 6 cm in size. These larger tumors are often too risky for a single high-dose treatment. The trial enrolled 13 adults and aimed to find the highest dose that does not cause severe side effects.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- radiation therapy
- What this could lead to
- If successful, this could establish a safer, more effective radiation dose for treating larger brain tumors that are not good candidates for single-session radiosurgery.
- What could go wrong
- This is a very early, small (13 participants) dose-finding study, not a large efficacy trial. The results may not apply to all patients, and there is a risk of radiation-related brain swelling or other toxicity.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
-
Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
-
13 people
The number who actually took part.
- Started
-
Jul 2018
- Finished
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Oct 2025
- Lead sponsor
-
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.
- Ages
-
18 years and older
- Sex
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Anyone
- Healthy volunteers
-
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: * All patients must have histologically confirmed malignancy. * All patients must have imaging suggestive of one or more brain metastases. * Karnofsky performance status (KPS) ≥ 60 * Age \> 18 years * Patients must provide written informed consent to participate in the study. * Patients must have less than or equal to 10 brain metastases as identified on brain MRI. Exclusion Criteria: * History of surgical resection to the tumor of interest * History of radiation to the tumor of interest * History of previous whole brain irradiation * Receipt of systemic therapy within one week of planned radiation treatment except for hormonal agents. * Patient is unable to have MRI or MRI contrast. * Inability to meet the appropriate normal tissue dose constraints secondary to tumor location should result in exclusion of the patient / tumor. * Patients with a non-index tumor (second tumor) greater than 3 cm in diameter will be excluded.
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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
-
Hazelrig-Salter Radiation Oncology Center
Birmingham, Alabama, 35233, United States
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