New study: can targeted radiation save thinking skills in patients with multiple brain tumors?
NCT ID NCT02953717
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study compared two types of radiation for people with 11 to 20 brain tumors that spread from other cancers. One group got Gamma Knife radiosurgery, which targets each tumor precisely. The other got whole brain radiation, which treats the entire brain. The goal was to see which approach better protects memory and thinking. 81 patients took part, and researchers measured cognitive decline three months after treatment.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Gamma Knife radiosurgery and whole brain radiation therapy
- What this could lead to
- If Gamma Knife causes fewer memory and thinking problems, it could become the preferred treatment for patients with multiple brain metastases.
- What could go wrong
- This is a small, completed study with only 81 participants. Results may not apply to all patients, and Gamma Knife may not control tumors as well as whole brain radiation.
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
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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
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81 people
The number who actually took part.
- Start date
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Feb 2016
- Finished
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Jan 2023
- 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.
- Ages
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18 years and older
- 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.
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Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Histologically proven malignant cancer * 11-20 newly diagnosed brain metastases on a triple dose gadolinium-enhanced MRI-scan * Maximum total tumor volume ≤ 30 cm3 * Lesion ≥ 3 mm from the optic apparatus * Age ≥ 18 years * Karnofsky Performance Status (KPS) ≥ 70 * Anticipated survival \> 3 months Exclusion Criteria: * No prior histologic confirmation of malignancy * Primary brain tumor * A second active primary tumor * Small cell lung cancer (SCLC) * Lymphoma * Leukemia * Meningeal disease * Progressive, symptomatic systemic disease without further treatment options * Prior brain radiation * Prior surgical resection of BM * Cardiovascular accident (CVA) \< 2 years ago * Additional history of a significant neurological or psychiatric disorder * Contra indications to MRI or gadolinium contrast * Underlying medical condition precluding adequate follow-up * Participation in a concurrent study in which neuropsychological testing and/or health-related QOL assessments are involved * Lack of basic proficiency in Dutch * IQ below 85 * Severe aphasia * Paralysis grade 0-3 according to MRC scale (Medical Research Council)
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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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Gamma Knife Center Tilburg, Elisabeth-TweeSteden Hospital
Tilburg, North Brabant, 5022 GC, Netherlands
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