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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT00005887
Registration number
NCT00005887
Ethics application status
Date submitted
2/06/2000
Date registered
29/08/2003
Date last updated
23/08/2021
Titles & IDs
Public title
Radiation Therapy With or Without RSR13 in Treating Patients With Brain Metastases
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Scientific title
A Phase III, Randomized, Open-Label, Comparative Study of Standard Whole Brain Radiation Therapy With or Without RSR13 in Patients With Brain Metastases
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Secondary ID [1]
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ALLOS-RSR13RT-009
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Secondary ID [2]
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CDR0000067957
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Metastatic Cancer
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Condition category
Condition code
Cancer
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Brain
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
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Comparator / control treatment
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Control group
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Outcomes
Eligibility
Key inclusion criteria
DISEASE CHARACTERISTICS:
* Radiographically, histologically, or cytologically confirmed brain metastases with histologically or cytologically confirmed primary malignancy except the following:
* Small cell lung cancer, germ cell tumors, and lymphomas
* No leptomeningeal metastases
PATIENT CHARACTERISTICS:
Age:
* 18 and over
Performance status:
* Karnofsky 70-100%
Life expectancy:
* Not specified
Hematopoietic:
* Hemoglobin at least 10 g/dL
* WBC at least 2,000/mm3
* Platelet count at least 75,000/mm3
Hepatic:
* Bilirubin no greater than 2.0 mg/dL
* ALT and AST no greater than 3 times upper limit of normal
Renal:
* Creatinine no greater than 2.0 mg/dL
Pulmonary:
* Forced vital capacity and forced expiratory volume at least 50% of normal in patients with significant intrathoracic tumor involvement, chronic obstructive pulmonary disease, interstitial lung disease, or pulmonary embolism
* Resting and exercise oxygen saturation at least 90% on room air
Other:
* No other concurrent active malignancy from a second histologic site
* Not pregnant or nursing
* Negative pregnancy test
* Fertile patients must use effective contraception
PRIOR CONCURRENT THERAPY:
Biologic therapy:
* No prior biologic therapy or immunotherapy for brain metastases
* At least 28 days since prior investigational biologic therapy
Chemotherapy:
* No prior chemotherapy for brain metastases
* No chemotherapy for brain metastases for at least one month following radiation therapy
* At least 7 days since prior chemotherapy for primary tumor or extracranial metastases
* No planned chemotherapy during radiation therapy
Endocrine therapy:
* No prior hormonal therapy for brain metastases
* Prior or concurrent corticosteroid therapy allowed
Radiotherapy:
* No prior whole brain radiotherapy for brain metastases
* No prior stereotactic radiosurgery for brain metastases
Surgery:
* Prior surgery allowed for brain metastases if at least one measurable lesion remains
Other:
* At least 28 days since prior investigational drug or device
* No prior RSR13
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Minimum age
18
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Maximum age
120
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Intervention assignment
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Other design features
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Phase
Phase 3
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
1/02/2000
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
1/01/2003
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Sample size
Target
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Final
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Recruitment in Australia
Recruitment state(s)
NSW,QLD,VIC
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Royal Prince Alfred Hospital Medical Center - Sydney
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Queensland Radium Institute - Herston
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Peter MacCallum Cancer Institute - East Melbourne
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Austin and Repatriation Medical Centre - Heidelberg West
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2042 - Sydney
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4029 - Herston
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8006 - East Melbourne
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3081 - Heidelberg West
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Recruitment outside Australia
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Funding & Sponsors
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Commercial sector/industry
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Name
Spectrum Pharmaceuticals, Inc
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Ethics approval
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Summary
Brief summary
RATIONALE: Radiation therapy uses high-energy x-rays to damage tumor cells. Drugs such as RSR13 may make tumor cells more sensitive to radiation therapy. PURPOSE: Randomized phase III trial to compare the effectiveness of radiation therapy to the brain with or without RSR13 in treating patients who have brain metastases.
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Trial website
https://clinicaltrials.gov/study/NCT00005887
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Trial related presentations / publications
Suh JH, Stea B, Nabid A, Kresl JJ, Fortin A, Mercier JP, Senzer N, Chang EL, Boyd AP, Cagnoni PJ, Shaw E. Phase III study of efaproxiral as an adjunct to whole-brain radiation therapy for brain metastases. J Clin Oncol. 2006 Jan 1;24(1):106-14. doi: 10.1200/JCO.2004.00.1768. Epub 2005 Nov 28. Nabid A, Kresl J, Stea B, et al.: Standard whole brain radiation (WBRT) with supplemental oxygen (O2) with or without RSR13 (efaproxiral) in patients with brain metastases originating from NSCLC: results of a subgroup analysis. [Abstract] J Clin Oncol 22 (Suppl 14): A-7115, 645s, 2004. Shaw E, Stea B, Pinter T, et al.: Pharmacokinetics (PK) of RSR13 (efaproxiral) predict survival in patients with brain metastases randomized to receive whole brain radiation therapy (WBRT) with or without RSR13 (REACH RT-009). [Abstract] J Clin Oncol 22 (Suppl 14): A-1561, 122s, 2004. Stea B, Suh J, Shaw E, et al.: Efaproxiral (EFAPROXYN) as an adjunct to whole brain radiation therapy for the treatment of brain metastases originating from breast cancer: updated survival results of the randomized REACH (RT-009) study. [Abstract] Breast Cancer Res Treat 88 (1): A-4064, 2004. Suh J, Stea BD, Nabid A, et al.: Prognostic factors for survival in patients with brain metastases enrolled on a worldwide phase 3 randomized trial of 538 patients (study RSR13 RT-009). [Abstract] Int J Radiat Oncol Biol Phys 60 (1 Suppl 1): A-60, S165, 2004. Suh J, Stea B, Nabid A, et al.: Standard whole brain radiation therapy (WBRT) with supplemental oxygen (O2), with or without RSR13 (efaproxiral) in patients with brain metastases: results of the randomized REACH (RT-009) study. [Abstract] J Clin Oncol 22 (Suppl 14): A-1534, 115s, 2004.
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Public notes
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Contacts
Principal investigator
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Edward G. Shaw, MD
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Address
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Wake Forest University Health Sciences
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Contact person for scientific queries
No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Type
Citations or Other Details
Journal
Suh JH, Stea B, Nabid A, Kresl JJ, Fortin A, Merci...
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Nabid A, Kresl J, Stea B, et al.: Standard whole b...
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Shaw E, Stea B, Pinter T, et al.: Pharmacokinetics...
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Stea B, Suh J, Shaw E, et al.: Efaproxiral (EFAPRO...
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Suh J, Stea BD, Nabid A, et al.: Prognostic factor...
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Suh J, Stea B, Nabid A, et al.: Standard whole bra...
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Results not provided in
https://clinicaltrials.gov/study/NCT00005887
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