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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT01503827
Registration number
NCT01503827
Ethics application status
Date submitted
15/12/2011
Date registered
4/01/2012
Titles & IDs
Public title
Whole Brain Radiotherapy Following Local Treatment of Intracranial Metastases of Melanoma
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Scientific title
Whole Brain Radiotherapy Following Local Treatment of Intracranial Metastases of Melanoma - A Randomised Phase III Trial
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Secondary ID [1]
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ACTRN12607000512426
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Secondary ID [2]
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01-07
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Universal Trial Number (UTN)
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Trial acronym
WBRTMel
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Metastatic Melanoma
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Condition category
Condition code
Cancer
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Malignant melanoma
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Other - WBRT
Experimental: WBRT - Patients will receive WBRT after local treatment. A minimum of 30 Gy in 10 fractions given as one fraction per day within 4 weeks of randomisation
No intervention: Observation - No Intervention
Treatment: Other: WBRT
A minimum of 30 Gy in 10 fractions given as one fraction per day within 4 weeks of randomisation
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Intervention code [1]
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Treatment: Other
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Proportion of patients with distant intracranial failure as determined by magnetic resonance imaging (MRI) assessment
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Assessment method [1]
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Timepoint [1]
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12 months post randomisation
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Secondary outcome [1]
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Time to intracranial failure (local, distant and overall) as determined by MRI
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Assessment method [1]
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Timepoint [1]
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Post randomisation to intracranial failure
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Secondary outcome [2]
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Quality of life as measured by EORTC QLQ-C30 and BN-20
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Assessment method [2]
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Timepoint [2]
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At baseline and every 2 months post randomisation
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Secondary outcome [3]
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Neurocognitive function as measured by Hopkins Verbal Learning Test, Controlled Oral Word Association Test, Trail Making Test Part A & B, Stroop - Colour and Word Test and Digit Span (Forwards and Backwards).
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Assessment method [3]
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Timepoint [3]
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At baseline and every 2 months post randomisation
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Secondary outcome [4]
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Overall survival
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Assessment method [4]
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Timepoint [4]
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Post randomisation to death from any cause
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Secondary outcome [5]
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Performance status as measured by ECOG
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Assessment method [5]
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Timepoint [5]
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At baseline and every 2 months post randomisation
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Secondary outcome [6]
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Incremental cost effectiveness ratio (ICER)
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Assessment method [6]
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Timepoint [6]
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At 12 months from randomisation
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Eligibility
Key inclusion criteria
* 1-3 intracranial metastases on MRI from melanoma, locally treated with either surgical excision and/or stereotactic irradiation.
* Life expectancy of at least 6 months
* Aged 18 years or older
* WBRT must begin within 8 weeks of completion of localised treatment and within 4 weeks of randomisation
* Able to have an MRI brain scan with contrast. Estimated Glomerular Filtrate Rate (eGFR) is adequate at the discretion of the radiologist and capable of having gadolinium-containing contrast medium for MRI as per practice guidelines
* Complete localised treatment of all these metastases no more than 6 weeks prior to randomisation
* An Eastern Cooperative Oncology Group (ECOG) performance status of 2 or less at randomisation
* CT scan of chest, abdomen and pelvis as a minimum prior to randomisation. Scans must be within 12 weeks of randomisation
* Serum Lactate Dehydrogenase (LDH) must be = or < 2 x upper limit of normal
* Able to provide written informed consent
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Minimum age
18
Years
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Maximum age
No limit
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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
* Any untreated intracranial disease
* Any previous intracranial treatment (surgical excision and/or stereotactic irradiation treatment and/or WBRT) prior to this diagnosis of intracranial melanoma
* Evidence of leptomeningeal disease on pre-local treatment MRI scan
* Patients with prior cancers, except:
* Those diagnosed more than five years ago with no evidence of disease recurrence within this time;
* Successfully treated basal cell and squamous cell skin carcinoma;
* Carcinoma in-situ of the cervix
* A medical or psychiatric condition that compromises ability to give informed consent or complete the protocol
* Positive urine pregnancy test for women of childbearing potential within a week of registration onto the trial
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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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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
NA
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
UNKNOWN
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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
1/10/2007
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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
1/06/2022
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Actual
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Sample size
Target
220
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
NSW,NT,QLD,SA,TAS,VIC,WA
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Recruitment hospital [1]
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St Vincent's Hospital - Darlinghurst
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Recruitment hospital [2]
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Calvary Mater Hospital - Newcastle
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Recruitment hospital [3]
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Genesis Cancer Care - Gateshead - Newcastle
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Recruitment hospital [4]
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Melanoma Institute Australia / Royal Prince Alfred Hospital - North Sydney
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Recruitment hospital [5]
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Nepean Hospital - Penrith
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Recruitment hospital [6]
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Westmead Hospital - Westmead
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Recruitment hospital [7]
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Darwin Hospital, NT Radiation Oncology - Darwin
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Recruitment hospital [8]
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Royal Brisbane and Women's Hospital - Herston
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Recruitment hospital [9]
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Radiation Oncology Services - Mater Centre - South Brisbane
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Recruitment hospital [10]
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Townsville Hospital - Townsville
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Recruitment hospital [11]
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Genesis Cancer Care - Tugun - Tugun
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Recruitment hospital [12]
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Princess Alexandra Hospital - Woolloongabba
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Recruitment hospital [13]
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Royal Adelaide Hospital - Adelaide
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Recruitment hospital [14]
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Royal Hobart Hospital - Hobart
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Recruitment hospital [15]
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Peter MacCallum Cancer Centre - East Melbourne
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Recruitment hospital [16]
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Alfred Hospital - Melbourne
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Recruitment hospital [17]
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Sir Charles Gairdner Hospital - Nedlands
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Recruitment postcode(s) [1]
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2010 - Darlinghurst
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Recruitment postcode(s) [2]
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2310 - Newcastle
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Recruitment postcode(s) [3]
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- Newcastle
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Recruitment postcode(s) [4]
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2060 - North Sydney
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Recruitment postcode(s) [5]
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2751 - Penrith
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Recruitment postcode(s) [6]
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- Westmead
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Recruitment postcode(s) [7]
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- Darwin
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Recruitment postcode(s) [8]
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4029 - Herston
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Recruitment postcode(s) [9]
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4101 - South Brisbane
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Recruitment postcode(s) [10]
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4812 - Townsville
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Recruitment postcode(s) [11]
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4224 - Tugun
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Recruitment postcode(s) [12]
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4102 - Woolloongabba
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Recruitment postcode(s) [13]
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5000 - Adelaide
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Recruitment postcode(s) [14]
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7000 - Hobart
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Recruitment postcode(s) [15]
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8006 - East Melbourne
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Recruitment postcode(s) [16]
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3004 - Melbourne
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Recruitment postcode(s) [17]
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6009 - Nedlands
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Recruitment outside Australia
Country [1]
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Norway
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State/province [1]
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Oslo
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Country [2]
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United Kingdom
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State/province [2]
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Cardiff
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Country [3]
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United Kingdom
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State/province [3]
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Middlesex
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Country [4]
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United Kingdom
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State/province [4]
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Oxford
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Country [5]
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United Kingdom
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State/province [5]
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Leeds
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Country [6]
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United Kingdom
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State/province [6]
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Norwich
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Funding & Sponsors
Primary sponsor type
Other
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Name
Melanoma and Skin Cancer Trials Limited
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Address
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Country
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Other collaborator category [1]
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Other
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Name [1]
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Trans Tasman Radiation Oncology Group
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Address [1]
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Country [1]
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Other collaborator category [2]
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Other
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Name [2]
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University of Oxford
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Address [2]
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Country [2]
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Ethics approval
Ethics application status
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Summary
Brief summary
People with brain metastases from melanoma are offered different treatment options after local treatment of their brain metastases via surgery or stereotactic irradiation. Depending on the treating institution and the clinician involved a patient may or may not be offered whole brain radiotherapy (WBRT) after their brain metastases are excised or treated with stereotactic irradiation. This trial seeks to determine if WBRT reduces the spread of brain metastases and lengthens the time to recurrence. The trial also examines the effect of WBRT on quality of life and brain functions such as memory, speech and concentration. Participants will be randomised after local treatment of their brain metastases to either WBRT or observation. 220 people will be recruited from sites in Australia, Norway, the UK, the US and other international sites.
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Trial website
https://clinicaltrials.gov/study/NCT01503827
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Trial related presentations / publications
Fogarty G, Morton RL, Vardy J, Nowak AK, Mandel C, Forder PM, Hong A, Hruby G, Burmeister B, Shivalingam B, Dhillon H, Thompson JF. Whole brain radiotherapy after local treatment of brain metastases in melanoma patients--a randomised phase III trial. BMC Cancer. 2011 Apr 17;11:142. doi: 10.1186/1471-2407-11-142. Hong AM, Fogarty GB, Dolven-Jacobsen K, Burmeister BH, Lo SN, Haydu LE, Vardy JL, Nowak AK, Dhillon HM, Ahmed T, Shivalingam B, Long GV, Menzies AM, Hruby G, Drummond KJ, Mandel C, Middleton MR, Reisse CH, Paton EJ, Steel V, Williams NC, Scolyer RA, Morton RL, Thompson JF. Adjuvant Whole-Brain Radiation Therapy Compared With Observation After Local Treatment of Melanoma Brain Metastases: A Multicenter, Randomized Phase III Trial. J Clin Oncol. 2019 Nov 20;37(33):3132-3141. doi: 10.1200/JCO.19.01414. Epub 2019 Sep 25. Lo SN, Hong AM, Haydu LE, Ahmed T, Paton EJ, Steel V, Hruby G, Tran A, Morton RL, Nowak AK, Vardy JL, Drummond KJ, Dhillon HM, Mandel C, Scolyer RA, Middleton MR, Burmeister BH, Thompson JF, Fogarty GB. Whole brain radiotherapy (WBRT) after local treatment of brain metastases in melanoma patients: Statistical Analysis Plan. Trials. 2019 Aug 5;20(1):477. doi: 10.1186/s13063-019-3555-5.
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Public notes
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Contacts
Principal investigator
Name
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Gerald Fogarty, BSc, MBBS
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Address
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Mater Hospital, St Vincent's Hospital, Melanoma Institue Australia
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Address
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Phone
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Fax
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Email
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Contact person for scientific queries
Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT01503827